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Journal of Orthopaedic Trauma

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https://www.readbyqxmd.com/read/29315200/physical-performance-limitations-following-severe-lower-extremity-trauma-in-military-service-members
#1
Jason M Wilken, Catherine W Roy, Scott W Shaffer, Jeanne C Patzkowski, Ryan V Blanck, Johnny G Owens, Joseph R Hsu
OBJECTIVES: To characterize the type and magnitude of lower extremity physical performance deficits in military service members who have undergone rehabilitation following limb salvage or transtibial amputation. DESIGN: Cross-sectional prospective. SETTING: Level I trauma military medical and rehabilitation center. PATIENTS/PARTICIPANTS: Service members with lower extremity trauma resulting in limb salvage (n=20) or unilateral transtibial amputation (n=14), compared to uninjured actively training service members (n=123)...
January 8, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29315199/a-waist-hip-ratio-surrogate-more-predictive-than-bmi-of-wound-complications-following-pelvic-and-acetabulum-surgery
#2
Todd Jaeblon, Kevin J Perry, Joseph A Kufera
OBJECTIVES: To determine if a novel surrogate of waist hip ratio (WHR) is more predictive of wound complications following pelvis or acetabulum stabilization than BMI, and describe the method of measuring a WHR proxy (WHRp). DESIGN: Retrospective review. SETTING: One Level-1 Trauma Center PATIENTS:: 161 patients following operative repair of pelvis and acetabulum fractures. INTERVENTION: Operative stabilization of a pelvic ring injury or acetabular fracture MAIN OUTCOME MEASUREMENTS:: Infection (pin, superficial, deep), Wound healing complication METHODS:: We retrospectively reviewed 161 subjects following operative repair of pelvic and acetabular fractures...
January 8, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29315198/bi-planar-posterior-pelvic-fixator-for-unstable-sacral-fractures-a-new-fixation-technique
#3
Mohamed Abo-Elsoud, Said Eldeeb, Mohamed Gobba, Fouad Zamel Sadek
Fixation of comminuted vertically-unstable sacral fractures continues to be a surgical dilemma. Although triangular osteosynthesis (TOS) is a good construct and resists vertical translation, complications still occur. Herein, we introduce a new bi-planar fixation technique, using segmental spinal instrumentation, as an alternative to TOS. This technique is remarkably valuable in cases with sacral morphology and/or complex fracture patterns that preclude safe percutaneous iliosacral screw insertion.
January 8, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29315197/prediction-of-distal-radius-fracture-redisplacement-a-validation-study
#4
Monique M J Walenkamp, Marjolein A M Mulders, Jony van Hilst, J Carel Goslings, Niels W L Schep
OBJECTIVE: To externally validate the Edinburgh Wrist Calculator (EWC) in a population of patients with distal radius fractures at risk for loss of threshold alignment. DESIGN: A retrospective cohort study. SETTING: One academic hospital. PATIENTS/PARTICIPANTS: All consecutive adult patients with a displaced distal radius fracture with initial dorsal angulation >10┬░and/or an ulnar variance of >3 mm who were treated with closed reduction and cast immobilization between 2009 and 2014...
January 8, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29240612/extracellular-matrix-applications-in-the-treatment-of-open-fractures-with-complex-wounds-and-large-soft-tissue-defects
#5
Alexander A Fokin, Ivan Puente, Nir Huss, Eugenio Rodriguez, Russell D Weisz
Use of biologic scaffolds such as extracellular matrix (ECM) is a promising 4 trend in the treatment of complex wounds in orthopaedic trauma patients.In this clinical series we describe the technique of the successful application of porcine urinary bladder ECM products in the treatment of open fractures of the extremities with complex wounds and large soft tissue defects. The clinical outcomes demonstrated that even in challenging cases where local flap coverage of bone or neurovascular structures is not possible, sequential xenograft implantation allowed us to achieve a stable soft tissue envelope...
December 13, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29240012/surgical-treatment-of-chronic-elbow-dislocation-allowing-early-range-of-motion-operative-technique-and-clinical-results
#6
Duane R Anderson, Justin M Haller, Lucas A Anderson, Samuel Hailu, Abebe Chala, Shawn W O'Driscoll
OBJECTIVES: Describe the surgical treatment and patient outcomes of chronic elbow dislocations. DESIGN: Retrospective review SETTING:: Two tertiary referral centers. PATIENTS/PARTICIPANTS: All patients with surgically treated chronic elbow dislocation with no associated articular fracture from January 2009 - January 2015. INTERVENTION: Review of patient demographics, injury chronicity, surgical technique, and patient outcomes...
December 6, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29065034/is-s3-a-viable-osseous-fixation-pathway
#7
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
#8
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/29257782/percutaneous-application-of-a-medial-plate-for-dual-plate-stabilization-of-supracondylar-femur-fractures
#9
Andrew Swentik, Michael Tucker, Thomas Jones
Supracondylar femur fractures with segmental defects can be difficult fractures to treat. When associated with open wounds, these injuries can be associated with numerous complications including nonunion, malunion, infection, and arthrofibrosis. In this article, we review our algorithm for treating these fractures and highlight critical aspects of the process which differs from previous techniques described. We feel that this technique has specific benefits that mitigate infection risk and minimize additional soft-tissue insult without compromising stability...
January 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29257781/patient-perceptions-of-the-use-of-medical-marijuana-in-the-treatment-of-pain-after-musculoskeletal-trauma-a-survey-of-patients-at-2-trauma-centers-in-massachusetts
#10
Marilyn Heng, Michael F McTague, Robert C Lucas, Mitchel B Harris, Mark S Vrahas, Michael J Weaver
OBJECTIVE: To evaluate musculoskeletal trauma patients' beliefs regarding the usefulness of marijuana as a valid medical treatment for postinjury and postoperative pain and anxiety. DESIGN: Prospective survey. SETTING: Two academic Level 1 trauma centers. PATIENTS/PARTICIPANTS: Five hundred patients in an orthopedic outpatient clinic. INTERVENTION: Survey. MAIN OUTCOME MEASUREMENTS: (1) Do patients believe that marijuana can be used as medicine? (2) Do patients believe that marijuana can help treat postinjury pain? (3) Are patients comfortable speaking with their health care providers about medical marijuana? RESULTS: The majority of patients felt that marijuana could be used to treat pain (78%, 390) and anxiety (62%, 309)...
January 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29257780/hexapod-stacked-transport-for-tibial-infected-nonunions-with-bone-loss-long-term-functional-outcomes
#11
Joshua K Napora, Douglas S Weinberg, Blake A Eagle, Bram R Kaufman, John K Sontich
OBJECTIVES: To analyze long-term functional outcomes in patients with posttraumatic infected tibial nonunions having undergone bone transport with hexapod external fixator. DESIGN: Retrospective cohort study. SETTING: Level 1 trauma center. PATIENTS/PARTICIPANTS: Thirty-eight patients with infected nonunions of the tibia. INTERVENTION: Resection of nonunion with application of stacked hexapod external fixator for bone transport...
January 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29257779/functional-outcomes-of-syndesmotic-injuries-based-on-objective-reduction-accuracy-at-a-minimum-1-year-follow-up
#12
Steven M Cherney, Christopher T Cosgrove, Amanda G Spraggs-Hughes, Christopher M McAndrew, William M Ricci, Michael J Gardner
OBJECTIVE: To evaluate whether objective syndesmosis reduction predicts functional outcomes and pain scores in patients with operatively treated syndesmotic injuries at a minimum 1-year follow-up. DESIGN: Prospective Cohort. SETTING: Urban Level I Trauma Center. PATIENTS: Sixty-nine patients with operatively treated syndesmotic injuries were initially identified and consented for inclusion in the study. Nine patients were excluded perioperatively...
January 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29257778/operative-versus-nonoperative-management-of-acute-high-grade-acromioclavicular-dislocations-a-systematic-review-and-meta-analysis
#13
Nicholas Chang, Andrew Furey, Anton Kurdin
OBJECTIVES: Management of high-grade acromioclavicular (AC) joint dislocations has been controversial. Recent studies suggest no difference in outcomes between operative and nonoperative management of Rockwood types III-V injuries. The objective of this meta-analysis is to compare outcomes between operative and nonoperative management of high-grade AC joint dislocations. DATA SOURCES: Search was conducted using PubMed, Embase, and Cochrane databases through October 2016...
January 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29257036/how-to-approach-fellowship-match-tips-for-the-applicant-and-fellowship-programs
#14
Thomas A Krupko, Lisa K Cannada
No abstract text is available yet for this article.
January 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29256965/appendix
#15
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29256964/thorax
#16
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29256963/spine
#17
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29256962/unified-classification-system-for-periprosthetic-fractures-ucpf
#18
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29256961/ao-pediatric-comprehensive-classification-of-long-bone-fractures-pccf
#19
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29256960/dislocations
#20
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Journal of Orthopaedic Trauma
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