journal
https://read.qxmd.com/read/34321191/risk-factors-for-implant-failure-of-intertrochanteric-fractures-with-lateral-femoral-wall-fracture-after-intramedullary-nail-fixation
#1
Jixing Fan, Xiangyu Xu, Fang Zhou, Zhishan Zhang, Yun Tian, Hongquan Ji, Yan Guo, Yang Lv, Zhongwei Yang, Guojin Hou
INTRODUCTION: Few studies have specifically evaluated the comminution extent of lateral femoral wall (LFW) fracture and risk factors of implant failure in intertrochanteric fractures with LFW fracture. The aim of present study was to evaluate the influence of comminution extent of LFW fracture on implant failure and identify risk factors of implant failure in cases with LFW fracture after intramedullary fixation. METHODS: This retrospective study included 130 intertrochanteric fracture with LFW fracture treated with intramedullary fixation at a teaching hospital over a 13-year period from January 2006 to December 2018...
July 18, 2021: Injury
https://read.qxmd.com/read/34311958/ideo-energy-storing-orthosis-effects-on-lower-extremity-function-and-preservation
#2
Benjamin W Hoyt, Sarah Y Nelson, Jeffrey G Fay, Sean M Wade, Daniel I Brooks, Benjamin K Potter
INTRODUCTION: The Intrepid Dynamic Exoskeletal Orthosis (IDEO) brace is a custom energy-storing orthosis design meant to improve gait, stability, and function after lower extremity injury or limb salvage. Early studies demonstrated the potential for the IDEO to improve functional performance, in conjunction with its paired return to run (RTR) rehabilitation program, compared to other brace types, and an impressively decreased rate of late amputation. The current study aimed to investigate these functional and revision outcomes from our institution to determine which patients may benefit most from IDEO bracing and what factors of the IDEO design and rehabilitation program are most important for improved outcomes after lower extremity trauma and/or loss of function...
July 18, 2021: Injury
https://read.qxmd.com/read/34304885/soft-tissue-reconstruction-in-lower-leg-fracture-related-infections-an-orthoplastic-outcome-and-risk-factor-analysis
#3
Seraina L C Müller, Mario Morgenstern, Richard Kuehl, Thaddaeus Muri, Daniel F Kalbermatten, Martin Clauss, Dirk J Schaefer, Parham Sendi, Rik Osinga
Introduction Fracture-related infection (FRI) is a severe post-traumatic complication which is occasionally accompanied by a deficient or even avital soft-tissue envelope. In these cases, a thoroughly planned orthoplastic approach is imperative as a vital and intact soft-tissue envelope is mandatory to achieve fracture union and infection eradication. The aim of this study was, to analyse if soft-tissue reconstruction (STR) without complications is associated with a better long-term outcome compared to FRI patients with STR complications...
July 16, 2021: Injury
https://read.qxmd.com/read/34311957/improved-implant-positioning-of-cephalomedullary-nail-for-trochanteric-fractures-using-the-stryker-adapt-navigation-system
#4
Trevor Simcox, Daniel Tarazona, Jacob Becker, Ethan Ayres, Jason Gould
BACKGROUND: Tip-apex distance (TAD) of greater than 25 mm increases the risk of cephalomedullary nail (CMN) cutout for trochanteric hip fractures. The Stryker ADAPT navigation system provides intraoperative feedback to guide implant positioning. This study compares lag screw positioning using the ADAPT to conventional methods and investigates if the use of ADAPT impacts operating room efficiency. METHODS: Retrospective review of 82 consecutive patients who underwent Stryker Gamma3 CMN for a peritrochanteric hip fracture...
July 15, 2021: Injury
https://read.qxmd.com/read/34294430/regional-anesthesia-does-not-decrease-inpatient-or-outpatient-opioid-demand-in-femoral-shaft-fracture-surgery
#5
Daniel J Cunningham, Micaela A LaRose, Isabel F DeLaura, Gloria X Zhang, Ariana R Paniagua, Mark J Gage
INTRODUCTION: Regional anesthesia (RA) may be used in femoral shaft fracture surgery to decrease pain and opioid consumption. However, the impact of RA on inpatient and outpatient opioid demand in patients undergoing femoral shaft fracture surgery is largely unknown. The aim of this study was to evaluate the impact of RA on inpatient opioid consumption and outpatient opioid demand in patients undergoing femoral shaft fracture surgery. METHODS: Inpatient opioid consumption and outpatient opioid demand in all patients undergoing femoral shaft fracture surgery was recorded at a single, Level I trauma center from 7/2013 - 7/2018 (n=436)...
July 15, 2021: Injury
https://read.qxmd.com/read/34294431/concern-regarding-open-reduction-in-gartland-type-iii-supracondylar-fractures-in-children
#6
LETTER
Saubhik Das, Arvind Kumar
No abstract text is available yet for this article.
July 14, 2021: Injury
https://read.qxmd.com/read/34289937/another-comment-regarding-determination-of-outcomes-of-complex-upper-end-tibial-fractures-in-squatting-and-cross-leg-sitting-south-asian-population
#7
LETTER
https://read.qxmd.com/read/34311959/is-the-problem-really-the-long-head-of-the-biceps-tendon
#8
LETTER
Bulent Karslioglu
No abstract text is available yet for this article.
July 11, 2021: Injury
https://read.qxmd.com/read/34281694/is-radiographic-osteoporotic-hip-morphology-a-predictor-for-high-mortality-following-intertrochanteric-femur-fractures-osteoporotic-hip-morphology-mortality-letter-to-editor
#9
LETTER
Tungish Bansal, Vijay Sharma, Kamran Farooque, Dudekula Sharif
No abstract text is available yet for this article.
July 11, 2021: Injury
https://read.qxmd.com/read/34281691/the-routine-cutoff-displacement-of-2-mm-may-not-reliably-reflect-the-stability-of-paediatric-lateral-humeral-condyle-fractures-%C3%A2
#10
LETTER
Andreas Rehm, Albert Ngu, Azeem Thahir
No abstract text is available yet for this article.
July 11, 2021: Injury
https://read.qxmd.com/read/34274123/role-of-prophylactic-fasciotomy-in-contemporary-vascular-trauma-practices
#11
LETTER
Amila Ratnayake, Tamara J Worlton
No abstract text is available yet for this article.
July 11, 2021: Injury
https://read.qxmd.com/read/34274122/new-ao-ota-classification-of-proximal-femur-fractures-methodological-issues-on-inter-and-intra-observer-reliability
#12
LETTER
Siamak Sabour
No abstract text is available yet for this article.
July 11, 2021: Injury
https://read.qxmd.com/read/34311960/reply-to-letter-to-editor-regarding-development-of-the-italian-fractures-registry-rifra-a-call-for-action-to-improve-quality-and-safety
#13
LETTER
Giovanni Vicenti, Davide Bizzoca, Marco Berlusconi, Biagio Moretti
No abstract text is available yet for this article.
July 10, 2021: Injury
https://read.qxmd.com/read/34281695/long-term-differences-in-clinical-prognosis-between-crossed-and-parallel-cannulated-screw-fixation-in-vertical-femoral-neck-fractures-of-non-geriatric-patients
#14
Dajun Jiang, Shi Zhan, Qianying Cai, Hai Hu, Weitao Jia
BACKGROUND AND PURPOSE: Vertical femoral neck fractures (VFNFs) are one of the most difficult fractures to stabilize, with high non-union (17%), avascular necrosis (AVN, 21%), and femoral neck shortening (FNS, 29.0%) rates. The objective of this investigation was to directly compare the long-term clinical complication rates of VFNFs repaired by crossed (Alpha fixation) or parallel screws in non-geriatric patients. PATIENTS AND METHODS: We conducted a retrospective comparative study of VFNFs in patients (<60 years) between January 2014 and December 2017, with at least 2 years of follow-up...
July 10, 2021: Injury
https://read.qxmd.com/read/34281692/changes-in-radiological-parameters-during-reduction-of-femoral-neck-fractures-a-radiographic-evaluation-of-cadavers
#15
Leyi Cai, Wenjie Li, Wenhao Zheng, Jianshun Wang, Xiaoshan Guo, Yongzeng Feng
OBJECTIVE: To investigate changes in the Garden index and other radiological parameters during reduction of femoral neck fractures. METHODS: Ten healthy, human femoral specimens were obtained. A 2.0 mm diameter Kirschner wire was implanted in the centre of the femoral head. A perpendicular osteotomy was made in the middle of the femoral neck. The distal osteotomy surface was used as the angle of rotation (pronation and supination up to 90° at 10° intervals). Anterior-posterior and lateral view radiographs were taken at different angles...
July 10, 2021: Injury
https://read.qxmd.com/read/34281689/distal-femur-fractures-have-a-higher-mortality-rate-compared-to-hip-fractures-among-the-elderly-are-the-insights-from-the-national-trauma-data-bank-conclusive
#16
LETTER
Siddharth Choudhary, Prasoon Kumar, Sharad Prabhakar, Siddhartha Sharma
No abstract text is available yet for this article.
July 10, 2021: Injury
https://read.qxmd.com/read/34275642/floating-knee-injuries-an-analytical-study-using-a-conglomerated-comprehensive-classification
#17
Sivakumar Raju, Prahalad Kumar Singhi, Chidambaram M, Somashekar V, Saseendar Shanmugasundaram, Prahalad Kumar Singhi
PURPOSE: Floating knee injuries are complex high velocity injuries with a simultaneous breach of skeletal integrity both above and below the knee joint. Intraarticular fractures, severe comminution, soft tissue insult, associated other skeletal and systemic injuries have been the most common factors influencing the outcome. With our previous experience we framed a conglomerated comprehensive classification, which includes important prognosticating factors that influences the outcome. Aim of this study is to analyse the efficacy of this classification system for floating knee injury by studying the duration of hospitalisation, number of procedures required for completion of treatment, prognosticating functional outcomes and complications...
July 10, 2021: Injury
https://read.qxmd.com/read/34289938/-low-initial-pre-hospital-end-tidal-carbon-dioxide-predicts-inferior-clinical-outcomes-in-trauma-patients
#18
Mary Kate Bryant, Jaclyn N Portelli Tremont, Zachary Patel, Nicole Cook, Pascal Udekwu, Trista Reid, Rebecca G Maine, Scott M Moore
INTRODUCTION: Current guidelines continue to lead to under- and over-triage of injured patients in the pre-hospital setting. End-tidal carbon dioxide (ETCO2) has been correlated with mortality and hemorrhagic shock in trauma patients. This study examines the correlation between ETCO2 and in-hospital outcomes among non-intubated patients in the pre-hospital setting. METHODS: We retrospectively studied a cohort of non-intubated adult trauma patients with initial pre-hospital side-stream capnography-obtained ETCO2 presenting via ground transport from a single North Carolina EMS agency to a level one trauma center from January 2018 to December 2018...
July 9, 2021: Injury
https://read.qxmd.com/read/34275650/combined-plate-and-nail-fixation-of-bicondylar-tibial-plateau-fractures
#19
David J Wright, Brent Etiz, John A Scolaro
INTRODUCTION: Bicondylar tibial plateau fractures with meta-diaphyseal comminution commonly have a compromised soft tissue envelope. Combined plate-nail fixation is an emerging technique that utilizes a limited anterolateral approach for plate application and percutaneous incisions for placement of an intramedullary nail. This technique alleviates the need for a separate medial approach to the proximal tibia. We report a series of patients treated with this approach and outline the steps for implementation...
July 9, 2021: Injury
https://read.qxmd.com/read/34275647/letter-regarding-wheatley-et-al-can-preoperative-radiographs-predict-hardware-complication-or-fracture-displacement-after-operative-treatment-of-pelvic-ring-injuries-injury-2021-doi-10-1016-j-injury-2021-02-087
#20
LETTER
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