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Journal of Orthopaedic Trauma

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https://www.readbyqxmd.com/read/28787327/a-cadaveric-analysis-of-proximal-humerus-locking-plate-fit-contour-mismatch-may-lead-to-malreduction
#1
Amy Ravindra, Austin Roebke, Kanu Goyal
OBJECTIVES: To investigate proximal humerus locking plate fit in a large sample of human proximal humeri. METHODS: 97 cadaveric human humeri were selected. Humerus length, head diameter, and neck-shaft angle were measured. Three-hole and 5-hole 3.5 mm proximal humerus locking compression plates were affixed. A digital caliper was used to measure the maximum gap distance from the plate to the bone. ANOVA and student's t-tests were conducted to evaluate differences in plate-bone distance between the two plate lengths, gender, race, age, and laterality...
July 31, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28787326/use-of-a-defined-surgical-approach-for-the-debridement-of-open-tibia-fractures
#2
Geoffrey S Marecek, Luke T Nicholson, R Tim Auran, Jackson Lee
OBJECTIVES: To determine whether a defined approach for debridement of open tibia fractures would result in no change in reoperation rate, but reduce the need for flap coverage. DESIGN: Prospective cohort study SETTING:: Academic level 1 trauma center PATIENTS:: 66 patients with 68 open diaphyseal tibia fractures. Patients aged < 18 and with OTA Open Fracture Classification skin score of 3 were excluded INTERVENTION:: Debridement of the open fracture through direct extension of the traumatic wound or through a defined surgical interval MAIN OUTCOME MEASUREMENTS:: Number of operations...
July 31, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28787325/risks-to-the-superior-gluteal-neurovascular-bundle-during-iliosacral-and-transsacral-screw-fixation-a-computed-tomogram-arteriography-cta-study
#3
Cory Collinge, Jed Maslow
OBJECTIVES: Iliosacral (IS) and transsacral (TS) screws are popular techniques to repair complicated injuries to the pelvis. The anatomy of the superior gluteal neurovasculature (SG NV bundle) is well described as running along the posterior ilium, providing innervation and perfusion to important abductor muscles. The method of pelvis fixation least likely to injure the SG NV bundle is unknown. METHODS: Twenty uninjured patients with a contrasted computed tomogram of the pelvis and lower extremities (CTA) were evaluated...
July 31, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28799963/factors-associated-with-health-related-quality-of-life-in-patients-with-open-fractures
#4
Sheila Sprague, Brad A Petrisor, Kyle J Jeray, Paula McKay, Taryn Scott, Diane Heels-Ansdell, Emil H Schemitsch, Susan Liew, Gordon H Guyatt, Stephen D Walter, Mohit Bhandari
OBJECTIVES: To analyze FLOW data to identify baseline patient, injury, fracture, and treatment factors associated with lower HRQL at 12-months post-fracture. DESIGN: Prognostic study using data from a prospective randomized controlled trial. SETTING: 31 clinical centers in the United States, Canada, Australia, and India. PATIENTS/PARTICIPANTS: 1427 open fracture patients from the FLOW trial with complete 12-month Short Form-12 (SF-12) follow-up assessment and no missing data for selected baseline factors...
July 26, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28742790/invited-commentary-cost-utility-analysis-of-reconstruction-versus-primary-amputation-for-type-iiib-and-type-c-open-tibia-fractures
#5
Joseph Borrelli
No abstract text is available yet for this article.
July 24, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28742789/evaluation-of-appropriate-venous-thromboembolism-prophylaxis-in-orthopaedic-trauma-patients-with-symptom-driven-vascular-and-radiographic-studies
#6
Christopher M Domes, Anneliese M Schleyer, James M McQueen, Ronald F Pergamit, Daphne M Beingessner
OBJECTIVE: To evaluate venous thromboembolism (VTE) prophylaxis adherence and effectiveness in orthopaedic trauma patients who had vascular or radiographic studies showing deep vein thromboses (DVTs) or pulmonary emboli (PEs). DESIGN: Retrospective review SETTING:: This study was conducted at a level I trauma center that independently services a 5 state region. The medical records of patients treated surgically between July 2010 and March 2013 were interrogated using a technical tool that electronically captures thrombotic event data from vascular and radiologic imaging studies via natural language processing...
July 24, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28742788/computer-assisted-corrective-osteotomy-of-malunited-pediatric-radial-neck-fractures-three-dimensional-postoperative-accuracy-and-clinical-outcome
#7
Lizzy Weigelt, Philipp F├╝rnstahl, Andreas Schweizer
Neglected or incorrect treatment of pediatric radial neck fractures may lead to symptomatic malunions. Computer-assisted corrective osteotomies with patient-specific guides have been proposed as a promising technique for the reconstruction of malunited long bone deformities. The aim of this study was to evaluate the accuracy and clinical outcome of this technique in children with malunited fractures of the radial neck. Four children (two male, two female; mean age 12 (10-16) years) underwent computer-assisted closing wedge osteotomy of the radial neck...
July 24, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28742787/functional-outcomes-of-elderly-patients-with-nonoperatively-treated-acetabular-fractures-that-meet-operative-criteria
#8
Scott P Ryan, Theodore T Manson, Marcus F Sciadini, Jason W Nascone, Christopher T LeBrun, Renan C Castillo, Ragu Muppavarapu, Brian Schurko, Robert V O'Toole
OBJECTIVES: To report functional outcomes of displaced acetabular fractures treated nonoperatively in the geriatric patient population. DESIGN: Retrospective case series. SETTING: Two Level I trauma centers. PATIENTS: Twenty-seven patients age 60 years or older who sustained displaced acetabular fractures during an 11-year period. INTERVENTION: Nonoperative treatment. MAIN OUTCOME MEASUREMENTS: Primary outcome measurements were Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores and Short Form 8 (SF-8) scores...
July 24, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28742786/proper-distal-placement-of-tibial-nail-improves-rate-of-malalignment-for-distal-tibia-fractures
#9
Konstantinos Triantafillou, Eric Barcak, Arturo Villarreal, Cory Collinge, Edward Perez
OBJECTIVES: We hypothesize that the anatomic center of the distal tibia is just lateral and anterior to the center of the distal tibia articular surface in the coronal and sagittal planes respectively, and that placement of the nail along this axis results in improved rates of malalignment when treating distal tibia fractures. DESIGN: Retrospective study SETTING:: One level I and one level II trauma center PATIENTS/PARTICIPANTS:: 203 distal tibia fractures treated with IMN (primary cohort) whose main fracture line extended within 5 cm of the plafond to evaluate the rate of malalignment with distal nail placement...
July 24, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28742785/an-effective-negative-pressure-wound-therapy-1-compatible-local-antibiotic-delivery-device
#10
Ben C C Rand, Joseph C Wenke
OBJECTIVES: The current clinical standard for local antibiotic depot is polymethylmethacrylate (PMMA) beads. Unfortunately, these are not ideal and negative pressure wound therapy (NPWT) reduces their limited effectiveness. Recently, a chitosan sponge has been shown to be an effective carrier of antibiotics. Since it acts as a delivery vehicle with increased wound contact area instead of an antibiotic depot, it may be more effective. The objectives of this study are to determine if 1) a chitosan sponge would be more effective than PMMA beads as a local antibiotic delivery device and 2) the chitosan sponge remains an effective method of delivery when used in conjunction with NPWT...
July 24, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28742784/treatment-and-complications-of-patients-with-ipsilateral-acetabular-and-femur-fractures-a-multicenter-retrospective-analysis
#11
Justin M Hire, Preston J Boyer, Heidi Israel, Lisa K Cannada, Hassan Mir, Jason Halvorson, Gregory J Della Rocca, Bryan Ming, Brian Mullis, Chetan Deshpande
OBJECTIVES: The purpose of this study was to review the treatment of ipsilateral acetabular and femur fracture patients to provide descriptive demographic data, injury pattern classification, treatment and evaluate the complication profile reflective of current practices. STUDY DESIGN: Multicenter retrospective cohort. SETTING: Eight Level 1 Trauma Centers. PATIENTS/PARTICIPANTS: 101 patients met inclusion criteria. INTERVENTION: Surgical treatment of both the acetabular and femur fracture...
July 24, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28708781/fracture-site-mobility-at-six-weeks-following-humeral-shaft-fracture-predicts-nonunion-without-surgery
#12
Adam S Driesman, Nina Fisher, Raj Karia, Sanjit Konda, Kenneth A Egol
OBJECTIVES: To assess the presence of fracture site gross motion on physical examination to predict humeral shaft fracture progression to nonunion in patients managed non-operatively. DESIGN: Retrospective cohort study SETTING:: Single trauma level 1 institutional center PATIENTS:: Eighty-four consecutive patients undergoing non-operative treatment of a diaphyseal humeral shaft fracture were identified. The average age of the population was 48.3 years and 50% of the cohort was male...
July 8, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28708777/intraoperative-topical-antibiotics-for-infection-prophylaxis-in-pelvic-and-acetabular-surgery
#13
Matthew T Owen, Emily M Keener, Zane B Hyde, Reaves M Crabtree, Parke W Hudson, Russell L Griffin, Jason A Lowe
OBJECTIVES: Determine if topical vancomycin and tobramycin powder reduces the incidence of surgical site infection (SSI) following pelvic ring and acetabulum fracture surgery. DESIGN: Retrospective cohort study SETTING:: University of Alabama at Birmingham, Academic Level I Trauma Center PATIENTS/PARTICIPANTS:: 219 patients (140 meeting inclusion criteria) with pelvic and acetabular fractures who underwent open reduction and internal fixation (ORIF) from March 2012 to November 2013...
June 26, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28708780/syndesmotic-ankle-fractures-a-systematic-review
#14
James D Michelson, Michael Wright, Michael Blankstein
OBJECTIVES: The diagnosis and treatment of syndesmotic ankle fractures is controversial. This systematic review was performed to clarify the current understanding addressing several clinical questions that arise in the treatment of such injuries DATA SOURCES:: The English language literature was searched using PubMed, EMBASE, and Web of Science. The search terms were "syndesmosis" or "syndesmotic" in combination with the terms "ankle fracture" or "fracture". The included dates were between 1967 and July 2015...
June 22, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28708779/midshaft-fracures-of-the-clavicle-a-meta-analysis-comparing-surgical-fixation-via-anteroinferior-plating-versus-superior-plating
#15
Alex Nourian, Satvinder Dhaliwal, Sitaram Vangala, Peter S Vezeridis
OBJECTIVE: Tto compare the outcomes of clavicle fracture fixation using anteroinferior versus superior plate placement. METHODS: We performed a meta-analysis of studies that have reported on outcomes following superior or anteroinferior plate fixation for acute midshaft clavicle fractures (OTA 15-B). A computerized literature search in the Pubmed, Scopus, and Cochrane Library databases was utilized to identify relevant articles. Only full text articles without language restrictions were evaluated...
June 22, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28708778/radiographic-investigation-of-the-distal-extension-of-fractures-into-the-articular-surface-of-the-tibia-the-ridefast-study
#16
Lucas S Marchand, Ajinkya A Rane, Zachary M Working, Lance G Jacobson, Erik N Kubiak, Thomas F Higgins, David L Rothberg
OBJECTIVE: To determine whether radiographic measurements are predictive of involvement of the distal tibia articular surface in tibial shaft fractures. DESIGN: Retrospective review. SETTING: Academic level-I trauma hospital. PATIENTS: Two-hundred seventeen patients with tibial shaft fractures distal to the isthmus (AO/OTA: 42-A1-3;42-B1-3;42-C1-3;43-A1-3). INTERVENTION: Analysis of AP and lateral radiographs...
June 22, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28657927/comparison-of-four-methods-for-dynamization-of-locking-plates-differences-in-the-amount-and-type-of-fracture-motion
#17
Julia Henschel, Stanley Tsai, Daniel C Fitzpatrick, J Lawrence Marsh, Steven M Madey, Michael Bottlang
BACKGROUND: Decreasing the stiffness of locked plating constructs can promote natural fracture healing by controlled dynamization of the fracture. This biomechanical study compared the effect of four different stiffness reduction methods on interfragmentary motion by measuring axial motion and shear motion at the fracture site. METHODS: Distal femur locking plates were applied to bridge a metadiaphyseal fracture in femur surrogates. A locked construct with a short bridge span served as the non-dynamized control group (LOCKED)...
June 22, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28650941/letter-to-the-editor
#18
William Barfield, Langdon A Hartsock
No abstract text is available yet for this article.
June 19, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28650940/surgical-fixation-of-periprosthetic-humerus-fractures-using-an-extension-plate-a-technical-trick
#19
Bradley Schoch, Samir Mehta, Surena Namdari
No abstract text is available yet for this article.
June 19, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28650947/three-dimensional-deformities-of-non-operative-midshaft-clavicle-fractures-a-surface-matching-analysis
#20
Satoshi Oki, Noboru Matsumura, Yoshimori Kiriyama, Takuji Iwamoto, Kazuki Sato, Takeo Nagura
OBJECTIVE: The purpose of this study was to describe the three-dimensional deformities of midshaft clavicle fractures, which had been treated nonoperatively, using computed tomography (CT) surface matching. METHODS: Twenty-one patients with unilateral midshaft clavicle fracture, who had been treated nonoperatively, were enrolled and evaluated retrospectively. The three-dimensional deformity of the fractured clavicle was evaluated by CT surface matching. CT scans of 21 age- and sex-matched patients with initial traumatic shoulder dislocation or proximal humeral fracture were enrolled as a control group, and the differences in three-dimensional deformities and lengths of the clavicles between the fracture group and the control group were evaluated...
June 15, 2017: Journal of Orthopaedic Trauma
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