Gunshot femoral fractures with vascular injury: a retrospective analysis.

Abstract:

OBJECTIVE:To retrospectively investigate the experience at one urban level one trauma center with gunshot femoral fractures with vascular injury and to examine the implication of surgical sequence with regards to short-term complications and ischaemia time. METHODS:We performed a retrospective study of 24 patients treated at an urban level one trauma center over a 10-year period with low velocity gunshot wounds resulting in femur fractures and major vascular injury. Data were stratified according to sequence of surgical intervention. RESULTS:The mean age was 31.3 years. Mean time to revascularization was highest in patients undergoing definitive orthopaedic fixation first (660 min) and lowest in patient undergoing shunting first (210 min). Most complications in patients undergoing vascular repair first, included two disrupted repairs requiring immediate revision after subsequent orthopaedic fixation. Other complications included compartment syndrome and one amputation. CONCLUSION:Surgical sequence did not appear to impact the outcome with regard to limb loss, compartment syndrome, or mortality. Orthopaedic repair following vascular repair, however, is a risk for disruption of the vascular repair. We suggest that close and early direct communication between the orthopaedic and vascular surgeons take place in order to facilitate a satisfactory outcome.

journal_name

Orthop Surg

journal_title

Orthopaedic surgery

authors

Rehman S,Salari N,Codjoe P,Rehman M,Gaughan J

doi

10.1111/j.1757-7861.2012.00186.x

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

166-71

issue

3

eissn

1757-7853

issn

1757-7861

journal_volume

4

pub_type

杂志文章
  • Minimally Invasive Transforaminal Lumbar Interbody Fusion and Unilateral Fixation for Degenerative Lumbar Disease.

    abstract:OBJECTIVE:To evaluate the clinical effect of the minimally invasive transforaminal lumbar interbody fusion combined with posterolateral fusion and unilateral fixation using a tubular retractor in the management of degenerative lumbar disease. METHODS:A retrospective analysis was conducted to analyze the clinical outco...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12345

    authors: Wang HW,Hu YC,Wu ZY,Wu HR,Wu CF,Zhang LS,Xu WK,Fan HL,Cai JS,Ma JQ

    更新日期:2017-08-01 00:00:00

  • Relationship between the location of ligamentum flavum hypertrophy and its stress in finite element analysis.

    abstract:OBJECTIVE:To quantitatively describe the stress of the ligamentum flavum (LF) using the finite element method and to compare the stress at different parts of the healthy LF. METHODS:Based on the high resolution computed tomography imaging data of a healthy 22-year-old man, three-dimensional nonlinear L4-5 lumbar finit...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12675

    authors: Peng YX,Zheng ZY,Wang Md WG,Liu L,Chen Md F,Xu Md HT,Zhang ZM

    更新日期:2020-06-01 00:00:00

  • Functions of Exogenous RUNX2 in Giant Cell Tumor of Bone In Vitro.

    abstract:OBJECTIVES:This research aimed to investigate the relative level of Runt-related transcription factor 2 (RUNX2) in giant cell tumor of bone (GCTB). Through the histopathological similarities between osteoporosis and GCTB, the biological functions of exogenous RUNXS were demonstrated in GCTB cell lines. This generated a...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12568

    authors: Jin YH,Zhang J,Zhu H,Fan GT,Zhou GX

    更新日期:2020-04-01 00:00:00

  • F-Shaped Osteotomy Combined with Basal Opening Wedge Osteotomy for Severe Hallux Valgus.

    abstract:OBJECTIVE:To evaluate the safety and effectiveness of osteotomy adjacent to the articular surface of the metatarsal head combined with basal opening wedge osteotomy for severe hallux valgus. METHODS:The double osteotomy procedure was carried out in 56 patients (72 feet) with severe hallux valgus deformity, with an ave...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12505

    authors: Li C,Lu L,Zhang Y,Ai-Xin-Jue-Luo QC,Wang ZT,Wang JF

    更新日期:2019-08-01 00:00:00

  • Precontoured Locking Compression Plate with Titanium Alloy Cable System: In Treatment of Neer Type IIb Distal Clavicle Fracture.

    abstract:OBJECTIVE:To describe a new method which involves anatomical distal clavicle plate fixation and titanium alloy cable system-augmented coracoclavicular ligament reconstruction to manage Neer type IIb distal clavicle fracture. METHODS:Between January 2013 and June 2018, 28 patients with acute Neer type IIb lateral clavi...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12893

    authors: Xie Z,Song M,Zhou J,Yin G,Lin H

    更新日期:2021-01-22 00:00:00

  • Surgical Experience and Complications in 50 Patients Treated with an Anular Closure Device Following Lumbar Discectomy.

    abstract:OBJECTIVE:To examine the results of an anular closure device for prevention of lumbar disc reherniation in daily routine practice. METHODS:Fifty patients with large anular defects were treated with limited discectomy and a bone-anchored anular closure device. The device physically occludes the defect in the anulus fib...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12495

    authors: Ardeshiri A,Miller LE,Synowitz M,Jadik S

    更新日期:2019-06-01 00:00:00

  • Observational Study of Total Knee Arthroplasty in Aseptic Revision Surgery: Clinical Results.

    abstract:OBJECTIVE:To review the long-term clinical results after revision surgery and the relationship between the different clinical variables involved with a failed total knee arthroplasty (TKA) and its evolution to provide a better understanding of the current treatment methods. METHODS:The present study involved 89 subjec...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12593

    authors: Oliver G,Jaldin L,Camprubí E,Cortés G

    更新日期:2020-02-01 00:00:00

  • Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear.

    abstract:BACKGROUND:Femoral avulsion fracture of the posterior cruciate ligament (PCL) in association with meniscus tear is extremely rare in children, and similar cases are not available in the existing literature. CASE PRESENTATION:In this paper, we present a case of a 9-year-old boy treated by an arthroscopic repair techniq...

    journal_title:Orthopaedic surgery

    pub_type:

    doi:10.1111/os.12636

    authors: Zhao X,Kuang SD,Su C,Xiao WF,Lei GH,Gao SG

    更新日期:2020-04-01 00:00:00

  • Comparison between drainage and non-drainage after total hip arthroplasty in Chinese subjects.

    abstract:OBJECTIVE:To assess the difference between drainage and non-drainage after total hip arthroplasty (THA) in Chinese subjects by evaluating post-operative complications and joint function. METHODS:One hundred and sixty-eight patients undergoing THA were randomly allocated into drainage (83 patients) and non-drainage gro...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/os.12092

    authors: Zeng WN,Zhou K,Zhou ZK,Shen B,Yang J,Kang PD,Pei FX

    更新日期:2014-02-01 00:00:00

  • Management of Acute Hematogenous Infection Following Total Knee Arthroplasty: A Case Series of 11 Patients.

    abstract:OBJECTIVE:Acute hematogenous infection is a devastating complication that can occur after total knee arthroplasty (TKA). The best strategies for management of this infection remain controversial. Two-stage revision has been well described as the gold standard for the management of chronic late infections. However, ther...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12297

    authors: He R,Yang L,Guo L,Chen H,Zhang Y,Jiang DM

    更新日期:2016-11-01 00:00:00

  • Pure closed posteromedial dislocation of the tibiotalar joint without fracture.

    abstract::Pure tibiotalar dislocation without an associated fracture is an extremely rare injury. We present three cases of closed posteromedial tibiotalar dislocation without any associated fractures to the foot, ankle, or leg. All patients were treated conservatively with immediate closed reduction under general or local anae...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12049

    authors: Wang YT,Wu XT,Chen H

    更新日期:2013-08-01 00:00:00

  • Comparative Study of Percutaneous Sacroiliac Screw with or without TiRobot Assistance for Treating Pelvic Posterior Ring Fractures.

    abstract:OBJECTIVES:To analyze the curative effect of TiRobot surgical robotic navigation and location system-assisted percutaneous sacroiliac screw fixation and percutaneous sacroiliac screw by traditional fluoroscopy, and to summarize the safety and benefits of TiRobot. METHODS:A total of 91 patients with pelvic posterior ri...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12461

    authors: Long T,Li KN,Gao JH,Liu TH,Mu JS,Wang XJ,Peng C,He ZY

    更新日期:2019-06-01 00:00:00

  • Guideline for Posterior Atlantoaxial Internal Fixation Assisted by Orthopaedic Surgical Robot.

    abstract::Atlantoaxial transarticular facet screw fixation (Magerl technique) and C1 lateral mass screws combined with C2 pedicle screws fixation (Harms technique) are the most commonly used techniques for posterior internal fixation in the upper cervical spine. Upper cervical spinal surgery is a technically demanding and chall...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章,实务指引

    doi:10.1111/os.12454

    authors: Tian W,Liu YJ,Liu B,He D,Wu JY,Han XG,Zhao JW,Fan MX,Technical Committee on Medical Robot Engineering of Chinese Society of Biomedical Engineering.,Technical Consulting Committee of National Robotic Orthopaedic Surgery Application Cent

    更新日期:2019-04-01 00:00:00

  • An Eight-Year Follow-Up Study on the Treatment of Single-Level Cervical Spondylosis Through Intervertebral Disc Replacement and Anterior Cervical Decompression and Fusion.

    abstract:OBJECTIVE:To compare the efficacy and safety of the postoperative long-term effect of the treatment of single-level cervical spondylosis through anterior cervical discectomy and fusion (ACDF) and artificial cervical disc replacement (ACDR). METHODS:This is a retrospective contrastive study, which was conducted for the...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12634

    authors: Guo H,Sheng J,Sheng WB,Liang WD,Wang J,Xun CH

    更新日期:2020-06-01 00:00:00

  • Reconstruction of Humeral Shaft Defect with an Intercalary Endoprosthesis Following Resection of Tumor.

    abstract::Diaphyseal defects in long bones of extremities following segmental resection are very common in the clinic, and reconstruction remains a great challenge. Although there are many treatments for diaphyseal defects at present, reconstruction with an intercalary endoprosthesis may be an optimal method. We demonstrate a s...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12391

    authors: Zhang JF,Wang F,Hu YC

    更新日期:2018-08-01 00:00:00

  • LncRNA-H19 Modulates Wnt/β-catenin Signaling by Targeting Dkk4 in Hindlimb Unloaded Rat.

    abstract:OBJECTIVE:To investigate the biological functions of long noncoding RNA-H19 (H19) in the pathogenesis of disuse osteoporosis (DOP). METHODS:Fifty-four male Sprague Dawley (SD) rats were randomly divided into three groups: baseline control (BC, 6), age-matched control (AC, 24), and hindlimb unloading (HLU, 24). The rat...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12321

    authors: Li B,Liu J,Zhao J,Ma JX,Jia HB,Zhang Y,Xing GS,Ma XL

    更新日期:2017-08-01 00:00:00

  • Comparison of complications and results of early versus delayed surgery for Gartland type III supracondylar humeral fractures in pediatric patients.

    abstract:OBJECTIVE:To investigate the effect of timing of surgery on clinical results and perioperative complications in pediatric patients with Gartland III type supracondylar humeral fractures without neurovascular compromise. METHODS:Eighty-six consecutive children treated surgically at our hospital from April 2005 to June ...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/j.1757-7861.2011.00153.x

    authors: Han QL,Wang YH,Liu F

    更新日期:2011-11-01 00:00:00

  • Comparison of Superior-Level Facet Joint Violations Between Robot-Assisted Percutaneous Pedicle Screw Placement and Conventional Open Fluoroscopic-Guided Pedicle Screw Placement.

    abstract:OBJECTIVE:To compare the superior-level facet joint violations (FJV) between robot-assisted (RA) percutaneous pedicle screw placement and conventional open fluoroscopic-guided (FG) pedicle screw placement in a prospective cohort study. METHODS:This was a prospective cohort study without randomization. One-hundred pati...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12534

    authors: Zhang Q,Xu YF,Tian W,Le XF,Liu B,Liu YJ,He D,Sun YQ,Yuan Q,Lang Z,Han XG

    更新日期:2019-10-01 00:00:00

  • Evaluation of a Bi-Planar Robot Navigation System for Insertion of Cannulated Screws in Femoral Neck Fractures.

    abstract:OBJECTIVE:To evaluate the bi-planar robot navigation system for insertion of cannulated screws in femoral neck fractures. METHOD:Between January 2016 and December 2016, 60 patients with femoral neck fractures were separately treated using percutaneous cannulated screws assisted by the bi-planar robot navigation system...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12450

    authors: He M,Han W,Zhao CP,Su YG,Zhou L,Wu XB,Wang JQ

    更新日期:2019-06-01 00:00:00

  • Biomechanical Study on the Stress Distribution of the Knee Joint After Tibial Fracture Malunion with Residual Varus-Valgus Deformity.

    abstract:OBJECTIVE:To investigate the effect of residual varus and valgus deformity on the stress distribution of the knee joint after tibial fracture malunion. METHODS:Fourteen adult cadaver specimens were selected to establish the models of tibial fractures, which were fixed subsequently at neutral position (anatomical reduc...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12668

    authors: Li M,Chang H,Wei N,Chang W,Yan Y,Jin Z,Chen W

    更新日期:2020-06-01 00:00:00

  • Pedicle length and degree of slip in lumbosacral isthmic spondylolisthesis.

    abstract:OBJECTIVE:The present retrospective study was performed to assess the anatomical features of the pedicle in isthmic spondylolisthesis and to correlate this with degree of slip. METHODS:Twenty-six patients with isthmic spondylolytic spondylolisthesis were studied. Relevant patient variables, length, width, height of th...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12173

    authors: Matthews PG,Phan K,Rao PJ,Ball JR

    更新日期:2015-05-01 00:00:00

  • A New Intraoperative Syndesmosis Instability Classification System: Utility and Medium-term Results in Closed Displaced Ankle Fractures.

    abstract:OBJECTIVE:To investigate the utility and medium-term results of a new intra-operative classification system for distal tibiofibular syndesmosis injury in ankle fractures. METHODS:Between January 2010 and January 2015, 116 patients diagnosed with displaced closed Weber B and C ankle fractures were treated in our depart...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12355

    authors: Qiu HB,Jiang J,Porter D

    更新日期:2017-11-01 00:00:00

  • Prospective Review of Mesenchymal Stem Cells Differentiation into Osteoblasts.

    abstract::Stem cell research has been a popular topic in the past few decades. This review aims to discuss factors that help regulate, induce, and enhance mesenchymal stem cell (MSC) differentiation into osteoblasts for bone regeneration. The factors analyzed include bone morphogenic protein (BMP), transforming growth factor β ...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章,评审

    doi:10.1111/os.12304

    authors: Garg P,Mazur MM,Buck AC,Wandtke ME,Liu J,Ebraheim NA

    更新日期:2017-02-01 00:00:00

  • Comparison of Arthrodesis and Non-fusion to Treat Lisfranc Injuries.

    abstract:OBJECTIVE:"Lisfranc joint injury" is comprised of a tarsometatarsal joint-complex injury. The Lisfranc complex injury is always a challenge for orthopedists, and the optimum treatment is still up for debate. Anatomic reduction and stable internal fixation prove to have no satisfactory outcomes. This research aims to co...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12316

    authors: Qiao YS,Li JK,Shen H,Bao HY,Jiang M,Liu Y,Kapadia W,Zhang HT,Yang HL

    更新日期:2017-02-01 00:00:00

  • Multiple Fractures of Cervical Vertebrae Combined with Arcuate Foramen and Vertebral Artery Occlusion: A Case Report and Literature Review.

    abstract:BACKGROUND:The arcuate foramen is a complete or partial bony bridge over the vertebral artery groove of atlas. The mechanism of the arcuate foramen is not clearly understood. Omission of the arcuate foramen sometimes causes lethal iatrogenic injury during spinal surgery. CASE PRESENTATION:We describe a patient who was...

    journal_title:Orthopaedic surgery

    pub_type:

    doi:10.1111/os.12868

    authors: Wang WH,Liu ZY,Guo HC,Wang H

    更新日期:2020-12-03 00:00:00

  • Effects of Unilateral Tourniquet Used in Patients Undergoing Simultaneous Bilateral Total Knee Arthroplasty.

    abstract:OBJECTIVE:To assess the benefits of use of a tourniquet in one limb in patients undergoing simultaneous bilateral total knee arthroplasty (TKA). METHODS:A prospective randomized trial was designed to evaluate the outcomes of unilateral tourniquet use during simultaneous bilateral TKA. A total of 52 (36 women and 16 me...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/os.12329

    authors: Liu PL,Li DQ,Zhang YK,Lu QS,Ma L,Bao XZ,Zhang M

    更新日期:2017-05-01 00:00:00

  • Intra-articular Adjuvant Analgesics following Knee Arthroscopy: Comparison between Single and Double Dose Dexmedetomidine and Ropivacaine A Multicenter Prospective Double-blind Trial.

    abstract:OBJECTIVE:Knee arthroscopy is a commonly performed orthopedic procedure. Post-operatively, adequate pain relief reduces the surgical stress response and patient's morbidity and facilitates rehabilitation. The analgesic effect of dexmedetomidine (2 μg/kg body weight) as an adjunct to ropivacaine in knee arthroscopic kne...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/os.12182

    authors: Panigrahi R,Roy R,Mahapatra AK,Prasad A,Priyadarshi A,Palo N

    更新日期:2015-08-01 00:00:00

  • Transforaminal Endoscopic Discectomy and Foraminoplasty for Treating Central Lumbar Stenosis.

    abstract:OBJECTIVE:Lumbar spinal stenosis is a medical condition characterized by the narrowing of the spinal canal as a consequence of bone and soft tissue degeneration, including disc herniation, facet and ligamentum flavum hypertrophy, and osteophyte formation. The percutaneous transforaminal endoscopic discectomy (PTED) tec...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12559

    authors: Bao BX,Zhou JW,Yu PF,Chi C,Qiang H,Yan H

    更新日期:2019-12-01 00:00:00

  • Effect of Patellar Denervation on Anterior Knee Pain and Knee Function in Total Knee Arthroplasty without Patellar Resurfacing: A Meta-Analysis of Randomized Controlled Trials.

    abstract:OBJECTIVE:The aim of the present study was to evaluate the effect of patellar denervation (PD) in preventing anterior knee pain (AKP) and improving knee function after total knee arthroplasty (TKA) without patellar resurfacing, and to help surgeons decide whether or not to use PD in TKA. METHODS:The electronic databas...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12815

    authors: Wang Y,Feng W,Zang J,Gao H

    更新日期:2020-12-01 00:00:00

  • Anatomy, definition, and treatment of the "terrible triad of the elbow" and contemplation of the rationality of this designation.

    abstract::In the realm of orthopaedics, the terrible triad of the elbow is infamous, not simply because the prognosis is poor for most patients, but also, maybe to a greater extent, because the unique name of this malady attracts considerable attention and interest in both doctors and patients. The adjective terrible is bestowe...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章,评审

    doi:10.1111/os.12149

    authors: Xiao K,Zhang J,Li T,Dong YL,Weng XS

    更新日期:2015-02-01 00:00:00