» Injuries (all)

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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External fixation versus conservative treatment for distal radial fractures in adults

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There is some evidence to support the use of external fixation for dorsally displaced fractures of the distal radius in adults. Though there is insufficient evidence to confirm a better functional outcome, external fixation reduces redisplacement, gives improved anatomical results and most …

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Interventions for isolated diaphyseal fractures of the ulna in adults

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Overall, there is insufficient evidence to determine which method of treatment (randomised trials assessed four treatment options) is the most appropriate for the treatment of isolated fractures of the ulnar shaft in adults. However, there is weak evidence (all trials were methodologically …

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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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Bone grafts and bone substitutes for treating distal radial fractures in adults

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Bone scaffolding may improve anatomical outcome compared with plaster cast alone but there is insufficient evidence to conclude on functional outcome and safety; or for other comparisons.
Surgical treatment of fractures of the distal radius can involve the implantation of bone scaffolding materials …

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Aloe vera for treating acute and chronic wounds

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There is currently an absence of high-quality clinical trial evidence to support the use of Aloe vera topical agents or Aloe vera dressings as treatments for acute and chronic wounds.
Aloe vera is a cactus-like perennial succulent belonging to the Liliaceae family, …

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Negative pressure wound therapy for skin grafts and surgical wounds healing by primary intention

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Evidence for the effectiveness of negative pressure wound therapy (NPWT) for complete healing of acute wounds remains unclear, as does the effect of NPWT on time to complete healing. Rates of graft loss may lower when NPWT is used, but hospital-based …

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Water for wound cleansing

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There is no evidence that using potable tap water to cleanse acute wounds in adults increases infection, and there is some evidence that it reduces infection. However, there is not strong evidence that cleansing wounds per se increases healing or reduces …

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Combined pharmacotherapy and psychological therapies for post traumatic stress disorder (PTSD)

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There is not enough evidence available to support or refute the effectiveness of combined psychological therapy and pharmacotherapy compared to either of these interventions alone.
Symptoms of PTSD include re-experiencing the event, avoidance and arousal, as well as distress and impairment resulting from …

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