收费全文 | 507篇 |
免费 | 30篇 |
国内免费 | 5篇 |
耳鼻咽喉 | 1篇 |
儿科学 | 13篇 |
妇产科学 | 9篇 |
基础医学 | 63篇 |
口腔科学 | 10篇 |
临床医学 | 65篇 |
内科学 | 105篇 |
皮肤病学 | 11篇 |
神经病学 | 14篇 |
特种医学 | 17篇 |
外科学 | 57篇 |
综合类 | 21篇 |
预防医学 | 28篇 |
眼科学 | 3篇 |
药学 | 44篇 |
中国医学 | 1篇 |
肿瘤学 | 80篇 |
2023年 | 4篇 |
2022年 | 4篇 |
2021年 | 21篇 |
2020年 | 11篇 |
2019年 | 11篇 |
2018年 | 9篇 |
2017年 | 6篇 |
2016年 | 16篇 |
2015年 | 18篇 |
2014年 | 27篇 |
2013年 | 17篇 |
2012年 | 29篇 |
2011年 | 46篇 |
2010年 | 14篇 |
2009年 | 26篇 |
2008年 | 33篇 |
2007年 | 36篇 |
2006年 | 36篇 |
2005年 | 35篇 |
2004年 | 31篇 |
2003年 | 24篇 |
2002年 | 28篇 |
2001年 | 1篇 |
2000年 | 1篇 |
1999年 | 3篇 |
1998年 | 4篇 |
1997年 | 6篇 |
1996年 | 7篇 |
1995年 | 6篇 |
1994年 | 4篇 |
1993年 | 3篇 |
1992年 | 2篇 |
1991年 | 6篇 |
1987年 | 3篇 |
1986年 | 5篇 |
1984年 | 2篇 |
1983年 | 2篇 |
1982年 | 2篇 |
1978年 | 1篇 |
1976年 | 1篇 |
1973年 | 1篇 |
As the geriatric population continues to grow, the incidence of tibial shaft fractures in octogenarians is projected to increase. There is significant variation in the functional and physiologic status within the geriatric population. The purpose of this study is to compare the complications following operative treatment of tibial shaft fractures for patients who are 65- to79-year-old compared to patients who are 80- to 89-year-old.
MethodsData were collected through the National Surgical Quality Improvement Program database for the years 2007–2018. All isolated tibial shaft fractures that were treated with open reduction internal fixation (ORIF) or intramedullary nail (IMN) were identified. Patients were divided into a 65- to 79-year-old group and an 80-to 89-year-old group. Primary and secondary outcomes were studied and included 30-day mortality. Univariate and multivariate analyses were performed with a significance set at p < 0.05.
ResultsIn total, 434 patients with tibial shaft fractures were included in the study. Of these, 333 were 65- to 79-year-old and 101 were 80- to 89-year-old (Table 1). On multivariate analysis, there was no significant difference in complication rates between the two cohorts.
ConclusionAfter controlling for demographics and comorbidities, age was not independently associated with 30-day mortality or any other peri-operative complications between patients aged 80 to 89 and patients aged 65 to 79 following operative management of tibial shaft fractures. In appropriately selected octogenarian patients, operative management of tibial shaft fractures represents a relatively safe treatment modality that may promote early rehabilitation.
相似文献