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Spinal injuries centres (SICs) for acute traumatic spinal cord injury

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There is insufficient evidence on the benefits or disadvantages of immediate referral versus late referral to spinal injuries centres in patients with acute traumatic spinal cord injury.
The majority of acute traumatic spinal cord injuries related complications occur within the first 24 …

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Spinal immobilisation for trauma patients

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There is no evidence from randomised controlled trials (RCTs) on the effectiveness of spinal mobilisations on neurological injury, spinal stability, mortality and adverse effects in trauma patients.
Spinal immobilisation encompasses the use of various devices and strategies aimed at stabilising the …

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Spinal fixation surgery for acute traumatic spinal cord injury

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There is insufficient evidence to assess the benefits and harms associated with spinal fixation surgery in patients with traumatic spinal cord injuries.  Some evidence suggests spinal fixation surgery might be helpful in promoting recovery and mobilisation following traumatic spinal cord injury.
Spinal …

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Psychosocial interventions for the prevention of disability following traumatic physical injury

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There is no convincing evidence from RCTs for the effectiveness of psychosocial interventions for the prevention of disability following traumatic physical injury. More RCTs with large sample sizes are needed to confirm this conclusion.
The impact of traumatic physical injury is …

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Helicopter emergency medical services for adults with major trauma

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An accurate composite estimate of the benefit of helicopter emergency medical services (HEMS) could not be determined using the evidence identified in this review. The question of which elements of HEMS are most beneficial for patients has not been fully answered, …

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Damage control surgery for abdominal trauma

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Evidence that supports the efficacy of damage control surgery (DCS) with respect to traditional laparotomy in patients with major abdominal trauma is limited and its benefit cannot be established. Patients with major trauma are usually unstable and are at risk of …

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Surgical interventions for diaphyseal fractures of the radius and ulna in children

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There is insufficient evidence from RCTs on the type of surgery most effective in treating fractures of the radius and ulna in children. Also, there is lack of evidence on when surgery is a prerequisite.
Diaphyseal fractures of the radius and ulna …

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Surgical approaches and ancillary techniques for internal fixation of intracapsular proximal femoral fractures

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There is little data from RCTs on the relative efficacy of open versus closed reduction of intracapsular fractures. Additionally, there was insufficient evidence on the efficacy of intra-operative impaction or compression of an intracapsular fracture treated by internal fixation.
Various surgical tactics, implants …

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Replacement arthroplasty versus internal fixation for extracapsular hip fractures in adults

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There is still a lack of evidence on the effectiveness of replacement arthroplasty compared to internal fixation for extracapsular hip fractures in adults.
Internal fixation of extracapsular fractures, using extramedullary or intramedullary devices, has been developed over the last 50 years. Internal …

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Osteotomy, compression and other modifications of surgical techniques for internal fixation of extracapsular hip fractures

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There is insufficient evidence on the effectiveness of osteotomy for internal fixation of trochanteric hip fractures. Additionally, there was inadequate evidence on the use of compression of the fracture, reaming of the femur, cement augmentation and hydroxyapatite coating of the lag screw.
Many …

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