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https://www.readbyqxmd.com/read/29691041/application-of-pre-contoured-anatomic-locking-plate-for-treatment-of-humerus-split-type-greater-tuberosity-fractures-a-prospective-review-of-68-cases-with-an-average-follow-up-of-2-5-years
#1
Chuanzhen Hu, Kaihua Zhou, Fugen Pan, Qilin Zhai, Weifeng Wen, Xiaojian He
OBJECTIVES: Although various implants exist for 3- and 4-part proximal humerus fractures, few implants are appropriate for humerus split type greater tuberosity fractures. The goal of this study was to assess the efficacy of pre-contoured anatomic locking plate for humerus split type greater tuberosity fractures. METHODS: A retrospective review of 68 patients with humerus split type greater tuberosity fractures treated with open reduction and internal fixation using anatomic locking plates between January 2014 and October 2016...
April 18, 2018: Injury
https://www.readbyqxmd.com/read/29688959/arthroscopic-management-of-tibial-spine-avulsion-fractures-principles-and-techniques
#2
Eric J Strauss, Daniel James Kaplan, Maxwell E Weinberg, Jonathan Egol, Laith M Jazrawi
Tibial spine fractures are uncommon injuries affecting the insertion of the anterior cruciate ligament on the tibia. They typically occur in skeletally immature patients aged 8 to 14 years and result from hyperextension of the knee with a valgus or rotational force. Diagnosis is based on history, physical examination, and standard radiographs. The use of MRI can identify entrapped soft tissue that may prevent reduction. Open or arthroscopic repair is indicated in patients with partially displaced fractures (>5 mm) with one third to one half of the avulsed fragment elevated, in patients who have undergone unsuccessful nonsurgical reduction and long leg casting or bracing, and in patients with completely displaced fractures...
April 23, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29685567/minimally-invasive-treatment-of-ankle-fractures-in-patients-at-high-risk-of-soft-tissue-wound-healing-complications
#3
REVIEW
Sherif Mohamed Abdelgaid, Ahmed Fawaz Moursy, Eyad Abd Allah Elgebaly, Aly Mohamed Aboelenien
The complex nature of ankle fractures is magnified when seen in patients at high risk of soft tissue wound healing complications. The major categories include associated soft tissue injury, diabetes, tobacco use, peripheral vascular disease, malnutrition, alcoholism, and corticosteroid use. Because of the potential for wound dehiscence and infection with open reduction and internal fixation of ankle fractures in these patients, minimally invasive procedures have been described. The aims of the present study were to assess the possibility for, and evaluate the results and complications of, minimally invasive techniques for different types of malleolar fractures in high-risk patients...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29685558/the-use-of-cryotherapy-for-the-prevention-of-wound-complications-in-the-treatment-of-calcaneal-fractures
#4
Sanfu Lin, Junjie Xie, Xuedong Yao, Zhangsheng Dai, Wenhua Wu
We analyzed the risk factors for skin infection and necrosis after calcaneal fracture surgery and evaluated the effect of cryotherapy in preventing postoperative skin infections and necrosis. We studied 129 calcaneal fracture patients (148 feet) who had undergone open reduction and internal fixation from January 2008 to December 2010. Three groups included were: control (44 patients; 49 feet), preoperative cryotherapy (43 patients; 48 feet), and perioperative cryotherapy (42 patients; 51 feet). The wound infection rate, Maryland foot score, and postoperative visual analog scale (VAS) score were compared...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29685338/open-reduction-and-internal-fixation-of-palatal-fractures-using-three-dimensional-plates
#5
Karthik R, Cynthia S, Vivek N, Prashanthi G, Saravana Kumar S, Rajyalakshmi V
The maxilla is arguably the most anatomically intricate structure of the craniofacial skeleton, and the hard palate is an important bone that regulates the width and architecture of the face. The management of palatal fractures has long been a matter of debate, and varies with anatomical pattern and other injuries to the craniofacial skeleton. We have studied 18 palatal fractures during a five-year period that were treated using 3-dimensional rectangular plates placed across the palatal vault together with fixation of other fractures of the facial bones...
April 20, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29684919/clinical-outcomes-and-complications-after-open-reduction-and-internal-fixation-utilizing-conventional-plates-in-65-distal-radial-and-ulnar-fractures-of-miniature-and-toy-breed-dogs
#6
Takeshi Aikawa, Yuta Miyazaki, Taichi Shimatsu, Kyoko Iizuka, Masaaki Nishimura
OBJECTIVE:  This article aims to evaluate clinical outcomes and complications of distal radial and ulnar fractures in miniature- and toy-breed dogs treated with conventional bone plate fixation. METHODS:  Medical records (2001-2010) of miniature- and toy-breed dogs with distal radial and ulnar fractures repaired with open reduction and internal fixation utilizing conventional plates were reviewed. The inclusion criteria were body weight of <7 kg, fracture located in the distal antebrachium (distal-to-total radial length ratio < 0...
April 23, 2018: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/29684669/the-impact-of-associated-injuries-and-fracture-classifications-on-the-treatment-of-capitellum-and-trochlea-fractures-a-systematic-review-and-meta-analysis
#7
REVIEW
Shu-Kun He, Long Xu, Jin-Hai Guo, Jing-Ping Liao, Ting-Wu Qin, Fu-Guo Huang
BACKGROUND: Capitellum and trochlea fractures are truly rare and the treatment is not fully appreciated. So we evaluate the impact of associated injuries and fracture classifications on elbow functional outcomes after open reduction and internal fixation. MATERIALS AND METHODS: PubMed, Embase, Ovid Medline, and the Cochrane Library were searched from January 1, 1974 to January 1, 2017. All English literature with the treatment of capitellum and trochlea fractures by open reduction and internal fixation were included...
April 20, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29682282/a-pilot-hole-does-not-reduce-the-strains-or-risk-of-fracture-to-the-lateral-cortex-during-and-following-a-medial-opening-wedge-high-tibial-osteotomy-in-cadaveric-specimens
#8
K Bujnowski, A Getgood, K Leitch, J Farr, C Dunning, T A Burkhart
Aim: It has been suggested that the use of a pilot-hole may reduce the risk of fracture to the lateral cortex. Therefore the purpose of this study was to determine the effect of a pilot hole on the strains and occurrence of fractures at the lateral cortex during the opening of a high tibial osteotomy (HTO) and post-surgery loading. Materials and Methods: A total of 14 cadaveric tibias were randomized to either a pilot hole (n = 7) or a no-hole (n = 7) condition...
February 2018: Bone & Joint Research
https://www.readbyqxmd.com/read/29682123/a-case-of-traumatic-retrograde-type-a-aortic-dissection-accompanied-by-multiorgan-injuries
#9
Katsuaki Tsukioka, Tetsuya Kono, Kohei Takahashi, Hiromu Kehara, Shuichi Urashita, Kazunori Komatsu
A 75-year-old woman was involved in a traffic accident and suffered retrograde type A aortic dissection, multiple rib fractures, and grade II hepatic injury accompanied by intraperitoneal bleeding. We performed total arch replacement using an open stent graft with cardiopulmonary bypass and circulatory arrest. This procedure requires anticoagulation and hypothermia, which are principally contraindicated in severe trauma patients. However, this situation was resolved by managing the patient non-operatively for 7 days, confirming the stabilization of other injured organs, and then performing the surgery...
March 25, 2018: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/29680041/improving-the-physicochemical-properties-of-whole-wheat-model-dough-by-modifying-the-water-unextractable-solids
#10
Zhijian Jiang, Liya Liu, Wei Yang, Lan Ding, Muhammad Awais, Li Wang, Sumei Zhou
Most studies on improving the quality of wheat flour products have been based on eliminating the adverse effects of water-unextractable arabinoxylan (WUAX) using pentosanase (Pn), but the interactions between the arabinoxylan released from WUAX and gluten have rarely been studied. The results demonstrated that Pn decreased the molecular weight of soluble AX released from water-unextractable solids (57,120-18,450 g mol-1 ). The released AX increased the amount of glutenin macropolymer, accompanied by a decrease in glutenin solubility, but made it more difficult for the free sulfhydryl to form disulfide bonds between glutenin proteins...
September 1, 2018: Food Chemistry
https://www.readbyqxmd.com/read/29679586/video-laryngoscopy-or-macintosh-laryngoscopy-which-one-is-more-successful-in-patients-with-bilateral-mandibular-fractures
#11
Reza Tabrizi, Mastaneh Dahi, Mohammad Reza Moshari, Fereydoon Pourdanesh, Sahar Zolfigol
PURPOSE: Successful intubation is challenging in patients with bilateral mandibular fractures. The aim of this study was to compare the video laryngoscope (VL) with the Macintosh laryngoscope (ML) for intubation of patients with bilateral mandibular fractures. MATERIALS AND METHODS: In this randomized controlled trial study, patients who had bilateral mandibular fractures (angle or subcondylar) were studied. Patients were randomly assigned to 1 of 2 groups using computerized randomization...
March 28, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29679209/quadriceps-tendon-autograft-medial-patellofemoral-ligament-reconstruction
#12
REVIEW
Christian Fink, Robert Steensen, Peter Gföller, Robert Lawton
PURPOSE: Critically evaluate the published literature related to quadriceps tendon (QT) medial patellofemoral ligament (MPFL) reconstruction. RECENT FINDINGS: Hamstring tendon (HT) MPFL reconstruction techniques have been shown to successfully restore patella stability, but complications including patella fracture are reported. Quadriceps tendon (QT) reconstruction techniques with an intact graft pedicle on the patella side have the advantage that patella bone tunnel drilling and fixation are no longer needed, reducing risk of patella fracture...
April 20, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29678204/are-large-clinical-trials-in-orthopaedic-trauma-justified
#13
Sheila Sprague, Paul Tornetta, Gerard P Slobogean, Nathan N O'Hara, Paula McKay, Brad Petrisor, Kyle J Jeray, Emil H Schemitsch, David Sanders, Mohit Bhandari
BACKGROUND: The objective of this analysis is to evaluate the necessity of large clinical trials using FLOW trial data. METHODS: The FLOW pilot study and definitive trial were factorial trials evaluating the effect of different irrigation solutions and pressures on re-operation. To explore treatment effects over time, we analyzed data from the pilot and definitive trial in increments of 250 patients until the final sample size of 2447 patients was reached. At each increment we calculated the relative risk (RR) and associated 95% confidence interval (CI) for the treatment effect, and compared the results that would have been reported at the smaller enrolments with those seen in the final, adequately powered study...
April 20, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29677093/a-prospective-randomized-trial-to-assess-fixation-strategies-for-severe-open-tibia-fractures-modern-ring-external-fixators-versus-internal-fixation-fixit-study-erratum
#14
(no author information available yet)
No abstract text is available yet for this article.
May 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29672714/effects-of-long-term-denosumab-on-bone-histomorphometry-and-mineralization-in-women-with-postmenopausal-osteoporosis
#15
David W Dempster, Jacques P Brown, Astrid Fahrleitner-Pammer, David Kendler, Sebastien Rizzo, Ivo Valter, Rachel B Wagman, Xiang Yin, Susan V Yue, Georges Boivin
Context: Denosumab is a potent antiresorptive agent that reduces fractures in postmenopausal women with osteoporosis. Objective: Determine effects of up to 10 years of denosumab on bone histology, bone remodeling, and bone matrix mineralization characteristics. Design and Setting: International, multicenter, randomized, double-blind trial (FREEDOM) with a long-term open-label extension (Extension). Patients: Postmenopausal women with osteoporosis (92 women in FREEDOM, 46 in Extension) who provided iliac bone biopsies, including 11 who provided biopsies at multiple time points...
April 16, 2018: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29672340/open-reduction-and-internal-fixation-versus-non-surgical-treatment-in-displaced-midshaft-clavicle-fractures-a-meta-analysis
#16
Abdulaziz F Ahmed, Motasem Salameh, Nidal AlKhatib, Aissam Elmhiregh, Ghalib O Ahmed
OBJECTIVES: To compare open reduction and internal fixation (ORIF) and non-surgical treatment outcomes in displaced midshaft clavicle fractures. DATA SOURCES: PubMed, MEDLINE, EMBASE, Web of Science, Cochrane Library, and ClinicalTrials.gov were searched in September 2017. STUDY SELECTION: Inclusion criteria were randomized controlled trials reporting nonunion, shoulder functional outcomes, and subsequent surgery rates or pain scores. We excluded studies with patients younger than 16 years, maximum follow-up less than nine months, and inaccessible full text...
April 17, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29672175/comparison-of-hidden-blood-loss-between-three-different-surgical-approaches-for-treatment-of-thoracolumbar-fracture
#17
Ze-Xin Chen, Ze-Ming Sun, Chao Jiang, Hui Zhang, Min-Ji Tong, Yan Lin, Yao-Sen Wu
PURPOSE: To examine the hidden blood loss (HBL) in treatment of AO type A1-A3 thoracolumbar fractures with three different approaches and to explore the influential factors of HBL among patients after the surgery of internal fixation for thoracolumbar fractures. METHODS: We retrospectively studied 85 patients in treatment of thoracolumbar fractures: 25 patients via percutaneous approach (Group A), 33 patients via paraspinal approach (Group B), and 27 patients via conventional open approach (Group C)...
April 19, 2018: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/29669383/total-knee-arthroplasty-versus-osteochondral-allograft-prevalence-and-risk-factors-following-tibial-plateau-fractures
#18
Lasun O Oladeji, Tina K Dreger, Eli L Pratte, Charles A Baumann, James P Stannard, David A Volgas, Gregory J Della Rocca, Brett D Crist
Orthopaedic surgeons commonly have the misconception that patients with tibial plateau fractures will likely go on to posttraumatic knee arthritis requiring total knee arthroplasty (TKA). In younger patients, osteochondral allograft (OCA) transplantation is an alternative method to address posttraumatic knee arthritis. The purpose of this study was (1) to identify our institutional failure rate following tibial plateau open reduction and internal fixation (ORIF) (failure was defined as conversion to TKA or OCA); (2) to determine if there are patient- or injury-related risk factors predictive of failure; and (3) to characterize differences between patients treated with TKA versus those treated with OCA transplantation...
April 18, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29668582/bilateral-visual-loss-and-cerebral-infarction-after-spleen-embolization-in-a-trauma-patient-with-idiopathic-thrombocytopenic-purpura-a-case-report
#19
Wei-Ting Wang, Yu-Yu Li, Wan-Ching Lin, Jen-Yin Chen, Kuo-Mao Lan, Cheuk-Kwan Sun, Kuo-Chuan Hung
RATIONALE: Splenic artery embolization (SAE) is a common procedure in trauma patients with blunt splenic injuries. We report a case of acute ischemic stroke following orthopedic surgery in a patient with post-SAE reactive thrombocytosis. PATIENT CONCERNS: A 37-year-old woman with idiopathic thrombocytopenic purpura (ITP) suffered from multiple trauma scheduled for open reduction and internal fixation for right tibial and left radius fracture five days after SAE...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29666736/intra-articular-entrapment-of-the-medial-epicondyle-following-a-traumatic-fracture-dislocation-of-the-elbow-in-an-adult
#20
Hicham G Abdel Nour, George S El Rassi, Jack C Daoud, Youssef G Hassan, Rami A Ayoubi, Nabih I Joukhadar
Medial epicondyle entrapment after an acute fracture dislocation of the elbow is a common finding in the pediatric population, but a rare finding in adults. We present a case of an adult patient diagnosed with a traumatic fracture dislocation of the elbow joint with intra-articular entrapment of the medial epicondyle. After initial evaluation, closed reduction was done. Stability testing after reduction showed an unstable joint; thus, open reduction and internal fixation was decided.
2018: Case Reports in Orthopedics
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