Read by QxMD icon Read

Journal of Orthopaedic Trauma

Eric Quan Pang, Monica Coughlan, Serena Bonaretti, Andrea Finlay, Michael Bellino, Julius Bishop, Michael J Gardner
OBJECTIVES: This cadaveric study sought to evaluate the accuracy of syndesmotic reduction using direct visualization via an anterolateral approach compared to palpation of the syndesmosis through a laterally based incision. METHODS: Ten cadaveric specimens were obtained and underwent baseline CT scans. Subsequently, a complete syndesmotic injury was simulated by transecting the anterior inferior tibiofibular ligament (AITFL), posterior tibiofibular ligament (PITFL), transverse ligament, interosseous membrane, and deltoid ligament...
August 30, 2018: Journal of Orthopaedic Trauma
Andrzej Boszczyk, Bartłomiej Kordasiewicz, Maciej Kiciński, Marcin Fudalej, Stefan Rammelt
We analyzed the operative measures that may be used to reduce the likelihood of sagittal syndesmotic malreduction. Hence, we propose a simple technical tip to avoid sagittal plane malreduction of the fibula within the syndesmosis in ankle fractures. Supporting the leg under the heel should be avoided when performing syndesmotic reduction for unstable malleolar fractures and support under the calf should be used instead. Our observations have been confirmed in six cadaver specimens. We observed that there was a significant anterior subluxation of the fibula when the leg was supported under the heel...
August 23, 2018: Journal of Orthopaedic Trauma
Rahul Vaidya, Radomir Dimovski, Zlatan Cizmic, Anshul Vaidya, Petra Gheraibeh, Ian Hudson
OBJECTIVES: To 1) evaluate using the inherent anteversion of a second or third generation femoral nail to set the version of the femur during locked intramedullary nailing of comminuted femoral shaft fractures (ET) and compare it to our traditional method (TG) 2) assess the variation of anteversion due to the inherent play in the nail itself. DESIGN: A prospective IRB approved study. SETTING: Academic US Level 1 Trauma Center PATIENTS:: Fifty-two consecutive patients with comminuted femur fractures all completed the study...
August 23, 2018: Journal of Orthopaedic Trauma
Daniel C Austin, Michael T Torchia, Niki H Cozzolino, Lauren E Jacobowitz, John-Erik Bell
OBJECTIVES: We sought to compare range of motion, clinical outcome scores, and complications after reverse total shoulder arthroplasty (RSA) and hemiarthroplasty (HA) in geriatric patients with acute proximal humerus fractures. DATA SOURCES: We searched MEDLINE (1946-2017), EMBASE (1947-2017), the Cochrane Central Register of Controlled Trials (1898-2017) and in October 2017. No limits were used in the database search. We also manually reviewed reference lists of included studies...
August 23, 2018: Journal of Orthopaedic Trauma
Benjamin R Pulley, Steven B Cotman, T Ty Fowler
OBJECTIVES: To define the incidence of the sacral U-type insufficiency fracture and describe management of a consecutive series of patients with this injury. DESIGN: Retrospective analysis. SETTING: Single level II trauma center. PATIENTS/PARTICIPANTS: Sixteen adult patients with sacral U-type insufficiency fractures treated over a 36-month period. INTERVENTION: Patients were indicated for percutaneous screw fixation of the posterior pelvis if they had posterior pelvic pain that prohibited mobilization...
August 23, 2018: Journal of Orthopaedic Trauma
Mohammed Ali Alvi, Joseph R Kapurch, David V Ivanov, Panagiotis Kerezoudis, Mohamad Bydon, Brett A Freedman
OBJECTIVE: To determine if operating on "major" vertebral fractures leads to premature abortion of surgery and/or other acute cardiopulmonary complications. DESIGN: Retrospective review CLINICAL SETTING:: Level 1 trauma center PATIENTS/PARTICIPANTS AND INTERVENTION:: We retrospectively queried our institutional Trauma Registry for all cases presenting with concomitant rib fractures and surgically managed vertebral fractures. MAIN OUTCOME MEASUREMENTS: The main outcomes included the surgical outcome (aborted vs successfully performed), total and ICU length of stay (LOS), adverse discharge, mortality and functional outcomes...
August 23, 2018: Journal of Orthopaedic Trauma
Evan Boyd, Alexander Crespo, Lorraine Hutzler, Sanjit Konda, Kenneth Egol
OBJECTIVE: To compare the incidence of venous thromboembolism (VTE) amongst patients with pelvic and/or lower extremity fractures directly admitted to our institution versus those transferred from an outside hospital for definitive management. DESIGN: Retrospective cohort SETTING:: Tertiary care orthopedic hospital PATIENTS:: 690 patients who received definitive care for a lower extremity fracture at our institution between 2010 and 2017. INTERVENTION: Inter-facility transfer for definitive management of pelvic or lower extremity fracture...
August 23, 2018: Journal of Orthopaedic Trauma
Richard Buckley, Ernest Kwek, Paul Duffy, Robert Korley, Shannon Puloski, Andrew Buckley, Ryan Martin, Emilia Rydberg-Moller, Prism Schneider
OBJECTIVES: To determine whether single or double screw fixation of medial malleolar fractures results in better long-term health outcomes. DESIGN: Randomized clinical trial; sealed envelope technique SETTING:: Level 1 Trauma Hospital at University of Calgary, Canada. PATIENTS: 140 patients were randomized to receive either one or two screws to reduce a medial malleolar fracture. Thirteen patients were excluded due to loss to follow up (n=127)...
August 23, 2018: Journal of Orthopaedic Trauma
David L Rothberg, Ami R Stuart, Angela P Presson, Justin M Haller, Thomas F Higgins, Erik N Kubiak
OBJECTIVE: To determine if an open, semi-extended, parapatellar tibial nailing technique (SEK) imparts any undue knee symptoms/pain compared to the traditional infrapatellar tibial nailing technique (FK). DESIGN: Randomize Controlled Trial SETTING:: Academic Level 1 Trauma Center PATIENTS:: Forty-seven patients with AO/OTA 42A-C tibial shaft fractures. INTERVENTION: Patients were randomized to treatment with either a SEK or FK technique. MAIN OUTCOME: A subset score (SS-IKDC) in the International Knee Documentation Committee (IKDC) pertaining to knee symptoms/pain...
August 23, 2018: Journal of Orthopaedic Trauma
Ryan N Montalvo, Roman M Natoli, Nathan N O'Hara, Carrie Schoonover, Peter Z Berger, G Bradley Reahl, Mark E Shirtliff, Theodore T Manson, Jesse T Torbert, Robert V O'Toole, Manjari Joshi
OBJECTIVES: To quantify the current bacteriology of deep surgical site infections (SSI) after fracture surgery at 1 institution and to compare those data with historical controls at the same institution, assessing variations in infecting organisms over the past decade. DESIGN: Retrospective review. SETTING: Level I trauma center. PATIENTS/PARTICIPANTS: Two hundred forty-three patients requiring surgical intervention for deep SSI between January 2011 and December 2015 were compared with 211 patients requiring surgical intervention for deep SSI between December 2006 and December 2010...
August 23, 2018: Journal of Orthopaedic Trauma
Kaifang Chen, Yanhui Ji, Zhenfei Huang, Ramphul Navinduth, Fan Yang, Tingfang Sun, Zekang Xiong, Sheng Yao, Jaimo Ahn, Xiaodong Guo
OBJECTIVES: Report the technical aspects, radiographic results, and complications of a modified ilioinguinal approach for the treatment of bicolumnar acetabular fractures, especially involving quadrilateral plate. DESIGN: Retrospective review. SETTING: Level I Trauma Center, Wuhan Union Hospital, China. PATIENTS/ PARTICIPANTS: The data of all acetabular fractures (n=96) treated surgically were retrospectively collected between January 2012 and June 2015...
August 21, 2018: Journal of Orthopaedic Trauma
Caputo Glenda Giorgia, Marchetti Alberto, Governa Maurizio, Dalla Pozza Edoardo
Negative pressure wound therapy, a tool widely applied to treat lower limb traumas, is useful in reconstructive procedures. However, obtaining an air-tight vacuum seal when using a negative pressure dressing around an external fixation device can be complicated and time-consuming. The plastic drape seldom adheres to screws, pins, or wires and, as such, the vacuum-seal is jeopardized.In surgical departments, colostomy paste is widely used, readily available, and applied where pins and wires make contact with the plastic drape...
July 30, 2018: Journal of Orthopaedic Trauma
Jacob Folse, Charles E Hill, Matthew L Graves, George V Russell, Josie Hydrick, LaRita C Jones, William H Replogle, Patrick F Bergin, Clay A Spitler
OBJECTIVES: To evaluate all patients who received gentamicin for open fracture treatment and determine the incidence of, and risk factors for, kidney injury in this population. DESIGN: Retrospective, Case Control SETTING:: Single institution; Level 1 trauma center PATIENTS/PARTICIPANTS:: A retrospective chart review identified patients who received gentamicin for open fracture antibiotic treatment from January 2008-December 2012. Overall, 371 patients met inclusion criteria and were categorized into 2 groups using RIFLE criteria: normal kidney function (74...
July 30, 2018: Journal of Orthopaedic Trauma
Matthew Swann, Miles Batty, Gene Hu, Thomas Mitchell, Hayden Box, Adam Starr
OBJECTIVE: To evaluate the prevalence and severity of sleep disturbance experienced by patients who have sustained a traumatic orthopaedic injury, how sleep disturbance affects the patient's perceived health quality and identify factors associated with sleep disturbance. DESIGN: Cross-Sectional Cohort study. SETTING: Urban Level-I trauma center. PATIENTS/PARTICIPANTS: 335 non-consecutive patients who presented to clinic at various stages of treatment for their traumatic orthopaedic injuries...
July 30, 2018: Journal of Orthopaedic Trauma
Peter Kloen, Olivier D R van Wulfften Palthe, Jorn Nützinger, Johanna C E Donders
OBJECTIVE: To describe patients' outcomes after revision of tibial plateau fracture fixation within 12 months of the initial surgical procedure. To assess differences in objective outcome scores (IKDC, SF-36, arthrosis score, physical examination) depending on whether patients were treated for mal-reduction, mal-union, or non-union. DESIGN: Retrospective case series. PATIENTS: Twenty-seven patients who underwent revision within 1 year of primary surgery and with a minimum follow up of 1 year...
July 30, 2018: Journal of Orthopaedic Trauma
Robert J Stewart, David C Landy, Ravand S Khazai, Jospeh B Cohen, Sherwin S Ho, Douglas R Dirschl
OBJECTIVE: To describe associations between mechanism of injury energy level and neurovascular injury (NVI) following knee dislocation (KD) using a large representative sample of trauma patients, and to examine risk factors within these groups. DESIGN: Retrospective cohort study. SETTING: Trauma centers participating in the American College of Surgeons National Trauma Data Bank PARTICIPANTS:: Adult KD patients without lower extremity fracture...
July 30, 2018: Journal of Orthopaedic Trauma
Amanda Fantry, Andrew Sobel, Nicholas Capito, Jonathan Hodax, Tyler Pidgeon, Sarath Koruprolu, Ryan Rich, Joseph L Fava, Andrew Green, Scott Paxton
OBJECTIVES: To determine if mean ultimate strength or failure mechanism differed between comminuted olecranon fractures created at the proximal 25% or 50% of the trochlear notch and fixed with pre-contoured posterior locking plates (PLP) METHODS:: Comminuted osteotomies were created in ten matched pairs of cadaveric upper extremities at either the proximal 25% or 50% of the trochlear after quantitative CT scans were performed to evaluate bone mineral density (BMD). Variable-angle olecranon PLPs were fixed to the specimens...
July 30, 2018: Journal of Orthopaedic Trauma
Steven M Cherney, Ryan A Murphy, Timothy S Achor, Andrew M Choo
Proximal humerus fractures involving an articular head split are rare and complex injuries. In the elderly population, arthroplasty is the optimal treatment, while in younger patients, the utility of arthroplasty procedures are limited by concerns of long-term implant survival. As a result, open reduction and internal fixation (ORIF) is still often the first-line treatment option for head splitting injuries. The traditionally described deltopectoral or anterolateral surgical approaches to the proximal humerus rely on indirect reduction and limited visualization of the articular fragments...
July 30, 2018: Journal of Orthopaedic Trauma
Daniel R Bachman, Sangeun E Park, Sutee Thaveepunsan, James S Fitzsimmons, Kai-Nan An, Shawn W O'Driscoll
OBJECTIVES: To evaluate the effect of intentional under-sizing of prosthetic radial head implant diameters on joint contact pressures. METHODS: Eight fresh-frozen cadaveric elbows were aligned in neutral-extension and loaded with 100 N using a custom testing apparatus. Radiocapitellar contact pressures were recorded using a TekScan® thin-film pressure sensor. Prosthetic radial head replacement was performed with two prostheses: the Anatomic® RH and the Evolve® Proline RH prosthesis...
July 30, 2018: Journal of Orthopaedic Trauma
Darryl Auston, David Donohue, Kyle Stoops, Jacob Cox, Miguel Diaz, Brandon Santoni, Hassan Mir
OBJECTIVES: To determine the change in stiffness and horizontal translations of a geriatric supracondylar femur fracture model with the addition of distal segment blocking screws versus proximal (long) segment blocking screws to the standard retrograde intramedullary nail construct. METHODS: Unstable supracondylar femur fractures (OTA/AO 33-A3) were created; all specimens were instrumented with a retrograde intramedullary nail. Specimens were divided into two groups (6 matched pairs per group)...
July 30, 2018: Journal of Orthopaedic Trauma
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"