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Exact(5)
If the fracture fragments are nondisplaced and there is no comminution, all three types of odontoid fractures may be considered stable and initially managed with external cervical immobilisation.
Only Krupp et al. [28] reported time to radiographic union which was comparable between the two groups: 6 (range 3 14) months in the ORIF group and 7 (range 3 15) months in those managed with external fixation.
Pooled data from these studies suggests that patients managed with external fixation are at greater risk of superficial infection, although other complications (including deep infection) were comparable between the groups.
The medical records of ten patients (eight male, two female) with severe ARDS and severe TBI concurrently managed with external ventricular drainage in the neurointensive care unit (NICU) were retrospectively analyzed.
36 In another recent study of 336 patients by Conley et al, mitochondrial single nucleotide polymorphisms (SNPs) were found to be significantly associated with patient outcomes 1 year after injury; only severe TBI patients managed with external ventricular drainage were eligible for this study, but the findings are nonetheless broadly compatible with ours.
Similar(54)
Sixty-one fractures were initially managed with an external fixator (61/97, 63 %).
The patient refused to have his fracture managed with an external fixator.
Importantly, infection complicated a greater proportion of cases managed with an external fixator than with ORIF ORR 2.59, 95%% CI 0.49 4.96).
Open image in new window Fig. 1 A 45-year-old man with segmental fracture of the left tibia with severe soft tissue injuries that was managed with unilateral external fixator.
One hundred patients above 80 years of age (mean age 88.20 years) with 101 fractures in the area of the trochanters were managed with an external fixation (Orthofix pertrochanteric fixator, OPF) from October 1995 to March 2000.
The femoral fracture was managed with a spanning external fixator, and a vacuum-assisted closure (VAC) device was applied.
Related(19)
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