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Pelvis fracture

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https://www.readbyqxmd.com/read/28236073/complications-after-percutaneous-internal-fixator-for-anterior-pelvic-ring-injuries
#1
Christian Fang, Hatem Alabdulrahman, Hans-Christophe Pape
OBJECTIVES: The aim of the study is to report on the observed incidence of complications following pedicle screw and rod internal fixator (INFIX) stabilization of pelvic ring fractures. METHODS: In a retrospective review of consecutive patient series conducted in a University level 1 trauma hospital, 43 patients (21 female and eight male), mean age 64.2 (range 16-87) with OTA/AO type B or C pelvic ring fractures received percutaneous pedicle screw and rod internal fixator (INFIX) anterior stabilization of pelvic ring fractures; 29 fulfilled inclusion criteria with three months' minimal follow-up or known complication...
February 24, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28219416/the-safe-screw-path-along-inferior-border-of-the-arcuate-line-at-acetabular-area-an-anatomical-study-based-on-ct-scans
#2
Chun Bi, Jiandong Wang, Xiaoxi Ji, Zhijian Ma, Fang Wang, Xiangsen Zeng, Dongmei Wang, Qiugen Wang
BACKGROUND: Misplaced screw during the internal fixation of acetabular fractures may penetrate the hip joint which might cause chondrolysis and traumatic osteoarthritis in the future. This study aims to acquire the safe path for screw insertion along inferior border of the arcuate line fixation route at acetabular area. METHODS: Computed tomography (CT) scans of 98 patients without pelvic trauma were rebuilt for three-dimensional models of pelvis. After depicting the fixation route curve, five cross-sections perpendicularly to the curve were established from the anterior of pelvis to the posterior along inferior border of the arcuate line...
February 20, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28207477/does-pelvic-embolization-increase-infection-rates-in-patients-who-undergo-open-treatment-of-acetabular-fractures
#3
Reza Firoozabadi, Milton Little, Timothy Alton, John Scoloro, Julie Agel, Mathew Kogut
OBJECTIVE: Evaluate the impact of pelvic embolization on postoperative infection rate following acetabular fracture fixation. DESIGN: Retrospective study of three separate cohorts SETTING:: Level I Trauma CenterPatients/Participants: Identified patients who underwent angiography of the pelvis as well as required an ORIF of an acetabular fracture. This group was compared to a control group of patients with an acetabular fracture that did not undergo angiography and underwent ORIF...
February 15, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28204925/circumferential-fusion-for-degenerative-lumbar-spondylolisthesis-complicated-by-distal-junctional-grade-4-spondylolisthesis-in-the-sub-acute-post-operative-setting
#4
Alexander A Theologis, Deeptee Jain, Christopher P Ames, Murat Pekmezci
INTRODUCTION: Surgical management for lumbar stenosis is generally safe and provides significant improvements in pain, disability, and function. Successful lumbar decompression hinges on removing an appropriate amount of lamina and other compressive pathology in the lateral recess. Too little bony decompression can result in persistent pain and disability, while over resection of the pars and/or facets may jeopardize spinal stability. CASE REPORT: In this unique report, we present for the first time an acute iatrogenic grade 4 L5-S1 spondylolisthesis distal to a L3-5 laminectomy and circumferential instrumented fusion due to bilateral iatrogenic L5 pars fractures and its management and clinical outcomes after revision operation...
February 15, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28194714/is-limb-salvage-with-microwave-induced-hyperthermia-better-than-amputation-for-osteosarcoma-of-the-distal-tibia
#5
Kang Han, Peiye Dang, Na Bian, Xiang Chen, Tongtao Yang, QingYu Fan, Yong Zhou, Tingbao Zhao, Pingshan Wang
BACKGROUND: Amputation has been the standard surgical treatment for distal tibia osteosarcoma owing to its unique anatomic features. Preliminary research suggested that microwave-induced hyperthermia may have a role in treating osteosarcoma in some locations of the body (such as the pelvis), but to our knowledge, no comparative study has evaluated its efficacy in a difficult-to-treat location like the distal tibia. QUESTIONS: Does microwave-induced hyperthermia result in (1) improved survival, (2) decreased local recurrence, (3) improved Musculoskeletal Tumor Society (MSTS) scores, or (4) fewer complications than amputation in patients with a distal tibial osteosarcoma? METHODS: Between 2000 and 2015, we treated 79 patients for a distal tibia osteosarcoma without metastases...
February 13, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28194377/comparative-study-between-lateral-decubitus-and-traction-table-for-treatment-of-pertrochanteric-fractures-with-cephalomedullary-nails
#6
Eric Fernando de Souza, José Octávio Soares Hungria, Lucas Romano Sampaio Rezende, Davi Gabriel Bellan, Jonas Aparecido Borracini
OBJECTIVE: To perform a retrospective radiographic assessment of the reduction and implant position in the femoral head in patients with pertrochanteric fractures treated with cephalomedullary nailing in the lateral position versus traction table. METHODS: Radiographs of patients with pertrochanteric fracture of the femur treated with cephalomedullary nailing in the lateral position and traction table were retrospectively evaluated. For the evaluation we used the anteroposterior radiographic view of the pelvis and the lateral view of the affected side...
January 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28191595/ct-guided-percutaneous-screw-fixation-plus-cementoplasty-in-the-treatment-of-painful-bone-metastases-with-fractures-or-a-high-risk-of-pathological-fracture
#7
Claudio Pusceddu, Alessandro Fancellu, Nicola Ballicu, Rosa Maria Fele, Barbara Sotgia, Luca Melis
OBJECTIVE: To evaluate the feasibility and effectiveness of computed tomography (CT)-guided percutaneous screw fixation plus cementoplasty (PSFPC), for either treatment of painful metastatic fractures or prevention of pathological fractures, in patients who are not candidates for surgical stabilization. MATERIALS AND METHODS: Twenty-seven patients with 34 metastatic bone lesions underwent CT-guided PSFPC. Bone metastases were located in the vertebral column, femur, and pelvis...
February 13, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28163241/application-of-3d-printing-for-treating-fractures-of-both-columns-of-the-acetabulum-benefit-of-pre-contouring-plates-on-the-mirrored-healthy-pelvis
#8
Peter Upex, Pomme Jouffroy, Guillaume Riouallon
Acetabular fractures can be challenging to treat, in part because the shape of the fixation plates needs to be adjusted during the surgical procedure. One possibility is to generate a model of the uninjured half of a fractured pelvis with 3D printing, and then pre-contour the fixation plates preoperatively on this model. The purpose of this technical note is to describe how we used 3D printing as an aid to treat acetabular fractures. The quality of the fracture reduction, fracture fixation and time savings were evaluated...
February 2, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28138718/preceding-and-subsequent-high-and-low-trauma-fracture-patterns-a-13-year-epidemiological-study-in-females-and-males-in-austria
#9
C Muschitz, R Kocijan, A Baierl, R Dormann, X Feichtinger, J Haschka, M Szivak, G K Muschitz, J Schanda, P Pietschmann, H Resch, H P Dimai
: This study investigated the implication of a preceding high-trauma fracture on subsequent high- and low-trauma fractures at different skeletal sites in postmenopausal women and similarly aged men at an age range of 54 to 70 years. A preceding high-trauma fracture increases the risk of future low-trauma non-vertebral fractures including hip. INTRODUCTION: Little is known about the impact of the skeletal fracture site in conjunction with the severity of a past fracture (high- or low-trauma preceding fracture) and its effect on future fracture risk...
January 30, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/28132729/malnutrition-an-underestimated-factor-in-the-inpatient-treatment-of-traumatology-and-orthopedic-patients-a-prospective-evaluation-of-1055-patients
#10
Christoph Ihle, Thomas Freude, Christian Bahrs, Eva Zehendner, Janick Braunsberger, Hans Konrad Biesalski, Christine Lambert, Ulrich Stöckle, Elke Wintermeyer, Julia Grünwald, Leonard Grünwald, Gunnar Ochs, Ingo Flesch, Andreas Nüssler
INTRODUCTION: Suboptimal nutritional status is often observed among hospitalized patients across all medical specialties. The objective of the present study was to (1) analyze the prevalence of malnutrition in hospitalized orthopedic and trauma patients and (2) to evaluate the relationship between malnutrition and selected clinical outcomes. MATERIALS AND METHODS: The prospective field study was conducted between 06/2014 and 06/2015 in a German level I trauma center (Department of Traumatology, Septic Trauma Surgery and Arthroplasty) with a total number of 1055 patients...
January 22, 2017: Injury
https://www.readbyqxmd.com/read/28124535/does-mri-help-in-the-pre-operative-evaluation-of-pelvic-fracture-urethral-distraction-defect-a-pilot-study
#11
Rajadoss Muthukrishna Pandian, Nirmal Thampi John, Anu Eapen, B Antonisamy, Antony Devasia, Nitin Kekre
OBJECTIVES: To study the usefulness of MRI in preoperative evaluation of PFUDD. Can MRI provide additional information on urethral distraction defect (UDD) and cause of erectile dysfunction (ED)? MATERIALS AND METHODS: In this prospective study, consecutive male patients presenting with PFUDD were included from Feb 2011 till Dec 2012. Those with traumatic spinal cord injury and pre-existing ED were excluded. Patients were assessed using IIEF questionnaire, retrograde urethrogram and micturating cystourethrogram (RGU+MCU) and MRI pelvis...
January 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28116263/delayed-presentation-of-osteochondroma-at-superior-angle-of-scapula-a-case-report
#12
Mohit Jindal
INTRODUCTION: Osteochondroma or exostosis is most common primary benign bony tumor comprising of more than one third of the total occurrences. Osteochondromas are considered as an aberration in the normal physial growth plate and originate from the metaphysis of long bone with more than third (35-46%) of cases affecting the bone around the knee (lower end femur> upper end tibia), 10% cases involve the small bones of the hand and 5% involve the pelvis and flat bones like scapula (4-6%) are least involved...
July 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28110444/forgotten-kirschner-wire-passing-across-the-sigmoid-colon
#13
Hiroshi Matsumoto, Shogen Yo, Shinya Fukushima, Motoyasu Osawa, Takahiro Murao, Manabu Ishii, Minoru Fujita, Akiko Shiotani
The Kirschner wire (K-wire) is used in the treatment of hip fractures, and migration of a K-wire into the pelvis with resultant colon injury is a very rare complication. We report a case in which a forgotten K-wire passing across the sigmoid colon was accidentally found by screening colonoscopy in a patient with no abdominal symptoms. Surgery was performed to remove the K-wire. Although the migration of a K-wire is extremely rare, it is important for it to be considered in patients with a history of orthopedic surgery...
January 21, 2017: Clinical Journal of Gastroenterology
https://www.readbyqxmd.com/read/28079740/venous-thromboembolism-among-pediatric-orthopedic-trauma-patients-a-database-analysis
#14
Daniel Guzman, Samir Sabharwal, Caixia Zhao, Sanjeev Sabharwal
Using the 2012 Kids Inpatient Database, we assessed records of pediatric patients (<21 years old) with fractures of the upper limb, lower limb, spine, pelvis, and multiple locations and calculated the overall prevalence of venous thromboembolism (VTE) and associated potential risk factors. 387 (0.68%) of 57 183 patients with one or more fractures were diagnosed with VTE. Children sustaining fractures of the axial skeleton and those with multiple fractures had a higher prevalence of VTE than those with isolated extremity fractures...
January 10, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28057200/epidemiology-and-recent-trends-of-geriatric-fractures-presenting-to-the-emergency-department-for-united-states-population-from-year-2004-2014
#15
N K Baidwan, S M Naranje
OBJECTIVES: Fractures in geriatric age group (over 65 years of age) are an important public health issue and frequent causes of emergency room visits. The purpose of this descriptive epidemiological study was to present the epidemiology of geriatric fractures and their trends in the USA using National Electronic Injury Surveillance System (NEISS) database from year 2004-2014. METHODS: National Electronic Injury Surveillance System (NEISS) Database was queried for all fracture injuries from 2004 to 2014 for ages 65 years and above...
January 2017: Public Health
https://www.readbyqxmd.com/read/28053267/assessment-of-resuscitation-as-measured-by-markers-of-metabolic-acidosis-and-features-of-injury
#16
D S Weinberg, A S Narayanan, T A Moore, H A Vallier
AIMS: The best time for definitive orthopaedic care is often unclear in patients with multiple injuries. The objective of this study was make a prospective assessment of the safety of our early appropriate care (EAC) strategy and to evaluate the potential benefit of additional laboratory data to determine readiness for surgery. PATIENTS AND METHODS: A cohort of 335 patients with fractures of the pelvis, acetabulum, femur, or spine were included. Patients underwent definitive fixation within 36 hours if one of the following three parameters were met: lactate < 4...
January 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28044212/skeletal-related-events-and-prognosis-in-urothelial-cancer-patients-with-bone-metastasis
#17
Yusuke Tsuda, Tohru Nakagawa, Yusuke Shinoda, Atsushi Kanatani, Taketo Kawai, Satoru Taguchi, Yukio Yamada, Ryoko Sawada, Haruki Kume, Yukio Homma, Sakae Tanaka, Hirotaka Kawano
BACKGROUND: The aim of the present study was to elucidate the details of bone metastasis (BM) and the resulting skeletal-related events (SREs), and survival and prognostic factors, in urothelial cancer (UC) patients with BM. METHODS: A total of 48 UC patients with BM who were treated at our institution between 1994 and 2013 were enrolled. Details of BM and SREs were investigated. The Kaplan-Meier method was used to estimate survival duration. Relationships between several clinical features and survival were analyzed using the log-rank test and the Cox hazard model...
January 2, 2017: International Journal of Clinical Oncology
https://www.readbyqxmd.com/read/28019700/assessment-of-sex-differences-in-fracture-risk-among-patients-with-anorexia-nervosa-a-population-based-cohort-study-using-the-health-improvement-network
#18
Jason M Nagata, Neville H Golden, Mary B Leonard, Lawrence Copelovitch, Michelle R Denburg
Though previous studies have demonstrated an increased fracture risk in females with anorexia nervosa (AN), fracture risk in males is not well characterized. The objective of this study was to examine sex differences in fracture risk and site-specific fracture incidence in AN. We performed a population-based retrospective cohort study using The Health Improvement Network (THIN; a large database of anonymized electronic medical records collected at primary care clinics throughout the United Kingdom). The median calendar year for the start of the observation period was 2004-2005...
December 26, 2016: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/28009753/efficacy-and-safety-of-selective-arterial-embolization-in-the-treatment-of-aneurysmal-bone-cyst-of-the-mobile-spine-a-retrospective-observational-study
#19
Silvia Terzi, Alessandro Gasbarrini, Mario Fuiano, Giovanni Barbanti Brodano, Riccardo Ghermandi, Stefano Bandiera, Stefano Boriani
STUDY DESIGN: Retrospective observational study. OBJECTIVE: Our aim is to define the efficacy and safety of serial selective arterial embolization (SAE) in the treatment of aneurysmal bone cysts, to explore potential treatment alternatives and to define a therapeutic algorithm. SUMMARY OF BACKGROUND DATA: Aneurysmal bone cyst (ABC) is a benign lesion with unpredictable behavior. Its treatment is challenging especially in poorly accessible surgical areas, such as spine and pelvis...
December 22, 2016: Spine
https://www.readbyqxmd.com/read/27997465/does-lumbopelvic-fixation-add-stability-a-cadaveric-biomechanical-analysis-of-an-unstable-pelvic-fracture-model
#20
Ehsan Jazini, Noelle Klocke, Oliver Tannous, Herman S Johal, John Hao, Kanaan Salloum, Daniel E Gelb, Jason W Nascone, Eric Belin, C Max Hoshino, Mir Hussain, Robert V OʼToole, Brandon Bucklen, Steven C Ludwig
OBJECTIVE: We sought to determine the role of lumbopelvic fixation (LPF) in the treatment of zone II sacral fractures with varying levels of sacral comminution combined with anterior pelvic ring (PR) instability. We also sought to determine the proximal extent of LPF necessary for adequate stabilization and the role of LPF in complex sacral fractures when only 1 transiliac-transsacral (TI-TS) screw is feasible. MATERIALS AND METHODS: Fifteen L4 to pelvis fresh-frozen cadaveric specimens were tested intact in flexion-extension (FE) and axial rotation (AR) in a bilateral stance gliding hip model...
January 2017: Journal of Orthopaedic Trauma
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