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Strategies in Trauma and Limb Reconstruction

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https://www.readbyqxmd.com/read/27909969/subjective-ulnar-nerve-dysfunction-commonly-following-open-reduction-internal-fixation-orif-of-distal-humeral-fractures-and-in-situ-decompression-of-the-ulnar-nerve
#1
Birgitta Svernlöv, Jens Nestorson, Lars Adolfsson
The aim of this retrospective study was to investigate the frequency of persistent ulnar affection in patients who underwent open reduction and internal fixation (ORIF) of distal humeral fractures without ulnar nerve transposition or mobilisation. Eighty-two patients (53 women), mean age 62 years, were, at a mean of 48 months, reviewed through medical records and a subjective evaluation form concerning ulnar nerve problems. Ulnar nerve affliction, in most cases regarded as mild, was experienced by 22 patients (27%; 14 women) and significantly associated with multiple surgeries...
December 1, 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27812778/retrospective-analysis-of-extra-articular-distal-humerus-shaft-fractures-treated-with-the-use-of-pre-contoured-lateral-column-metaphyseal-lcp-by-triceps-sparing-posterolateral-approach
#2
Yatinder Kharbanda, Yashwant Singh Tanwar, Vishal Srivastava, Vikas Birla, Ashok Rajput, Ramsagar Pandit
Management of extra-articular distal humerus fractures presents a challenge to the treating surgeon due to the complex anatomy of the distal part of the humerus and complicated fracture morphology. Although surgical treatment has shown to provide a more stable reduction and alignment and predictable return to function, it has been associated with complications like iatrogenic radial nerve palsy, infection, non-union and Implant failure. We in the present series retrospectively analysed 20 patients with extra-articular distal humerus shaft fractures surgically treated using the extra-articular distal humeral locking plate approached by the triceps-sparing posterolateral approach...
November 3, 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27743247/distal-femoral-valgus-osteotomy-bone-healing-time-in-single-plane-and-biplanar-technique
#3
J A D van der Woude, S Spruijt, B T J van Ginneken, R J van Heerwaarden
Varus deformity can be localized in the tibia, in the femur or in both. If varus deformity is localized within the femur, it is mandatory to correct it in the femur. This report presents the technique and results of a consecutive case series of lateral uniplanar and biplanar closed-wedge valgus osteotomy of the distal femur for the treatment of varus deformity of the knee. Retrospectively, fifteen patients (sixteen knees) were identified. Indications for surgery varied from unloading an osteoarthritic medial compartment to reduction to symmetrical varus leg alignment...
October 14, 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27738974/multiple-osteochondromas-mo-in-the-forearm-a-12-year-single-centre-experience
#4
John Ham, Mark Flipsen, Marianne Koolen, Arnard van der Zwan, Konrad Mader
Multiple osteochondromas (MO) are a rare autosomal dominant disorder characterized by the presence of osteochondromas located on the long bones and axial skeleton. Patients present with growth disturbances and angular deformities of the long bones as well as limited motion of affected joints. Forearm involvement is found in a considerable number of patients and may vary from the presence of a simple osteochondroma to severe forearm deformities and radial head dislocation. Patients encounter a variety of problems and symptoms e...
October 13, 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27734338/comminuted-supracondylar-femoral-fractures-a-biomechanical-analysis-comparing-the-stability-of-medial-versus-lateral-plating-in-axial-loading
#5
Nikolai Briffa, Raju Karthickeyan, Joshua Jacob, Arshad Khaleel
The aim of this study was to compare the biomechanical properties of medial and lateral plating of a medially comminuted supracondylar femoral fracture. A supracondylar femoral fracture model comparing two fixation methods was tested cyclically in axial loading. One-centimetre supracondylar gap osteotomies were created in six synthetic femurs approximately 6 cm proximal to the knee joint. There were two constructs investigated: group 1 and group 2 were stabilized with an 8-hole LC-DCP, medially and laterally, respectively...
October 12, 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27665618/the-use-of-blocking-screws-with-internal-lengthening-nail-and-reverse-rule-of-thumb-for-blocking-screws-in-limb-lengthening-and-deformity-correction-surgery
#6
Saravanaraja Muthusamy, S Robert Rozbruch, Austin T Fragomen
Internal lengthening nail (ILN) is a recent development in limb lengthening and deformity correction specialty. The ILN has the distinct advantage of combining acute deformity correction with gradual lengthening of bone. While using ILN, the short metaphyseal bone fragment may develop a deformity at the time of osteotomy and nail insertion or during bone lengthening because of the wide medullary canal. These deformities are typically predictable, and blocking screws (Poller screws) are helpful in these situations...
September 24, 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27663584/recognizing-the-elbow-prosthesis-on-conventional-radiographs
#7
Kamilcan Oflazoglu, Nienke Koenrades, Matthijs P Somford, Michel P J van den Bekerom
The objective of this study was to make an overview that can be useful in determining which type and brand of prosthesis a patient has when visiting the emergency department or outpatient clinic with a periprosthetic fracture, dislocation, or implant failure. The commonly used prostheses in Europe are opted for this list. The radiographs used for this list are obtained either from the company or from our own patients. This list contains the Coonrad/Morrey total elbow prosthesis, the Nexel total elbow prosthesis, the GSB III Elbow Prosthesis, the iBP Total Elbow System, the Discovery Elbow System, the NESimplavit Elbow System, the Latitude Elbow prosthesis, the Solar Elbow, and the Souter-Strathclyde total elbow...
September 23, 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27660248/distraction-osteogenesis-for-tibial-nonunion-with-bone-loss-using-combined-ilizarov-and-taylor-spatial-frames-versus-a-conventional-circular-frame
#8
Ibrahim Elsayed Abdellatif Abuomira, Francesco Sala, Yasser Elbatrawy, Giovanni Lovisetti, Salvatore Alati, Dario Capitani
This retrospective review assesses 55 tibial nonunions with bone loss to compare union achieved with combined Ilizarov and Taylor spatial frames (I-TSF) versus a conventional circular frame with the standard Ilizarov procedure. Seventeen (31 %) of the 55 nonunions were infected. Thirty patients treated with I-TSF were compared with 25 patients treated with a conventional circular frame. In the I-TSF group, an average of 7.6 cm of bone was resected and the lengthening index (treatment time in months divided by lengthening amount in centimeters) was 1...
September 22, 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27738975/stability-at-the-half-pin-frame-interface-on-external-fixation-constructs
#9
Alexios Dimitrios Iliadis, Parag Kumar Jaiswal, Jay Meswania, Gordon Blunn, David Goodier, Peter Calder
A mechanical study investigating the use of two different methods (grub and bolt screws) to secure external fixation half pins to circular frames. A four part experiment: (1) Grub and bolt screws were used to secure half pins in Taylor Spatial frames. Loosening torques were measured using a calibrated torque wrench. (2) Using universal testing machine (UTM), axial loading was applied to establish thresholds for loosening in grub and bolt screw constructs. (3) We established the application torque to produce failure at the head-driver interface using these two methods...
November 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27435914/reviewers-2015
#10
(no author information available yet)
No abstract text is available yet for this article.
August 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27401456/the-management-of-paediatric-diaphyseal-femoral-fractures-a-modern-approach
#11
REVIEW
Al-Achraf Khoriati, Carl Jones, Yael Gelfer, Alex Trompeter
The definitive treatment of paediatric femoral diaphyseal fractures remains controversial. Modalities of treatment vary mostly according to age, with fracture pattern and site having a lesser impact. Current evidence is reflective of this variation with most evidence cited by the American Academy of Orthopedic Surgeons being level 4 or 5. The authors present a review of the most up-to-date evidence relating to the treatment of these fractures in each age group. In an attempt to clarify the current trends, we have produced an algorithm for decision-making based on the experience from our own tertiary referral level 1 major trauma centre...
August 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27369868/the-outcome-of-treatment-of-chronic-osteomyelitis-according-to-an-integrated-approach
#12
Leonard C Marais, Nando Ferreira, Colleen Aldous, Theo L B Le Roux
Previous classification systems of chronic osteomyelitis have failed to provide objective and pragmatic guidelines for selection of the appropriate treatment strategy. In this study, we assessed the short-term treatment outcome in adult patients with long-bone chronic osteomyelitis prospectively where a modified host classification system was integrated with treatment strategy selection through a novel management algorithm. Twenty-six of the 28 enrolled patients were available for follow-up at a minimum of 12 months...
August 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27318670/percutaneous-rotational-osteotomy-of-the-femur-utilizing-an-intramedullary-rod
#13
Peter M Stevens, Christian J Gaffney, Heather Fillerup
The purpose is to describe the technique and report the results and complications of percutaneous femoral rotational osteotomy, secured with a trochanteric-entry, locked intramedullary rod, in adolescents with femoral anteversion. Our series comprised an IRB approved, retrospective, consecutive series of 85 osteotomies (57 patients), followed to implant removal. The average age at surgery was 13.3 years (range 8.8-18.3) with a female-to-male ratio of 2.8:1. The minimum follow-up was 2 years. Eighty-three osteotomies healed primarily...
August 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27234444/femoral-locking-plate-failure-salvaged-with-hexapod-circular-external-fixation-a-report-of-two-cases
#14
N Ferreira, L C Marais
Femoral non-unions are difficult to treat even for the experienced orthopaedic trauma surgeon. If the non-union follows failure of modern stable internal fixation, the complexity of the management is further increased. We report two cases of stiff hypertrophic femoral non-unions after failed locking plate fixation that were successfully treated with a new hexapod circular external fixator. In addition to providing the necessary stability for functional rehabilitation and union, the hexapod circular fixator software allows gradual correction of deformities in order to restore the normal mechanical alignment of the limb...
August 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27221258/a-novel-intramedullary-callus-distraction-system-for-the-treatment-of-femoral-bone-defects
#15
Konstantin Horas, Reinhard Schnettler, Gerrit Maier, Uwe Horas
An intramedullary device has some advantages over external fixation in callus distraction for bone defect reconstruction. There are difficulties controlling motorized intramedullary devices and monitoring the distraction rate which may lead to poor results. The aim of this study was to design a fully implantable and non-motorized simple distraction nail for the treatment of bone defects. The fully implantable device comprises a tube-in-tube system and a wire pulling mechanism for callus distraction. For the treatment of femoral bone defects, a traction wire, attached to the device at one end, is fixed to the tibial tubercle at its other end...
August 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27174086/prevention-of-pin-site-infection-in-external-fixation-a-review-of-the-literature
#16
REVIEW
Nikolas H Kazmers, Austin T Fragomen, S Robert Rozbruch
Pin site infections are a common complication of external fixation that places a significant burden on the patient and healthcare system. Such infections increase the number of clinic visits required during a patient's course of treatment, can result in the need for additional treatment including antibiotics and surgery, and most importantly can compromise patient outcomes should osteomyelitis or instability result from pin loosening or need for pin or complete construct removal. Factors that may influence the development of pin site infections include patient-specific risk factors, surgical technique, pin design characteristics, use of prophylactic antibiotics, and the post-operative pin care protocol including cleansing, dressing changes, and showering...
August 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27116689/evaluation-of-the-muscle-morphology-of-the-obturator-externus-and-piriformis-as-the-predictors-of-avascular-necrosis-of-the-femoral-head-in-acetabular-fractures
#17
Lalit Maini, Santosh Kumar, Sahil Batra, Rajat Gupta, Sumit Arora
Avascular necrosis (AVN) of femoral head is a recognised complication of fracture dislocation of the hip joint but is not studied frequently in relation to acetabulum fractures. The aim was to establish the relationship between obturator externus and piriformis muscle morphology in acetabulum fractures and potenital development of AVN of the femoral head. Twenty-five fractures were included in this prospective study and were subjected to radiological assessment and computed tomography of the pelvis. Magnetic resonance imaging (MRI) of the hip was performed to assess the morphology of obturator externus and piriformis, and findings were compared intraoperatively (in 15 cases)...
August 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27072558/external-fixation-of-paediatric-subtrochanteric-fractures-using-calcar-rather-than-neck-pins
#18
Sherif Galal
UNLABELLED: Subtrochanteric femoral fractures in children are uncommon and have received limited attention in the literature. Its treatment is controversial, and different options are available: traction, spica casting, internal fixation and external fixation. The aim of this study is to present our results with external fixation of subtrochanteric femoral fractures in children using Ilizarov frame. Between January 2012 and January 2014, 14 patients with closed subtrochanteric femoral fractures were treated in Cairo University School of Medicine Teaching Hospital...
August 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27432154/contribution-of-g-a-ilizarov-to-bone-reconstruction-historical-achievements-and-state-of-the-art
#19
Alexander V Gubin, Dmitry Y Borzunov, Larisa O Marchenkova, Tatiana A Malkova, Irina L Smirnova
Methodological solutions of Prof. G.A. Ilizarov are the core stone of the contemporary bone lengthening and reconstruction surgery. They have been acknowledged in the orthopaedic world as one of the greatest contributions to treating bone pathologies. The Ilizarov method of transosseous compression-distraction osteosynthesis has been widely used for managing bone non-union and defects, bone infection, congenital and posttraumatic limb length discrepancies, hand and foot disorders. The optimal conditions for implementing distraction and compression osteogenesis were proven by numerous experimental studies that Prof...
July 18, 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/26993112/erratum-to-external-fixation-reconstruction-of-the-residual-problems-of-benign-bone-tumours
#20
Levent Eralp, F Erkal Bilen, S Robert Rozbruch, Mehmet Kocaoglu, Ahmed I Hammouda
No abstract text is available yet for this article.
April 2016: Strategies in Trauma and Limb Reconstruction
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