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Journal of Orthopaedic Trauma

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https://read.qxmd.com/read/30973505/risk-assessment-following-orthopedic-trauma-coming-of-age
#1
J A Caprini
No abstract text is available yet for this article.
April 9, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30973504/the-importance-of-syndesmotic-reduction-on-clinical-outcome-after-syndesmosis-injuries
#2
Mette Renate Andersen, Lien My Diep, Frede Frihagen, Johan Castberg Hellund, Jan Erik Madsen, Wender Figved
OBJECTIVES: To evaluate the relationship between syndesmosis reduction and outcome. DESIGN: Level III diagnostic study. SETTING: One level 1 and one level 3 Trauma Centre. PATIENTS: Ninety-seven patients with syndesmosis injury. INTERVENTION: Stabilization of syndesmosis injury. Open reduction and internal fixation of malleolar fracture, if present. MAIN OUTCOME MEASUREMENTS: Anterior, central and posterior measures of syndesmosis width on CT scans, Olerud Molander score (OMA), American Orthopaedic Foot and Ankle Society ankle-hindfoot score (AOFAS) and range of motion (ROM) measurements...
April 9, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30973503/radiographic-evaluation-of-bone-remodeling-around-osseointegration-implants-among-transfemoral-amputees
#3
Seamus Thomson, Alasdair Thomson, Kevin Tetsworth, William Lu, Hala Zreiqat, Munjed Al Muderis
OBJECTIVES: To examine periprosthetic bone remodeling among the recipients of two types of lower-limb osseointegrated systems, the Integral Leg Prosthesis (ILP) and the Osseointegration Prosthetic Limb Type-A (OPL), over a > 24-month period. DESIGN: Retrospective cohort study. SETTING: Private hospital, with a specialized osseointegration unit. PATIENTS: Twenty-eight patients with transfemoral lower limb amputations were fitted with osseointegrated systems...
April 9, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30939507/tranexamic-acid-use-in-open-reduction-and-internal-fixation-of-fractures-of-the-pelvis-acetabulum-and-proximal-femur-a-randomized-controlled-trial
#4
Clay A Spitler, Dirk W Kiner, Elliot R Row, Warren E Gardner, Rachel E Swafford, Michael J Hankins, Peter J Nowotarski
OBJECTIVES: Assess the safety and efficacy of tranexamic acid(TXA) use in fractures of the pelvic ring, acetabulum, and proximal femur DESIGN:: Prospective, randomized controlled trial SETTING:: Single Level 1 trauma center PATIENTS:: Fourty-seven patients were randomized to the study group and 46 patients comprised the control group INTERVENTION:: The study group received 15mg/kg IV TXA prior to incision and a second identical dose 3 hours after the initial dose. MAIN OUTCOME MEASUREMENTS: transfusion rates, total blood loss (via hemoglobin dilutional method, rates of venous thromboembolic events) RESULTS:: Total blood loss was significantly higher in the control group (TXA=952mL, No TXA=1325mL, p=0...
March 29, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30939506/treatment-discrepancy-for-pelvic-fracture-patients-with-urethral-injuries-a-survey-of-orthopaedic-and-urologic-surgeons
#5
Niels V Johnsen, Reza Firoozabadi, Bryan B Voelzke
OBJECTIVES: In patients with traumatic pelvic fracture urethral injuries (PFUI), the interaction between urethral management and orthopaedic decision-making remains unknown. We aimed to survey orthopaedic and urologic surgeons to assess inter-disciplinary interactions in the management of PFUI. METHODS: An anonymous cross-sectional survey of members of the Orthopaedic Trauma Association (OTA) and the Society of Genitourinary Reconstructive Surgeons (GURS) was conducted between September 2017 and August 2018...
March 29, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30908344/-orthopaedic-surgeons-responding-to-the-us-opioid-crisis-commentary-on-clinical-practice-guidelines-for-pain-management-in-acute-musculoskeletal-injury
#6
Hassan R Mir, Roy W Sanders
No abstract text is available yet for this article.
March 18, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30908343/non-united-lower-extremity-fractures-initially-repaired-outside-the-developed-western-world-develop-a-high-rate-of-post-operative-complications-following-nonunion-repair
#7
Kurtis D Carlock, Kyle R Hildebrandt, Sanjit R Konda, Kenneth A Egol
OBJECTIVES: To evaluate clinical and functional outcomes following operative repair of non-united lower extremity fractures initially repaired outside the developed Western world. DESIGN: Retrospective analysis of prospectively collected data. SETTING: Academic medical center. PATIENTS/PARTICIPANTS: From September 2004 through February 2017, 227 patients who underwent operative repair of a lower extremity fracture nonunion were prospectively enrolled in a research registry...
March 13, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30908342/radiographic-healing-of-far-cortical-locking-constructs-in-distal-femur-fractures-a-comparative-study-with-standard-locking-plates
#8
Yanin Plumarom, Brandon G Wilkinson, J Lawrence Marsh, Michael C Willey, Qiang An, Yubo Gao, Matthew D Karam
OBJECTIVES: To investigate the radiographic healing of Far Cortical Locking (FCL) construct fixation in distal femur fractures compared with traditional locking plate constructs (LP). DESIGN: A retrospective cohort of 143 consecutive patients with 146 distal femur fractures. SETTING: Level I trauma centerPatients/Participants: After excluding patients with OTA/AO Type B fractures, referred non-union cases, patients less than 16 years old, and patients with less than 24 weeks follow-up, 69 patients with 70 total fractures were included for analysis...
March 13, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30844961/external-fixation-as-a-definitive-treatment-for-humeral-shaft-fractures-radiographic-and-functional-results-with-analysis-of-outcome-predictors
#9
Giovan Giuseppe Costa, Domenico Costantino Aloj, Simone Cerbasi, Maria Rizzo, Alessandro Massè, Raffaele Pascarella, Massimo Mariconda
OBJECTIVES: to evaluate the results obtained using unilateral external fixation as a definitive treatment for humeral shaft fractures and to identify possible predictors of radiographic and functional outcomes. DESIGN: Retrospective study. SETTING: Study involving one large metropolitan hospital. PATIENTS: A consecutive cohort of 107 patients who underwent external fixation for 109 humeral shaft fractures. MAIN OUTCOME MEASURES: Union rate, time to fracture healing, and functional assessment with Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire, Constant score, Mayo Elbow Performance Index (MEPI), and return to pre-fracture sports activity at a minimum of 2 years following surgery...
February 26, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30844960/uncemented-reverse-total-shoulder-arthroplasty-as-initial-treatment-for-comminuted-proximal-humerus-fractures
#10
Jon O Wright, Anthony Ho, Jeremy Kalma, Denise Koueiter, Jason Esterle, David Marcantonio, J Michael Wiater, Brett Wiater
OBJECTIVES: To determine if uncemented implants would provide similar outcomes while avoiding the complications associated with cement in the treatment of elderly patients with proximal humerus fractures (PHFs) with primary reverse total shoulder arthroplasty (RTSA). DESIGN: Case series SETTING:: A single Level I trauma centerPatients/Participants: A prospectively-obtained cohort of 30 patients who underwent uncemented RTSA as initial treatment for a comminuted PHF: 4 male, 26 female; average age 71 ± 11 years...
February 26, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30844959/letter-to-the-editor
#11
Rafael Neiman
No abstract text is available yet for this article.
February 26, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30844958/in-response
#12
Roy Sanders
No abstract text is available yet for this article.
February 26, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30844957/in-response
#13
Sancar Serbest
No abstract text is available yet for this article.
February 26, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30844956/sternoclavicular-joint-dislocation-a-systematic-review-and-meta-analysis
#14
Haley Isaac, John Riehl
OBJECTIVES: This meta-analysis was performed to answer the following questions: (1) What is the expected outcome of SC dislocations left untreated? (2) What are the indications for closed reduction of SC dislocations? (3) What are the indications for open reduction of SC dislocations? (4) Does the evidence support the need for a cardiothoracic surgeon to be available for the open reduction of a SC dislocation? DATA SOURCES: Articles were obtained from the database EBSCOhost and supplemented by hand searching of bibliographies of included references...
February 26, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30844955/a-percutaneous-threaded-wire-as-a-clamp-technique-for-avoiding-wedge-deformity-while-nailing-intertrochanteric-femur-fractures
#15
Jeremiah Jacob Maupin, Raymond Garrett Steinmetz, Lindsay Ellis Hickerson
No abstract text is available yet for this article.
February 26, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30844954/is-the-cranial-and-posterior-screw-of-the-inverted-triangle-configuration-for-femoral-neck-fractures-safe
#16
Jacob C Hoffmann, James Kellam, Manickam Kumaravel, Kurt Clark, Milton L Chip Routt, Joshua L Gary
OBJECTIVES: To determine the frequency where a posterior and cranial screw in a femoral neck that appeared contained on fluoroscopy violates the cortex. METHODS: Ten specimens including the hemipelves with the proximal femur were obtained from unidentified embalmed specimens that were to be cremated after an institutional review board waiver was granted. Under fluoroscopy, the posterior and cranial screw of the inverted triangle configuration for the femoral neck was placed using standard technique with a cannulated 6...
February 26, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30844953/nonoperative-geriatric-hip-fracture-treatment-is-associated-with-increased-mortality-a-matched-cohort-study
#17
Jesse D Chlebeck, Christopher E Birch, Michael Blankstein, Thomas Kristiansen, Craig S Bartlett, Patrick C Schottel
OBJECTIVE: To report the mortality data and life expectancy of geriatric hip fracture patients who underwent nonoperative management and compare that to a matched operative cohort. DESIGN: Retrospective cohort study SETTING:: Level 1 trauma center PATIENTS:: Geriatric (65 years of age and older) femoral neck or intertrochanteric fracture (AO/OTA 31A and 31B) patients. INTERVENTION: Operative treatment with either arthroplasty, cannulated screws, sliding hip screw device or cephalomedullary nail compared to nonoperative cohort...
February 26, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30801388/loss-of-independence-after-operative-management-of-femoral-neck-fractures
#18
Emil H Schemitsch, Sheila Sprague, Martin J Heetveld, Sofia Bzovsky, Diane Heels-Ansdell, Qi Zhou, Marc Swiontkowski, Mohit Bhandari
OBJECTIVES: The FAITH trial evaluated effects of sliding hip screw versus cancellous screws in femoral neck fracture patients. Using FAITH trial data, we quantified changes in living status, use of aids, and investigated factors associated with living and walking independently 12-months post-fracture. METHODS: We conducted a descriptive analysis to quantify patients' changes in living status, use of aids, and used multivariable Cox regression analyses to determine factors associated with living and walking independently post-fracture...
February 18, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30865000/systemic-change-for-value-based-care-in-orthopedic-trauma
#19
Samuel Rosas, Chuwuweike Gwam, Cynthia L Emory, Holy T Pilson, Jason J HalvorsSon, Eben A Carroll
No abstract text is available yet for this article.
February 6, 2019: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/30730363/treatment-of-peritrochanteric-femur-fractures-with-proximal-femur-locked-plating
#20
Suman Medda, Rashad J Sullivan, Alejandro Marquez-Lara, Edgar T Araiza, Holly T Pilson, Jason J Halvorson, Eben A Carroll
OBJECTIVES: To report on our results using a proximal femoral locking plate for the treatment of peritrochanteric femur fractures DESIGN:: Retrospective SETTING:: Level I Academic Medical Center PATIENTS:: Sixty-eight patients with sixty- eight fractures INTERVENTION:: Demographics, fracture morphology, preoperative imaging, rationale against nailing, and outcomes were collected. MAIN OUTCOME MEASUREMENTS: Outcomes were grouped into no complication, minor complication, or major complication...
January 30, 2019: Journal of Orthopaedic Trauma
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