Specialty Update   |    
What's New in Orthopaedic Trauma
Peter A. Cole, MD1; Theodore MiclauIII, MD2; Mohit Bhandari, MD3
1 Department of Orthopaedic Surgery, Regions Hospital, 640 Jackson Street, St. Paul, MN 55101. E-mail address: peter.a.cole@healthpartners.com
2 Department of Orthopaedic Surgery, University of California San Francisco, San Francisco General Hospital, 1001 Potrero Avenue, Room 3A36, San Francisco, CA 94110
3 Orthopaedic Trauma Service, Hamilton General Hospital, 237 Barton Street East, 6 North Trauma, Hamilton, ON L8L 2X2, Canada
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Disclosure: In support of their research for or preparation of this work, one or more of the authors received, in any one year, outside funding or grants in excess of $10,000 from National Institutes of Health; National Institute of Musculoskeletal and Skin Disease (R01AR053645). In addition, one or more of the authors or a member of his or her immediate family received, in any one year, payments or other benefits of less than $10,000 or a commitment or agreement to provide such benefits from a commercial entity (small speaking honoraria related to AO or Zimmer trauma courses). Also, a commercial entity (Stryker Biotech) paid or directed in any one year, or agreed to pay or direct, benefits in excess of $10,000 to a research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which one or more of the authors, or a member of his or her immediate family, is affiliated or associated.
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, 2007 Nov 01;89(11):2560-2577. doi: 10.2106/JBJS.G.01070
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This Specialty Update in orthopaedic trauma will emphasize the most relevant clinical literature that was published between June 2006 and May 2007. Given the scope of the literature and the broad overview of trauma, we have focused our search to include journals that we believe to be most relevant to orthopaedic trauma. Our approach certainly is not exhaustive, however. For example, we did not translate non-English-language articles, nor did we cover hand and pediatric trauma, given that these topics will be reviewed in their specific subspecialty sections. Specifically, we searched the Cochrane Database, seven orthopaedic journals, and four high-impact medical journals (see Appendix). This search identified 8469 articles, of which 340 were selected for possible relevance. All of these abstracts were then reviewed by one of us (P.A.C.). After the abstract review, sixty-eight studies were chosen for this update, including nineteen Level-I studies, fifteen Level-II studies, seven Level-III studies, and twenty-seven Level-IV studies. A table in the Appendix summarizes each of the studies and classifies them according to level of evidence and study type. Of the sixty-eight clinical articles, forty-seven represented studies of therapy, sixteen involved prognosis, and five evaluated diagnostic tests.
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