» Endocrine and metabolic diseases

Perioperative fluid volume optimization following proximal femoral fracture

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Limited low quality and weak evidence from randomised controlled trials to support the use of advanced haemodynamic monitoring compared to protocol using standard measures such as CVP for perioperative fluid volume optimisation for patients with proximal femoral fracture exists.   Research findings …

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Condylocephalic nails versus extramedullary implants for extracapsular hip fractures

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The use of condylocephalic nails (in particular Ender nails), for trochanteric fracture is no longer appropriate. Any advantages in intra-operative outcomes of condylocephalic nails are outweighed by the increase in fracture healing complications, reoperation rate, residual pain and limb deformity when compared …

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Surgical interventions for treating distal humeral fractures in adults

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There is insufficient evidence to determine whether surgery is, and which surgical interventions are, the most appropriate for the management of different types of distal humerus fractures.
Distal humeral fractures in adults are relatively uncommon injuries that require surgical intervention in most cases. …

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Surgical versus non-surgical interventions for treating humeral shaft fractures in adults

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There is no evidence available from randomised controlled trials to ascertain whether surgical intervention of humeral shaft fractures gives a better or worse outcome than no surgery.
Fractures of the shaft of the humerus account for 1% to 3% of all fractures in …

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Conservative versus operative treatment for hip fractures in adults

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Conservative treatment will be acceptable where modern surgical facilities are unavailable, and will result in a reduction in complications associated with surgery, but rehabilitation is likely to be slower and limb deformity more common.
Until operative treatment involving the use of various implants …

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Percutaneous pinning for treating distal radial fractures in adults

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There is some evidence to support the use of percutaneous pinning, its precise role and methods are not established. The higher rates of complications with Kapandji pinning and biodegradable materials casts some doubt on their general use.
A key method of surgical fixation …

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Pre-operative traction for hip fractures in adults

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From the evidence available, the routine use of traction (either skin or skeletal) prior to surgery for a hip fracture does not appear to have any benefit. However, the evidence is also insufficient to rule out the potential advantages for traction, in …

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