keyword
https://read.qxmd.com/read/38478361/the-relationship-between-intra-articular-fracture-energy-and-a-patient-s-inflammatory-response
#21
JOURNAL ARTICLE
Justin M Haller, Diane Fink, Hannah Smith, Zachary Olsen, Cale Jacobs, Donald Anderson
OBJECTIVES: Prior studies have demonstrated elevated inflammatory cytokine concentrations in the synovial fluid of articular fracture patients post-injury. Similarly, CT-based fracture energy measurements have been correlated to PTOA risk after pilon fracture. The purpose of this study was to determine the associations between synovial fluid cytokine levels, fracture energy, and overall trauma to the body in articular fracture patients. METHODS: Acute tibial plateau, tibial plafond, and rotational ankle fracture patients were prospectively enrolled from December 2011 through January 1, 2019...
March 12, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/38477771/bub1-suppresses-inflammatory-arthritis-associated-bone-loss-in-mice-through-inhibition-of-tnf%C3%AE-mediated-osteoclastogenesis
#22
JOURNAL ARTICLE
Shuhei Yoshida, Aoi Ikedo, Yuta Yanagihara, Tomohisa Sakaue, Noritaka Saeki, Yuuki Imai
Rheumatoid arthritis (RA) is an inflammatory autoimmune disease characterized by synovitis, bone and cartilage destruction, and increased fracture risk with bone loss. Although disease-modifying anti-rheumatic drugs (DMARDs) have dramatically improved clinical outcomes, these therapies are not universally effective in all patients due to the heterogeneity of RA pathogenesis. Therefore, it is necessary to elucidate the molecular mechanisms underlying RA pathogenesis, including associated bone loss, in order to identify novel therapeutic targets...
January 27, 2024: Journal of Bone and Mineral Research
https://read.qxmd.com/read/38476677/a-systematic-review-of-posterior-pilon-variant-fractures
#23
REVIEW
Eric M Lassiter, Kevin J Brown, Devon Patel, Addison Sparks, Jiayong Liu, Osama Elattar
Posterior pilon variant ankle fractures (PPVF) are a unique subtype of posterior malleolar fractures which have been a source of controversy and confusion in recent years. There has not been a thorough literature review previously written on the topic. Database searches of PubMed and Embase were conducted from inception until June 2023. The key words included "pilon variant," "posterior pilon variant," and "posterior pilon" fractures. Outcomes were evaluated by union time, rates of delayed union, nonunion, malunion, and complication...
July 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38476504/assessing-the-quality-and-clarity-of-youtube-videos-as-an-informational-source-for-ankle-fractures-a-study-of-the-turkish-population
#24
JOURNAL ARTICLE
Yaşar Samet Gökçeoğlu, Ayşe Nur İncesu, Elif Eda Dağ, Elif Yağmur Özger, Turgut Akgül
Background and objective The significance of YouTube as a prominent source of healthcare-related information cannot be overstated. Its influence on patient education is substantial. However, despite its popularity, there has been little research into the quality and comprehensibility of videos related to ankle fractures, a condition with increasing incidence rates, particularly in the context of Turkey. To address this gap in the literature and the growing reliance on digital platforms for health information during the coronavirus disease 2019 (COVID-19) pandemic, this study aims to assess the quality, clarity, and pedagogical value of YouTube videos on ankle fractures for the Turkish population...
March 2024: Curēus
https://read.qxmd.com/read/38469575/distal-fibular-metastasis-of-colorectal-carcinoma-a-case-report
#25
JOURNAL ARTICLE
Lauren Luther, Patrick J McGlone, Kyle D Hardacker, Daniel Alsoof, Roman A Hayda, Richard M Terek
CASE: A 62-year-old woman presenting with ankle pain was initially treated for a non-displaced fracture. Persistent pain despite months of conservative management for her presumed injury prompted repeat radiographs which demonstrated the progression of a lytic lesion and led to an orthopedic oncology referral. Following a complete work-up, including biopsy and staging, she was diagnosed with colorectal carcinoma metastatic to the distal fibula. CONCLUSION: Secondary tumors of the fibula are uncommon but an important diagnosis to consider for intractable lower extremity pain especially in patients with history of malignancy or lack of age-appropriate cancer screening...
2024: Orthopedic Reviews
https://read.qxmd.com/read/38467787/validation-of-anterior-ankle-soft-tissue-dynamics-and-shear-modulus-for-anterior-ankle-impingement-syndrome-after-ankle-fracture-surgery
#26
JOURNAL ARTICLE
Haruki Osanami, Hiroshi Akuzawa, Kodai Sakamoto, Hirotake Yokota, Ryo Hirabayashi, Chie Sekine, Tomonobu Ishigaki, Mutsuaki Edama
Anterior ankle impingement syndrome (AAIS) has been reported to account for a high percentage of complications following ankle fracture surgery. The soft tissue etiology of AAIS is thought to be thickening and inflammation of the anterior ankle soft tissues intervening anteriorly at the tibiotalar joint, causing pain and functional limitation during dorsiflexion. However, the effects of anterior ankle soft tissue dynamics and stiffness on AAIS have yet to be clarified. This study aimed to determine the relationship between AAIS and the anterior ankle soft tissue thickness change ratio and shear modulus using ultrasonography (US)...
March 11, 2024: Scientific Reports
https://read.qxmd.com/read/38463402/can-anatomical-differences-contribute-to-the-etiology-of-danis-weber-type-b-lateral-malleolus-fractures
#27
JOURNAL ARTICLE
Kubilay Ugurcan Ceritoglu, Murat Danisman
Introduction Lateral malleolus fractures are among the most common ankle fractures, but the anatomical factors that may predispose individuals to this specific type of fracture are not fully understood. This study aims to explore whether distinct anatomical characteristics of the ankle joint contribute to an increased susceptibility to lateral malleolar fractures. Methods A retrospective analysis was conducted on 73 patients diagnosed with isolated lateral malleolar fractures between 2020 and 2023. An array of radiologic parameters, including distal tibial articular surface (DTAS) angle, bimalleolar tilt (BMT), medial malleolar length (MML), lateral malleolar length (LML), medial malleolar relative length (MMRL), lateral malleolar relative length (LMRL), medial malleolar slip angle (MMSA), talocrural angle (TCA), anterior inclination of the tibia (AI), and fibular position (FP), were meticulously measured on anteroposterior and lateral ankle radiographs for each study participant...
March 2024: Curēus
https://read.qxmd.com/read/38462596/computed-tomography-changes-diagnosis-management-and-surgical-planning-of-ankle-fractures
#28
JOURNAL ARTICLE
N S B Mansur, C M S C C Neves, F S Celestino, J P P Gonçalves, V F Pereira, P D V Silva, F T Matsunaga, C A S Nery, D C Astur
PURPOSE: To demonstrate how the use of adjunctive Computed Tomography (CT) can modify diagnosis, treatment options, and operative planning of ankle fractures in comparison with conventional radiographs (CR) in isolation. MATERIALS AND METHODS: A total of 53 patients diagnosed with an ankle fracture between 2011 and 2016, were assessed with CT and CR. Evaluations of the fractures using CR in isolation and CR combined with CT were compared using different readers...
March 11, 2024: Musculoskeletal Surgery
https://read.qxmd.com/read/38461466/bone-density-estimation-using-tissue-heat-capacity
#29
JOURNAL ARTICLE
Aiko Tanaka, Tetsuya Ogino
Osteoporosis onset is relatively asymptomatic, the condition often being identified only once a significant fracture occurs, leading to a potentially serious prognosis. Currently, early identification of osteoporosis is complicated by the difficulty in measuring bone density without using x-ray absorptiometry or quantitative ultrasound, so a simpler method for estimating bone density is needed. Given that bone is reported to have a lower specific heat than other tissues, we investigated the possibility of estimating bone density using this difference in tissue thermal properties...
March 10, 2024: Clinical Anatomy
https://read.qxmd.com/read/38458304/pronounced-cortical-porosity-and-sex-specific-patterns-of-increased-bone-and-osteocyte-lacunar-mineralization-characterize-the-human-distal-fibula-with-aging
#30
JOURNAL ARTICLE
Robin-Nicolas Hering, Simon von Kroge, Julian Delsmann, Alexander Simon, Benjamin Ondruschka, Klaus Püschel, Felix Nikolai Schmidt, Tim Rolvien
The high occurrence of distal fibula fractures among older women suggests a potential link to impaired bone health. Here we used a multiscale imaging approach to investigate the microarchitecture, mineralization, and biomechanics of the human distal fibula in relation to age and sex. Microcomputed tomography was performed to analyze the local volumetric bone mineral density and various microstructural parameters of the trabecular and the cortical compartment. Bone mineral density distribution and osteocyte lacunar parameters were quantified using quantitative backscattered electron imaging in periosteal, endocortical and trabecular regions...
March 6, 2024: Bone
https://read.qxmd.com/read/38457751/talar-neck-fractures-with-associated-ipsilateral-foot-and-ankle-fractures-have-a-higher-risk-of-avascular-necrosis
#31
JOURNAL ARTICLE
Arjun Srinath, Wyatt G S Southall, Mark R Nazal, Charles A Mechas, Jeffrey A Foster, Jarod T Griffin, Maaz Muhammad, Eric S Moghadamian, David C Landy, Arun Aneja
OBJECTIVES: To determine if talar neck fractures with concomitant ipsilateral foot and/or ankle fractures (TNIFAFs) are associated with higher rates of avascular necrosis (AVN) compared to isolated talar neck fractures (ITNs). DESIGN: Retrospective Cohort. SETTING: Single Level I Trauma Center. PATIENT SELECTION CRITERIA: Skeletally mature patients who sustained talar neck fractures from January 2008 to January 2017 with at least six months follow-up...
March 7, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/38454383/free-iliac-crest-grafting-technology-for-the-management-of-critical-sized-tibial-bone-defect
#32
JOURNAL ARTICLE
Xiaoqiang Cheng, Yilun Yao, Kang Liu, Lei Wu, Wengbo Yang
OBJECTIVE: To introduce the method and experience of treating critical-sized tibial bone defect by taking large iliac crest bone graft. METHODS: From January 2020 to January 2022, iliac crest bone grafting was performed in 20 patients (10 men and 10 women) with critical-sized tibial bone defect. The mean length of bone defect was 13.59 ± 3.41. Bilateral iliac crest grafts were harvested, including the inner and outer plates of the iliac crest and iliac spine...
March 7, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38453588/prevalence-and-risk-factors-of-ankle-osteoarthritis-in-a-population-based-study
#33
JOURNAL ARTICLE
Akinobu Nishimura, Yoshiyuki Senga, Yuki Fujikawa, Norihiko Takegami, Koji Akeda, Toru Ogura, Akihiro Sudo
BACKGROUND: This study aimed to investigate the prevalence of radiographic ankle osteoarthritis (AOA) in Japan and identify its risk factors. METHODS: The analysis included data from the population-based cohort study, radiographs of the knees and ankles, ultrasonography of the ankle to examine chronic ankle instability (CAI), and questionnaires on ankle pain, job history, height, and body weight. A total of 597 individuals aged > 50 years were included in the study...
February 24, 2024: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/38451303/optimizing-periprosthetic-fracture-management-and-in-hospital-outcome-insights-from-the-pippas-multicentric-study-of-1387-cases-in-spain
#34
MULTICENTER STUDY
(no author information available yet)
BACKGROUND: The incidence of all periprosthetic fractures (PPF), which require complex surgical treatment associated with high morbidity and mortality, is predicted to increase. The evolving surgical management has created a knowledge gap regarding its impact on immediate outcomes. This study aimed to describe current management strategies for PPF and their repercussions for in-hospital outcomes as well as to evaluate their implications for the community. METHODS: PIPPAS (Peri-Implant PeriProsthetic Survival Analysis) was a prospective multicentre observational study of 1387 PPF performed during 2021...
March 7, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38450616/treatment-of-external-fixator-pin-tract-deep-infections-with-an-antibiotic-sparkler
#35
JOURNAL ARTICLE
Lee M Hlad, Jacob N Rizkalla, Eric So, John E Herzenberg
Pin tract infections are virtually universal complications with the use of external fixation. While most are superficial and respond to oral antibiotics and local care, septic loosening may occur at the bone-pin interface, which may lead to instability of the fixator, catastrophic failure, fracture, and long-term osteomyelitis. Classification systems and prevention protocols have been developed to address this ubiquitous complication. Treatment of severe pin tract infections often requires debridement, parenteral antibiotics, and removal of the offending pin or the entire external fixator...
March 7, 2024: Foot & Ankle Specialist
https://read.qxmd.com/read/38449685/percutaneous-posterior-to-anterior-screw-fixation-through-achilles-tendon-for-posterior-malleolus-fractures-technique-description-and-case-series
#36
JOURNAL ARTICLE
Apostolos Dimitroulias, Danielle Putur, Yelena Bogdan, Milan K Sen
Posterior malleolus fractures (PMFs) (OTA 43B1.1) are frequently seen in combination with fractures of the fibula, medial malleolus, and distal tibia; they can rarely be seen in isolation. PMFs affect the alignment of the ankle mortise and the stability of syndesmosis. Techniques described for fixation of PMFs include open reduction internal fixation through a posterolateral or posteromedial approach or anterior-to-posterior screw fixation. For selected minimally displaced or nondisplaced fractures of the posterior malleolus, we developed a percutaneous technique through the Achilles tendon for the insertion of a posterior-to-anterior cannulated screw...
March 2024: OTA international: the open access journal of orthopaedic trauma
https://read.qxmd.com/read/38447595/the-fame-trial-study-protocol-in-younger-adults-with-unstable-ankle-fractures-treated-with-close-contact-casting-is-ankle-function-not-worse-than-those-treated-with-surgical-intervention
#37
JOURNAL ARTICLE
Juul Achten, Elsa M R Marques, Rafael Pinedo-Villanueva, Michael R Whitehouse, William G P Eardley, Matthew L Costa, Rebecca S Kearney, David J Keene, Xavier L Griffin
AIMS: Ankle fracture is one of the most common musculoskeletal injuries sustained in the UK. Many patients experience pain and physical impairment, with the consequences of the fracture and its management lasting for several months or even years. The broad aim of ankle fracture treatment is to maintain the alignment of the joint while the fracture heals, and to reduce the risks of problems, such as stiffness. More severe injuries to the ankle are routinely treated surgically. However, even with advances in surgery, there remains a risk of complications; for patients experiencing these, the associated loss of function and quality of life (Qol) is considerable...
March 7, 2024: Bone & joint open
https://read.qxmd.com/read/38447563/-arthroscopic-subtalar-distraction-arthrodesis-in-post-traumatic-indications
#38
JOURNAL ARTICLE
V Rak, J Šrámek, D Ira, M Krtička
PURPOSE OF THE STUDY: This manuscript aims to present the method of arthroscopic assisted subtalar arthrodesis and to evaluate the benefi ts of this surgery on our study population. MATERIAL AND METHODS: In the period from 9/2007 to 1/2020, a total of 33 subtalar arthrodesis were performed in 31 patients aged 19-66 years (mean 48 years, median 50 years). The indication for arthrodesis was subtalar arthritis causing pain and gait disorders, or hindfoot deformities (most commonly after a calcaneus bone fracture)...
2024: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://read.qxmd.com/read/38446576/primary-arthrodesis-versus-open-reduction-and-internal-fixation-for-lisfranc-joint-fracture-dislocations-in-adults-a-systematic-review
#39
JOURNAL ARTICLE
Bryanna D Vesely, Lauren Michels, Matthew A King, Paula Gangopadhyay, Aaron T Scott
BACKGROUND: The Lisfranc joint is an intricate podiatric medical structure that when injured can prove difficult to treat. No consensus has been established on optimal surgical management for this injury. It is widely debated whether open reduction and internal fixation or primary arthrodesis provides better outcomes for patients. Although literature has been published on this subject, no generalized guidelines have been created. The goal of this study was to analyze high-level meta-analyses to draw conclusions about surgical interventions for Lisfranc joint injuries...
2024: Journal of the American Podiatric Medical Association
https://read.qxmd.com/read/38446548/correlation-between-clinical-outcome-and-radiologic-features-after-open-reduction-and-internal-fixation-of-calcaneal-fractures
#40
JOURNAL ARTICLE
Seyed Ali Hashemi, Mohammad Mehboudi, Amir Human Hoveidaei, Amir Reza Vosoughi
BACKGROUND: We aimed to find probable correlation between postoperative radiologic variables and clinical outcomes of surgically treated calcaneal fractures. METHODS: In a retrospective study, 70 unilateral displaced intraarticular calcaneal fractures in adults with follow-up more than 1 year were asked to have a visit. Weightbearing radiographs of both ankles were taken and radiologic parameters, including the differences in values in Böhler and Gissane angles in comparison with the uninjured side, and calcaneocuboid and subtalar joint arthritis based on the Kellgren-Lawrence grading scale, were evaluated...
2024: Journal of the American Podiatric Medical Association
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