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This is a one centered retrospective study. Tendency for surgical interventions in the pre-pandemic period was reduced to protect surgical team and patients. The investigators aimed to find out the answer to the following question: will conservative treatment be the shining star in the post pandemic period?
The researchers compared the treatments performed for fractures during the Covid 19 pandemic period with the treatments performed in the prepandemic period. For this purpose, they tried to measure the effectiveness of the treatments according to clinical scoring by forming 2 groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Weber B-type Ankle fractures in prepandemic period | Patients with AO Weber B-type ankle fracture in prepandemic period | ||
| Weber B-type Ankle fractures in pandemic period | Patients with AO Weber B-type ankle fracture in pandemic period |
| |
| Wrist fractures in prepandemic period | Patients with extraarticular distal radius fracture in prepandemic period | ||
| Wrist fractures in pandemic period | Patients with extraarticular distal radius fracture in pandemic period |
| |
| Proximal humerus fractures in prepandemic period | Patients with 2-part,3-part and 4-part fractures in prepandemic period | ||
| Proximal humerus fractures in pandemic period | Patients with 2-part,3-part and 4-part fractures in pandemic period |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observation for study group | Procedure | Patients with Weber B-type Ankle fractures, extraarticular wrist fractures and proximal humerus fractures were followed with conservative manner( cast or sling) |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of the two groups in terms of bony union | The investigators aimed to investigate the duration of bone union time between two groups | 12 week |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who admitted to emergency orthopedics department between March 11, 2020 and August 11, 2020
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| SBU Prof. Cemil Tascioglu City Hospital | Istanbul | 34040 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31986264 | Background | Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin W, Li H, Liu M, Xiao Y, Gao H, Guo L, Xie J, Wang G, Jiang R, Gao Z, Jin Q, Wang J, Cao B. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020 Feb 15;395(10223):497-506. doi: 10.1016/S0140-6736(20)30183-5. Epub 2020 Jan 24. | |
| 31978945 |
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| ID | Term |
|---|---|
| D064386 | Ankle Fractures |
| D012784 | Shoulder Fractures |
| D000092503 | Wrist Fractures |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D016512 | Ankle Injuries |
| D007869 | Leg Injuries |
Not provided
Not provided
| ID | Term |
|---|---|
| D019370 | Observation |
| D013514 | Surgical Procedures, Operative |
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D008722 | Methods |
| D008919 | Investigative Techniques |
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
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|
| Background |
| Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, Zhao X, Huang B, Shi W, Lu R, Niu P, Zhan F, Ma X, Wang D, Xu W, Wu G, Gao GF, Tan W; China Novel Coronavirus Investigating and Research Team. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020 Feb 20;382(8):727-733. doi: 10.1056/NEJMoa2001017. Epub 2020 Jan 24. |
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| 28249980 | Background | Handoll HH, Keding A, Corbacho B, Brealey SD, Hewitt C, Rangan A. Five-year follow-up results of the PROFHER trial comparing operative and non-operative treatment of adults with a displaced fracture of the proximal humerus. Bone Joint J. 2017 Mar;99-B(3):383-392. doi: 10.1302/0301-620X.99B3.BJJ-2016-1028. |
| 32313559 | Background | Orman S, Mohamadi A, Serino J, Murphy J, Hanna P, Weaver MJ, Dyer G, Nazarian A, von Keudell A. Comparison of surgical and non-surgical treatments for 3- and 4-part proximal humerus fractures: A network meta-analysis. Shoulder Elbow. 2020 Apr;12(2):99-108. doi: 10.1177/1758573219831506. Epub 2019 Feb 28. |
| 24500588 | Background | Maier D, Jaeger M, Izadpanah K, Strohm PC, Suedkamp NP. Proximal humeral fracture treatment in adults. J Bone Joint Surg Am. 2014 Feb 5;96(3):251-61. doi: 10.2106/JBJS.L.01293. |
| 15220884 | Background | Hertel R, Hempfing A, Stiehler M, Leunig M. Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Shoulder Elbow Surg. 2004 Jul-Aug;13(4):427-33. doi: 10.1016/j.jse.2004.01.034. |
| 21196536 | Background | Murray IR, Amin AK, White TO, Robinson CM. Proximal humeral fractures: current concepts in classification, treatment and outcomes. J Bone Joint Surg Br. 2011 Jan;93(1):1-11. doi: 10.1302/0301-620X.93B1.25702. |
| 15246805 | Background | Martin AG. Weber B ankle fracture: an unnecessary fracture clinic burden. Injury. 2004 Aug;35(8):805-8. doi: 10.1016/j.injury.2003.12.013. |
| 28348185 | Background | Mittal R, Harris IA, Adie S, Naylor JM; CROSSBAT Study Group. Surgery for Type B Ankle Fracture Treatment: a Combined Randomised and Observational Study (CROSSBAT). BMJ Open. 2017 Mar 27;7(3):e013298. doi: 10.1136/bmjopen-2016-013298. |
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| D000070599 |
| Shoulder Injuries |
| D014954 | Wrist Injuries |
| D001134 | Arm Injuries |
| D012107 |
| Research Design |