What's New in Orthopaedic Trauma

William M. Ricci; Christopher McAndrew; David Merriman; Michael J. Gardner

doi:jbjs/93/18/1746/K00505

$The management of patients who have musculoskeletal trauma continues to evolve. Even procedures that are well entrenched as “gold standards” such as femoral nailing are being refined and improved. The literature in the past year has provided practical as well as theoretical solutions to common problems, methods for improved diagnosis of subtle injuries, and insight for the relative advantages of one treatment over another. The present update provides a synopsis of more than sixty of the most clinically relevant high-quality studies. The key methods (♦), results (➢), and take-home points (★) for these studies are presented. Hip Fractures Fractures in the elderly present a unique set of hurdles with regard to perioperative management and surgical treatment. Recent studies have reaffirmed the advantages of arthroplasty for the treatment of displaced femoral neck fractures, have shed new light on the safety of restricted transfusion protocols and complications of iron supplementation, have indicated that provider volume has a limited effect on mortality following hip fracture, and have shown the relative equivalence of plate and nail fixation for the treatment of intertrochanteric fractures. Femoral Neck Fractures ♦ In a large series of >4300 patients with an age of more than seventy years$

What's New in Orthopaedic Trauma

Ricci, William M.; McAndrew, Christopher; Merriman, David; Gardner, Michael J.

Follow Journal of Bone and Joint Surgery , Volume 93 (18) JB&JS – Sep 21, 2011