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Tibial Fracture

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https://www.readbyqxmd.com/read/28636058/percutaneous-tibial-physeal-fracture-repair-in-small-animals-technique-and-17-cases
#1
Dirsko J F von Pfeil, Mathieu Glassman, Meaghan Ropski
OBJECTIVES: To retrospectively describe cases treated via percutaneous tibial physeal fracture repair (PTPFR), using intra-operative fluoroscopy (IFL) or digital radiography (DR). To describe a technique ("spiking"), used to treat tibial tuberosity avulsion fractures. METHODS: Clinical data of 14 dogs and three cats were included. The "spiking" technique was described. RESULTS: Intra-operative fluoroscopy (n = 11) and DR (n = 6) were successfully used in 11 tibial tuberosity avulsion fractures, one combined proximal physeal and tibial tuberosity avulsion fracture, and five distal tibial/fibular physeal fractures...
June 21, 2017: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/28633789/displaced-salter-harris-type-i-distal-fibula-fractures-two-case-reports-and-a-review-of-the-literature
#2
Jeremy Korsh, Stephen Adolfsen
Salter-Harris type I (SH-I) fractures of the distal fibula are commonly encountered in pediatric orthopedics. We describe 2 unique cases of adolescents with completely displaced SH-I distal fibula fractures that were treated operatively. In the first case, a closed reduction attempt failed and the patient required open reduction and internal fixation of the distal fibula and syndesmosis. The syndesmotic ligaments were avulsed from the distal fibular metaphysis. In the second case, closed reduction of the distal fibula fracture was partially successful, but anatomic reduction could not be achieved without open reduction...
July 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28633149/tibial-eminence-involvement-with-tibial-plateau-fracture-predicts-slower-recovery-and-worse-postoperative-range-of-knee-motion
#3
Sanjit R Konda, Adam Driesman, Arthur Manoli, Roy I Davidovitch, Kenneth A Egol
OBJECTIVES: To examine 1-year functional and clinical outcomes in patients with tibial plateau fractures with tibial eminence involvement. DESIGN: Retrospective analysis of prospectively collected data. SETTING: Academic Medical Center. PATIENTS/PARTICIPANTS: All patients who presented with a tibial plateau fracture (Orthopaedic Trauma Association (OTA) 41-B and 41-C). INTERVENTION: Patients were divided into fractures with a tibial eminence component (+TE) and those without (-TE) cohorts...
July 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28630761/partial-proximal-tibia-fractures
#4
Michael J Raschke, Christoph Kittl, Christoph Domnick
Partial tibial plateau fractures may occur as a consequence of either valgus or varus trauma combined with a rotational and axial compression component.High-energy trauma may result in a more complex and multi-fragmented fracture pattern, which occurs predominantly in young people. Conversely, a low-energy mechanism may lead to a pure depression fracture in the older population with weaker bone density.Pre-operative classification of these fractures, by Müller AO, Schatzker or novel CT-based methods, helps to understand the fracture pattern and choose the surgical approach and treatment strategy in accordance with estimated bone mineral density and the individual history of each patient...
May 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28624557/arthroscopic-lateral-retinacular-release-medial-retinacular-plication-and-partial-medial-tibial-tubercle-transfer-for-recurrent-patellar-dislocation
#5
Song Chen, Yiqin Zhou, Qirong Qian, Yuli Wu, Peiliang Fu, Haishan Wu
OBJECTIVE: To assess the efficacy of a therapeutic protocol composed of arthroscopic lateral retinacular release, medial retinacular plication, and partial medial tibial tuberosity transfer for patients with recurrent patellar dislocation. METHOD: 71 patients, 11 males and 60 females and a total of 77 knees, with recurrent dislocation of the patella were enrolled between 1998 - 2012. The average age of the patients was 19.5 years and 67 of them had previous knee trauma history...
June 14, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28620592/the-role-of-fibular-fixation-in-the-treatment-of-combined-distal-tibia-and-fibula-fracture-a-randomized-control-trial
#6
Mohammad Javdan, Mohammad Ali Tahririan, Morteza Nouri
BACKGROUND: This randomized, parallel-group, non-blinded study was designed to determine the role of fibular fixation in the treatment outcomes of combined distal tibia and fibula fractures. MATERIALS AND METHODS: Sixty patients with distal tibial and fibular fractures were randomly divided in two groups of case and controls. In the case group, fibula was fixed prior to the fixation of tibia. In the control group, tibia was fixed without fibular fixation. Primary outcomes were varus-valgus angulation, anterior-posterior angulation, union and side effects...
2017: Advanced Biomedical Research
https://www.readbyqxmd.com/read/28617051/radiographic-detection-of-marginal-impaction-in-supination-adduction-ankle-fractures
#7
Ram K Alluri, J Ryan Hill, Steven Donohoe, Mark Fleming, Eric Tan, Geoffrey Marecek
BACKGROUND: The purpose of this study was to describe the incidence of plafond impaction in supination-adduction type II (SAD-II) ankle fractures and assess the accuracy of plain radiographs in detecting plafond impaction and predicting planned operative management compared to computed tomography (CT). METHODS: Patients with SAD-II ankle fractures were retrospectively identified. All SAD-II plain radiographs were reviewed (120 fractures) and compared to CT images (55 fractures)...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28616231/lymph-node-transfer-for-refractory-infectious-sites-caused-by-trauma
#8
Makoto Mihara, Hisako Hara, Kazuki Kikuchi
OBJECTIVE: In this report, we placed focus on the immunological function of lymph nodes and performed lymph node transfer via a free flap to a site of refractory infection. CASE AND RESULTS: Case 1 describes a 34-year-old male suffering from compound fractures with severe crush injuries and burns in the right ankle joint. A 20 × 15 cm skin defect was observed around the right malleolus medialis, along with denuded tendons with bacterial infection. After conservative treatment, we transferred a lymph-node-containing free superficial circumflex iliac artery perforator flap to the region, with minimum debridement...
2017: SAGE open medical case reports
https://www.readbyqxmd.com/read/28614179/molecular-hydrogen-inhalation-attenuates-postoperative-cognitive-impairment-in-rats
#9
Yuchang Xin, Huiying Liu, Peng Zhang, Liuhui Chang, Keliang Xie
Postoperative cognitive decline is a major clinical problem with high morbidity and mortality after surgery. Many studies have found that molecular hydrogen (H2) has significant neuroprotection against acute and chronic neurological injury by regulating inflammation and apoptosis. In this study, we hypothesized that H2 treatment could ameliorate the development of cognitive impairment following surgery. Adult male rats were subjected to stabilized tibial fracture operation under anesthesia. Two percent of H2 was inhaled for 3 h beginning at 1 h after surgery...
June 13, 2017: Neuroreport
https://www.readbyqxmd.com/read/28614148/race-and-ethnicity-has-a-mixed-effect-on-the-treatment-of-tibial-plateau-fractures
#10
Adam Driesman, Siddharth A Mahure, Albit Paoli, Christian A Pean, Sanjit R Konda, Kenneth A Egol
OBJECTIVES: To determine if racial or economic disparities are associated with short term complications and outcomes in tibial plateau fracture care. DESIGN: Retrospective cohort study SETTING:: All New York State hospital admissions from 2000 to 2014, as recorded by the New York Statewide Planning and Research Cooperative System database PATIENTS/PARTICIPANTS:: Thirteen thousand five hundred eighteen inpatients with isolated tibial plateau fractures (AO/OTA 44), stratified in four groups: Caucasian, African-American, Hispanic, and Other...
May 23, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28607786/proximal-tibial-epiphysis-fracture-in-a-13-year-old-male-athlete
#11
Ioannis M Stavrakakis, Pavlos E Katsoulis, Maria S Katsafarou
Fractures of the proximal epiphysis of the tibia are rare, representing 0.5 to 3.0% of all epiphyseal injuries. These injuries can damage the popliteal vessels and their bifurcation, affecting the blood supply of the lower limb, as well as the nerves below the knee. Epiphyseal growth arrest is also a potential complication, leading to various angular deformities. We present a case of a 13-year-old male athlete with a posteriorly displaced Salter-Harris type II fracture of the proximal epiphysis of the left tibia who was treated conservatively with closed reduction and cast immobilization...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28604652/comparison-of-tibial-intramedullary-nailing-guided-by-digital-technology-versus-conventional-method-a-prospective-study
#12
Lin Liu, Xian Xu, Xu Li, Wei Wu, Junfeng Cai, Qingyou Lu
BACKGROUND This prospective study aimed to compare clinical effects of intramedullary nailing guided by digital and conventional technologies in treatment of tibial fractures. MATERIAL AND METHODS Thirty-two patients (mean age 43 years, 18 males and 14 females) who were treated for tibial fractures from October 2010 to October 2012 were enrolled. They were sequentially randomized to receive intramedullary nailing guided by either digital technology (digital group, n=16) or conventional technology (conventional group, n=16)...
June 12, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28603569/pediatric-acl-injuries-a-review-of-current-concepts
#13
Vikas Trivedi, Panna Mishra, Deepankar Verma
BACKGROUND: The number of anterior cruciate ligament (ACL) injuries reported in skeletally immature athletes has increased over the past 2 decades. The reasons for this increased rate include the growing number of children and adolescents participating in competitive sports vigorous sports training at an earlier age and greater rate of diagnosis because of increased awareness and greater use of advanced medical imaging. There is a growing need for a consensus and evidence based approach for management of these injuries to frame a dedicated age specific treatment strategy...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28600588/-open-reduction-and-internal-fixation-of-lateral-tibial-plateau-fractures-with-free-subchondral-2-7%C3%A2-mm-screws
#14
M Reul, F Johnscher, S Nijs, H Hoekstra
OBJECTIVES: Exact reconstruction of the depressed articular surface and stable subchondral fixation of the lateral tibial plateau (ORIF, "open reduction and internal fixation"). INDICATIONS: Tibial plateau fractures with involvement of the lateral column and depression of the articular surface. CONTRAINDICATIONS: Critical soft tissue. Severe osteoporosis. SURGICAL TECHNIQUE: Supine position, classical anterolateral approach, lateral submeniscal arthrotomy, visualisation of the fracture, osteotomy of the lateral tibial condyle...
June 9, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28595814/extremity-compartment-syndrome-following-blunt-trauma-a-level-i-trauma-center-s-5-year-experience
#15
Daniel Zuchelli, Nicholas Divaris, Jane E McCormack, Emily C Huang, Neeta D Chaudhary, James A Vosswinkel, Randeep S Jawa
BACKGROUND: Extremity compartment syndrome is a recognized complication of trauma. We evaluated its prevalence and outcomes at a suburban level 1 trauma center. METHODS: The trauma registry was reviewed for all blunt trauma patients aged ≥18 years, admitted between 2010 and 2014. Chart review of patients with extremity compartment syndrome was performed. RESULTS: Of 6180 adult blunt trauma admissions, 83 patients developed 86 extremity compartment syndromes; two patients had compartment syndromes on multiple locations...
May 10, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28593359/guided-growth-for-valgus-deformity-correction-of-knees-in-a-girl-with-osteopetrosis-a-case-report
#16
Dmitry Popkov
Autosomal dominant osteopetrosis (Albers-Schönberg disease) classically displays the radiographic signs of osteosclerosis. The main ADO complications involve the skeleton: low-impact bone fractures, scoliosis and hip osteoarthritis. Management of osteopetrosis-related orthopedic problems is a surgical challenge due to increased bone density. The healing process is very slow in these patients because of bone remodeling defects related to osteoblast function failure. In case of bone deformities, a realignment method should be appropriated to osteopetrosis conditions...
June 7, 2017: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/28593060/fracture-of-the-tibial-baseplate-16-years-after-miller-galante-ii-total-knee-arthroplasty
#17
Kazuaki Mineta, Masahiko Okada, Soshi Matsumoto, Daisuke Hamada, Tomohiro Goto, Koichi Sairyo
We report a rare case of tibial baseplate fracture of Miller-Galante II (MG II) prosthesis. We examine the factors that may cause such late fracture and review the literature on radiographic analysis and retrieval studies. A 76-year-old woman, who had undergone bilateral MG II total knee arthroplasty due to rheumatoid arthritis 16 years earlier, presented to our department with a 3-month history of left knee pain. Plain radiographs revealed severe distortion of the medial tibial component. During revision knee arthroplasty, we observed severe metallosis in the knee joint, polyethylene insert deformation, and posteromedial coronal baseplate fracture...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28588330/supracutaneous-plating-using-a-locking-plate-for-the-treatment-of-a-tibial-fracture-in-a-cat
#18
Tommaso Nicetto, Federico Longo
Radiographs revealed a slightly displaced long oblique diaphyseal tibial fracture with bone fissures running distally in a 2-year-old, 4.5 kg cat that had been hit by a car. An angle stable implant was applied in a supracutaneous fashion. The patient tolerated the external implant and had a satisfactory functional recovery. Radiographic follow-up after 60 days revealed sign of osseous union; therefore, the plate was removed.
June 2017: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
https://www.readbyqxmd.com/read/28587818/astrocyte-derived-ccl2-participates-in-surgery-induced-cognitive-dysfunction-and-neuroinflammation-via-evoking-microglia-activation
#19
Jiawen Xu, Hongquan Dong, Qingqing Qian, Xiang Zhang, Yiwei Wang, Wenjie Jin, Yanning Qian
Neuroinflammation induced by peripheral trauma plays a key role in the development of postoperative cognitive dysfunction (POCD). Substantial evidence points to reactive glia as a pivotal factor during the inflammation process. However, little is known about the functional interactions between astrocytes and microglia. Recent evidence suggests the involvement of the CCL2-CCR2 pathway in CNS inflammation-related diseases. Our previous studies have suggested that astrocyte-derived CCL2 can induce microglial activation in vitro...
June 3, 2017: Behavioural Brain Research
https://www.readbyqxmd.com/read/28586586/comparative-analysis-of-anterior-knee-pain-in-transpatellar-and-medial-parapatellar-tendon-approaches-in-tibial-interlocking-nailing
#20
Saeed Ahmad, Ashfaq Ahmed, Latif Khan, Shahzad Javed, Naeem Ahmed, Amer Aziz
OBJECTIVE: Anterior knee pain is the most common complaint after intramedullary nail of the tibia. The incidence of anterior knee pain ranges from 10-86% and the exact ethology is unclear. Transpatellar tendon approach is commonly used for tibial intramedullary interlocking nailing but it can also be done through medial parapatellar tendon approach. The objective of the study was to compare post-operative anterior knee pain after intramedullary nailing technique by transpatellar approach compared to medial parapatellar approach...
October 2016: Journal of Ayub Medical College, Abbottabad: JAMC
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