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11 papers 100 to 500 followers
Douglas N Beaman, Richard Gellman
BACKGROUND: Posttraumatic arthritis and prolonged recovery are typical after a severely comminuted tibial pilon fracture, and ankle arthrodesis is a common salvage procedure. However, few reports discuss the option of immediate arthrodesis, which may be a potentially viable approach to accelerate overall recovery in patients with severe fracture patterns. QUESTIONS/PURPOSES: (1) How long does it take the fracture to heal and the arthrodesis to fuse when primary ankle arthrodesis is a component of initial fracture management? (2) How do these patients fare clinically in terms of modified American Orthopaedic Foot and Ankle Society (AOFAS) scores and activity levels after this treatment? (3) Does primary ankle arthrodesis heal in an acceptable position when anterior ankle arthrodesis plates are used? METHODS: During a 2-year period, we performed open fracture reduction and internal fixation in 63 patients...
December 2014: Clinical Orthopaedics and related Research
Timo Schmid, Fabian Krause, Philippe Gebel, Martin Weber
BACKGROUND: Treatment of displaced tarsal navicular body fractures usually consists of open reduction and internal fixation. However, there is little literature reporting results of this treatment and correlation to fracture severity. METHODS: We report the results of 24 patients treated in our institution over a 12-year period. Primary outcome measurements were Visual-Analogue-Scale Foot and Ankle score (VAS-FA), AOFAS midfoot score, and talonavicular osteoarthritis at final follow-up...
May 2016: Foot & Ankle International
Douglas H Richie, Faye E Izadi
The ankle sprain is the most common injury in sport and has a high incidence of long-term disability. This disability may be partly due to early return to sport before ligament healing has been completed. The podiatric physician can follow sound guidelines for making a return-to-play decision for athletes suffering from an ankle sprain. The decision-making process requires the podiatric physician to monitor the rehabilitation process and then administer patient self-reported questionnaires as well as functional performance tests to assess the status of ankle function after injury...
April 2015: Clinics in Podiatric Medicine and Surgery
David A Talan, Fredrick M Abrahamian, Gregory J Moran, William R Mower, Kumar Alagappan, Brian R Tiffany, Charles V Pollack, Mark T Steele, Lala M Dunbar, Mary D Bajani, Robbin S Weyant, Steven M Ostroff
STUDY OBJECTIVE: We determine tetanus seroprotection rates and physician compliance with tetanus prophylaxis recommendations among patients presenting with wounds. METHODS: A prospective observational study of patients aged 18 years or older who presented to 5 university-affiliated emergency departments (EDs) because of wounds was conducted between March 1999 and August 2000. Serum antitoxin levels were measured by enzyme immunoassay with seroprotection defined as more than 0...
March 2004: Annals of Emergency Medicine
Naohiro Shibuya, Matthew L Davis, Daniel C Jupiter
Understanding the epidemiology of foot and ankle trauma could be useful in health services research and for policy makers. It can also define practice patterns. Using the National Trauma Data Bank data set from 2007 to 2011, we analyzed the frequency and proportion of each fracture in the foot and ankle in major trauma hospitals in the United States. A total of 280,933 foot and/or ankle fractures or dislocations were identified. Although oversampling of more severe trauma in younger patients might have occurred owing to the nature of the data set, we found that the most common fractures in the foot and ankle were ankle fractures...
September 2014: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Marschall Berkes, William T Obremskey, Brian Scannell, J Kent Ellington, Robert A Hymes, Michael Bosse
BACKGROUND: The development of a deep wound infection in the presence of hardware after open reduction and internal fixation presents a clinical dilemma, and there is scant literature to aid in decision-making. The purpose of the present study was to determine the prevalence of osseous union with maintenance of hardware after the development of postoperative infection within six weeks after internal fixation of a fracture. METHODS: The present study included 121 patients from three level-I trauma centers, retrospectively identified from billing and trauma registries, in whom 123 postoperative wound infections with positive intraoperative cultures had developed within six weeks after internal fixation of acute fractures...
April 2010: Journal of Bone and Joint Surgery. American Volume
D L Helfet, T Howey, R Sanders, K Johansen
Objective criteria can predict amputation after lower-extremity trauma. The authors examined the hypothesis that objective data, available early in the evaluation of patients with severe skeletal/soft-tissue injuries of the lower extremity with vascular compromise, might discriminate the salvageable from the unsalvageable limbs. The Mangled Extremity Severity Score (MESS) was developed by reviewing 25 trauma victims with 26 severe lower-extremity open fractures with vascular compromise. The four significant criteria (with increasing points for worsening prognosis) were skeletal/soft-tissue injury, limb ischemia, shock, and patient age...
July 1990: Clinical Orthopaedics and related Research
Kevin Willits, Annunziato Amendola, Dianne Bryant, Nicholas G Mohtadi, J Robert Giffin, Peter Fowler, Crystal O Kean, Alexandra Kirkley
BACKGROUND: To date, studies directly comparing the rerupture rate in patients with an Achilles tendon rupture who are treated with surgical repair with the rate in patients treated nonoperatively have been inconclusive but the pooled relative risk of rerupture favored surgical repair. In all but one study, the limb was immobilized for six to eight weeks. Published studies of animals and humans have shown a benefit of early functional stimulus to healing tendons. The purpose of the present study was to compare the outcomes of patients with an acute Achilles tendon rupture treated with operative repair and accelerated functional rehabilitation with the outcomes of similar patients treated with accelerated functional rehabilitation alone...
December 1, 2010: Journal of Bone and Joint Surgery. American Volume
Kyoung Min Lee, Chin Youb Chung, Ki Hyuk Sung, SeungYeol Lee, Tae Gyun Kim, Young Choi, Ki Jin Jung, Yeon Ho Kim, Seung Bum Koo, Moon Seok Park
BACKGROUND: Injury mechanism and the amount of force are important factors determining whether a fracture or sprain occurs at the time of an ankle inversion injury. However, the anatomical differences between the ankle fracture and sprain have not been investigated sufficiently. This study was performed to investigate whether an anatomical predisposition of the ankle joint results in a lateral malleolar fracture or lateral ankle sprain. METHODS: Two groups of consecutive patients, one with lateral malleolar fracture (274 patients, mean age 49...
January 2015: Foot & Ankle International
Koji Sato, Akira Maeda, Yoshio Takano, Hiroo Matsuse, Hirofumi Ida, Naoto Shiba
The anterior cruciate ligament (ACL) plays an important role in controlling knee joint stability, not only by limiting tibial anterior translation but also by controlling knee axial rotation. The aim of ACL reconstruction is to reduce excessive anterior joint laxity, hoping to restore normal tibiofemoral kinematics including knee axial rotation. The purpose of this study was to investigate the relationship between static anterior instability and tibial rotation during several activities in an anterior cruciate ligament reconstructed knee...
2013: Kurume Medical Journal
Zoltan Bak, Folke Sjöberg, Olle Eriksson, Ingrid Steinvall, Birgitta Janerot-Sjoberg
BACKGROUND: The Parkland formula (2-4 mL/kg/burned area of total body surface area %) with urine output and mean arterial pressure (MAP) as endpoints for the fluid resuscitation in burns is recommended all over the world. There has recently been a discussion on whether central circulatory endpoints should be used instead, and also whether volumes of fluid should be larger. Despite this, there are few central hemodynamic data available in the literature about the results when the formula is used correctly...
February 2009: Journal of Trauma
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