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The Orthopaedic Forum   |    
Articular Fractures: Does an Anatomic Reduction Really Change the Result?*
J. L. Marsh, MD; J. Buckwalter, MD; R. Gelberman, MD; D. Dirschl, MD; S. Olson, MD; T. Brown, PhD; A. Llinias
The Journal of Bone & Joint Surgery.  2002; 84:1259-1271 
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Extract

The effects of injury to the articular cartilage sustained during articular fracture and the effect of treatment interventions on joint function and preservation are poorly understood. Surgeons do not have good data on which to base treatment decisions, and widely held beliefs are not always supported by data. Which fractures benefit from surgery to restore the articular surface? To what degree does the articular surface need to be reduced to predict a favorable outcome? How can we accurately assess the amount of displacement? What is the effect of the articular injury compared with residual displacement on the eventual outcome? These questions were addressed at a symposium presented at the Annual Meeting of the American Orthopaedic Association in June 2001. The evidence to answer the question that was raised in the title of the symposium-"Does an anatomic reduction really change the result?"-is not necessarily adequate.
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