Specialty Update   |    
What's New in Orthopaedic Trauma
Peter A. Cole, MD1; Mohit Bhandari, MD, MSc, FRCSC2
1 Department of Orthopaedic Surgery, Regions Hospital, 640 Jackson Street, St. Paul, MN 55101. E-mail address: peter.a.cole@healthpartners.com
2 Orthopaedic Trauma Service, Hamilton General Hospital, 7 North, Suite 727, 237 Barton Street East, Hamilton, ON L8L 2X2, Canada. E-mail address: bhandam@mcmaster.ca
View Disclosures and Other Information
Institutional financial support for education and research was received from Synthes, Zimmer, DePuy, and Smith and Nephew. In addition, one or more of the authors received payments or other benefits or a commitment or agreement to provide such benefits from commercial entities (consulting was performed for Zimmer in 2004; honoraria were received from Synthes, Zimmer, and Smith and Nephew). Also, the Minnesota Medical Foundation and University of Minnesota Department of Orthopaedic Surgery provided grants for education and research.
Specialty Update has been developed in collaboration with the Council of Musculoskeletal Specialty Societies (COMSS) of the American Academy of Orthopaedic Surgeons.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Dec 01;87(12):2823-2838. doi: 10.2106/JBJS.E.01068
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The goal of this Subspecialty Update in orthopaedic trauma is to familiarize the orthopaedic general and specialist surgeon alike on the most relevant published literature from the past year. Only clinical articles are reviewed in this essay. We will continue to place cited articles in an evidence-based context for the reader, with the understanding that a "level of evidence" for a single study cannot be the same as a recommendation for a specific treatment or diagnostic strategy for a health-care question. Many factors must be taken into consideration before such a leap of recommendation could occur, not the least of which are the quality of the particular evidence designation and the circumstances that an individual surgeon and health system bring to bear for that patient.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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    Peter A. Cole
    Posted on December 21, 2005
    Drs. Cole and Bhandari respond to Drs. Sarmiento and Latta
    Rgions Hospital, 640 Jackson Street, St. Paul, MN 55101

    We thank Drs. Sarmiento and Latta very much for the detection of an error in the reported union rate for closed management of 450 tibia fractures which they reported in CORR in 2004. The reported union rate which we cited should have read 99.1% and not 90.1%.

    "The average healing time was 16.6 weeks (range, ten to forty weeks), and 99.1% of the fractures united."

    We appreciate the important clarification.

    Peter A. Cole, M.D.

    Mohit Bhandari, M.D.

    Posted on December 19, 2005
    Erroneous Quotation
    University of Miami, Miami, FL 33101

    To The Editor:

    Doctors Peter Cole and Mohit Bhandari have inadvertently misquoted the data reported in our article, "450 Closed fractures of the Distal Third of the Tibia Treated with a Functional Brace" (Ref.58), by stating, "90.1% of the fractures had united". Thus, one would infer that the nonunion rate was 9.9%.

    The text of our article clearly states that "Four(0.9%)of the fractures resulted in nonunion". There is a substantial difference between our data and those cited by the authors of the Specialty Update article. We would appreciate an acknowledgment of the error.

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