The Experts below are selected from a list of 132 Experts worldwide ranked by ideXlab platform
George P. Whitelaw - One of the best experts on this subject based on the ideXlab platform.
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Early weight bearing of lateral tibial plateau fractures.
Clinical orthopaedics and related research, 1993Co-Authors: David Segal, Arati R. Mallik, Merrick J. Wetzler, Albert V. Franchi, George P. WhitelawAbstract:From 1975 to 1984, 134 consecutive lateral tibial plateau fractures were treated as part of this prospective study. Eighty-six fractures (64%) were followed until union, with an average follow-up period of 22.7 months. The two aims of this study were: First, to analyze the results of operative and nonoperative therapy in each fracture type, and second, to evaluate the effect of early weight bearing in a Cast Brace in both types of treatment. All lateral tibial plateau fractures with greater than 5 mm depression or displacement were treated operatively. Forty-four patients were treated operatively and 42 patients nonoperatively. All patients were treated with early range of motion and weight bearing in a Cast Brace. Fractures were initially classified using Hohl's classification system. Overall, 95% of the patients with Type I, II, or V fractures had satisfactory results, as opposed to only 70% of patients with Type III fractures. Of the Type III fractures, 83% treated operatively had satisfactory results compared with 53% treated nonoperatively. Moreover, early weight bearing did not produce further depression greater than 2 mm.
V.r. Bobic - One of the best experts on this subject based on the ideXlab platform.
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Arthroscopic management of tibial plateau fractures.
Injury, 1992Co-Authors: K.j. O'dwyer, V.r. BobicAbstract:Ten tibial plateau fractures treated arthroscopically are reported. In eight cases, closed internal fixation was performed under arthroscopic control while in another two patients, arthroscopic washout alone was undertaken. Only one case required external splintage (a Cast Brace), the remainder being mobilized non-weight-bearing without plaster immediately after the operation. The results were good. We suggest that the arthroscope is a useful tool in the treatment of these fractures and provides information not otherwise available. There is a low morbidity, inpatient stay is short and early joint movement can be encouraged.
Leslie Klenerman - One of the best experts on this subject based on the ideXlab platform.
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The results of surgical management of displaced tibial plateau fractures in the elderly.
Injury, 1995Co-Authors: A. Biyani, N.s. Reddy, J. Chaudhury, A. J. M. Simison, Leslie KlenermanAbstract:Abstract We retrospectively reviewed 32 elderly patients (mean age 71.7 years, range 66–83 years) with displaced tibial plateau fractures after a mean of 3.7 years (range 1–7 years) after operative treatment. Schatzker type 2 fracture was the commonest pattern of fracture (60.3 per cent). According to the modified Rasmussen clinical and radiographic criteria, there were nine excellent, 14 good, five fair and four poor results clinically, and 11 excellent, 12 good, six fair and three poor results radiographically. There was no significant correlation between the final radiographic appearance and clinical outcome. Fourteen patients mobilized postoperatively on a continuous passive motion machine followed by a Cast Brace had a better result than those mobilized in a Cast Brace alone, but the difference was not statistically significant ( P = 0.29). Postoperative complications included deep vein thrombosis in two patients.
Guy Fabry - One of the best experts on this subject based on the ideXlab platform.
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Conservative treatment of femoral shaft fractures in patients with total hip arthroplasty
The Journal of arthroplasty, 1998Co-Authors: J F Somers, R Suy, Jos Stuyck, Michiel Mulier, Guy FabryAbstract:Over a period of 20 years, 34 patients with a total hip arthroplasty were treated conservatively for a femoral shaft fracture. Thirty-five fractures were treated by traction followed by Cast-Brace or by Cast-Brace alone. Sound healing was obtained in 33 fractures. Problems were angular malalignment jeopardizing revision surgery in cases of loosening, long hospitalization, and a considerable complication rate. As a consequence, the authors no longer recommend conservative treatment as the first choice for these difficult fractures.
David Segal - One of the best experts on this subject based on the ideXlab platform.
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Early weight bearing of lateral tibial plateau fractures.
Clinical orthopaedics and related research, 1993Co-Authors: David Segal, Arati R. Mallik, Merrick J. Wetzler, Albert V. Franchi, George P. WhitelawAbstract:From 1975 to 1984, 134 consecutive lateral tibial plateau fractures were treated as part of this prospective study. Eighty-six fractures (64%) were followed until union, with an average follow-up period of 22.7 months. The two aims of this study were: First, to analyze the results of operative and nonoperative therapy in each fracture type, and second, to evaluate the effect of early weight bearing in a Cast Brace in both types of treatment. All lateral tibial plateau fractures with greater than 5 mm depression or displacement were treated operatively. Forty-four patients were treated operatively and 42 patients nonoperatively. All patients were treated with early range of motion and weight bearing in a Cast Brace. Fractures were initially classified using Hohl's classification system. Overall, 95% of the patients with Type I, II, or V fractures had satisfactory results, as opposed to only 70% of patients with Type III fractures. Of the Type III fractures, 83% treated operatively had satisfactory results compared with 53% treated nonoperatively. Moreover, early weight bearing did not produce further depression greater than 2 mm.