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Pelvic fracture

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https://www.readbyqxmd.com/read/29327553/-preliminary-development-of-drill-template-assisted-placement-of-reverse-intramedullary-lag-screw-for-superior-ramus-of-pubis-using-three-dimentional-print-technique
#1
Yi Zheng, Xin-Hua Yuan, Wei-Bin Wang, Qing-Jiang Pang
OBJECTIVE: To investigate the feasibility of a drill template for the placement of reverse intramedullary lag screws on the outside of the pubis based on digital design and 3D printing technology. METHODS: The preoperative CT images of a 23-year-old male patient with pelvic fracture were collected retrospectively. According to the Young and Burgess classification, the type of pelvic fracture was LC IIwith the 3D printing technology. The data was reconstructed by 3D imaging reconstruction software to produce 1:1 three dimensional model...
January 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29327108/computed-tomography-for-occult-fractures-of-the-proximal-femur-pelvis-and-sacrum-in-clinical-practice-single-institution-dual-site-experience
#2
Jacob C Mandell, Michael J Weaver, Bharti Khurana
PURPOSE: The purpose of this study was to evaluate the diagnostic performance of CT for assessment of occult fractures of the proximal femur, pelvis, and sacrum. MATERIALS AND METHODS: A retrospective review was performed on patients who received a CT of the hip or pelvis for suspected occult fracture after negative or equivocal radiographs performed within 24 h. The official radiology report was utilized for the determination of CT findings and calculation of sensitivity and specificity...
January 11, 2018: Emergency Radiology
https://www.readbyqxmd.com/read/29326762/outcome-determinants-of-patients-with-traumatic-pelvic-fractures-a-cohort-study-in-a-level-i-trauma-center-in-southern-iran
#3
S Paydar, M Chaabi, M Akhavan, Z Ghahramani, M Dehghankhalili
Pelvic fracture is a result of devastating injuries and is usually encountered in conjunction with other life-threatening injuries. The aim of the current study was to determine the outcome determinants of patients with pelvic fractures referred to a large trauma center in southern Iran. This retrospective cross-sectional study was conducted in a level I trauma center over a period of three years from 2012 to 2015. We included all patients with pelvic fractures whose medical records had sufficient data. Data were compared between good condition and poor conditions...
November 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29322211/-within-ring-based-sacroiliac-rod-fixation-may-overcome-the-weakness-of-spinopelvic-fixation-for-unstable-pelvic-ring-injuries-technical-notes-and-clinical-outcomes
#4
Kentaro Futamura, Tomonori Baba, Atsuhiko Mogami, Akio Kanda, Osamu Obayashi, Hideaki Iwase, Kazuo Kaneko
PURPOSE: Spinopelvic fixation and triangular osteosynthesis give firm internal fixation for unstable pelvic ring injuries (UPRI), but with sacrifice of mobility of the lumbar spine. Here, we describe the procedure and outcomes of a new approach, which we refer to as "within ring"-based sacroiliac rod fixation (SIRF). METHODS: The patient was placed in a prone position and longitudinal skin incisions were made at the medial margins of the bilateral posterior superior iliac spines (PSIS)...
January 10, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29318344/severe-casualties-from-bastille-day-attack-in-nice-france
#5
Federico Solla, Joseph Carboni, Arnaud Fernandez, Audrey Dupont, Nathalie Chivoret, Gilles Brézac, Virginie Rampal, Jean Bréaud
PURPOSE: To describe the most severe casualties from the July 14th, 2016 terror attack in Nice that were treated at the Lenval University Children's Hospital (LUCH) of Nice (France). METHODS: Retrospective study about casualties treated at LUCH from Bastille Day Attack with injuries resulting in the need for surgery, resuscitation, or death. The type of lesions and surgery, duration of hospitalizations, complications, psychological status, and outcome at discharge were collected...
January 9, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29317155/compensatory-mechanism-of-the-spine-after-corrective-surgery-without-lumbar-sacral-fixation-for-traumatic-thoracolumbar-kyphotic-spine-deformity
#6
Koji Matsumoto, Masahiro Hoshino, Keita Omori, Hidetoshi Igarashi, Takashi Tsuruta, Koji Yamasaki, Hiromi Matsuzaki, Takanori Iriuchishima, Yasuaki Tokuhashi
BACKGROUND: It remains unclear whether long fusion including lumbar-sacral fixation is needed in corrective surgery to obtain good global sagittal balance (GSB) for the treatment of traumatic thoracolumbar kyphotic spine deformity. The purposes of this study were to evaluate compensatory mechanism of the spine after corrective surgery without lumbar-sacral fixation and to evaluate the parameters affecting the achievement of good GSB post-operatively. METHODS: Twenty (20) subjects requiring corrective surgery (distal end of fixation was L3) were included in this study...
January 6, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29315199/a-waist-hip-ratio-surrogate-more-predictive-than-bmi-of-wound-complications-following-pelvic-and-acetabulum-surgery
#7
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
#8
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/29310353/complex-pelvic-ring-injuries-associated-with-floating-knee-in-a-poly-trauma-patient-a-case-report
#9
Yuebin Zhou, Honggang Guo, Zhiwei Cai, Yuan Zhang
RATIONALE: Complex pelvic ring fracture associated with floating knee is comparatively rare which usually results from high-energy trauma including vehicle-related accidence, falls from height, and earthquake-related injury. To our knowledge, few literatures have documented such injuries in the individual patient. Management of both injuries present challenges for surgical management and postoperative care. The purpose of this study is to prove the feasibility and benefits of damage control orthopedics (DCO)...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29309711/trends-in-orthopedic-fracture-and-injury-severity-a-level-i-trauma-center-experience
#10
Neil Tarabadkar, Timothy Alton, Jacob Gorbaty, Sean Nork, Lisa Taitman, Conor Kleweno
The purpose of this study was to define the trends in fracture complexity and overall injury severity of orthopedic trauma patients at a level I trauma center. A retrospective review of a prospectively collected trauma database was performed to determine the Injury Severity Score (ISS) and AO/OTA classification of the most common fractures among all patients presenting from 1995 to 1999 and from 2008 to 2012. Inclusion criteria were lower extremity fractures of the femur and tibia and pelvic fractures within the years of interest...
January 8, 2018: Orthopedics
https://www.readbyqxmd.com/read/29307764/predictive-model-integrating-dynamic-parameters-for-massive-blood-transfusion-in-major-trauma-patients-the-dynamic-mbt-score
#11
Chun Tat Lui, Oi Fung Wong, Kwok Leung Tsui, Chak Wah Kam, Siu Man Li, Mina Cheng, Ka Kit Gilberto Leung
BACKGROUND: Currently existing predictive models for massive blood transfusion in major trauma patients had limitations for sequential evaluation of patients and lack of dynamic parameters. OBJECTIVE: To establish a predictive model for predicting the need of massive blood transfusion major trauma patients, integrating dynamic parameters. DESIGN: Multi-center retrospective cohort study. SETTING: Four designated trauma centers in Hong Kong...
January 4, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29299889/effects-of-anastomotic-posterior-urethroplasty-simple-or-complex-on-erectile-function-a-prospective-study
#12
Jalil Hosseini, Farzen Soleimanzadeh Ardebili, Behrouz Fadavi, Hamidreza Haghighatkhah
PURPOSE: Although improvements in urological function have been less challenged, concern about andrological problems following urethral stricture surgeries has been growing in recent years. The aim of this study is to evaluate the role of the anastomotic urethroplasty itself on erectile function in patients with posterior urethral injuries. MATERIALS AND METHODS: In this prospective cohort study, patients with urethral strictures referring to Tajrish Hospital during October 2013 to August 2016 for anastomotic urethroplasty, were included...
January 3, 2018: Urology Journal
https://www.readbyqxmd.com/read/29297838/repair-of-a-femoral-fracture-in-a-congo-african-grey-parrot-psittacus-erithacus-erithacus-with-a-paracortical-clamp-cerclage-technique
#13
Pavel Slunsky, Lesley Halter, Svenja Florczak, Alexander Haake, Leo Brunnberg, Kerstin Müller
A 1-yr-old female Congo African grey parrot ( Psittacus erithacus erithacus) was admitted with a lameness of the right pelvic limb. On the radiographs a closed, caudolaterally displaced, comminuted, diaphyseal fracture of the femur was diagnosed. Surgery under general anesthesia was performed in order to repair the fracture with a paracortical-clamp-cerclage technique. This straightforward and effective technique has been developed as a low-cost treatment for simple and comminuted diaphyseal fractures in dogs and cats...
December 2017: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
https://www.readbyqxmd.com/read/29284149/percutaneous-sacroiliac-screw-versus-anterior-plating-for-sacroiliac-joint-disruption-a-retrospective-cohort-study
#14
Ruipeng Zhang, Yingchao Yin, Shilun Li, Zhiyong Hou, Lin Jin, Yingze Zhang
BACKGROUND: Sacroiliac joint disruption (SJD) is a common cause of pelvic ring instability. Clinically, percutaneous unilateral S1 sacroiliac screw and anterior plating are always applied to manage SJD. The objective of this study is to elaborate their respective therapeutic traits. MATERIALS AND METHODS: Patients with SJD fixed with unilateral S1 sacroiliac screw or anterior plating from June 2011 to June 2015 were recruited into this study and were divided into two groups: group A (unilateral sacroiliac screw) and group B (anterior plating)...
December 25, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29282615/predictors-of-active-arterial-hemorrhage-on-angiography-in-pelvic-fracture-patients
#15
Ying-Chieh Lai, Cheng-Hsien Wu, Huan-Wu Chen, Li-Jen Wang, Yon-Cheong Wong
PURPOSE: To determine predictors of active angiographic hemorrhage in pelvic fracture patients. MATERIALS AND METHODS: This retrospective study included 66 trauma patients who had major hemorrhages due to pelvic fractures, and who underwent pelvic angiography between January 2012 and December 2014. The study population comprised 31 males and 35 females (mean age 44.2 ± 20.7 years). The main outcome was active hemorrhage on pelvic angiography. Clinical and imaging variables including demographics, hemodynamic parameters, injury severity, types of pelvic fracture, laboratory data, blood transfusions and CT findings were analyzed...
December 27, 2017: Japanese Journal of Radiology
https://www.readbyqxmd.com/read/29282484/improvement-of-outcomes-in-patients-with-pelvic-fractures-and-hemodynamic-instability-after-the-establishment-of-a-korean-regional-trauma-center
#16
Ji Young Jang, Hongjin Shim, Hye Youn Kwon, Hoejeong Chung, Pil Young Jung, Seongyup Kim, Hoon Ryu, Keum Seok Bae
PURPOSE: Despite using a multidisciplinary treatment approach, the mortality rate of patients with hemodynamic instability from severe pelvic fractures is still 40-60%. We evaluated the improvement of outcomes in this patient population after the establishment of a regional trauma center in Korea. METHODS: We retrospectively reviewed the medical charts of 50 patients with hemodynamic instability due to pelvic fractures between March 2011 and November 2016. Patients were divided into two groups: the pre-trauma center (PTC) group (n = 23) and trauma center (TC) group (n = 27)...
December 27, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29277392/minimally-invasive-anterior-pelvic-internal-fixation-an-anatomic-study-comparing-pelvic-bridge-to-infix
#17
Lee M Reichel, Lauren M MacCormick, Anthony J Dugarte, Amir R Rizkala, Sara C Graves, Peter A Cole
OBJECTIVES: Anterior external fixation for pelvic ring fractures has shown to effectively improve stability and reduce mortality. However, these fixators can be associated with substantial morbidity such as pin tract infection, premature loss of fixation, and decreased quality of life in patients. Recently, two new methods of subcutaneous anterior pelvic internal fixation have been developed; the INFIX and the Pelvic Bridge. These methods have the purported advantages of lower wound complications, less surgical site pain, and improved quality of life...
December 19, 2017: Injury
https://www.readbyqxmd.com/read/29273093/patient-related-outcome-of-unstable-pelvic-ring-fractures-stabilized-with-a-minimal-invasive-screw-rod-system
#18
Maximilian Kerschbaum, Nadine Hausmann, Michael Worlicek, Christian Pfeifer, Michael Nerlich, Paul Schmitz
BACKGROUND: Clinical and radiological outcomes of operatively treated unstable pelvic ring fractures are well documented, whereas little is known about the patient's related outcome. The purpose of this study is to evaluate the patient-reported outcome after minimal invasive treatment of pelvic ring fractures using the SF-36 and EQ-5D medical outcome scores. METHODS: Patients with unstable pelvic ring fractures treated in our trauma department with a minimal invasive screw-rod system between 01/2004 and 12/2014 were included...
December 22, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/29259067/retrospective-evaluation-of-140-dogs-involved-in-road-traffic-accidents
#19
Sigal Klainbart, Uri Bibring, Dalia Strich, Orit Chai, Tali Bdolah-Abram, Itamar Aroch, Efrat Kelmer
This study has retrospectively reviewed the medical records of 140 dogs sustaining road traffic accident (RTA), and has examined the population characteristics, medical history, injury type, physical examination, emergency laboratory tests and radiography findings, the animal trauma triage (ATT) score, the length of hospitalisation, the complications and the outcome. The survival rate was 83.2 per cent. Younger dogs sustained more frequently lung contusions and limb fractures, while larger dogs more frequently suffered limb fractures, and smaller dogs and older ones sustained more frequently pelvic fractures and sacroiliac luxation (P<0...
December 19, 2017: Veterinary Record
https://www.readbyqxmd.com/read/29258687/analysis-of-mortality-and-fixation-failure-in-geriatric-fractures-using-quantitative-computed-tomography
#20
Tyler S Pidgeon, Joey P Johnson, Matthew E Deren, Andrew R Evans, Roman A Hayda
OBJECTIVES: While osteoporosis has been shown to be a contributing factor in low energy fractures in the elderly, limited data exists regarding the correlation of bone mineral density (BMD) and T-Scores to mortality and failure of fracture fixation. This study seeks to determine the relationship between femoral neck BMD in elderly patients with typical geriatric fractures and mortality and fracture fixation failure using Quantitative Computed Tomography (QCT). MATERIALS AND METHODS: Patients over the age of 65 who sustained fractures of the proximal humerus, distal radius, pelvic ring, acetabulum, hip, proximal tibia, and ankle who also underwent a CT scan that included an uninjured femoral neck were retrospectively reviewed...
December 15, 2017: Injury
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