journal
MENU ▼
Read by QxMD icon Read
search

Journal of Orthopaedic Trauma

journal
https://www.readbyqxmd.com/read/29781945/appropriateness-of-pediatric-orthopaedic-transfers-to-a-level-1-hospital
#1
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
#2
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
#3
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
#4
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/29738403/a-novel-indirect-reduction-technique-in-ankle-syndesmotic-injuries-a-cadaveric-study
#5
Christopher T Cosgrove, Amanda G Spraggs-Hughes, Sara M Putnam, William M Ricci, Anna N Miller, Christopher M McAndrew, Michael J Gardner
OBJECTIVE: To describe a novel technique using preoperative computed tomography (CT) to plan clamp tine placement along the trans-syndesmotic axis (TSA). We hypothesized that preoperative CT imaging provides a reliable template on which to plan optimal clamp tine positioning along the TSA, reducing malreduction rates compared with other described techniques. METHODS: CT images of 48 cadaveric through-knee specimens were obtained and the TSA was measured as well as the optimal position of the medial clamp tine...
May 4, 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
#6
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/29738401/locking-plate-fixation-in-a-series-of-bicondylar-tibial-plateau-fractures-raises-treatment-costs-without-clinical-benefit
#7
Matthew Cavallero, Richard Rosales, Jesse Caballero, Laurence B Kempton, Walter W Virkus, Greg E Gaski
OBJECTIVES: To compare outcomes and costs between locking and nonlocking constructs in the treatment of bicondylar tibial plateau (BTP) fractures. DESIGN: Retrospective cohort study. SETTING: Level 1 academic trauma center. PATIENTS: All patients that presented with complete articular, BTP fractures (AO/OTA 41-C and Schatzker 6) between 2013-2015 were screened (n=112). Patients treated with a mode of fixation other than plate-and-screw were excluded...
May 3, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29738400/using-a-validated-middle-age-and-geriatric-risk-tool-to-identify-early-48hr-hospital-mortality-and-associated-cost-of-care
#8
Ariana Lott, Jack Haglin, Hesham Saleh, Jordan Hall, Kenneth A Egol, Sanjit R Konda
OBJECTIVES: 1) Demonstrate that a validated trauma triage score for middle-aged and geriatric patients could identify those at high risk for mortality within the first two days of hospitalization and 2) determine the cost of care for this cohort of patients DESIGN:: Prospective cohort study SETTING:: Single Level 1 Trauma Center PATIENTS:: Patients 55 years and older who were evaluated in the emergency department setting by Orthopaedics or who met American College of Surgeons Tier 1-3 criteria INTERVENTION:: Calculation of validated trauma triage score, Score for Trauma Triage in Geriatric and Middle Aged (STTGMA), using patient's demographic, injury severity, and functional statusMain Outcome Measurements: length of stay, inpatient mortality, time between presentation and time of death, and direct variable costs of hospitalization RESULTS:: A total of 1470 consecutive patients (mean age of 72...
May 3, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29738399/cost-determinants-in-the-90-day-management-of-isolated-ankle-fractures-at-a-large-urban-academic-hospital
#9
Matthew Varacallo, Patrick Mattern, Jonathan Acosta, Nader Toossi, Kevin Denehy, Susan Harding
OBJECTIVES: To determine the independent risk factors associated with increasing costs and unplanned hospital readmissions in the 90-day episode of care (EOC) for isolated operative ankle fractures at our institution. DESIGN: Retrospective cohort study SETTING:: Level I Trauma Center PATIENTS:: Two hundred ninety-nine patients undergoing open reduction internal fixation (ORIF) for the treatment of an acute, isolated ankle fracture between 2010 and 2015. INTERVENTION: none MAIN OUTCOME MEASUREMENTS:: Independent risk factors for increasing 90-day EOC costs and unplanned hospital readmission rates...
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
#10
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
#11
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
https://www.readbyqxmd.com/read/29738396/hypovitaminosis-d-in-orthopaedic-trauma-which-guidelines-should-be-followed
#12
Brett Schiffman, Hobie Summers, Mitchell Bernstein, Frank DiSilvio, Sarah Foyil, William Lack
OBJECTIVE: To evaluate risk factors for hypovitaminosis D and determine the baseline vitamin D supplementation associated with normal vitamin D levels at presentation. DESIGN: Prospective observational study. SETTING: Level I trauma center. PATIENTS: 259 adult patients undergoing operative treatment for orthopaedic trauma (OTA 11-15, 21-23, 31-34, 41-44, 61-62, 70C, 81-82, 87) between January 1 and December 31, 2014...
May 3, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29738395/what-is-the-influence-of-a-delay-to-surgery-24-hours-on-the-rate-of-red-blood-cell-transfusion-in-elderly-patients-with-intertrochanteric-or-subtrochanteric-hip-fractures-treated-with-cephalomedullary-nails
#13
Leif Mattisson, Lasse J Lapidus, Anders Enocson
OBJECTIVES: The aim of this study was to evaluate the influence of delay to surgery >24 hours on the rate of red blood cell transfusion in a selected population of hip fracture patients. DESIGN: Cohort study. SETTING: Tertiary care university hospital. PATIENTS: A consecutive series of 987 patients (714 females) with a mean age of 86.3 (range 50-106) years operated with an intramedullary nail due to an unstable intertrochanteric or subtrochanteric hip fracture...
May 3, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29672339/the-effects-of-episodic-alcohol-exposure-on-bmp2-signaling-during-tibia-fracture-healing
#14
Anthony Bratton, Joshua Eisenberg, Aleksandra Vuchkovska, Philip Roper, John J Callaci
OBJECTIVES: To explore how alcohol affects the BMP-2 signaling pathway, which is known to play a critical role in bone and cartilage formation during fracture healing. METHODS: A rat model was used to demonstrate the detrimental effects of alcohol exposure on tibia fracture healing. Specific components of the BMP-2 pathway were analyzed in fracture callus at days 3, 7, 14, 21 post fracture via western immunoassays and ELISA. RESULTS: Alcohol exposure prior to tibia fracture demonstrated attenuation of downstream BMP-2 signaling...
April 18, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29672340/open-reduction-and-internal-fixation-versus-non-surgical-treatment-in-displaced-midshaft-clavicle-fractures-a-meta-analysis
#15
Abdulaziz F Ahmed, Motasem Salameh, Nidal AlKhatib, Aissam Elmhiregh, Ghalib O Ahmed
OBJECTIVES: To compare open reduction and internal fixation (ORIF) and non-surgical treatment outcomes in displaced midshaft clavicle fractures. DATA SOURCES: PubMed, MEDLINE, EMBASE, Web of Science, Cochrane Library, and ClinicalTrials.gov were searched in September 2017. STUDY SELECTION: Inclusion criteria were randomized controlled trials reporting nonunion, shoulder functional outcomes, and subsequent surgery rates or pain scores. We excluded studies with patients younger than 16 years, maximum follow-up less than nine months, and inaccessible full text...
April 17, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29664885/the-effect-of-hip-positioning-on-the-projected-femoral-neck-shaft-angle-a-modeling-study
#16
Abhiram R Bhashyam, Edward K Rodriguez, Paul Appleton, John J Wixted
OBJECTIVES: The femoral neck-shaft angle (NSA) is used to restore normal hip geometry during hip fracture repair. Femoral rotation is known to affect NSA measurement, but the effect of hip flexion-extension is unknown. The goals of this study were to determine and test mathematical models of the relationship between hip flexion-extension, femoral rotation and NSA. We hypothesized that hip flexion-extension and femoral rotation would result in NSA measurement error. METHODS: Two mathematical models were developed to predict NSA in varying degrees of hip flexion-extension and femoral rotation...
April 3, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29664884/biomechanical-testing-of-a-3-hole-versus-a-4-hole-sliding-hip-screw-in-the-presence-of-a-retrograde-intramedullary-nail-for-ipsilateral-intertrochanteric-and-femur-shaft-fractures
#17
Michael Olsen, Peter Goshulak, Meghan C Crookshank, Joel Moktar, Ignace J Brazda, Emil H Schemitsch, Radovan Zdero
OBJECTIVE: The goal of this study was to compare a 3-hole vs. a 4-hole sliding hip screw (SHS) in the presence of a retrograde intramedullary (RIM) nail for fixing intertrochanteric and comminuted midshaft femur fractures. METHODS: Mechanical tests were performed on 10 matched pairs of human cadaveric femurs that were osteotomized and then fixed using a 3-hole SHS vs. the traditional "gold standard" 4-hole SHS in the presence of a RIM nail. RESULTS: Data showed no differences between the 3-hole SHS with RIM nail vs...
April 3, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29664883/should-all-orthopedists-perform-hemiarthroplasty-for-femoral-neck-fractures-a-volume-outcome-analysis
#18
R Carter Clement, Paula D Strassle, Robert F Ostrum
OBJECTIVES: To determine whether very low surgeon and hospital hip arthroplasty volume are associated with unfavorable outcomes following hemiarthroplasty for femoral neck fractures. METHODS: Patients ≥60 years old and who underwent hemiarthroplasty for femoral neck fracture were identified in the New York Statewide Planning and Research Cooperative System data from 2001-2015. Incidence of inpatient mortality and postoperative complications were compared across both surgeon and hospital volume using multivariable Cox proportional hazards regression, adjusting for clinical and demographic factors...
April 3, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29664882/operative-treatment-of-talar-head-fractures-surgical-technique
#19
Michael R Anderson, A Sam Flemister, John P Ketz
Talar head fractures represent a rare subtype of injury to the talus. Clinical series of talar head fractures are nonexistent in the current literature and treatment of these injuries is based on expert opinion. Many authors recommend a single incision approach to open reduction and internal fixation of talar head fractures, however we have found that a two incision approach allows for optimal visualization while facilitating proper implant placement. We present a description of our technique and our clinical experience treating 8 of these rare injuries...
April 3, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29664881/tibial-fracture-nonunion-and-time-to-healing-following-reamed-intramedullary-nailing-risk-factors-based-on-a-single-centre-review-of-1003-patients
#20
Hannah L Dailey, Katherine A Wu, Ping-Shi Wu, Margaret M McQueen, Charles M Court-Brown
OBJECTIVE: To determine factors associated with nonunion of adult tibial fractures. DESIGN: Retrospective review with data collection for logistic regression and survival analysis. SETTING: Scottish Level I trauma centre, 1985 to 2007. PATIENTS: During this period, 1,590 adult tibial fractures were treated by reamed nailing and 1,003 met all inclusion criteria for the chosen analysis. INTERVENTION: Reamed intramedullary nailing...
April 3, 2018: Journal of Orthopaedic Trauma
journal
journal
29890
1
2
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"