The outcome of non-operative treatment for undisplaced patellar fractures
Notice bibliographique
Résumé
he objective of this study is to assess both clinical and radiological out come of non-operative treatment of none displaced patellar fractures. As the treatment of none displaced patellar fractures remain controversial, a question weather prophylactic surgery is indicated and what is the functional outcome of non-operative management were asked and answered in this study. Undisplaced patellar fractures can be safely and effectively managed none operatively with good outcome results. Data were collected by retrospectively reviewing all files and roentgenograms of patients with patellar fracture treated none operatively at McGill University Health Center, Montreal, Canada from 1999 to 2003. This information was obtained from the trauma database of McGill University Health Center Records. The criteria applied for sample collection are patellar fracture with less than 3mm step and intact extensor mechanism. Exclusion criteria include patellar fractures with more than 3 mm step in the articular cartilage, open fractures, ligaments injury, pathological bone, and preprosthetic fractures. The outcome of the treatment was recorded as healed fracture with no further displacement radiologically and asymptomatic functioning knee clinically. Other relevant information, namely age, gender, mechanism of injury and follow up period were collected. Twenty-eight patients were extracted from the database, however, only 18 of these patients fulfilled the selection criteria. All of them had clinical and radiological assessment. Ten patients (2 pathological, 3 preprosthetic, 2 failed conservative treatment and 3 lost for follow up) were eliminated from the study. Patients demographic data, 8 (44.4%) males, 10 (55.6%) females, age (20-90 years) mean of 58 years, 15 patients (83%) independent and 3 (17%) from a nursing home. Mechanism of injury included sports injury in 5 patients (27.7%), accident at home in 6 patients (33.3%), motor vehicle accident (MVA) in 4 patients (22.2%) and 3 (16.7%) patients in work injuries. All 18 patients were treated with immobilization (cast or brace) for 2 weeks and early physiotherapy. Follow up period ranged from 6-48 months with a mean of 24 months in which patient had documented clinical and radiological finding in the medical records. Radiological evaluation at 3 months showed no further displacement, osseous union were evident in 16 patients (Figures 1a & 1b), 2 patients developed fibrous union, which is asymptomatic. Clinically, 17 patients had no or mild pain and 16 patients had full range of motion and power documented in file notes both in clinical visit and physiotherapy notes. When called for evaluation in this study they were having full range of motion and normal power and we used the contra lateral (uninjured) knee to compare our finding. Patellar fractures
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».