eClips Consult provides evidence-graded abstracts of the most important articles in your speciality, along with expert commentary and ratings on their significance. It's the efficient way to stay current in medicine. http://eclips.consult.comen-us<![CDATA[Dislocations and fracture-dislocations involving the tarsometatarsal joint are a relatively common injury. These injuries are associated with long-term disability from subsequent painful osteoarthritis and residual deformity. This study evaluated whether performing a primary arthrodesis (PA) resulted in improved functional outcome and fewer subsequent surgeries as compared to primary open reduction and internal fixation (PORIF).]]>http://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(09)79647-6?source=rsshttp://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(09)79647-6?source=rss17 Feb 2010Orthopedics<![CDATA[To assess the methodological quality of randomized controlled trials (RCT) of medical and surgical therapy in patients with arthroplasty.]]>http://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(10)79678-4?source=rsshttp://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(10)79678-4?source=rss17 Feb 2010Orthopedics<![CDATA[There are few reports in the literature detailing the arthroscopic treatment of multidirectional instability of the shoulder.]]>http://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(10)79675-9?source=rsshttp://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(10)79675-9?source=rss17 Feb 2010Orthopedics<![CDATA[Treatment of fractures is sometimes performed after normal daytime operating hours and in such instances may be performed under less than ideal conditions. The consequence of performing operations under such conditions is largely unknown and was therefore studied in the context of intramedullary nail fixation of tibial and femoral shaft fractures.]]>http://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(10)79680-2?source=rsshttp://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(10)79680-2?source=rss17 Feb 2010Orthopedics<![CDATA[Optimal surgical management of unstable distal radial fractures is controversial, and evidence from rigorous comparative trials is rare. We compared the functional outcomes of treatment of unstable distal radial fractures with external fixation, a volar plate, or a radial column plate.]]>http://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(10)79664-4?source=rsshttp://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(10)79664-4?source=rss17 Feb 2010Orthopedics<![CDATA[Despite the recent trend toward internal fixation of distal radial fractures, few randomized trials have examined whether volar plate fixation is superior to other stabilization techniques. The purpose of the present study was to compare (1) open reduction and internal fixation with use of a volar plate and early mobilization with (2) percutaneous fixation and casting or external fixation for the treatment of dorsally displaced unstable extra-articular and simple intra-articular fractures of the distal part of the radius, with a specific emphasis on early functional recovery.]]>http://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(10)79679-6?source=rsshttp://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(10)79679-6?source=rss17 Feb 2010Orthopedics<![CDATA[Improvements in prosthesis design have facilitated participation in competitive running for persons with lower limb loss (AMP).]]>http://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(09)79655-5?source=rsshttp://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(09)79655-5?source=rss04 Feb 2010Orthopedics<![CDATA[This study evaluated the feasibility of using published data from more than one register to define the performance of different hip implants. In order to obtain estimates of performance for specific types of hip system from different register, we analysed data from the annual reports of five national and one Italian regional register. We extracted the number of implants and rates of implant survival at different periods of follow-up. Our aim was to assess whether estimates of cumulative survival rate were comparable with data from registers from different countries, and our conclusion was that such a comparison could only be performed incompletely.]]>http://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(10)79665-6?source=rsshttp://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(10)79665-6?source=rss02 Feb 2010Orthopedics<![CDATA[Residual ankle pain and stiffness is not uncommon after ankle fractures. Proposed etiologies include ligamentous instability, joint arthrosis and osteochondral injuries. We studied the incidence of osteochondral lesions of the talus (OCLT) with various ankle fracture patterns and assessed their impact on functional outcome.]]>http://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(09)79648-8?source=rsshttp://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(09)79648-8?source=rss02 Feb 2010Orthopedics<![CDATA[The main surgical treatments for end stage ankle arthritis are arthrodesis and total ankle replacement (TAR). In Europe, there are now more than 11 different prostheses, most with limited outcome data. This study aimed to determine the number and types of implants used in the United Kingdom.]]>http://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(10)79660-7?source=rsshttp://eclips.consult.com/eclips/article/Orthopedics/S0276-1092(10)79660-7?source=rss02 Feb 2010Orthopedics