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"orthopedic trauma"

Jessica C Rivera, Renee M Greer, Mary Ann Spott, Anthony E Johnson
BACKGROUND: The Military Orthopaedic Trauma Registry (MOTR) was designed to replicate the Department of Defense Trauma Registry's (DoDTR's) role as pillar for data-driven management of extremity war wounds. The MOTR continuously undergoes quality assurance checks to optimize the registry data for future quality improvement efforts. We conducted a quality assurance survey of MOTR entrants to determine if a simple MOTR data pull could provide robust orthopedic-specific information toward the question of causes for late amputation...
November 2016: Journal of Trauma and Acute Care Surgery
Kiran C Mahabier, Esther M M Van Lieshout, Boyd C Van Der Schaaf, Gert R Roukema, Bas J Punt, Michael H J Verhofstad, Dennis Den Hartog
OBJECTIVES: This study aimed to determine inter-observer reliability and intra-observer reproducibility of the OTA/AO classification for humeral shaft fractures, and to evaluate differences between fracture types, fracture groups, and surgical specializations. METHODS: 30 observers (25 orthopedic trauma surgeons and five general orthopedic surgeons) independently classified 90 humeral shaft fractures according to the OTA/AO classification. Patients of 16 years and older were included...
October 13, 2016: Journal of Orthopaedic Trauma
Johanna Morgounovski, Philippe Vuistiner, Bertrand Léger, François Luthi
OBJECTIVE: The fear-avoidance model (FAM) is commonly used in musculoskeletal chronic pain (Vlaeyen 2012). Nevertheless, only few prospective studies have been conducted, especially on return to work (RTW). This study lays the hypothesis that the components of the FAM (catastrophizing, kinesiophobia and depression) can predict RTW 1 year after a vocational rehabilitation for orthopedic trauma patients. MATERIAL/PATIENTS AND METHODS: A total of 323 rehab orthopedic trauma inpatients (average time after accident: 9 months) were included...
September 2016: Annals of Physical and Rehabilitation Medicine
Kevin J McGurk, Bryan R Collier, Eric H Bradburn, Katie M Love, Daniel I Lollar, Christopher C Baker, Mark E Hamill
No abstract text is available yet for this article.
September 2016: American Surgeon
L A Archer, A Furey
PURPOSE: Avascular necrosis (AVN) of the humeral head is a devastating complication of proximal humeral fracture (PHF) that often results in long-term morbidity for the patient. Rates of AVN depend on the number of fracture fragments and are highly variable. The literature suggests that timely stable and anatomic reduction may decrease the rate at which AVN develops after PHF. To our knowledge, there is no literature published investigating a temporal relationship between the timing of PHF fixation and rates of AVN...
September 20, 2016: Musculoskeletal Surgery
S R Yarboro, P H Richter, D M Kahler
Three-dimensional (3D) imaging can enhance trauma care by allowing better evaluation of bony detail and implant position compared to conventional fluoroscopy or x‑ray. Intraoperative 3D imaging further improves this evaluation by allowing any necessary revisions to be made in the operating room prior to the patient emerging from anesthesia. This revision, if necessary, better achieves the surgical goals and alleviates the stressful situation of obtaining postoperative 3D imaging, where the benefit of revision must be balanced against the cost and risk of returning to the operating room...
October 2016: Der Unfallchirurg
Vishal Gupta, Pulak M Pandey
Thermal necrosis is one of the major problems associated with the bone drilling process in orthopedic/trauma surgical operations. To overcome this problem a new bone drilling method has been introduced recently. Studies have been carried out with rotary ultrasonic drilling (RUD) on pig bones using diamond coated abrasive hollow tools. In the present work, influence of process parameters (rotational speed, feed rate, drill diameter and vibrational amplitude) on change in the temperature was studied using design of experiment technique i...
September 14, 2016: Medical Engineering & Physics
S R Yarboro, P H Richter, D M Kahler
Three-dimensional (3D) imaging can enhance trauma care by allowing better evaluation of bony detail and implant position compared to conventional fluoroscopy or x‑ray. Intraoperative 3D imaging further improves this evaluation by allowing any necessary revisions to be made in the operating room prior to the patient emerging from anesthesia. This revision, if necessary, better achieves the surgical goals and alleviates the stressful situation of obtaining postoperative 3D imaging, where the benefit of revision must be balanced against the cost and risk of returning to the operating room...
September 12, 2016: Der Unfallchirurg
Sven Young, Leonard Banza, Boston S Munthali, Kumbukani G Manda, Jared Gallaher, Anthony Charles
Background and purpose - The burden of road traffic injuries globally is rising rapidly, and has a huge effect on health systems and development in low- and middle-income countries. Malawi is a small low-income country in southeastern Africa with a population of 16.7 million and a gross national income per capita of only 250 USD. The impact of the rising burden of trauma is very apparent to healthcare workers on the ground, but there are very few data showing this development. Patients and methods - The annual number of femoral fracture patients admitted to Kamuzu Central Hospital (KCH) in the Capital of Malawi, Lilongwe, from 2009 to 2014 was retrieved from the KCH trauma database...
September 2, 2016: Acta Orthopaedica
Albrecht Encke, Sylvia Haas, Ina Kopp
BACKGROUND: Venous thromboembolism (VTE) is the third most common cardiovascular condition, after myocardial infarction and stroke. Prophylactic measures in accordance with current guidelines can significantly reduce the risk of VTE and the associated morbidity and mortality. Until now, the German interdisciplinary, evidence- and consensus-based (S3) clinical practice guideline on VTE prophylaxis was based on a complete review of all pertinent literature available in MEDLINE up to January 2008...
August 8, 2016: Deutsches Ärzteblatt International
Barbara Resnick, Elizabeth Galik, Chris L Wells, Marie Boltz, Cynthia L Renn, Susan G Dorsey
Pain has a significant effect on physical and psychological outcomes for older adults post orthopedic trauma. The purpose of this study was to describe the management of pain among older trauma patients and consider differences between those who received 3 or more dosages daily of opioids versus those who did not. This was a secondary data analysis using data from an intervention study testing the effect of Function Focused Care among older orthopedic trauma patients (FFC-AC). The FFC-AC study was done on trauma units in two acute care settings designated as Level I or II trauma centers from September 2014 to September 2015...
October 2016: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
Edward M DelSole, Kenneth A Egol, Nirmal C Tejwani
BACKGROUND: Cost effective implant selection in orthopedic trauma is essential in the current era of managed healthcare delivery. Both locking and non-locking plates have been utilized in the treatment of displaced fractures of the olecranon. However, locking plates are often more costly and may not provide superior clinical outcomes. The primary aim of the present study is to assess the clinical and functional outcomes of olecranon fractures treated with locked and non-locking plate and screw constructs while providing insight into the cost of various implants...
2016: Iowa Orthopaedic Journal
C Spering, M Tezval, K Dresing, H Burchhardt, M Wachowski, F August, S Frosch, T A Walde, K M Stürmer, W Lehmann, S Sehmisch
BACKGROUND: Due to restrictions on admission to medical school, changing claims to an optimized work-life balance and occupational perspectives, surgical professions in particular are struggling with strategies to motivate young academics. Surgical disziplines aim towards a profound transfer of knowledge and pique student's interest by ensuring a sustainable education at university. OBJECTIVES: The goal of this study was to evaluate a Students-On-Call System (SOCS) and to identify a financial benefit...
August 2, 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Stefano Muscatelli, Hayley Spurr, Nathan N O'Hara, Lyndsay M O'Hara, Sheila A Sprague, Gerard P Slobogean
OBJECTIVES: This study aims to systematically assess the existing literature and to derive a pooled estimate of the prevalence of depression and post-traumatic stress disorder (PTSD) in adult patients following acute orthopaedic trauma. DATA SOURCES: A comprehensive search of databases including MEDLINE, Embase, PsycINFO, and Cochrane Central Register of Controlled Trials (CENTRAL) databases was conducted through June 2015. STUDY SELECTION: We included studies that assessed the prevalence of depression or PTSD in patients who experienced acute orthopedic trauma to the appendicular skeleton or pelvis...
July 26, 2016: Journal of Orthopaedic Trauma
P F Stahel, C Mauffrey
No abstract text is available yet for this article.
August 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Ashley C Dodd, Nikita Lakomkin, Catherine Bulka, Rachel Thakore, Cory A Collinge, Manish K Sethi
We investigated geographic variations in Medicare spending for DRG 536 (hip and pelvis fracture). We identified 22,728 patients. The median number of charges, discharges, and payments were recorded. Hospitals were aggregated into core based statistical (CBS) areas and the coefficient of variation (CV) was calculated for each area. On average, hospitals charged 3.75 times more than they were reimbursed. Medicare charges and reimbursements demonstrated variability within each area. Geographic variation in Medicare spending for hip fractures is currently unexplained...
December 2016: Journal of Orthopaedics
Yusuke Akaoka, Hiroshi Yamazaki, Hiroyuki Kodaira, Hiroyuki Kato
To examine the effect of oral anticoagulant and antiplatelet agents on perioperative blood loss following proximal femoral fractures and to identify the risk factors associated with perioperative blood loss.Retrospective cross-sectional study.In a retrospective cross-sectional study, we treated 334 consecutive patients with proximal femoral fractures (100 who received anticoagulant or antiplatelet drugs and 234 who did not) and an overall mean age of 85.5 years (standard deviation 8.2 years). We performed retrospective multivariate analysis to determine the independent factors related to perioperative decreases in the hemoglobin (Hb) level, a proxy for blood loss...
July 2016: Medicine (Baltimore)
Abizer Kapadia, Vedprakash R Cheruvu, Jerry R John, Satyaswarup Tripathy, Ramesh K Sharma
Composite defects of the leg often involve microsurgical reconstruction. Microsurgery is technically demanding in post-trauma situations in very young children. There is renewed interest in cross leg flaps in this scenario. Children aged up to 5 years, who had open fractures or exposed bones in the leg, were followed up prospectively. Eight children, with a mean age of 4 years, underwent nine flaps for extensive tissue defects over the leg and foot. Six of these flaps were cross leg flaps. No flap failed and all wounds acquired early stable cover...
July 4, 2016: Journal of Pediatric Orthopedics. Part B
Juliann C Koleszar, Benjamin R Childs, Heather A Vallier
The goals of this study were to determine the frequency of trauma recidivism and to identify risk factors. The authors hypothesized that substance abuse and mental illness would be associated with recidivism. They performed a retrospective review of 879 patients who were treated surgically for high-energy fractures over a period of 4 years. Recidivism was defined as presentation to the trauma center for a new, unrelated injury. A recurrent recidivist was a repeat patient who returned for more than 1 additional injury...
September 1, 2016: Orthopedics
Andreas F Mavrogenis, George N Panagopoulos, Zinon T Kokkalis, Panayiotis Koulouvaris, Panayiotis D Megaloikonomos, Vasilios Igoumenou, George Mantas, Konstantinos G Moulakakis, George S Sfyroeras, Andreas Lazaris, Panayotis N Soucacos
Vascular injury in orthopedic trauma is challenging. The risk to life and limb can be high, and clinical signs initially can be subtle. Recognition and management should be a critical skill for every orthopedic surgeon. There are 5 types of vascular injury: intimal injury (flaps, disruptions, or subintimal/intramural hematomas), complete wall defects with pseudoaneurysms or hemorrhage, complete transections with hemorrhage or occlusion, arteriovenous fistulas, and spasm. Intimal defects and subintimal hematomas with possible secondary occlusion are most commonly associated with blunt trauma, whereas wall defects, complete transections, and arteriovenous fistulas usually occur with penetrating trauma...
July 1, 2016: Orthopedics
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