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The Journal of Bone and Joint Surgery (American) 86:1827-1828 (2004)
© 2004 The Journal of Bone and Joint Surgery, Inc.

Letter to the Editor

Outcomes After Treatment of High-Energy Tibial Plafond Fractures

James J. Hutson, Jr., MD1

1 University of Miami
P.O. Box 016960
Miami, FL 33101
jhutson@med.miami.edu

The first 150 words of the full text of this article appear below.

To The Editor:

A review of the data presented in the "Supplementary Material" for the article "Outcomes After Treatment of High-Energy Tibial Plafond Fractures" (2003;85:1893-900), by Pollak et al., reveals several disturbing trends that were not reported in the published article. No data were listed to define the severity of the open injuries. Therefore, the ramifications of the severity of the soft-tissue wounds and the method of treatment chosen cannot be determined. The authors reported that eleven of the forty-two fractures managed with open reduction and internal fixation and twenty of the thirty-eight fractures managed with external fixation with or without limited internal fixation were open injuries. With an appropriate sample size, it could be predicted that the group that had external fixation with or without limited internal fixation would have a higher severity of soft-tissue injury compared with the group that had open . . . [Full Text of this Article]

Andrew N. Pollak, MD, Melissa L. McCarthy, MS, ScD, Marc F. Swiontkowski, MD and Julie Agel, ATC

Corresponding author:
Andrew N. Pollak, MD
Department of Orthopaedics
University of Maryland School of Medicine
22 South Greene Street, Suite T3R54
Baltimore, MD 21201
apollak@umoa.umm.edu


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Outcomes After Treatment of High-Energy Tibial Plafond Fractures
Andrew N. Pollak, Melissa L. McCarthy, R. Shay Bess, Julie Agel, and Marc F. Swiontkowski
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