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OTS Academia Library

The OTS Academia Library

The OTS Academia Library

Published papers & shared tips and tricks for orthopaedic trauma surgery.  Scroll through or use the search options to find relevant papers.  The data range is from when the papers were added to the library, not published. 

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Three-Column Fixation for Complex Tibial Plateau Fractures

Three-column fixation is a new fixation concept in treating complex tibial plateau fractures, which is especially useful for multiplanar fractures involving the posterior column. The combination of posterior and anterior–lateral approaches is a safe and effective way to have direct reduction and satisfactory fixation for such difficult tibial plateau fractures.

Exercise rehabilitation with tailored support for exercise adherence for people with vertebral fragility fractures is more effective than standard rehabilitation: the OPTIN randomised controlled trial

This study assessed the effect of adding an adherence support intervention to exercises for vertebral fragility fractures. The findings showed the intervention group demonstrated significantly better outcomes for Timed-up and Go test and 6 min walk test. Additional support for exercise behaviour provided greater benefits than exercise alone.

Dietary habits and fragility fractures

Fragility fractures (FF) are caused by low-energy trauma in patients with osteoporosis (Op) and are associated with a high risk of disability and mortality. Poor nutrition and unhealthy dietary habits are common risk factors for Op, but how they affect FF is unknown. In a cross-sectional study, we evaluated adherence to the Mediterranean diet (MD), salt and calcium intake in Op patients with and without FF.

European orthopaedic trauma registries:

Perspectives from Belgium, Greece, Germany, the Netherlands, Spain, and the United Kingdom. Member countries of the International Orthopaedic Trauma Association were contacted to provide information on the development, current position, and future plans for trauma registries within their countries. Responses were received from 6 countries—Belgium, Greece, Germany, the Netherlands, Spain, and the United Kingdom—providing an overview of practice across Europe.

Short or Long Antibiotic Regimes in Orthopaedics (SOLARIO)

A randomised controlled open-label non-inferiority trial of duration of systemic antibiotics in adults with orthopaedic infection treated operatively with local antibiotic therapy Discussion: This study aims to assess a treatment strategy that may enable the reduction of systemic antibiotic use for patients with orthopaedic infection. If this strategy is non-inferior, this will be to the advantage of patients and contribute to antimicrobial stewardship.

Effect of Incisional Negative PressureWound Therapy vs Standard Wound Dressing on Deep Surgical Site Infection After Surgery for Lower Limb Fractures Associated With Major Trauma

CONCLUSIONS AND RELEVANCE Among patients who underwent surgery for major trauma–related lower limb fractures, use of incisional negative pressure wound therapy, compared with standard wound dressing, resulted in no significant difference in the rate of deep surgical site infection. The findings do not support the use of incisional negative pressure wound therapy in this setting, although the event rate at 30 days was lower than expected.