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Orthopaedic trauma

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https://www.readbyqxmd.com/read/29449163/orthopaedic-surgery-residency-rotations-and-correlation-with-orthopaedic-in-training-examination-performance
#1
Aaron I Karlen, Erik J Solberg, Deborah S Quanbeck, Ann E Van Heest
OBJECTIVE: The Orthopaedic In-Training Examination (OITE) is administered annually and is used to assess medical knowledge of orthopedic surgery residents. Beginning in the 2013 to 2014 academic year, the ACGME expanded the postgraduate year (PGY)-1 curriculum from 3 to 6 months of orthopedic surgery rotations. The purpose of this study is to evaluate the effect of increased PGY-1 orthopedic surgery exposure on medical knowledge as measured by the OITE. DESIGN: From 2011 to 2013, 24 PGY-2 residents completed 3 months of PGY-1 orthopedic training (Group 1)...
February 12, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29437068/an-interobserver-reliability-comparison-between-the-orthopaedic-trauma-association-s-open-fracture-classification-and-the-gustilo-and-anderson-classification
#2
A Ghoshal, N Enninghorst, K Sisak, Z J Balogh
AIMS: To evaluate interobserver reliability of the Orthopaedic Trauma Association's open fracture classification system (OTA-OFC). PATIENTS AND METHODS: Patients of any age with a first presentation of an open long bone fracture were included. Standard radiographs, wound photographs, and a short clinical description were given to eight orthopaedic surgeons, who independently evaluated the injury using both the Gustilo and Anderson (GA) and OTA-OFC classifications...
February 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29433799/international-survey-among-orthopaedic-trauma-surgeons-lack-of-a-definition-of-fracture-related-infection
#3
M Morgenstern, T F Moriarty, R Kuehl, R G Richards, M A McNally, M H J Verhofstad, O Borens, C Zalavras, M Raschke, S L Kates, W J Metsemakers
INTRODUCTION: Fracture-related infection (FRI) is one of the most challenging musculoskeletal complications in orthopaedic-trauma surgery. Although the orthopaedic community has developed and adopted a consensus definition of prosthetic joint infections (PJI), it still remains unclear how the trauma surgery community defines FRI in daily clinical practice or in performing clinical research studies. The central aim of this study was to survey the opinions of a global network of trauma surgeons on the definitions and criteria they routinely use, and their opinion on the need for a unified definition of FRI...
February 6, 2018: Injury
https://www.readbyqxmd.com/read/29432316/pediatric-supracondylar-humerus-fractures-does-after-hours-treatment-influence-outcomes
#4
Gabrielle M Paci, Kali R Tileston, John S Vorhies, Julius A Bishop
OBJECTIVES: After-hours surgery for pediatric supracondylar humerus fractures may be suboptimal due to surgeon fatigue, limited resources, and variations in comfort with pediatric fracture care. This study compared the outcomes of pediatric supracondylar humerus fractures treated during daytime hours to those treated after-hours. DESIGN: Retrospective SETTING:: Academic level I trauma centerPatients/Participants: 298 pediatric patients treated with surgical reduction and fixation of closed supracondylar fractures were included...
February 9, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29430606/epidemiology-of-acetabular-fractures-in-qatar
#5
Malik Ahmed, Yousef Abuodeh, AbdulJabbar Alhammoud, Motasem Salameh, Khalid Hasan, Ghalib Ahmed
OBJECTIVES: This study aimed to review the epidemiological aspects of acetabular fractures treated at Hamad Medical Corporation in Qatar. The study is the first orthopaedic trauma epidemiological study in Qatar and will provide a platform to advance high-level clinical research. METHODS: We obtained data for 103 patients who presented to our level I trauma centre from 2008 to 2010 with a diagnosis of acetabular fracture. Age, sex, the cause of injury, fracture classification, mode of treatment, associated nerve injuries, and other complications were analyzed...
February 11, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29428222/cost-utility-analysis-in-orthopaedic-trauma-what-pays-a-systematic-review
#6
S Coyle, S Kinsella, B Lenehan, J M Queally
BACKGROUND: As healthcare systems come under ever-increasing pressure to provide more care with fewer resources, emphasis is being placed on value-based systems that maximise quality and minimize cost. The aim of this study was to determine which interventions in fracture care have been demonstrated to be cost effective. METHODS: A systemic review of cost-utility studies on the management of fractures from 1976 to 2015 was carried out using a search of the Cost-Effectiveness Analysis Registry, National Health Service Economic Evaluation Database (NHS EED) and MEDLINE...
January 31, 2018: Injury
https://www.readbyqxmd.com/read/29427093/comparison-between-locked-and-unlocked-intramedullary-nails-in-intertrochanteric-fractures
#7
Riccardo Maria Lanzetti, Auro Caraffa, Domenico Lupariello, Paolo Ceccarini, Giulio Gambaracci, Luigi Meccariello, Francesco Manfreda, Daniele Maiettini, Cristina Ibáñez Vicente, Michele Scialpi, Olga Bisaccia, Giuseppe Rinonapoli, Michele Bisaccia
BACKGROUND: Intertrochanteric fractures are of great interest worldwide and are the most frequently operated fractures. Intramedullary nailing is commonly used in the treatment of intertrochanteric fractures. The purpose of this study is to assess the necessity of using the distal blocking screw in 31-A1 and 31-A2 fractures, classified according to the Orthopaedic Trauma Association classification system (AO/OTA). METHODS: This is a prospective study of 143 consecutive patients (mean age 85...
February 9, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29417734/incidence-and-immediate-management-of-genitourinary-injuries-in-pelvic-and-acetabular-trauma-a-10-year-retrospective-study
#8
Nikita R Bhatt, Rajiv Merchant, Niall F Davis, Michael Leonard, Brendan J O'Daly, Rustom P Manecksha, John F Quinlan
OBJECTIVE: To report the incidence of genito-urinary (GU) injuries in pelvic and acetabular (P + A) fractures and to investigate associations between P + A fractures and GU injury patterns. We also prospectively evaluated P + A fracture referrals for adherence to the British Orthopaedic Association Standards for Trauma (BOAST) guidelines over a 12-month period. METHODS: A retrospective review of genitourinary injuries associated with P + A fractures was performed from January 2006 to December 2016 in a national pelvic trauma centre in Ireland...
February 8, 2018: BJU International
https://www.readbyqxmd.com/read/29417615/the-effect-of-handover-location-on-trauma-theatre-start-time-an-estimated-cost-saving-of-%C3%A2-131%C3%A2-000-per-year
#9
Sam Nahas, Adam Ali, Kiran Majid, Roshan Joseph, Chris Huber, Victor Babu
BACKGROUND: The National Health Service was estimated to be in £2.45 billion deficit in 2015 to 2016. Trauma theatre utilization and efficiency has never been so important as it is estimated to cost £15/minute. METHODS: Structured questionnaires were given to 23 members of staff at our Trust who are actively involved in the organization or delivery of orthopaedic trauma lists at least once per week. This was used to identify key factors that may improve theatre efficiency...
February 8, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29417348/perioperative-management-of-external-fixation-in-staged-protocols-an-international-survey
#10
Sandro Hodel, Björn-Christian Link, Reto Babst, W H Mallee, Philippe Posso, Frank J P Beeres
INTRODUCTION: Despite the frequent use of external fixation, various regimes of antibiotic prophylaxis, surgical technique and postoperative pin care exist and underline the lack of current evidence. The aim of the study was to assess the variability or consensus in perioperative protocols to prevent implant-associated infections for temporary external fixation in closed fractures of the extremities. MATERIALS AND METHODS: A 26-question survey was sent to 170 members of the Traumaplatform...
February 7, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29402720/a-review-of-upper-limb-injuries-in-bear-maul-victims-consistent-pattern-and-inverse-relation-in-severity-with-facial-and-scalp-injuries
#11
Towseef Ahmad Bhat, Amara Gulzar, Aejaz Ahmad Bhat, Tariq Ahmad Bhat, Zameer Ali
PURPOSE: Bear maul injuries are the most common wild animal inflicted injuries in India. More than 300 bear maul injuries report to our hospital per year. METHODS: Twenty-one consecutive patients over a period of 1 year reported to our department for orthopaedic management of bear maul injuries. All the patients were referred either from peripheral hospitals or from other surgical departments of our hospital. RESULTS: All the patients had facial/scalp injuries of variable severity...
November 24, 2017: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/29401094/ultra-low-dose-ct-scan-reduction-protocol-for-extremity-fracture-evaluation-is-as-safe-and-effective-as-conventional-ct-an-evaluation-of-quality-outcomes
#12
Sanjit Reddy Konda, Abraham Michael Goch, Jack Haglin, Kenneth Andrew Egol
OBJECTIVES: To assess clinical and hospital quality outcomes of patients receiving the previously reported Reduced Effective Dose Using Computed Tomography In Orthopaedic iNjury (REDUCTION) imaging protocol. DESIGN: Retrospective Chart review SETTING:: Level I Trauma Center and affiliated Tertiary Care Hospital CenterPatients/Participants: fifty patients who received this protocol for acute traumatic fracture evaluation and met inclusion criteria were compared to a cohort of fifty patients matched for age and fracture type who previously received conventional CT scanning for acute traumatic fracture evaluation...
January 30, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29401090/orthopaedic-trauma-association-annual-meeting-program-committee-analysis-of-impact-of-committee-size-and-review-process-on-abstract-acceptance
#13
Nathan N O'Hara, Gerard P Slobogean, Min Zhan, Michael J Gardner, Michael D McKee, Sharon M Moore, Thomas F Higgins, Robert V O'Toole
OBJECTIVE: To evaluate whether scientific abstracts selected for podium presentation at the Orthopaedic Trauma Association (OTA) Annual Meeting differ based on program committee size and/or the proportion of abstracts each committee member evaluates. METHODS: Abstract scores from the OTA program committee from 2010 through 2016 were obtained. All members (range, 8-9) reviewed each clinical abstract (range, 506-778) each year in a blinded fashion. The 90 top-scoring abstracts were considered "accepted" for this study...
January 26, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29399069/effectiveness-of-dynamic-fixation-coflex-treatment-for-degenerative-lumbar-spinal-stenosis
#14
Jun-Xi Zhang, Xi-Wei Jing, Ping Cui, Xin He, Ding-Jun Hao, Shu-Jing Li
The aim of the present study was to examine the curative effect of dynamic fixation Coflex treatment for patients with degenerative lumbar spinal stenosis. In the present study, 78 patients with degenerative lumbar spinal stenosis were recruited and divided equally into the control and observation groups. The control group was treated with traditional decompression fusion and the observation group received dynamic fixation Coflex system. Surgery and hospitalization were shorter in the observation group than in the control group...
January 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29396308/variation-in-treatment-of-low-energy-gunshot-injuries-a-survey-of-ota-members
#15
Mai P Nguyen, John J Como, Joseph F Golob, Michael S Reich, Heather A Vallier
The purpose of this study was to determine current practice patterns in the treatment of low energy gunshot wounds involving bones and joints. One hundred seventy-three Orthopaedic Trauma Association (OTA) members completed a web-based survey. The survey included practices for antibiotic therapy and operative treatment for different types of low-energy gunshot injuries. Six different scenarios of soft tissue injury, intra-articular injury, and fractures were described. Several permutations of antibiotic therapy and operative or non-operative management options were given as choices on the survey...
January 30, 2018: Injury
https://www.readbyqxmd.com/read/29392235/co-occurrence-of-posttraumatic-stress-symptoms-pain-and-disability-12-months-after-traumatic-injury
#16
Melita J Giummarra, Sara L Casey, Anna Devlin, Liane J Ioannou, Stephen J Gibson, Nellie Georgiou-Karistianis, Paul A Jennings, Peter A Cameron, Jennie Ponsford
Introduction: Chronic pain is common after traumatic injury and frequently co-occurs with posttraumatic stress disorder (PTSD) and PTSD symptoms (PTSS). Objectives: This study sought to understand the association between probable PTSD, PTSS, and pain. Methods: Four hundred thirty-three participants were recruited from the Victorian Orthopaedic Trauma Outcomes Registry and Victorian State Trauma Registry and completed outcome measures. Participants were predominantly male (n = 324, 74...
September 2017: Pain Reports (Baltimore, Md.)
https://www.readbyqxmd.com/read/29392102/an-orthopaedic-fracture-clinic-service-audit-a-complete-loop
#17
M N Baig, Orna Ni Bhroin, Rajnita Auckloo, Cathal Mac Dhaibheid, Usman Baig, Fergus Byrne
Introduction The British Orthopaedic Association Standards for Trauma (BOAST) Guideline 7 informs the standard of care patients should expect when they come to orthopaedic fracture clinics in the United Kingdom (UK). Objectives We compared our fracture clinic's practice against the standards set by BOAST Guideline 7 to make changes for aligning with the standard of care. We aimed to then re-audit our practice for further evaluation against the guidelines. Material and methods We prospectively collected data from 100 patients presenting to the fracture clinics of different orthopaedic consultants working in our hospital, using the Royal College of Surgeons in Ireland's (RCSI's) satisfaction with outpatients services (SWOPS) questionnaire...
November 29, 2017: Curēus
https://www.readbyqxmd.com/read/29387469/development-of-a-german-fracture-register-to-assess-current-fracture-care-and-improve-treatment-quality-a-feasibility-study
#18
Marc Beirer, Chlodwig Kirchhoff, Peter Biberthaler
Continuous evaluation of current treatment methods is crucial in orthopaedic trauma surgery.Existing fracture registries substantially contribute to improving fracture care and quality of life in trauma patients.Currently there is no universal German fracture register recording the patient-centred outcome of non-surgical as well as surgical fracture treatment in all anatomical regions.Conclusions regarding nationwide fracture treatment and quality of care are only significant to a limited extent. Cite this article: EFORT Open Rev 2017;2:474-477...
December 2017: EFORT Open Reviews
https://www.readbyqxmd.com/read/29383243/a-brodie-s-abscess-with-soft-tissue-collection-complicating-an-already-difficult-diagnosis
#19
Ben Gabbott, Giles Faria, George Lawson, Karen Daly
A healthy 14-year-old boy with a 3-month history of thigh pain and swelling is referred to a specialist centre with an uncertain diagnosis. After extensive tests and imaging a Brodie's abscess is diagnosed. The abscess is complicated by a fistula (cloaca) through the cortical bone of the femur, resulting in a large complex soft tissue collection. This is a presentation, we are unaware has been documented in any literature. After specialist multi-team combined management (Paediatric Trauma and Orthopaedic and Paediatric Infectious Diseases), the patient undergoes two surgical procedures, and extensive antibiotic cover...
January 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29377109/trauma-induced-heterotopic-ossification-patient-serum-alters-mitogen-activated-protein-kinase-signaling-in-adipose-stem-cells
#20
E C Martin, A T Qureshi, C B Llamas, E C Boos, A G King, P C Krause, O C Lee, V Dasa, M A Freitas, J A Forsberg, E A Elster, T A Davis, J M Gimble
Post-traumatic heterotopic ossification (HO) is the formation of ectopic bone in non-osseous structures following injury. The precise mechanism for bone development following trauma is unknown; however, early onset of HO may involve the production of pro-osteogenic serum factors. Here we evaluated serum from a cohort of civilian and military patients post trauma to determine early induction gene signatures in orthopaedic trauma induced HO. To test this, human adipose derived stromal/stem cells (hASCs) were stimulated with human serum from patients who developed HO following trauma and evaluated for a gene panel with qPCR...
January 27, 2018: Journal of Cellular Physiology
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