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Weightbearing AND fracture

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https://www.readbyqxmd.com/read/30086033/an-immediate-weight-bearing-protocol-for-the-determination-of-ankle-stability-in-patients-with-isolated-distal-fibular-fractures
#1
Eric K Bonness, Justin C Siebler, Lori K Reed, Elizabeth R Lyden, Matthew A Mormino
OBJECTIVE: To evaluate an alternative protocol of allowing immediate weight-bearing as tolerated in a functional walking boot in patients with a medial clear space (MCS) of less than 4 millimeters (mm) on non-stressed initial radiographs with subsequent weight-bearing radiographs at 1-week follow-up to determine if this can differentiate stable from unstable distal fibular fractures. DESIGN: Retrospective case series. SETTING: Level 1 trauma center...
July 16, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29914730/foot-loading-and-gait-analysis-evaluation-of-nonarticular-tibial-pilon-fracture-a-comparison-of-three-surgical-techniques
#2
Gabriele Falzarano, Giuseppe Pica, Antonio Medici, Giuseppe Rollo, Michele Bisaccia, Raffaele Cioffi, Mario Pavone, Luigi Meccariello
The aim of our study was to investigate which technique among hybrid external fixation, plate and screws, and intramedullary nailing produces better outcomes in foot loading when treating type 43.A1, 43.A2, and 43.A3 fractures, according to the AO classification. From November 2011 to December 2014, 34 patients, including 25 (73.5%) males and 9 (26.5%) females with an average age of 32.3 (range 16 to 67) years, with a type A tibia fracture were treated with intramedullary nailing, plate and screws, or hybrid external fixation...
June 15, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29777283/-fractures-of-the-base-of-the-v-metatarsal-bone-current-concepts-revised
#3
REVIEW
S F Baumbach, W C Prall, M Braunstein, W Böcker, S Polzer, H Polzer
Fractures of the base of the fifth metatarsal bone are one of the most frequent fractures to the foot and ankle. Despite the high frequency and although a number of studies are now available, treatment frequently does not follow the available evidence. Among the reasons is the inconsistent terminology used and that the studies available are neglected. The aim of this review is to present the current classifications, the available treatment studies and to derive evidence-based treatment recommendations. The term "Jones fracture" has been used inconsistently for different fracture entities and should, therefore, not be used anymore...
May 17, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29685559/early-weightbearing-protocol-in-operative-fixation-of-acute-jones-fractures
#4
Brett J Waverly, Matthew D Sorensen, Tyler K Sorensen
The treatment of Jones fractures has been controversial in terms of nonoperative versus operative management, given the high incidence of nonunion secondary to the delicate blood supply to the proximal fifth metatarsal. We report a retrospective review of a patient cohort treated with an early weightbearing protocol after operative intramedullary fixation in acute Jones fractures. Thirty-one consecutive patients with an acute Jones fracture underwent operative fixation with a single intramedullary solid screw...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29580095/minimal-invasive-fixation-can-decrease-infection-rates-in-diabetic-and-obese-patients-with-severe-ankle-fracture-and-syndesmotic-injury
#5
Nabil A Ebraheim, Matthew Dailey, Scott Huff, Yihuai Qu, Erik White, Jiayong Liu
BACKGROUND: Ankle fractures involving syndesmosis disruption cause severely unstable joint conditions. Traditional invasive operations put certain patient groups at an increased risk of infection. There is limited literature discussing the outcomes of minimally invasive fixation of severe ankle fractures including syndesmotic injury, as clinicians may be tempted to treat these difficult cases with open reduction internal fixation (ORIF). METHODS: A retrospective case-control study was conducted on patients treated at a level one trauma center...
March 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29564077/extra-articular-deformities-in-arthritic-knees-a-grueling-challenge-for-arthroplasty-surgeons-an-evidence-based-update
#6
Vishesh Khanna, Senthil N Sambandam, Munis Ashraf, Varatharaj Mounasamy
Critical to the success of a total knee arthroplasty (TKA) is the anatomical alignment. This may appear as a challenge in an extra-articular deformity (EAD) that may be inherent in certain people or result from fracture malunion, congenital disorders, nutritional, metabolic and infective causes. This appraisal aimed at providing the reader with an up-todate overview of the research carried out on, and existent evidence of EAD correction while planning a TKA. We reviewed the current English literature on TKA in extra-articular knee deformities...
December 14, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/29503135/a-prospective-cohort-study-of-symptomatic-venous-thromboembolic-events-in-foot-and-ankle-trauma-the-need-for-stratification-in-thromboprophylaxis
#7
Jose A Blanco, Gemma Slater, Jitendra Mangwani
The incidence of venous thromboembolic (VTE) events (deep vein thrombophlebitis [DVT] or pulmonary embolism [PE]) in foot and ankle trauma has been low, and the risk/benefit ratio associated with chemoprophylaxis is controversial. We compared the 90-day incidence of VTE events in 3 cohorts: group 1, tendo-Achillis (TA) ruptures managed with full weightbearing in a walker boot; group 2, ankle fractures immobilized non-weightbearing in a below-the-knee cast; and group 3, ankle fractures managed surgically, followed by non-weightbearing in a below-the-knee cast...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29496317/the-effect-of-time-to-post-operative-weightbearing-on-functional-and-clinical-outcomes-in-adults-with-a-displaced-intra-articular-calcaneal-fracture-a-systematic-review-and-pooled-analysis
#8
REVIEW
A Siebe De Boer, Esther M M Van Lieshout, Gerson Van Moolenbroek, Dennis Den Hartog, Michael H J Verhofstad
BACKGROUND: Post-operative weightbearing guidelines for displaced intra-articular calcaneal fractures (DIACF) have been pragmatically developed in the past, however hardly adapted to current health care insights. A period of six to nine weeks of non-weightbearing is usually recommended. It is unknown whether an earlier start of weightbearing is advisable. OBJECTIVES: The primary aim was to evaluate the effect of time to post-operative weightbearing on Böhler's angle...
April 2018: Injury
https://www.readbyqxmd.com/read/29470236/is-the-lesser-trochanter-profile-a-reliable-means-of-restoring-anatomic-rotation-after-femur-fracture-fixation
#9
Lucas S Marchand, Dane C Todd, Patrick Kellam, Temitope F Adeyemi, David L Rothberg, Travis G Maak
BACKGROUND: Restoring normal femoral rotation is an important consideration when managing femur fractures. Femoral malrotation after fixation is common and several preventive techniques have been described. Use of the lesser trochanter profile is a simple method to prevent malrotation, because the profile changes with femoral rotation, but the accuracy of this method is unclear. QUESTIONS/PURPOSES: The purposes of this study were (1) to report the rotational profiles of uninjured femora in an adult population; and (2) to determine if the lesser trochanter profile was associated with variability in femoral rotation...
June 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29268909/radiographic-assessment-of-fibular-length-variance-the-case-for-fibula-minus
#10
Vinod K Panchbhavi, Barkha N Gurbani, Candace Bailey Mason, Wayne Fischer
Given the high prevalence of ankle fractures and morbidity of malalignment after fixation, an appropriate anatomic relationship between the distal fibula and adjacent tibia and talus is important. The tip of the lateral malleolus of the fibula has often been described to be at the level of the lateral talar process. However, no studies to date have examined the relationship of the distal fibular tip to the lateral process of the talus. We assessed 66 weightbearing mortise radiographs for variability of the distal fibular tip in relation to the lateral process of the talus...
January 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29246170/functional-treatment-for-fractures-to-the-base-of-the-5th-metatarsal-influence-of-fracture-location-and-fracture-characteristics
#11
Sebastian Felix Baumbach, Wolf Christian Prall, Michael Kramer, Mareen Braunstein, Wolfgang Böcker, Hans Polzer
BACKGROUND: Fractures to the base of the fifth metatarsal are common, but their treatment remains controversial. Especially for Lawrence and Botte (L&B) type II fractures, there is conflicting evidence and consequently no consensus. Further, many authors consider displacement, articular involvement, and number of fragments an indication for surgery, although evidence is missing. The aim of this study was to evaluate the outcome of functional treatment for all L&B type I and II fractures...
December 16, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29228800/fifth-metatarsal-jones-fractures-in-the-athlete
#12
David A Porter
Fifth metatarsal fractures, otherwise known as "Jones" fractures, occur commonly in athletes and nonathletes alike. While recent occurrence in the popular elite athlete has increased public knowledge and interest in the fracture, this injury is common at all levels of sport. This review will focus on all three types of Jones fractures. The current standard for treatment is operative intervention with intramedullary screw fixation. Athletes typically report an acute episode of lateral foot pain, described as an ache...
February 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29169310/response-to-letter-regarding-weightbearing-vs-gravity-stress-radiographs-for-stability-evaluation-of-supination-external-rotation-fractures-of-the-ankle
#13
COMMENT
Angela Seidel, Fabian Krause, Martin Weber
No abstract text is available yet for this article.
December 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/29169309/letter-regarding-weightbearing-vs-gravity-stress-radiographs-for-stability-evaluation-of-supination-external-rotation-fractures-of-the-ankle
#14
COMMENT
John Y Kwon
No abstract text is available yet for this article.
December 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/29153287/avulsion-fracture-of-the-calcaneal-tuberosity-case-report-and-literature-review
#15
Thomas Rauer, Reto Twerenbold, Roman Flückiger, Valentin Neuhaus
Avulsion fractures of the calcaneal tuberosity are predominantly seen in patients with poor bone quality, the commonly used lag screw fixation might not be strong enough even with bony fragments of sufficient size. We present a case of a closed displaced avulsion fracture of the calcaneal tuberosity due to blunt trauma to the calf in a 74-year-old female. Open reduction and internal fixation with two 3.5-mm cannulated cortical screws with washers was performed, and anatomic reduction was achieved. Without further trauma, secondary displacement of the fracture occurred on day 3...
January 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29076759/internal-fixation-of-displaced-intra-articular-fractures-of-the-hallux-through-a-dorsomedial-approach-a-technical-tip
#16
Danilo Ryuko Cândido Nishikawa, Fernando Aires Duarte, Cesar de Cesar Netto, Augusto César Monteiro, Rômulo Ballarin Albino, Fabio Corrêa Paiva Fonseca
Phalangeal fractures of the toes represent common injuries of the forefoot. In the hallux, most fractures occur at the distal phalanx and frequently result from a direct crushing type of injury. Intra-articular fractures of the hallux are usually treated nonoperatively, except when the fragments are displaced and the joint is incongruent. Displaced fractures treated nonoperatively can result in degenerative arthritis of the interphalangeal joint, causing pain and range of motion limitation, hindering gait and weightbearing...
February 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29071377/-plate-osteosynthesis-of-patellar-fractures
#17
REVIEW
E C Müller, K-H Frosch
OBJECTIVE: Anatomic reconstruction of the retropatellar articular surface and repair of the extensor mechanism of the knee joint. The osteosynthesis should allow immediate mobilization as part of an early functional postoperative rehabilitation protocol. INDICATIONS: Displaced fractures of the patella, especially multifragment and comminuted fractures with a retropatellar incongruity or dislocation of >2 mm. CONTRAINDICATIONS: Critical local soft tissue because of the risk of postoperative infection...
December 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28952794/management-of-a-tibial-plafond-lung-cancer-metastasis-using-an-intramedullary-hindfoot-fusion-nail
#18
Andrew R Hsu, Adam D Lindsay
Metastatic disease to the tibial plafond is rare with few reports in the literature. No consensus exists regarding surgical reconstruction of large structural defects of the ankle due to these lesions, as each treatment must be tailored to the individual patient's goals and prognosis. Cancer metastases pose a unique challenge to limb salvage as there is often bone loss and poor soft tissue quality combined with the need for postoperative adjuvant therapy. The goal of surgery is to obtain early weightbearing, pain relief, and a durable reconstruction that will outlive the patient...
September 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28826785/an-incidental-finding-of-a-talonavicular-and-talocalcaneal-joint-coalition-after-a-tibial-pilon-fracture-a-case-report
#19
Heidi M Godoy, Mark J Micciche
It has been proposed that patients with talocalcaneal and talonavicular coalitions have decreased ankle joint range of motion. It has also been reported that rotational forces regularly absorbed by the talocalcaneal joint are transferred to the ankle joint in patients with coalitions, increasing the stress on the ankle joint after trauma. To the best of our knowledge, only 1 reported study has detailed the increased stress placed on the ankle joint secondary to a coalition. We present a case study of a 53-year-old female who experienced a traumatic fall and subsequent right ankle fracture...
November 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28790471/should-total-hip-arthroplasty-be-performed-acutely-in-the-treatment-of-acetabular-fractures-in-elderly-or-used-as-a-salvage-procedure-only
#20
Katharine Hamlin, Gabija Lazaraviciute, Michalis Koullouros, Tarak Chouari, Iain M Stevenson, Steven W Hamilton
BACKGROUND: Total hip arthroplasty (THA) is now an increasingly common procedure for people sustaining acetabular fractures. The incidence of acetabular fractures among the elderly population is increasing, and contemporary treatment aims to avoid the risks of prolonged incumbency associated with poor bone stock for fixation or inability to comply with limited weightbearing in this patient group. The concept of acute hip arthroplasty as a treatment for acetabular fracture is, therefore, becoming more topical and relevant...
July 2017: Indian Journal of Orthopaedics
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