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Journal of Orthopaedic Trauma

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https://www.readbyqxmd.com/read/29065034/is-s3-a-viable-osseous-fixation-pathway
#1
Jonathan G Eastman, Mark R Adams, Kendall Frisoli, Milton L Chip Routt
OBJECTIVES: To report the incidence of patients with a third sacral segment (S3) osseous fixation pathway (OFP) that could accommodate a transiliac-transsacral screw. DESIGN: Retrospective case series SETTING:: Regional Level 1 Trauma CenterPatients/Participants: 250 patients without pelvic trauma from January 2017 until February 2017. INTERVENTION: The axial and sagittal reconstruction images of each patient's computed abdomen and pelvis tomography (CT) scans were reviewed...
October 23, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29065033/increased-incidence-of-vascular-injury-in-obese-patients-with-knee-dislocations
#2
Joey P Johnson, Justin Kleiner, Stephen A Klinge, Philip K McClure, Roman A Hayda, Christopher T Born
OBJECTIVES: With rising rates of obesity in the United States (U.S.), the burden of knee dislocations in this population remains unknown. This national epidemiologic study was designed to analyze the association of obesity with closed knee dislocation and vascular complications. DESIGN: Retrospective cohort study. SETTING: The de-identified Nationwide Inpatient Sample (NIS) database was utilized to access U.S. inpatient data from 2000 to 2012...
October 23, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29084051/ten-year-incidence-of-high-energy-geriatric-trauma-at-a-level-1-trauma-center
#3
Jason A Lowe, Jeffrey Pearson, Michael Leslie, Russell Griffin
OBJECTIVES: To examine the characteristics of high-energy geriatric trauma over time. DESIGN: Retrospective chart review SETTING:: Level 1 trauma Center PATIENTS:: Demographic, injury, and clinical characteristics were compared between 34,017 geriatric and non-geriatric high energy trauma patients from 2005-2014 using t-test, chi-square analysis and negative binomial regression for annual trend in injuries. RESULTS: High-energy geriatric trauma comprised 11...
October 14, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29065041/publication-rate-of-podium-presentations-at-the-orthopaedic-trauma-association-annual-meetings-2008-2012
#4
Benjamin R Williams, Lauren M MacCormick, Dylan L McCreary, Anthonly J Dugarte, Brian P Cunningham
OBJECTIVE: To determine journal publication rates of podium presentations from the OTA Annual Meetings between 2008 and 2012. METHODS: Podium presentations from the 2008 to 2012 OTA annual meeting were compiled from the Annual Meeting archives. During December 2016, PubMed searches were performed using individual keywords in the abstract title and content. The results were reviewed for matches to the meeting abstracts with regards to title, authors, and abstract content...
October 14, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29065040/a-cadaveric-biomechanical-analysis-of-three-lateral-ulnar-collateral-ligament-reconstructions
#5
Aakash Chauhan, Mark E Baratz, Patrick Schimoler, David Ruch, Mark Carl Miller
OBJECTIVE: To biomechanically assess the angular stability provided by three techniques for reconstruction of the LUCL. METHODS: Eight cadaveric elbows were tested with the LCL-C intact, disrupted from the origin at the lateral epicondyle, and reconstructed with three different techniques utilizing ulnar bone tunnels: a suture "lasso" or palmaris longus (PL) tendon "lasso" both docked with a metal button at the origin, and a doubled-over PL tendon docked with metal buttons at both the origin and ulnar insertion...
October 14, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29065039/opioid-prescribing-practices-by-orthopaedic-trauma-surgeons-after-isolated-femur-fractures
#6
Basem Attum, Andres Buitrago Rodriguez, Nichelle Harrison, Adam Evans, William Obremskey, Manish Sethi, Alex Jahangir
OBJECTIVE: The purpose of this retrospective study was to identify opioid prescribing practices, determine the number of morphine milliequivalents (MMEs) prescribed by orthopaedic/non-orthopaedic members to narcotic naive and previously exposed patients and provide narcotic prescribing recommendations. METHODS: Patients over 18 years old with an isolated femur fracture sustained between 2013 and 2015 were identified using the CPT code 27506. Prescribing information was obtained from the State Controlled Substance Monitoring Database (CSMD)...
October 14, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29065038/provisional-plating-of-subtrochanteric-femur-fractures-prior-to-intramedullary-nailing-in-the-lateral-decubitus-position
#7
Ryan Robertson, Michael Tucker, Thomas Jones
Subtrochanteric femur fractures remain a challenge for surgeons to obtain and maintain adequate reduction and stable fixation. For this reason multiple techniques have been described but we are unaware of a detailed contemporary description of the combination of provisional plating prior to intramedullary fixation in the lateral decubitus position. We present our technique as it was used from 2011-2015 to treat 22 fractures and how it compared clinically to the other 48 subtrochanteric femur fractures treated during that period...
October 14, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29065037/early-surgery-confers-one-year-mortality-benefit-in-hip-fracture-patients
#8
Kamal Maheshwari, Jeffrey Planchard, Jing You, Wael Ali Sakr, Jaiben George, Carlos Higuera-Rueda, Leif Saager, Alparslan Turan, Andrea Kurz
BACKGROUND: To evaluate the relationship between surgical timing and one-year mortality in patients requiring hip fracture repair. METHODS: We analyzed all 720 patients (> 65 years) who had hip fracture surgery between March 2005, and February 2015, identifying patients by ICD-9 diagnosis and procedure codes using electronic data query. Mortality data was obtained from the institutional database, state and Social Security Death Indices. The relationship between surgical timing (defined as the interval from admission to the start of surgery) and one-year mortality was assessed using a multivariable logistic regression, adjusting for baseline clinical status and surgical factors...
October 14, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29065036/is-it-safe-to-prep-the-external-fixator-in-situ-during-second-stage-pilon-surgical-treatment
#9
Paul J Nielsen, Leonid S Grossman, Justin C Siebler, Elizabeth R Lyden, Lori K Reed, Matthew A Mormino
OBJECTIVE: To evaluate the infection rate of our protocol of prepping the external fixator in situ during definitive second stage pilon fracture open reduction internal fixation. DESIGN: Retrospective clinical investigation. SETTING: Academic Level 1 Trauma Center. PATIENTS/PARTICIPANTS: Out of 229 patients with distal tibia fractures presenting to our institution from 1999-2014, 100 were treated in a two-stage fashion utilizing this protocol...
October 14, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29065035/the-effect-of-soft-tissue-injuries-on-clinical-outcomes-following-tibial-plateau-fracture-fixation
#10
Stephen J Warner, Matthew R Garner, Patrick C Schottel, Peter D Fabricant, Ryan R Thacher, Michael L Loftus, David L Helfet, Dean G Lorich
OBJECTIVE: The purpose of this study was to determine if ligamentous and meniscal injuries as determined by initial magnetic resonance imaging altered clinical outcomes following the fixation of tibial plateau fractures. DESIGN: Comparative cohort study. SETTING: Academic level I trauma center. PATIENTS/PARTICIPANTS: Eighty-two patients from a prospective database of operatively treated tibial plateau fractures met the inclusion criteria, which consisted of injury radiographs, preoperative knee MRI, and a minimum of twelve months of clinical outcomes...
October 14, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29040235/acetabular-fractures-in-children-and-adolescents-comparison-of-isolated-acetabular-fractures-and-acetabular-fractures-associated-with-pelvic-ring-injuries
#11
Christiane G Kruppa, Debra L Sietsema, Justin D Khoriaty, Marcel Dudda, Thomas A Schildhauer, Clifford B Jones
OBJECTIVES: To compare mechanism of injury, fracture pattern, displacement, clinical and radiographic outcome of isolated acetabular fractures (Group 1) versus acetabular fractures associated with a pelvic ring injury (Group 2). DESIGN: Retrospective cohort comparative analysis. SETTING: Private orthopaedic practice associated with a level one teaching trauma center. MAIN OUTCOME MEASUREMENTS: Mechanism of injury, fracture pattern, displacement and treatment, Glasgow Coma Scale (GCS), Injury Severity Score (ISS), leg length discrepancy (LLD) and hip dysplasia...
October 7, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29040234/preventing-wedge-deformities-when-treating-intertrochanteric-femur-fractures-with-intramedullary-devices-a-technical-tip
#12
Bennet A Butler, Ryan S Selley, Hobie D Summers, Michael D Stover
Intertrochanteric femur fractures are common injuries associated with significant patient morbidity and mortality and high societal costs. Although intramedullary devices have shown promise for treating a wide range of intertrochanteric femur fractures, improper technique can lead to malalignment, fracture displacement and/or iatrogenic fractures. In particular, a "wedge effect" has been described, in which the passage of conical reamers and the intramedullary nail itself results in distraction of intertrochanteric fragments with lateralization of the shaft from the femoral neck and varus malalignment...
October 7, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29040233/is-the-best-plate-a-nail-a-review-of-3230-unstable-intertrochanteric-fractures-of-the-proximal-femur
#13
A Tucker, K J Donnelly, C Rowan, S McDonald, A P Foster
OBJECTIVES: The aim of the current study was to evaluate the functional outcomes, revision and mortality rates for 3 implants used for unstable intertrochanteric hip fractures; the sliding hip screw (SHS), with or without a trochanteric stabilisation plate (TSP), and cephalomedullary nail (CMN). DESIGN: Multicentre National Prospective Cohort Study SETTING:: Northern Ireland PATIENT/PARTICIPANTS:: Patients were identified from a prospective database. Fractures were classified according to AO A31A2...
October 7, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29040232/in-vitro-effect-of-vancomycin-on-the-viability-of-articular-chondrocytes
#14
K Aaron Shaw, Josef K Eichinger, Nischal Nadig, Stephen A Parada
OBJECTIVES: To characterize the in-vitro toxicity of vancomycin on articular cartilage. METHODS: Osteochondral samples extracted from fresh, juvenile porcine stifle (knee) joints were exposed to vancomycin-saline concentrations of 2, 5, and 10 mg/ml and compared to a saline and non-saline treated control. Comparison chondrocyte viability was assessed with histology examination of chondrocyte degeneration using the Mankin criteria and a live/dead staining using ethidium homodimer-2 and calcien acetoxymethylester (AM) stain and confocal laser scanning microscopy...
October 7, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28990979/mortality-after-high-energy-pelvic-fractures-in-patients-of-age-65-or-older
#15
Dayley S Keil, Steven Gross, Rachel B Seymour, Stephen Sims, Madhav A Karunakar
OBJECTIVES: To document in-hospital and 1-year mortality rates following high-energy pelvic fracture in patients age 65 or older as compared to a younger cohort. DESIGN: Retrospective review. SETTING: Urban level 1 academic trauma center. PATIENTS: Seventy consecutive patients age ≥ 65 years treated for pelvic fracture resulting from high-energy mechanism from 2008 to 2011. One hundred forty patients age 18-64 were matched to the study population based on mechanism of injury and OTA Code 61 subtype for comparison...
September 29, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29076984/prediction-model-of-in-hospital-mortality-after-hip-fracture-surgery
#16
Atsushi Endo, Heather J Baer, Masashi Nagao, Michael J Weaver
OBJECTIVES: Mortality in elderly patients after the surgical treatment of hip fractures remains high. While individual clinical risk factors have been widely studied, there has been limited research on prediction models in this population. The purpose of this study was to develop a prediction model for in-hospital mortality after hip fracture surgery and to evaluate the performance of this model. METHODS: Using the National Inpatient Sample database from 2012 to 2013, we collected data on 535,475 patients with age over 50 who had hip fracture surgery...
September 25, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29076983/diaphyseal-nonunion-in-children
#17
Je Hyoung Yeo, Sung Taek Jung, Min Cheol Kim, Hong Yeol Yang
OBJECTIVES: To delineate the contributing factors that risk diaphyseal fracture nonunion in children and to then determine suggested treatment based on the cohort examined. DESIGN: Retrospective review PATIENTS:: This study analyzes 16 children patients who underwent operations for the treatment of nonunion of the diaphysis from January 1995 to December 2009. INTERVENTION: Stabilization by internal or external fixators with or without bone grafting...
September 25, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29076982/reconstruction-of-traumatic-open-supracondylar-femoral-fractures-by-autologous-fibular-strut-grafting-and-cortico-cancellous-bone-grafting-a-single-centre-observational-study
#18
Raju Iyengar, Nagesh Cherukuri, Chandrasekar Patnala
OBJECTIVES: To study the safety and efficacy of staged reconstruction of distal femoral (supracondylar) bone loss using autologous fibular strut, cortico-cancellous bone grafting. DESIGN: Single Centre, Observational study, with review of literature. SETTING: Urban Level I Trauma Centre,Patients/Participants. 18 consecutive patients (mean age: 35± 8.5 years, all males) with open supracondylar fracture and intercondylar extension (Type C3), (AO type) operated between January 2010 and February 2014 with severe bone loss in 11 patients and moderate loss in 7...
September 25, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28938234/is-early-total-care-a-safe-and-effective-alternative-to-staged-protocol-for-the-treatment-of-schatzker-iv-vi-tibial-plateau-fractures-in-patients-older-than-50-years
#19
Amrut Borade, Harish Kempegowda, Raveesh Richard, Jove Graham, Michael Suk, Daniel S Horwitz
OBJECTIVES: To compare "Early Total Care" (ETC) with "Staged Protocol" (SP) for the treatment of Schatzker IV-VI tibial plateau fractures in patients older than 50 years regarding safety and effectiveness. DESIGN: Retrospective cohort study. SETTING: An academic level 1 US trauma center. PATIENTS/PARTICIPANTS: Eighty-one patients older than 50 years with Schatzker grade IV-VI tibial plateau fractures were included. INTERVENTION: Fifty-three patients were treated under SP with immediate external fixation followed by definitive internal fixation...
September 19, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28906308/is-contralateral-templating-reliable-for-establishing-rotational-alignment-during-intramedullary-stabilization-of-femoral-shaft-fractures-a-study-of-individual-bilateral-differences-in-femoral-version
#20
William P Croom, Daniel J Lorenzana, Richard L Auran, Matthew J Cavallero, Nathanael Heckmann, Jackson Lee, Eric A White
OBJECTIVES: To determine native individual bilateral differences in femoral version in a diverse population. METHODS: Computed tomography scans with complete imaging of uninjured bilateral femora were used to determine femoral version and individual bilateral differences in version. Age, sex, and ethnicity of each subject were also collected. Femoral version and individual bilateral differences in version were correlated with demographic variables using univariate and multivariate regression models...
September 11, 2017: Journal of Orthopaedic Trauma
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