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Journal of Orthopaedic Trauma

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https://www.readbyqxmd.com/read/29916895/percutaneous-transiliac-transsacral-screw-fixation-of-sacral-fragility-fractures-improves-pain-ambulation-and-rate-of-disposition-to-home
#1
J Brock Walker, Sean M Mitchell, Sean D Karr, Jason A Lowe, Clifford B Jones
OBJECTIVE: To determine whether percutaneous transiliac-transsacral screw fixation improves pain, ambulation, length of stay, and the rate of disposition to home in patients with sacral fragility fractures. DESIGN: Retrospective cohort study. SETTING: Single academic level 1 trauma center. PATIENTS/PARTICIPANTS: Elderly patients who presented with an isolated sacral fragility fracture between August 2015 and August 2017...
July 17, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29927791/a-prospective-study-of-closed-reduction-of-trochanteric-fractures-via-a-novel-intraoperative-femoral-fracture-reduction-device-early-clinical-results
#2
Zhigang Wang, Wei Hao, Dong Liu, Kai Zhang, Long Jia, Shuye Yang, Zhaolin Wang, Degang Zhang, Dechun Zhang
OBJECTIVE: Traction achieved using an intraoperative femoral fracture reduction device (IFFRD) was compared with that observed using a traction table (TT) for closed reduction of trochanteric fractures and cephalomedullary nail fixation. DESIGN: Prospective cohort study. SETTING: Level 1 trauma center. PATIENTS: 141 eligible patients with 141 fractures (OTA type 31-A1, n=28; A2, n=75; and A3, n=38 cases) were randomized to the IFFRD (n=73) or TT (n=68) group...
June 22, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29905626/ulnar-nerve-injury-in-pediatric-midshaft-forearm-fractures-a-case-series
#3
Andrew E Federer, Joshua S Murphy, James H Calandruccio, Dennis P Devito, Scott H Kozin, Greg S Slappey, Gary M Lourie
OBJECTIVES: To describe a midshaft forearm fracture pattern that places the ulnar nerve at risk in the pediatric population and provide seven clinical case examples describing the injury pattern and treatment methods. DESIGN: Retrospective observational case series, review of literature, cadaver dissection, and treatment recommendations. SETTING: Multi-institutional, Southeast United States PATIENTS:: Seven pediatric patients (5 male, 2 female) with mean age of 8...
June 4, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29905625/use-of-the-sttgma-tool-to-risk-stratify-1-year-functional-outcomes-and-mortality-in-geriatric-trauma-patients
#4
Sanjit R Konda, Ariana Lott, Hesham Saleh, Jordan Gales, Kenneth A Egol
OBJECTIVES: Determine if a novel inpatient mortality risk assessment tool designed to be calculated in the emergency department (ED) setting can risk stratify patient reported functional outcomes and mortality at one year. DESIGN: Prospective cohort SETTING:: Academic level one trauma center PATIENTS:: 685 patients >55 years old who were orthopaedic surgery consults or trauma surgery consults in the ED between 10/1/2014 and 9/30/2015. INTERVENTION: Calculation of validated trauma triage score (STTGMA) using each patient's demographics, injury severity, and functional status MAIN OUTCOME MEASUREMENTS:: mortality, EQ-5D questionnaire, and percent return to baseline function since their hospitalization at one-year post hospitalization...
June 4, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29905624/a-modified-posterior-c1-c2-fusion-technique-for-the-management-of-traumatic-odontoid-type-ii-fractures-by-using-intraoperative-spinal-navigation-mid-term-results
#5
Basem Ishak, Till Schneider, Valerie Gimmy, Andreas W Unterberg, Karl L Kiening
OBJECTIVES: To assess mid-term safety and efficacy of a modified Goel-Harms technique for the treatment of odontoid instabilities. DESIGN: Longitudinal prospective cohort study. SETTING: Urban Level 1 Trauma Center in Southwest Germany. PATIENTS/PARTICIPANTS: Orthopaedic and neurosurgical trauma patients older than 18 years admitted for ≤ 24 hours. MAIN OUTCOME MEASUREMENTS: The outcome was evaluated with respect to neurological outcome, radiological outcome and surgical complications...
June 4, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29905623/avoiding-neurovascular-risk-during-percutaneous-clamp-reduction-of-spiral-tibial-shaft-fractures-an-anatomic-correlation-with-computed-tomography
#6
Patrick B Horrigan, Monica J Coughlan, Malcolm DeBaun, Blake Schultz, Julius A Bishop, Michael J Gardner
Use of percutaneous clamps are often helpful tools to aid reduction and intramedullary nailing of distal tibial spiral diaphyseal fractures. However, the anterior and posterior neurovascular bundles are at risk without careful clamp placement. We describe our preferred technique of percutaneous clamp reduction for distal spiral tibial fractures with a distal posterolateral fracture spike, with care to protect the adjacent neurovascular structures. We also investigated the relationship between these neurovascular structures and the site of common percutaneous clamp placement...
June 4, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29912737/percutaneous-versus-open-treatment-of-posterior-pelvic-ring-injuries-changes-in-practice-patterns-over-time
#7
Jacob D Gire, Sam Y Jiang, Michael J Gardner, Julius A Bishop
OBJECTIVE: To determine how the utilization of open versus percutaneous treatment of posterior pelvic ring injuries in early career orthopaedic surgeons has changed over time. METHODS: Case log data from surgeons testing in the trauma subspecialty for Part II of the ABOS examination from 2003 to 2015 were evaluated. CPT codes for percutaneous fixation (27216) and open fixation (27218) of the posterior pelvic ring were evaluated using a regression analysis. RESULTS: A total of 377 candidates performed 2,095 posterior ring stabilization procedures (1,626 percutaneous, 469 open)...
May 28, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29912736/dogs-and-orthopaedic-injuries-is-there-a-correlation-to-breed
#8
Joshua Brice, Eric Lindvall, Nathan Hoekzema, Lisa Husak
OBJECTIVES: To identify the incidence of orthopaedic injuries secondary to dog bites, determine the responsible breeds and assess the severity of injury by dog breed. DESIGN: Retrospective. SETTING: Single Level 1 trauma center. PATIENTS: Ninety-five patients treated for a dog bite that resulted in an orthopaedic injury between January 2010 and July 2016. INTERVENTION: Patients were treated according to their specific orthopaedic injury...
May 28, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29912735/effectiveness-of-a-model-bundle-payment-initiative-for-femur-fracture-patients
#9
Ariana Lott, Rebekah Belayneh, Jack Haglin, Sanjit Konda, Kenneth A Egol
OBJECTIVES: Analyze the effectiveness of a BPCI (Bundle Payments for Care Improvement) initiative for patients who would be included in a future potential Surgical Hip and Femur Fracture Treatment (SHFFT) bundle. DESIGN: Retrospective cohort SETTING:: Single Academic Institution PATIENTS/PARTICIPANTS:: Patients discharged with operative fixation of a hip or femur fracture (DRG codes 480-482) between 1/2015-10/2016 were included. A BPCI initiative based upon an established program for BPCI Total Joint Arthroplasty (TJA) was initiated for patients with hip and femur fractures in January 2016...
May 28, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29889824/image-analysis-software-as-a-strategy-to-improve-the-radiographic-determination-of-fracture-healing
#10
Jeffrey Duryea, Christopher Evans, Vaida Glatt
OBJECTIVES: To develop and validate an unbiased, accurate, convenient and inexpensive means of determining when an osseous defect has healed and recovered sufficient strength to allow weight-bearing. METHODS: A novel image processing software algorithm was created to analyze the radiographic images and produce a metric designed to reflect the bone strength. We used a rat femoral segmental defect model that provides a range of healing responses from complete union to non-union...
May 28, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29889823/glove-perforation-in-orthopaedics-probability-of-tearing-gloves-during-high-risk-events-in-trauma-surgery
#11
Nikita Lakomkin, Aristides I Cruz, Peter D Fabricant, Andrew Georgiadis, J Todd R Lawrence
OBJECTIVE: To assess the risk of glove perforation during common maneuvers or events in trauma-related orthopedic surgical procedures. METHODS: Four investigators executed six high-risk maneuvers in a simulated laboratory setting. Alternative techniques were also performed for most maneuvers. Glove integrity was examined by two standard methods of fluid leak testing. The rates of perforation were compared between techniques using Chi-squared and Fisher's exact tests...
May 28, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29889822/use-of-the-dedicated-orthopaedic-trauma-room-for-open-tibia-and-femur-fractures-does-it-make-a-difference
#12
Shaun F Steeby, William H Harvin, John R Worley, Gregory J Della Rocca, David A Volgas, James P Stannard, Brett D Crist
OBJECTIVE: To assess the "Dedicated Orthopaedic Trauma Operating Room" (DOTOR) effect on management and outcomes of open tibia and femur fractures. DESIGN: Retrospective chart review LOCATION:: University Level I Trauma Center METHODS:: Patients categorized into those managed in the DOTOR versus those managed in a standard on-call operating room (OCOR). Data collected includes patient and injury characteristics, time to debridement, and patient outcomes...
May 28, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29878946/osteomyelitis-risk-factors-related-to-combat-trauma-open-tibia-fractures-a-case-control-analysis
#13
David R Tribble, Louis R Lewandowski, Benjamin K Potter, Joseph L Petfield, Daniel J Stinner, Anuradha Ganesan, Margot Krauss, Clinton K Murray
OBJECTIVES: We assessed osteomyelitis risk factors in U.S. military personnel with combat-related open tibia fractures (2003-2009). METHODS: Patients with open tibia fractures who met diagnostic criteria of osteomyelitis were identified as cases using Military Health System data and verified through medical record review. Controls were patients with open tibia fractures who did not meet osteomyelitis criteria. Gustilo-Andersen (GA) fracture classification scheme was modified to include transtibial amputations (TTAs) as the most severe level...
May 24, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29781945/appropriateness-of-pediatric-orthopaedic-transfers-to-a-level-1-hospital
#14
Jaclyn McKenna, David Novikov, Amanda Pawlak, Jihye Park, Jie Yang, Hariharan Iyer, James Barsi
OBJECTIVE: The purpose of this study was to compare a cohort of transferred pediatric orthopaedic patients with orthopaedic patients who primarily presented to a Level 1 pediatric emergency department to identify risk factors for transfer. DESIGN: Retrospective cohort study. SETTING: This study was performed at a level one trauma center in New York. PATIENTS: The cohort consisted of patients under age 18 who presented to one level 1 pediatric trauma center between January 1, 2013 - December 31, 2013 with an orthopaedic fracture diagnosis code (ICD-9 805...
May 16, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29781944/early-comparative-outcomes-of-carbon-fiber-reinforced-polymer-plate-in-the-fixation-of-distal-femur-fractures
#15
Phillip M Mitchell, Adam K Lee, Cory A Collinge, Bruce H Ziran, Kate G Hartley, A Alex Jahangir
OBJECTIVE: To evaluate the early clinical results of distal femur fractures treated with carbon fiber reinforced - polyetheretherketone (CFR-PEEK) plates compared to stainless steel (SS) lateral locking plates. DESIGN: Retrospective comparative cohort study SETTING:: ACS Level I trauma center. PATIENTS/PARTICIPANTS: Twenty-two patients (11 SS, 11 CFR-PEEK) with closed distal femur fractures treated by a single surgeon over a 6-year period...
May 16, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29781943/effect-of-repeated-sterilization-by-different-methods-on-strength-of-carbon-fiber-rods-used-in-external-fixator-systems
#16
Omer Kays Unal, Oguz Sukru Poyanli, Ulku Sur Unal, Hasan Huseyin Mutlu, Afsar Timucin Ozkut, Irfan Esenkaya
OBJECTIVES: We set out to reveal the effects of repeated sterilization, using different methods, on the carbon fiber rods of external fixator systems. METHODS: We used a randomized set of forty-four unused, unsterilized, and identical carbon fiber rods (11 × 200 mm), randomly assigned to two groups: unsterilized (US) (4 rods) and sterilized (40 rods). The sterilized rods were divided into two groups, those sterilized in an autoclave (AC) and by hydrogen peroxide (HP)...
May 16, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29782440/management-for-simultaneous-patella-tendon-and-anterior-cruciate-ligament-ruptures-a-systematic-review-of-available-literature
#17
Alexander Handel Matthews, Ethan James Fraser, Benjamin Parkinson
BACKGROUND: Combined rupture of the anterior cruciate ligament (ACL) and patella tendon (PT) is a rare injury pattern. Currently little evidence exists to help guide management decisions for these patients. METHODS: A systematic literature search was conducted using PubMed (MEDLINE) and Scopus (EMBASE, MEDLINE) for all articles reporting on combined rupture of the anterior cruciate ligament (ACL) and patella tendon (PT). The characteristic injury mechanisms, common presentation findings and outcomes of simultaneous and staged treatment strategies were determined to provide guidance for the management of this uncommon injury pattern...
May 15, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29738402/is-first-rib-fracture-a-culprit-or-a-sign-of-injury-severity-it-is-both
#18
Alexander Fokin, Joanna Wycech, Eric Picard, Russell Weisz, Ivan Puente
OBJECTIVES: First rib fractures (1 RFX) have been correlated with increased morbidity and mortality. Whether this is due to the fracture of the rib itself or due to an increased number of associated injuries remains debatable. DESIGN: Retrospective cohort study SETTING:: Level 1 trauma center PATIENTS:: 1089 patients with rib fractures divided into 3 groups: Group A (n=44) with isolated 1 RFX, Group B (n=116) with 1 RFX combined with other rib fractures, and Group C (n=929) with rib fractures without 1 RFX...
May 3, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29738398/revenue-for-initial-orthopaedic-trauma-care-effects-of-patient-and-injury-characteristics
#19
Christopher D Flanagan, Alexander S Rascoe, David M Wang, Heather Vallier
OBJECTIVE: To characterize the charges and collections associated with the initial inpatient management of trauma patients who undergo operative fracture management DESIGN:: Retrospective SETTING:: Level 1 trauma center PARTICIPANTS:: 440 consecutive adult trauma patients INTERVENTION:: fixation for fracture of the spine, pelvis, acetabulum, and/or femur fractures MAIN OUTCOME MEASUREMENT:: Professional and technical (facility) charges and collections from the initial inpatient management and 6 months of subsequent related care RESULTS:: Patient were predominantly male (74...
May 3, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29738397/a-cadaveric-study-of-bone-tissue-temperature-during-pin-site-drilling-utilizing-fluoroptic-thermography
#20
Matthew Muffly, Corbett Winegar, Mark Carl Miller, Gregory Altman
BACKGROUND: Using fluoroptic thermography, temperature was measured during pin site drilling of intact cortical human cadaver bone with a combination of one-step drilling, graduated drilling, and one-step drilling with irrigation of 5.0 mm Schanz pins. MATERIALS AND METHODS: A 1440 rpm constant force drilling was used to on tibial diaphyses while a sensor probe placed 0.5 mm adjacent to the drill hole measured temperature. Four drilling techniques on each of the tibial segments were performed: 3...
May 3, 2018: Journal of Orthopaedic Trauma
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