M Bhandari

..We further aimed to evaluate the predictive value of a previously-developed prognostic index of three fracture characteristics on nonunion and reoperation rate...

..Secondary objectives included evaluating a checklist designed to assess hip fracture healing and determining whether agreement improved when reviewers were aware of the timing of the x-rays in relation to the patients' surgery...

..Our objective was to assess the knowledge, attitudes and perceptions about IPV among university medical students and surgical residents...

..We aimed to explore the current opinions of orthopaedic surgeons with regard to defining, diagnosing, and treating delayed unions and nonunions in extremity fractures...

..This article provides an overview of the adjudication process, along with details on the common pearls and pitfalls associated with this method of outcomes assessment...

..Critical to the success of a data management protocol are the experienced members of the data management team. We review common aspects of data management and management systems...

..This study was aimed to assess how these different trial management strategies affected trial performance...

..We explored the effect of adding clinical notes to radiographs in the adjudication process of a feasibility trial of tibial shaft fractures...

..The purpose of this study was to elicit surgical preferences of patients at risk of sustaining hip fracture using a novel decision board...

..Our primary objective was to determine publication rates for orthopaedic trauma trials registered with ClinicalTrials.gov. We further evaluated methodological consistency between registration and publication...

..The aim of this study was to estimate how many incidents of wrong site surgery in orthopaedics that have been reported to the NPSA could have been prevented by the WHO surgical checklist...

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..Our objective was to clarify current opinion with regard to the irrigation of open fracture wounds...

..We aimed to quantify the sample sizes and magnitude of treatment effects in a review of orthopaedic randomized trials with statistically significant findings...

..Time-action analysis (TAA) is a tool to objectively determine the level of efficiency of individual steps of a surgical procedure...

..The SJR excludes self-citations in its calculation and therefore enhances the underestimation in ranking of specialized journals...

..We aimed to determine the reporting quality of Randomised Controlled Trials (RCTs) published in the most frequently cited general orthopaedic journals...

..We aimed to identify the perceptions, attitudes, and knowledge of Canadian orthopaedic surgeons with regard to intimate partner violence...

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..A meta-analysis of existing trials would improve inferences regarding the treatment effect...

..The objective of our study was to investigate the extent of psychological symptoms that patients experience following orthopedic trauma and whether these are associated with quality of life...

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..Investigators who adhere to these principles are more likely to succeed during the conduct of their trials...

..We examined the characteristics of abused women, the prevalence of musculoskeletal injuries, and the variables associated with increasing frequency of physical violence against women...

..Our objective was to clarify current opinion with regard to the operative treatment of displaced fractures of the femoral neck...

..To determine the incidence of duplicate presentation of research between recent COA and AAOS meetings and between national meetings (AAOS and subspecialty), we conducted an observational study...

..The interval to reduction of the dislocation of the hip may be less important than previously described...

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..Previous small trials have left the evidence for either approach inconclusive. We compared reamed and unreamed intramedullary nailing with regard to the rates of reoperations and complications in patients with tibial shaft fractures...

..The current study seeks to address the issue of possible underreporting of IPV in orthopaedic fracture clinics by establishing prevalence rates of IPV among women seeking treatment for musculoskeletal injuries...

..Additional studies with larger sample sizes and longer follow-up periods are needed to better understand the long-term performance of this implant...

..This manuscript will describe the need, the information, the organization, and the accomplishments to date of the International Hip Fracture Research Collaborative...

..Its use has a reported association with the development of antibodies to coagulation factors with limited evidence to the clinical significance...

..The current meta-analysis aimed to explore the effects of time and Gamma Nail design on the risks of femoral shaft fracture after treatment of extracapsular hip fractures...

..Hip fractures are associated with a 30% mortality rate at 1 year and profound temporary, and sometimes permanent, impairment of independence and quality of life...

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..The relative merits of reamed versus unreamed nails in the treatment of open tibial fractures remain uncertain...

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..The terminology authors often use to convey blinding status (single, double, and triple blinding) may be open to various interpretations...

..A plate with multiple nonparallel lag screws that can be locked into the plate might be a solution. However, the findings of this study are surgeons' opinions, which may or may not be confirmed by scientific evidence...

..Because there is no "gold standard," it was hypothesized that the RUST score would provide substantial improvements compared with previous scores presented in the literature...

..We hypothesized that lack of reporting of a methodological safeguard did not necessarily mean it had not been conducted...

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..Varying definitions of nonunion and malunion may influence the decision to intervene in an effort to promote fracture healing and/or realign the fracture...

..It is not known what forms of management for tibial fractures predominate among Canadian orthopedic surgeons. We therefore asked a representative sample of orthopedic trauma surgeons about their management of tibial fracture patients...

..We surveyed surgeons to assess whether they would change practice based upon results of a large, multicenter randomized controlled hip fracture trial...

..Closed and open grade I (low-energy) tibial shaft fractures are a common and costly event, and the optimal management for such injuries remains uncertain...

..To compare the Short Musculoskeletal Function Assessment Dysfunction Index (SMFA DI) and the Short Form-36 Physical Component Summary (SF-36 PCS) scores among patients undergoing operative management of tibial fractures...

..Accurate prediction of likelihood of reoperation in patients with tibial shaft fractures would facilitate optimal management. Previous studies were limited by small sample sizes and noncomprehensive examination of possible risk factors...

..To explore current beliefs among senior physiotherapy (PT) students and orthopedic surgeons on the clinical utility of therapeutic ultrasound for assisting fracture healing...

..Therefore, we examined perceptions and competence in evidence-based medicine among Dutch orthopaedic surgeons...

..The results of this study can be used to guide future implant design and surgical procedure...

..In this study, we compared the effects of various irrigating solutions on the number and function of osteoblasts and osteoclasts and we examined the effectiveness of these solutions in removing adherent bacteria from bone...

..Irrigation and debridement are essential in the initial management of traumatic wounds. The relative efficicacy of low pressure irrigation compared with high pressure irrigation remains unclear...

..To identify predictors of in-hospital mortality and hospital stay following hip fractures...

..Trials of surgical interventions present blinding challenges not seen in drug trials. How often orthopaedic trauma investigators undertake blinding, and the frequency with which they could potentially utilize blinding, remains uncertain...

..This study assessed chiropractors' attitudes, beliefs, knowledge, and experience about intimate partner violence (IPV) and identified if any differences exist between age groups, sex, and year of graduation of respondents...

..To devise and test techniques to blind outcome assessors in trials of hip fracture fixation...

..To inform this debate, we undertook a systematic review and meta-analysis of studies comparing the mortality rates of private for-profit hospitals and those of private not-for-profit hospitals...

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..Before implementing a new therapy we should ascertain the benefits and risks of the therapy and assure ourselves that the resources consumed in the intervention will not be exorbitant...

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..Questionnaire survey...

..There has been extensive debate about whether the profit status of these facilities influences patient mortality...

..Surgical trials pose many methodological challenges often not present in trials of medical interventions. If not properly accounted for, these challenges may introduce significant biases and threaten the validity of the results...

..We conducted a systematic review and meta-analysis to determine the effect of early surgery on the risk of death and common postoperative complications among elderly patients with hip fracture...

..We present uses for and attributes to consider when choosing a CRO, and provide examples of four CROs specializing in various therapeutic areas...

..Thorough preparation before the study and the establishment of stricter guidelines to limit the presentation of preliminary data at national and international meetings may improve publication rates...

..Specificity denotes the proportion of people without the disorder in whom the test result is negative. Application of the guides presented in this article can allow surgeons to assess critically studies regarding a diagnostic test...

..We sought to compare arthroplasty and internal fixation alternatives and determine the key factors influencing final outcomes using a clinical decision analysis...

..To determine the effect of perioperative beta blocker treatment in patients having non-cardiac surgery...

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..To identify current opinions among orthopedic traumatologists relating to technical aspects of internal fixation and arthroplasty for patients with femoral neck fractures...

..We undertook an observational study to determine whether concealment of randomization or blinding was used in RCTs that failed to report these bias-reducing strategies...

..To examine patterns of physical injury associated with intimate partner violence (IPV) among women presenting to emergency room departments...

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..The expertise-based randomized clinical trial design may overcome some of the barriers to conducting clinical trials in orthopaedic surgery and improve the validity of their conclusions...

..Investigators reported differences between subgroups in 31 (57%) of the analyses, all of which were featured in the summary or conclusion. These inferences may be misleading, making their application to clinical practice unwarranted...

..The objective of this study was to determine surgeons' perioperative usage of ASA, and if they would enroll their patients in a perioperative ASA randomized controlled trial (RCT)...

..2 s (standard deviation 1.2 s). No patellar tendon ruptures or bleeding complications were seen in the postoperative period. The course of fracture healing was not altered by this new percutaneous technique of pin insertion...

..This study sought to determine the effect of the number of cortices of screw purchase and ankle position on syndesmosis width and tibiotalar rotation in Weber C ankle fracture fixation...

..Opinion leaders have been shown to have significant influence on the practice of health professionals and patient outcomes...

..Compared with hemiarthroplasty (HA), internal fixation (IF) is associated with less operative trauma, bleeding, and possibly lower mortality at the expense of a higher reoperation rate and possibly increased cost...

..Best practice rehabilitation protocols can guide postoperative care while minimizing heterogeneity within studies. Functional outcome scores should be sensitive, responsive, and able to reliably detect small changes...

..The purpose of our study was to evaluate the practicality of functional outcome instruments found in the current literature in the elderly following postoperative hip fracture...

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..In cases of severe initial deformity and neurologic compromise, intrabody bone grafting is most certainly indicated; the additional support provided by a posterolateral graft may also prove beneficial as an adjunct...

..Given that radial bone mass tended to decrease while bone density was unchanged, we conclude that the effect of casting was modulated by changes in gross bone morphology rather than in material characteristics...

..Among those examined, the number of cortices bridged by bone appears to be a reliable, and easily measured radiological variable to assess the healing of fractures after intramedullary fixation...

..The number and quality of well-designed scientific studies in the orthopaedic literature are limited. The purpose of this review was to determine the methodological qualities of published meta-analyses on orthopaedic-surgery-related topics...

..Further biomechanical and clinical studies are necessary to validate the efficacy of the Trochanteric Fixation Nail, but in our experience this is an improvement over the currently available devices...