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Closed reduction methods for treating distal radial fractures in adults

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There was insufficient evidence to establish the relative effectiveness of different methods of closed reduction used in the treatment of displaced fractures of the distal radius in adults. The three included randomised controlled trials did not assess functional outcome and only one …

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Tissue adhesives for traumatic lacerations in children and adults

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There is evidence to suggest that tissue adhesives are an acceptable alternative to standard wound closure for repairing simple traumatic lacerations.  Additionally, the tissue adhesives are helpful in terms of reducing pain, ease of use, and procedure time.
The use of tissue adhesives …

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Primary (immediate) closure versus delayed closure for non-bite traumatic wounds within 24 hours post injury

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There is no randomised controlled trial evidence to suggest the best timing for closure of traumatic wounds within clinical practice.
Traumatic wounds presenting within six hours of injury and considered ‘clean’ by the attending surgeon have traditionally undergone primary closure (closure …

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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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