Exact(13)
Open reduction internal fixation (ORIF) indications were, fractures with high risk of neurovascular injury and engagement of the distal aspect of the proximal fragment in brachial muscles and unsatisfactory closed reductions.
We could not explore this issue further because closed reductions are not recorded in the register.
We have only reported cases of revision due to dislocation, since closed reductions are not reported to the Register.
The registration of closed reductions is notoriously unreliable, as such procedures are frequently performed in emergency departments and often no operative records are kept.
Although metal transfer has been observed in unstable implants that have undergone dislocations and closed reductions, only one implant in this study was revised for instability.
Of these 20 operations, trainees performed the greatest proportion of closed reductions of dislocated shoulders (70.7%), followed by removal of metal (47.6%).
Similar(47)
In patients whose stability was ensured with closed reduction, closed operation method was applied.
The treatment options were closed reduction (n = 103), internal fixation after closed reduction (n = 89), or internal fixation after open reduction (n = 16) (Table 1).
Fractures treated with closed reduction and percutaneous fixation excluded.
The reported after-treatment following a closed reduction was mixed.
If diagnosed, an attempt at closed reduction is recommended.
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