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Journal of Orthopaedic Trauma

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https://www.readbyqxmd.com/read/30299380/far-cortical-locking-fixation-of-distal-femur-fractures-is-dominated-by-shear-at-clinically-relevant-bridge-spans
#1
Nahir Habet, Jacob Elkins, Richard Peindl, Cameron Killen, William D Lack
OBJECTIVES: Far cortical locking (FCL) constructs have been shown to increase axial interfragmentary displacement while limiting shear and have been specifically recommended in the treatment of distal femur fractures. However, there is no available data regarding their mechanical behavior within the range of bridge spans typically employed for comminuted distal femur fractures. This biomechanical study of distal femur locked plate fixation assessed four methods of diaphyseal fixation for associated axial and shear displacement at bridge spans typically employed in clinical practice...
September 25, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30299379/intraoperative-cone-beam-tomography-and-navigation-for-displaced-acetabular-fractures-a-comparative-study
#2
Amer Sebaaly, Pomme Jouffroy, Pierre Emmanuel Moreau, Camille Rodaix, Guillaume Riouallon
OBJECTIVES: To evaluate the accuracy of reduction of the acetabular articular surface using an intraoperative CT scanner (O-Arm) and screw navigation compared to a classical open technique. DESIGN: Prospective matched Cohort study SETTING:: Tertiary referral center PATIENTS/PARTICIPANTS:: Adult patients with acute acetabular fractures. All patients were treated by two senior surgeons using intraoperative imaging and screw navigation. MAIN OUTCOME MEASUREMENTS: The primary outcome measure was articular reduction...
September 25, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30299378/delay-in-hip-fracture-surgery-prolongs-post-operative-hospital-length-of-stay-but-does-not-adversely-affect-outcomes
#3
Sean M Mitchell, Andrew S Chung, Joseph B Walker, Joshua W Hustedt, George V Russell, Clifford B Jones
OBJECTIVES: The goal of the present study is to evaluate the association between timing of hip fracture surgery with post-operative length of stay and outcomes. DESIGN: Retrospective review utilizing the American College of Surgeon's National Surgical Quality Improvement Program (NSQIP) database. SETTING: National inquiry database incorporating 140 academic and private medical centers PATIENTS:: 17,459 patients who underwent surgery for a hip fracture between 2006-2013 were identified from the NSQIP database...
September 25, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277977/risk-factors-for-conversion-to-total-hip-arthroplasty-after-acetabular-fractures-involving-the-posterior-wall
#4
Reza Firoozabadi, Benjamin Hamilton, Paul Toogood, Milton Chip Routt, Dave Shearer
OBJECTIVES: Identify risk factors for early conversion to THA in an effort to aid in counseling patients and selecting the optimal treatment for patients who sustain a fracture involving the posterior wall of the acetabulum. DESIGN: Retrospective cohort analysis SETTING:: Level I trauma center PATIENTS:: Patients with acetabular fractures involving the posterior wall managed with ORIF at least 4 years out from surgery. INTERVENTION: Preoperative and postoperative CT scans were reviewed for injury characteristics and reduction quality...
September 25, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30252778/biomechanical-analysis-of-superior-and-anterior-pre-contoured-plate-fixation-techniques-for-neer-type-ii-a-clavicle-fractures
#5
Kellen Worhacz, Aniruddh N Nayak, Robert L Boudreaux, Beatrice Pavan, Felix Wipf Dipl-Ing, Marc C Jacofsky, Arash Araghi
OBJECTIVE: There is limited biomechanical data supporting the use of anterior or superior-lateral pre-contoured clavicle plates for the treatment of displaced Neer Type II-A clavicle fractures. The objectives of this study were as follows:a) Compare non-contoured vs. pre-contoured superior plating;b) Compare use of locking vs. non-locking screws in the lateral fragment for superior pre-contoured plates;c) Compare superior vs. anterior pre-contoured plates with locking lateral fragment screws; METHODS:: The following constructs were tested on a synthetic clavicle model simulating a Neer Type II-A fracture:a) Superior Pre-Contoured Plate with Locking (SUP-L, n=6)b) Superior Pre-Contoured Plate with Non-Locking (SUP-NL, n=8)c) Anterior Pre-Contoured Plate with Locking (ANT-L, n=7)d) Superior Non-Contoured Locking Compression Plate (SUP-LCP, n=6)Constructs were subjected to cyclical cantilever loads...
September 24, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277991/reverse-shoulder-arthroplasty-in-acute-fractures-of-the-proximal-humerus-does-tuberosity-healing-improve-clinical-outcomes
#6
F Reuther, M Petermann, R Stangl
OBJECTIVE: The study aimed to evaluate the clinical outcomes of reverse shoulder arthroplasty (RSA) in elderly patients with proximal humeral fractures and assess the role of tuberosity healing on the outcome. DESIGN: Case series SETTING:: Multicentre clinical study of level-2 trauma centres PATIENTS/PARTICIPANTS:: We included 81 patients with a mean age of 78.5 ± 6.5 years (range, 58.5-90.9 years) and a non-reconstructable proximal humeral fracture. INTERVENTION: Modular reverse fracture shoulder arthroplasty...
September 10, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277988/letters-to-the-editor-manipulation-under-anesthesia-as-a-treatment-of-posttraumatic-elbow-stiffness-should-we-really
#7
J Viveen, J N Doornberg, M P J van den Bekerom
No abstract text is available yet for this article.
September 10, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277987/a-prospective-study-of-the-effectiveness-of-paroxetine-on-the-onset-of-posttraumatic-stress-disorder-depression-and-health-and-functional-outcomes-after-trauma
#8
Joseph Borrelli, Adam Starr, Dana L Downs, Carol S North
OBJECTIVES: To determine whether the administration of medication for posttraumatic stress disorder (PTSD) to injured trauma survivors prevents or mitigates PTSD. DESIGN: Double-blinded, placebo-controlled. SETTING: Level I trauma center. PATIENTS: One hundred and twenty patients admitted for traumatic orthopedic injury. INTERVENTION: Either paroxetine or placebo starting 2 weeks postinjury. MAIN OUTCOME MEASUREMENTS: PTSD symptoms were measured with the PTSD Checklist for DSM-IV...
September 10, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277986/outcome-analysis-of-surgical-stabilization-of-rib-fractures-in-trauma-patients
#9
Alexander A Fokin, Joanna Wycech, Russell Weisz, Ivan Puente
OBJECTIVES: To compare outcomes in patients with rib fractures (RFX) who underwent surgical stabilization of rib fractures (SSRF) to those treated non-operatively. DESIGN: Retrospective cohort study SETTING:: Two Level 1 Trauma Centers. Florida, USA PATIENTS:: 174 patients with multiple rib fractures divided in 2 groups: Patients with Surgically Stabilized Rib Fractures (n=87) were compared to non-operatively managed patients in the Matched Control Group (n=87)...
September 10, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277985/knee-pain-and-functional-scores-after-intramedullary-nailing-of-tibial-shaft-fractures-using-a-suprapatellar-approach
#10
Sancar Serbest, Uğur TiftiKçi, Mehmet Çoban, Meriç Çirpar, Bülent Dağlar
OBJECTIVES: To evaluate the effects of intramedullar nailing of the tibia using a suprapatellar approach with respect to pain and function of the knee. DESIGN: Prospective clinical investigation SETTING:: Academic level I trauma center PATIENTS/PARTICIPANTS:: Twenty-one patients with tibial shaft fractures (OTA 42A-B-C) with a minimum of twelve months follow up. INTERVENTION: Locked intramedullary nailing using a suprapatellar approach MAIN OUTCOME MEASUREMENTS:: Radiographic evaluation for nail position proximally, tibial shaft alignment and union, anterior knee pain using the Visual Analog Scale (VAS), and knee function evaluation using the Lysholm and SF-36 scores...
September 10, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277984/intraoperative-assessment-of-coronal-alignment-in-distal-femur-fracture-fixation-technical-trick
#11
Brandon R Scott, Raymond D Wright, Eric S Moghadamian
Supracondylar femur fractures represent a challenging and common injury treated by many orthopedic surgeons. An array of surgical fixation options has been developed to help the treating surgeon restore normal anatomic alignment of these fractures, and lateral precontoured condylar femoral locking plates have become a common implant for most surgeons in treating these fractures. Though these precontoured plates provide significant benefit to the treating physician in regards to gaining appropriate bony fixation, common technical errors that may lead to malalignment when utilizing these plates have been described...
September 10, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277983/self-reported-recovery-likelihood-predicts-higher-physician-ratings-following-orthopaedic-surgery
#12
Alexander S Rascoe, Scott Treiman, Ashwath Gunasekar, Heather A Vallier
OBJECTIVES: What are the differences between elective and trauma patient satisfaction and do patient and diagnosis factors predict physician scores? DESIGN: Prospective cohort study SETTING:: Urban Level 1 Trauma center PATIENTS/PARTICIPANTS:: 323 trauma patients and 433 elective orthopaedic patients treated at our center by the same surgeons INTERVENTION:: Trauma patients treated surgery for one or more fractures; elective patients treated with hip, knee, or shoulder arthroplasty, or rotator cuff repair...
September 10, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277982/nail-plate-combination-npc-technique-for-native-and-periprosthetic-distal-femur-fractures-a-technical-trick
#13
Frank A Liporace, Richard S Yoon
In the elderly, low energy distal femur fractures (native or periprosthetic) can be devastating injuries, carrying high rates of morbidity and mortality, comparable to the hip fracture population. Poor, osteoporotic bone quality facilitates fracture in a vulnerable anatomic region and as a result, operative fixation can be challenging. With goals of early mobilization to reduce subsequent complication risk, employing the nail plate combination (NPC) technique can offer stable, balanced fixation allowing for immediate weight bearing and early mobilization...
September 10, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277981/decreased-lean-psoas-cross-sectional-area-is-associated-with-increased-one-year-all-cause-mortality-in-male-elderly-orthopaedic-trauma-patients
#14
Basel M Touban, Sonja Pavlesen, Jason B Smoak, Michael J Sayegh, Jiefei Wang, Jiwei Zhao, Mark J Anders
OBJECTIVES: To investigate the association between lean psoas Cross-sectional Area (CSA) and one-year all-cause mortality in elderly patients sustaining pelvic and long bone fractures. DESIGN: Retrospective cohort SETTING:: Level one center PATIENTS:: Elderly trauma patients admitted from 2007-2014. METHODS: We reviewed demographic and clinical data, injury mechanism, fracture OTA/AO classification, and mortality. Axial Computed Tomography (CT) images were used to measure lean psoas CSA at the L3-L4 disk space...
September 10, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277980/foot-function-after-surgically-treated-intraarticular-calcaneal-fractures-correlation-of-clinical-and-pedographic-results-of-65-patients-followed-for-8-years
#15
Constanze Dürr, Jirun Apinun, Thomas Mittlmeier, Stefan Rammelt
OBJECTIVES: To correlate functional deficits after surgical treatment of displaced intraarticular calcaneal fractures (DIACF's) as measured via dynamic pedobarography with clinical and radiographic long-term results. DESIGN: Retrospective single-centre study SETTING:: Level 1 trauma center PATIENTS:: 65 patients with unilateral DIACF's, reexamined at an average of 8.1 years post surgery. INTERVENTION: Internal fixation of DIACF with lateral plate or percutaneous screws MAIN OUTCOME MEASUREMENTS:: Dynamic pedobarography, AOFAS, Zwipp, SF-36 scores, Foot Function Index, Böhler's angle, articular congruity...
September 10, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277979/impact-of-direct-oral-anticoagulants-doacs-in-patients-with-hip-fractures
#16
Martin Bruckbauer, Oliver Prexl, Wolfgang Voelckel, Bernhard Ziegler, Oliver Grottke, Marc Maegele, Herbert Schöchl
OBJECTIVE: To assess the impact of direct oral anticoagulant (DOAC) intake compared to Coumadin (COU) in patients suffering hip fractures (HF). DESIGN: Retrospective cohort analysis SETTING:: Level 1 Trauma Center INTERVENTION:: Timing of surgical hip fixation. PATIENTS: Three-hundred twenty patients ≥ 65 years of age with isolated HF were enrolled into the study: 207 (64.7%) without any antithrombotic therapy (no-ATT), 59 (18.4%) on COU and 54 (16...
September 10, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277978/clinical-outcomes-and-complications-of-the-surgical-implant-generation-network-sign-intramedullary-nail-a-systematic-review-and-meta-analysis
#17
A O Usoro, A Bhashyam, A Mohamadi, G S Dyer, L Zirkle, A von Keudell
OBJECTIVES: This study is a systematic review and meta-analysis of the clinical outcomes and pooled complication rate of femoral, tibial, and humeral fracture fixation using SIGN nails. We aimed to compare the pooled rate of adverse events based on the country of study origin, acute versus delayed fracture fixation, and length of follow up. METHODS: We searched PubMed/MEDLINE/Cochrane databases from 2000-2016 for English language studies. There was substantial heterogeneity among included studies...
September 10, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277976/the-significance-of-lateral-process-fractures-associated-with-talar-neck-and-body-fractures
#18
Nicholas M Romeo, Adam G Hirschfeld, Michael Githens, Stephen K Benirschke, Reza Firoozabadi
OBJECTIVES: To determine if fracture of the lateral process (LP) elevates the risk of development of radiographic subtalar arthrosis in patients with talar body and neck fractures. DESIGN: Retrospective review. SETTING: Level 1 academic trauma center. PATIENTS/PARTICIPANTS: Eighty-two patients with forty-three talar neck and forty-three talar body fractures treated over a 5 year period. INTERVENTION: Preoperative and postoperative radiographs were evaluated for fracture of the LP of the talus and subsequent development of radiographic subtalar arthritis...
September 10, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30277975/in-response
#19
Clay Spitler
No abstract text is available yet for this article.
September 10, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30169400/assessment-of-open-syndesmosis-reduction-techniques-in-an-unbroken-fibula-model-visualization-vs-palpation
#20
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
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