Evidence

Question 1

Evidence for location of radial fracture in Galleazzi

Answer 1

Rettig and Raskin - journal of hand surgery American 2001
Factored within 7.5cm of wrist joint more commonly associated with Galleazzi
Series 40 patients. 12/22 7.5cm

Walsh JBJSBr 1987
Type 1 - volar apex and volar dislocation - supination injury
Type 2 - dorsal and dorsal. Probation injury

Question 2

Evidence for Timing for removal of plates from forearm in kids

Answer 2

DeLuca JBJS am 1988.

Increased re fracture rate if removed before 15 months

Question 2

What was the paper on paediatric genu varus / Valgus

Answer 2

Salenius and Vanka 1975 JBJS Am
The development of the tibia femoral angle in children

Salenius graph. 1480 examinations of 979 kids.

Birth - 15• varus
1 year - 10• varus
2 year - neutral 
3 year - 10• Valgus
7-8 years - 5• Valgus

Question 3

Evidence for Results of Nancy nails in kids femurs 5-14 years

Answer 3

Vransky 2000 JpO

Ligier 1988 JBJS Br

Question 4

Evidence for clavicle fixation

Answer 4

Zlowidzi- JOT 2005.
Meta analysis 4000 #s. Non Union rates
Operated - 2.2%. Non-op 15.1%
High rate of Malunion in non-op poorly tolerated

Canadian ORtho trauma society. JBJSA 2007
Multi centre RCT 132 patients. Lower rates non-union and Malunion and improved function for operated fractures for displaced clavicle
Double rate of complications for non-op vs op

Question 5

What is the evidence for reamed vs unreamed IMN tibia

Answer 5

Finkemeier JOT 2000 
RCT 94 patients in California. 
Open & closed excluding 3b and 3c
Reamed vs unreamed. 
Reamed superior. Increased union without extra complications.

Question 6

Evidence regarding arthroscopy in OA?

Answer 6

Moseley NEJM 2002. 3 groups of 180 patients. A’scopic debride vs lavage vs sham
No difference in pain and function

Laupattarakarem 2009 Cochrane review.