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Classification of fractures

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https://www.readbyqxmd.com/read/28439306/fibular-strut-graft-for-nonunited-femoral-neck-fractures-in-children
#1
A Elgeidi, A El-Negery
PURPOSE: To evaluate the clinical and radiological outcomes of using fibular strut grafts as a fixation device for non-united femoral neck fractures in children with or without subtrochanteric valgus osteotomy. METHODS: A total of 12 children with non-united femoral neck fractures (nine males and three females) with an average age of 8.2 years (5 to 12) were managed, and functional results evaluated, between July 2013 and July 2015. The mechanisms of injury were fall from a height in ten patients and road traffic accident in two cases...
2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/28435576/a-new-technique-for-solving-tightrope-cutout-during-acromioclavicular-joint-fixation-a-case-report
#2
B W Ng, A F Abdullah, S Nadarajah
Acromioclavicular joint (ACJ) dissociation is one of the common injuries affecting adults. The stability of ACJ largely depends on the integrity of acromioclavicular ligament, coracoclavicular ligament, capsule, trapezius muscle and deltoid muscle. The injury has been classified by Rockwood into six types and treatment options can be guided by the classification. TightRope fixation is one of the many surgical procedures available to address acromioclavicular joint separation. It consists of tensioning of a no...
March 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/28433848/instrumented-circumferential-fusion-in-two-stages-for-instable-lumbar-fracture-long-term-results-of-a-series-of-74-patients-on-sagittal-balance-and-functional-outcomes
#3
Mourad Ould-Slimane, Camille Damade, Guillaume Lonjon, André Gilibert, Jérôme Cochereau, Rémi Gauthé, Nicolas Lonjon
AIM: To report the radiological and functional results of a multicentre, prospective case series of patients with comminuted lumbar fractures treated with two-stage circumferential arthrodesis. METHODS: A multicentre, prospective case series of 74 patients with comminuted lumbar fractures was analyzed. The strategy entailed initial posterior osteosynthesis then physical replacement with an expandable titanium cage filled with autologous bone, via retroperitoneal lumbotomy...
April 19, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28432459/using-an-anatomically-preshaped-low-profile-locking-plate-system-leads-to-reliable-results-in-comminuted-radial-head-fractures
#4
Moritz Crönlein, Michael Zyskowski, Marc Beirer, Florian B Imhoff, Dominik Pförringer, Gunther H Sandmann, Chlodwig Kirchhoff, Peter Biberthaler, Sebastian Siebenlist
INTRODUCTION: For comminuted and displaced fractures of the radial head open reduction and internal fixation (ORIF) is recommended nowadays as the treatment of choice. Due to the development of locking plates the possibilities of ORIF in complex fracture types were extended. The purpose of this retrospective survey therefore was to review the preliminary subjective and objective results in patients treated by anatomically preshaped locked plating. A reliable fracture healing for these recently introduced plating devices was hypothesized...
April 21, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28428037/conservative-treatment-of-displaced-distal-radius-fractures-leads-to-acceptable-functional-outcomes-however-at-the-expense-of-40-subsequent-surgeries
#5
Marjolein A M Mulders, Percy V van Eerten, J Carel Goslings, Niels W L Schep
BACKGROUND: Although secondary displacement following closed reduction and plaster immobilisation is high, several guidelines still recommend non-operative treatment for displaced distal radius fractures with an adequate closed reduction. PURPOSE: The purpose of this study was to evaluate functional outcomes, measured with the Disability of the Arm, Shoulder and Hand (DASH) questionnaire, in non-operative treated patients with displaced distal radius fractures with an adequate closed reduction confirmed on radiograph...
April 17, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28428032/does-semi-automatic-bone-fragment-segmentation-improve-the-reproducibility-of-the-letournel-acetabular-fracture-classification
#6
M Boudissa, B Orfeuvre, M Chabanas, J Tonetti
BACKGROUND: The Letournel classification of acetabular fracture shows poor reproducibility in inexperienced observers, despite the introduction of 3D imaging. We therefore developed a method of semi-automatic segmentation based on CT data. The present prospective study aimed to assess: 1) whether semi-automatic bone-fragment segmentation increased the rate of correct classification; 2) if so, in which fracture types; and 3) feasibility using the open-source itksnap 3.0 software package without incurring extra cost for users...
April 17, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28424914/association-of-femoral-head-and-acetabular-fractures-on-computerized-tomography-correlation-with-the-judet-letournel-classification
#7
Nicholas M Beckmann, Naga R Chinapuvvula, Chunyan Cai
PURPOSE: Tha aims of this study were to identify the incidence of femoral head fractures in the setting of acetabular fractures and to determine the relationship between acetabular fracture pattern, the degree of acetabular fracture displacement, and the incidence of femoral head fractures. MATERIALS AND METHODS: This is a retrospective cross-sectional study of 274 patients with 300 acetabular fractures diagnosed on pelvic CT. Acetabular fractures were categorized using the Judet-Letournel classification system...
April 19, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28419843/a-review-of-in-office-dynamic-image-navigation-for-extraction-of-complex-mandibular-third-molars
#8
Robert W Emery, Oxana Korj, Ravi Agarwal
PURPOSE: We performed a retrospective review of in-office removal of complex mandibular third molars with a dynamic image navigation system (DINS). MATERIALS AND METHODS: A retrospective review was conducted of cases completed from 2010 to 2014 by a single oral and maxillofacial surgeon. The average age of the patients was 47 years (range, 27 to 72 years). Extraction complexity was classified with Juodzbalys and Daugela's classification system. The included study cases had complexity scores of 9 or greater...
March 25, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28416850/-treatment-of-complicated-intra-articular-distal-radius-fractures-with-extended-flexor-carpi-radialis-approach
#9
Z Q Gao, G S An, S L Li
OBJECTIVE: To discuss the effect of treatment of complicated intra-articular distal radius fractures with extended flexor carpi radialis approach. METHODS: A retrospective analysis of 38 cases with fresh complicated intra-articular distal radius fractures treated by using extended flexor carpi radialis approach in our hospital from October 2012 to March 2015, with 25 males and 13 females. The average age was (52.76±8.62) years (32-64 years). The average time to surgery was (5...
April 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/28416839/-a-correlation-analysis-of-the-ankle-ct-and-ankle-fracture-classification
#10
X F Gong, Y W Lyu, J H Wang, Y Wang, Y Wu, M Y Wang
OBJECTIVE: To summarize the CT features of ankle fracture and to analyze the relationship between the CT images and the most commonly used ankle fracture classification. METHODS: With 369 cases of adult ankle fractures analyzed retrospectively, the CT images 1 cm above the ankle joint and its characteristics, the Danis-Weber classification of ankle fracture were studied, and so was the relationship between CT images and the fracture classification. RESULTS: There were 8 forms of CT images...
April 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/28416832/-minimally-invasive-plate-osteosynthesis-for-treatment-of-proximal-humeral-fractures-through-anterolateral-acromial-approach
#11
Q Zhang, N Sun, Q Huang, S W Zhu
OBJECTIVE: To investigate the feasibility, surgical technique and effect of osteosynthesis for proximal humerus fractures through the minimal incision anterolateral acromion. METHODS: In this study, 32 patients of proximal humeral fractures were selected and treated through the minimal incision antero-lateral acromion between January 2012 and October 2014. Of these patients, there were 19 males and 13 females, with mean age 46 years old (range: 22-78 years). The mechanism of injury was a trauma of simple fall for 21 patients and motor vehicle accident for 11 patients...
April 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/28406853/the-role-of-computed-tomography-in-the-classification-of-pediatric-pelvic-fractures-revisited
#12
Bent Ma, Hennrikus Wl, Latorre Je, Armstrong Dg, Shaw B, Jones Kc, Segal Ls
OBJECTIVES: To determine the need of CT scans in the assessment of pediatric pelvic fractures DESIGN:: Retrospective Chart Review SETTING:: Level-1 Pediatric Trauma CenterPatients/Participants: 30 pediatric trauma patients with pelvic fractures who have obtained both a radiograph and CT Scan MAIN OUTCOME MEASUREMENTS:: Fleiss Kappa coefficient to compare inter-reliability. RESULTS: The average age of the patients was 7 years (range 1-13 years). 17 were male and 13 were female...
April 10, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28405810/what-is-the-most-reproducible-classification-system-to-assess-tibial-plateau-fractures
#13
Angélica Millán-Billi, Mireia Gómez-Masdeu, Eduard Ramírez-Bermejo, Maximiliano Ibañez, Pablo Eduardo Gelber
PURPOSE: Traditional classification systems for tibial plateau fractures (TPF) are based on simple radiographs, and intra- and inter-observer variability is low. The aim was to assess intra- and inter-observer variability using traditional systems and some recently described classification systems of TPF in the interpretation of standard radiographs and bidimensional (2D) and tridimensional (3D) computed tomography (CT). METHODS: We studied all patients at two centres who underwent TPF surgery over a three-year period...
April 13, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28400460/direct-costs-of-osteoporosis-related-hip-fractures-protocol-for-a-cross-sectional-analysis-of-a-national-database
#14
Zhila Maghbooli, Arash Hossein-Nezhad, Maryam Jafarpour, Sima Noursaadat, Majid Ramezani, Roxana Hashemian, Syamak Moattari
INTRODUCTION: It is estimated that Iran accounted for about 1% of hip fracture burden of the world in 2007, but these data are based on incomplete evidence. As the country's population is ageing, it is expected that a dramatic rise in hip fracture incidence will result. There is no single national study that accurately estimates the incidence of all hip fractures in the country or identifies the direct costs for affected patients. To help fill this gap, the current study has been designed to determine the incidence of hip fracture associated with osteoporosis in the Iranian population and to assess the direct costs involved...
April 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28399323/short-stem-reverse-total-shoulder-arthroplasty-periprosthetic-type-a-fracture
#15
Bryan M Saltzman, Timothy Leroux, Michael J Collins, Thomas A Arns, Brian Forsythe
Alterations have been made over the years to the standard reverse total shoulder arthroplasty (RTSA) prosthetic components in an effort to decrease adverse events; this has led to the advent of a short humeral stem prosthesis. To the authors' knowledge, there are no reports describing the complication of a traumatic periprosthetic Wright and Cofield classification type A fracture with use of a short metaphyseal humeral stem component for RTSA. The authors describe a 49-year-old woman with this pathology who was treated with open reduction and internal fixation using a proximal humerus locking plate, unicortical and bicortical screw fixation, and a cerclage wire construct without the need to violate the shoulder joint or revise components...
April 11, 2017: Orthopedics
https://www.readbyqxmd.com/read/28392637/long-term-results-of-impaction-bone-grafting-using-a-synthetic-graft-apapore-in-revision-hip-surgery
#16
V Kumar, M Ricks, S Aboul-Enin, D G Dunlop
INTRODUCTION: Impaction Bone grafting (IBG) in Revision THR is challenging and places demands on allograft stores. Identifying a potential synthetic replacement that works in the longer term was the aim of this study. METHODS: We retrospectively reviewed 21 sequential patients who had undergone revision THR using IBG. They were randomised to receive either combined allograft and synthetic graft or Allograft alone. Among the surviving 15 patients, there were total of 25 procedures were carried out...
June 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/28390686/do-columns-or-sagittal-displacement-matter-in-the-assessment-and-management-of-lisfranc-fracture-dislocation-an-alternate-approach-to-classification-of-the-lisfranc-injury
#17
Simon C Lau, Catherine Guest, Marucs Hall, Mark Tacey, Samuel Joseph, Andrew Oppy
AIM: The classification of a Lisfranc injury has conventionally been based around Myerson's system. The aims of this study were to review whether a novel classification system based on sagittal displacement of the tarsometatarsal joint and breadth of injury as determined by a columnar theory was associated with functional outcomes and thus had a greater utility. PATIENTS: We retrospectively reviewed 54 Lisfranc injuries with a minimum follow up of two years at our Level One Trauma Centre...
March 30, 2017: Injury
https://www.readbyqxmd.com/read/28385933/risk-factors-for-post-operative-periprosthetic-fractures-following-primary-total-hip-arthroplasty-with-a-proximally-coated-double-tapered-cementless-femoral-component
#18
K Gromov, A Bersang, C S Nielsen, T Kallemose, H Husted, A Troelsen
AIMS: The aim of this study was to identify patient- and surgery-related risk factors for sustaining an early periprosthetic fracture following primary total hip arthroplasty (THA) performed using a double-tapered cementless femoral component (Bi-Metric femoral stem; Biomet Inc., Warsaw, Indiana). PATIENTS AND METHODS: A total of 1598 consecutive hips, in 1441 patients receiving primary THA between January 2010 and June 2015, were retrospectively identified. Level of pre-operative osteoarthritis, femoral Dorr type and cortical index were recorded...
April 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28373079/temporary-short-segment-pedicle-screw-fixation-for-thoracolumbar-burst-fractures-comparative-study-with-or-without-vertebroplasty
#19
Hiroyuki Aono, Keisuke Ishii, Hidekazu Tobimatsu, Yukitaka Nagamoto, Shota Takenaka, Masayuki Furuya, Horii Chialki, Motoki Iwasaki
BACKGROUND CONTEXT: Short-segment posterior spinal instrumentation for thoracolumbar burst fracture provides superior correction of kyphosis by an indirect reduction technique, but it has a high failure rate. PURPOSE: The purpose of the study we report here was to compare outcomes for temporary short-segment pedicle screw fixation with vertebroplasty and for such fixation without vertebroplasty STUDY DESIGN: Prospective multicenter comparative study. PATIENT SAMPLE: We studied 62 consecutive patients with thoracolumbar burst fracture who underwent short-segment posterior instrumentation using ligamentotaxis with Schanz screws with or without vertebroplasty...
March 31, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28373012/prediction-of-damage-formation-in-hip-arthroplasties-by-finite-element-analysis-using-computed-tomography-images
#20
Abdul Halim Abdullah, Mitsugu Todo, Yasuharu Nakashima
Femoral bone fracture is one of the main causes for the failure of hip arthroplasties (HA). Being subjected to abrupt and high impact forces in daily activities may lead to complex loading configuration such as bending and sideway falls. The objective of this study is to predict the risk of femoral bone fractures in total hip arthroplasty (THA) and resurfacing hip arthroplasty (RHA). A computed tomography (CT) based on finite element analysis was conducted to demonstrate damage formation in a three dimensional model of HAs...
March 31, 2017: Medical Engineering & Physics
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