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Title of Journal: Eur J Orthop Surg Traumatol

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Abbravation: European Journal of Orthopaedic Surgery & Traumatology

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Springer-Verlag

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DOI

10.1007/bf02541905

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1432-1068

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The need for routine postoperative radiographs in

Authors: H V Kurup A L R Michael A R Beaumont
Publish Date: 2008/01/29
Volume: 18, Issue: 4, Pages: 265-267
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Abstract

This study was designed to establish whether obtaining routine postoperative radiographs following dynamic hip screw DHS fixation served any useful clinical purpose Fifty orthopaedic units in United Kingdom were randomly selected and surveyed 18 of which routinely obtained check radiographs following DHS fixation In our unit routine postoperative films were being performed despite adequate image intensifier images being obtained and printed in theatre In this study 174 DHS fixations were reviewed and assessed for adequacy of image intensifier images by comparing them with formal postoperative radiographs Hundred and fifteen of the 174 original fractures were deemed stable and showed no change of position of fracture or metal work on the postoperative films Fiftynine fractures were unstable and of these 14 were shown to have medialization of the femoral shaft on the postoperative radiographs as compared with the image intensifier images The case notes of 132 of the total number of cases were reviewed and none of these patients underwent a change in postoperative mobilization status based on postoperative radiographic findings These included the 14 unstable fractures We conclude that obtaining routine check postoperative radiographs after DHS fixation is unnecessary provided adequate image intensifier images are obtained at the time of surgery


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  2. Scaphoid nonunion: special edition
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  4. Bipolar versus unipolar hemiarthroplasty for displaced femoral neck fractures in the elder patient: a systematic review and meta-analysis of randomized trials
  5. Biomechanical parameters of the BP-enriched bone cement
  6. Humeral head cysts: association with rotator cuff tears and age
  7. Acute high-grade acromioclavicular joint injuries: quality of life comparison between patients managed operatively with a hook plate versus patients managed non-operatively
  8. Quality of sexual life after total hip arthroplasty in male patients with osteonecrosis of femoral head
  9. An early comparison of clinical and mechanical aspects of hybrid and uncemented hip resurfacing
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  11. Juergen Fischer: Atlas of injection therapy in pain management
  12. Daniel B. Herren, Ladislav Nagy, Doug A. Campbell (eds): Osteosynthesis in the hand: current concepts, FESS instructional course 2008, Eurohand Lausanne
  13. The effectiveness and safety of two prophylactic antibiotic regimes in hip-fracture surgery
  14. Surgical treatment in spine Paget’s disease: a systematic review
  15. Comparison between two different concepts of lumbar posterior osteosynthesis implants A finite-element analysis
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