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Journal of Orthopaedic Trauma

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https://www.readbyqxmd.com/read/28520582/intramedullary-nailing-for-pilon-nonunions
#1
Justin M Haller, Michael Githens, Robert Dunbar
No abstract text is available yet for this article.
May 16, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28489627/radial-head-ingrowth-anatomic-implant-vs-smooth-stem-monoblock-implant-in-acute-terrible-triad-injury-a-prospective-comparative-study
#2
David Rodriguez-Quintana, David Beaton, Natalie Rodriguez-Quintana, Francisco Lopez-Gonzalez
OBJECTIVE: This study aimed to compare clinical outcomes and radiographic findings between patients who received two different implants (smooth stemmed modular implant or an anatomic press fit implant) on patients with acute terrible triad injuries. DESIGN: Prospective cohort SETTING:: Level II Trauma center, University hospitalPatients/Participants: 34 patients with an isolated terrible triad injury were divided into two study groups (n= 17 each) with different set of radial head implants and followed for 2 years...
May 10, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28489626/general-health-status-after-non-operative-versus-operative-treatment-for-acute-complete-acromio-clavicular-joint-dislocation-results-of-a-multicenter-randomized-clinical-trial
#3
Jeffrey M Mah
OBJECTIVE: To assess the general health status of patients following non-operative (Non-op) versus operative (OP) treatment for acromioclavicular (AC) joint dislocations. DESIGN: Multicenter, randomized controlled clinical trial. SETTING: Eleven Canadian trauma centers. PARTICIPANTS: Eighty-three patients with acute (≤ 28 days old), complete (Rockwood grades III, IV, or V) dislocations of the AC joint. INTERVENTION: Participants were randomized to non-operative treatment or operative treatment with hook plate fixation...
May 5, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28471915/incidence-of-delayed-diagnosis-of-orthopaedic-injury-in-pediatric-trauma-patients
#4
Jeremy D Podolnick, Daniel S Donovan, Alfred W Atanda
TITLE: Incidence of delayed diagnosis of orthopaedic injury in pediatric trauma patients OBJECTIVE:: Determine the incidence of the delayed diagnosis of orthopaedic injuries in pediatric trauma patients. DESIGN: Cross-sectional retrospective analysis. SETTING: Level I pediatric trauma center. PATIENTS/PARTICIPANTS: All patients with an orthopaedic consultation following a trauma activation with a diagnosis of fracture, dislocation, traumatic arthrotomy, neurovascular injury, amputation, and tendon or ligament injury requiring intervention...
April 29, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28471914/medial-clamp-tine-positioning-affects-ankle-syndesmosis-malreduction
#5
Christopher T Cosgrove, Sara M Putnam, Steven M Cherney, William M Ricci, Amanda Spraggs-Hughes, Christopher M McAndrew, Michael J Gardner
OBJECTIVES: The purpose of this study was to determine if the position of the medial clamp tine during syndesmotic reduction affected reduction accuracy. DESIGN: Prospective Cohort. SETTING: Urban level 1 trauma center. PATIENTS: Seventy-two patients with operatively treated syndesmotic injuries. INTERVENTION: Patients underwent operative fixation of their ankle syndesmotic injuries using reduction forceps...
April 29, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28471919/device-sales-representatives-in-the-operating-room-do-we-really-need-or-want-them-a-survey-of-orthopaedic-trauma-surgeons
#6
Berton R Moed, Heidi A Israel
INTRODUCTION: The purposes of this study were to determine the current attitude of orthopaedic trauma surgeons toward device sales representatives (DSRs), especially regarding their presence in the operating room (OR), and to establish the existence of1 any surgeon generational differences. METHODS: A survey was created using a 5-point Likert response scale, related to conflict of interest (COI) and attitudes toward DSRs. Participants were solicited from the Orthopaedic Trauma Association database of 384 active members and 127 (33%) completed the survey...
April 28, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28471918/reliability-of-radiographic-assessments-of-adolescent-midshaft-clavicle-fractures-by-the-facts-multicenter-study-group
#7
Ying Li, Kyna S Donohue, Christopher B Robbins, Andrew T Pennock, Henry B Ellis, Jeffrey J Nepple, Nirav Pandya, David D Spence, S Clifton Willimon, Benton E Heyworth
OBJECTIVES: There is a recent trend toward increased surgical treatment of displaced midshaft clavicle fractures in adolescents. The primary purpose of this study was to evaluate the intra- and inter-rater reliability of clavicle fracture classification systems and measurements of displacement, shortening, and angulation in adolescents. The secondary purpose was to compare two different measurement methods for fracture shortening. METHODS: This study was performed by a multicenter study group conducting a prospective, comparative, observational cohort study of adolescent clavicle fractures...
April 27, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28471917/radial-neck-dilatory-remodeling-following-radial-head-arthroplasty-with-an-uncemented-press-fit-fully-chemically-etched-stem-design
#8
Matthew P Sullivan, Reza Firoozabadi, Stephen A Kennedy, Julie Agel, Eric Magnusson, Brett Schiffman, Matthew Folchert, Daphne Beingessner
OBJECTIVES: To compare the radiographic outcomes of two widely used side loading, press fit, radial head arthroplasty implants used to reconstruct complex elbow trauma. DESIGN: Retrospective cohort study SETTING:: Level 1 Academic trauma center PARTICIPANTS:: Patients undergoing radial head arthroplasty INTERVENTION:: Cohort 1 received Synthes Radial Head Prosthesis. Cohort 2 received Biomet ExploR Radial Head Replacement. MAIN OUTCOME MEASUREMENTS: Radial neck dilatory remodeling RESULTS:: 82 subjects were included in final analysis, 63 from the Biomet Cohort and 19 from Synthes cohort...
April 27, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28471916/does-provisional-plating-of-closed-tibia-fractures-have-higher-complication-rates
#9
Justin M Haller, Michael Githens, John Scolaro, Reza Firoozabadi
OBJECTIVES: To compare infection and nonunion rates following provisional plating (PP) with standard reduction (SR) techniques for closed tibia fractures treated with an intramedullary nail. DESIGN: Retrospective comparative studySetting: Level 1 academic trauma centerPatients/Participants: Of the 348 closed tibia fractures (AO/OTA 42) treated with intramedullary nail from January 2007 through June 2015, 231 (40 PP and 191 SR) patients met inclusion/exclusion criteria...
April 27, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28459775/smoking-quitting-and-the-provision-of-smoking-cessation-support-a-survey-of-orthopaedic-trauma-patients
#10
Sam McCrabb, Amanda L Baker, John Attia, Zsolt J Balogh, Natalie Lott, Kerrin Palazzi, Justine Naylor, Ian A Harris, Christopher M Doran, Johnson George, Luke Wolfenden, Eliza Skelton, Billie Bonevski
BACKGROUND AND AIMS: Tobacco smoking while recovering from surgery can have a negative impact. Prevalence of smoking in the orthopaedic trauma population has been found to be higher than the general population. This study investigates orthopaedic trauma patients smoking cessation history, intentions to quit, receipt of smoking cessation care during hospital admission; and patient-related factors associated with receipt of smoking cessation care. METHODS: An online cross-sectional survey of orthopaedic trauma patients was conducted in two public hospitals in New South Wales, Australia...
April 25, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28459774/chemoprophylaxis-for-venous-thromboembolism-in-operative-treatment-of-fractures-of-the-tibia-and-distally-a-systematic-review-and-meta-analysis
#11
Joseph T Patterson, Saam Morshed
OBJECTIVES: Clinical practice has shifted from therapeutic anticoagulation of any lower extremity venous thromboembolism (VTE) to only thromboses with risk of proximal extension or embolization - clinically important VTE (CIVTE). Isolated operative fractures of the tibia and distally are associated with low-to-intermediate VTE risk and there is wide variability in the choice to anticoagulate as well as anticoagulant. We sought to evaluate the role for chemoprophylaxis of VTE and CIVTE in these injuries by meta-analysis of Level I evidence...
April 25, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28459773/cerclage-wiring-through-a-mini-open-approach-to-assist-reduction-of-subtrochanteric-fractures-treated-with-cephalomedullary-fixation-surgical-technique
#12
Pablo Codesido, Ana Mejía, Jonathan Riego, Cristina Ojeda-Thies
In spite of advances in the management of subtrochanteric fractures, in particular the use of cephalomedullary nails, surgical results still remain poorer than other fractures of the proximal femur. Good reduction is key for satisfactory outcomes. Several methods of reduction have been described; recently, good rates of union with open reduction techniques using clamps and wires have been described. Reduction of fractures in elderly patients is especially complicated due to poor bone quality, comorbidities and unfavorable fracture patterns...
April 25, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28459772/time-from-injury-to-surgical-fixation-of-diaphyseal-humerus-fractures-is-not-associated-with-an-increased-risk-of-iatrogenic-radial-nerve-palsy
#13
Kristin Shoji, Marilyn Heng, Mitchel B Harris, Paul T Appleton, Mark S Vrahas, Michael J Weaver
OBJECTIVES: to determine if time from injury to fixation of diaphyseal humeral fractures and nonunions is associated with the risk of iatrogenic radial nerve palsy. DESIGN: Retrospective review. SETTING: Two level 1 trauma centers. PATIENTS/PARTICIPANTS: Between 2001 and 2015, 325 patients were treated with fixation of a humerus fracture or humerus nonunion who had documented intact radial nerve function pre-operatively...
April 25, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28459771/feasibility-of-hip-fracture-surgery-using-a-no-transfusion-protocol-in-elderly-patients-a-propensity-score-matched-cohort-study
#14
Byung-Ho Yoon, Young Seung Ko, Suk-Hwan Jang, Jeong Ku Ha
OBJECTIVES: This study aimed To determine whether hip fracture surgery (HFS) without transfusion affects postoperative mortality and complications in elderly patients. DESIGN: Retrospective comparative study. PATIENTS: 314 patients aged ≥ 65 years of age who underwent HFS between May 2003 and December 2014. Patients were divided into two groups: those who consented to blood transfusion if needed and those who did not. One-to-one propensity score matching generated 50 matched pairs of patients...
April 25, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28445186/the-hip-fracture-patient-on-warfarin-evaluating-blood-loss-and-time-to-surgery
#15
Matthew R Cohn, Ashley E Levack, Nikunj N Trivedi, Jordan C Villa, David S Wellman, John P Lyden, Dean G Lorich, Joseph M Lane
OBJECTIVES: To compare blood loss, delay of surgery, and short term adverse events in (1) patients admitted on warfarin versus non-anticoagulated controls and (2) warfarin patients with day of surgery (DOS) INR of 1.5 or greater versus below 1.5. DESIGN: Retrospective cohort. SETTING: Academic level I trauma center. PATIENTS/PARTICIPANTS: One hundred twenty four patients treated surgically for hip fractures including patients presenting on warfarin (n=62) and matched controls (n=62)...
April 24, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28379937/treatment-of-post-traumatic-femoral-discrepancy-with-precice-magnetic-powered-intramedullary-lengthening-nails
#16
Ahmed I Hammouda, Julio J Jauregui, Martin G Gesheff, Shawn C Standard, Janet D Conway, John E Herzenberg
OBJECTIVE: Post traumatic limb length discrepancy (LLD) may present secondary to fracture shortening, malunion, or epiphyseal growth arrest. The purpose of this study was to evaluate the outcomes of lengthening post-traumatic femoral segments utilizing a recently available magnetic intramedullary (IM) lengthening system. DESIGN: Retrospective cohort study SETTING:: Urban Level II Trauma CenterPatients/Participants: This study was performed to review post-traumatic patients treated for femoral shortening at our institution between 2011 and 2015...
April 20, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28430719/intertrochanteric-osteotomy-for-femoral-neck-non-union-does-undercorrection-result-in-an-acceptable-rate-of-femoral-neck-union
#17
Brandon J Yuan, David W Shearer, David P Barei, Sean E Nork
OBJECTIVES: To analyze the radiographic outcomes of intertrochanteric osteotomy for the treatment of femoral neck non-union with "undercorrection" of the Pauwels' angle and relative preservation of the proximal femoral anatomy. DESIGN: Retrospective cohort study SETTING:: Level-1 trauma center PATIENTS:: Thirty-two patients with established femoral neck non-unions that had been treated with intertrochanteric osteotomy were retrospectively identified through Current Procedural Terminology (CPT) codes...
April 18, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28430718/trauma-collaborative-care-intervention-effect-on-surgeon-confidence-in-managing-psychosocial-complications-following-orthopaedic-trauma
#18
Stephen Wegener, Eben Carroll, Joshua Gary, Todd McKinley, Robert O'Toole, Debra Sietsema, Renan Castillo, Katherine Frey, Daniel Scharfstein, Yanjie Huang, Susan Collins, Ellen MacKenzie
OBJECTIVES: The impact of the Trauma Collaborative Care (TCC) program on surgeon confidence in managing the psychosocial sequelae of orthopaedic trauma was evaluated as part of a larger prospective, multisite, cluster clinical trial. We compared confidence and perceived resource availability among surgeons practicing in trauma centers that implemented the TCC program with orthopaedic trauma surgeons in similar trauma centers that did not implement the TCC. DESIGN: Prospective cohort design SETTING:: Level 1 Trauma Centers PARTICIPANTS:: Attending surgeons and Fellows...
April 18, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28406852/survivorship-after-high-energy-geriatric-trauma
#19
Ida Leah Gitajn, Renan Castillo, Stephen Breazeale, Carrie Schoonover, Peter Berger, Yanjie Huang, Nathan O'Hara, Robert V O'Toole, Marcus F Sciadini
OBJECTIVES: To evaluate in-hospital, 1-year, and 5-year survivorship of geriatric patients after high-energy trauma, to compare survivorship of geriatric patients who sustained high-energy trauma with that of those who sustained low-energy trauma, and to identify predictors for mortality. DESIGN: Retrospective. SETTING: Urban Level I trauma center. PATIENTS: Study group of 1849 patients with high-energy trauma and comparison group of 761 patients with low-energy trauma...
April 18, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28406854/invited-commentary-related-to-tranexamic-acid-safely-reduced-blood-loss-in-hemi-and-total-hip-arthroplasty-for-acute-femoral-neck-fracture-a-randomized-clinical-trial
#20
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