Management of severe open ankle-foot trauma by a simple external fixation technique: an alternative during war and in resource-poor and low-technology environments.


:Severe open foot and ankle injuries are still a challenge for the orthopaedic surgeon. Their treatment is even more difficult in third world countries and in war settings where high-energy trauma with severe soft tissue damage is more frequent. Lack of equipment, poor resources and hygiene, and different cultural systems make most of the standard proposed treatments difficult to apply. The authors describe an inexpensive, rapid, minimally invasive, and easy-to-apply external fixation technique for the treatment of severe open ankle-foot fractures. With the main goal of soft tissue management rather than definitive treatment of any bony injuries, this technique was developed over time during many consecutive missions in Sierra Leone and Afghanistan as an alternative to more appropriate treatments with surprisingly satisfactory short- and long-term results.


J Orthop Trauma


Pedrini G,Cardi M,Landini A,Strada G




Has Abstract


2011-03-01 00:00:00














  • Complications of locking plate fixation in complex proximal tibia injuries.

    abstract:OBJECTIVES:To report the complications and pitfalls in the treatment of complex injuries of the proximal tibia when locking plates are used. DESIGN, SETTING, AND PATIENTS:This was a retrospective case series conducted at a university Level I trauma center. Thirty-seven patients with complex proximal tibia fractures (4...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Phisitkul P,McKinley TO,Nepola JV,Marsh JL

    更新日期:2007-02-01 00:00:00

  • The anterior intra-pelvic (modified rives-stoppa) approach for fixation of acetabular fractures.

    abstract:OBJECTIVES:Report the technical aspects, radiographic results, and complications after minimum 1-year follow up of the anterior intra-pelvic (AIP or modified Rives-Stoppa) approach as an alternative to the ilioinguinal approach for the treatment of acetabular fractures. DESIGN:Retrospective review. SETTING:Level I tr...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Sagi HC,Afsari A,Dziadosz D

    更新日期:2010-05-01 00:00:00

  • Stabilization of displaced articular fragments in calcaneal fractures using bioabsorbable pin fixation: a technique guide.

    abstract::Successful operative intervention in displaced intra-articular calcaneal fractures depends in part on the maintenance of an anatomic reduction of the posterior facet. This guide describes our use of bioabsorbable implants to solve this problem. ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Min W,Munro M,Sanders R

    更新日期:2010-12-01 00:00:00

  • Treatment of diaphyseal fractures of the humerus using a functional brace.

    abstract:OBJECTIVE:To determine humeral diaphyseal fractures at risk for nonunion with functional brace treatment. DESIGN:Retrospective case series. SETTING:A single surgeon's practice. PATIENTS:Forty-nine of 52 consecutive patients treated nonoperatively for an isolated diaphyseal fracture of the humerus during a 6-year per...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Rutgers M,Ring D

    更新日期:2006-10-01 00:00:00

  • Single provider reduction and splinting of displaced ankle fractures: a modification of Quigley's classic technique.

    abstract::Ankle fractures are commonly treated by orthopaedic surgeons and often require manipulative reduction. This can be painful for the patient and frequently uses 2 or more providers. Intra-articular injection of local anesthetic into the ankle joint precludes the need for conscious sedation (intravenous narcotics and ben...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Alton TB,Harnden E,Hagen J,Firoozabadi R

    更新日期:2015-04-01 00:00:00

  • Intramedullary nail fracture compression techniques: when and how to do it?

    abstract::Fracture compression can be achieved in many ways intraoperatively using either screws in compression plates, compression devices, or using intramedullary nails. The use of locked intramedullary nails combines the advantages of indirect fracture fixation and compression with minimal soft tissue disruption. This articl...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审


    authors: Tejwani NC

    更新日期:2009-05-01 00:00:00

  • Unstable proximal extraarticular tibia fractures: a biomechanical evaluation of four methods of fixation.

    abstract:OBJECTIVE:To compare the biomechanical stability of extraarticular proximal tibia fractures reconstructed using a double-plate construct, locking plate system, hybrid external fixator, and single lateral periarticular plate, all from the same manufacturer. DESIGN:Standardized proximal tibial fractures (AO classificati...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Peindl RD,Zura RD,Vincent A,Coley ER,Bosse MJ,Sims SH

    更新日期:2004-09-01 00:00:00

  • Osteochondroma formation after a Salter II fracture.

    abstract::Osteochondromas are one of the most commonly observed benign bone tumors. Although there have been a number of experimental studies carried out to determine the origin of osteochondromas, their etiology remains a controversial issue. A well-documented case is presented in which a displaced Salter-Harris type II physea...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Mintzer CM,Klein JD,Kasser JR

    更新日期:1994-10-01 00:00:00

  • The Effect of Shelter-in-Place Orders and the COVID-19 Pandemic on Orthopaedic Trauma at a Community Level II Trauma Center.

    abstract:OBJECTIVES:Evaluate the effect of the COVID-19 pandemic and the "shelter-in-place" order on orthopaedic trauma presenting to a community level II trauma center. It is hypothesized the overall number of orthopaedic trauma encounters (OTE), the number of OTEs related to both high and low severity injuries, as well as the...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Stoker S,McDaniel D,Crean T,Maddox J,Jawanda G,Krentz N,Best J,Speicher M,Siwiec R

    更新日期:2020-06-08 00:00:00

  • A Machine Learning Algorithm to Predict the Probability of (Occult) Posterior Malleolar Fractures Associated With Tibial Shaft Fractures to Guide "Malleolus First" Fixation.

    abstract:OBJECTIVES:To develop an accurate machine learning (ML) predictive model incorporating patient, fracture, and trauma characteristics to identify individual patients at risk of an (occult) PMF. METHODS:Databases of 2 studies including patients with TSFs from 2 Level 1 trauma centers were combined for analysis. Using te...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Hendrickx LAM,Sobol GL,Langerhuizen DWG,Bulstra AEJ,Hreha J,Sprague S,Sirkin MS,Ring D,Kerkhoffs GMMJ,Jaarsma RL,Doornberg JN,Machine Learning Consortium.

    更新日期:2020-03-01 00:00:00

  • Fluoroscopic Views for a More Accurate Placement of Iliosacral Screws: An Experimental Study.

    abstract:OBJECTIVES:Misperception on the fluoroscopic image showing a well-placed iliosacral (IS) screw can occur, when the screw is in reality misplaced. The purpose of this study was to demonstrate and highlight examples of misperception and suggest alternative inlet and outlet views to confirm adequate IS screw placement. M...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Kim JW,Quispe JC,Hao J,Herbert B,Hake M,Mauffrey C

    更新日期:2016-01-01 00:00:00

  • A biomechanical evaluation of methods of distal humerus fracture fixation using locking compression plates versus conventional reconstruction plates.

    abstract:OBJECTIVES:To examine the biomechanical behavior of 2 techniques of double-plate osteosynthesis for fractures of the adult distal humerus using conventional reconstruction plates and locking compression plates. DESIGN:Basic science study. SETTING:Experimental in vitro study. PATIENTS/PARTICIPANTS:Forty fresh-frozen ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Korner J,Diederichs G,Arzdorf M,Lill H,Josten C,Schneider E,Linke B

    更新日期:2004-05-01 00:00:00

  • The PFNA proximal femur nail in treatment of unstable proximal femur fractures--3 cases of postoperative perforation of the helical blade into the hip joint.

    abstract::The proximal femur nail antirotation represents a new generation of intramedullary nailing devices for fixation of stable and unstable trochanteric fractures of the proximal femur. We report 3 cases of postoperative perforation of the helical blade through the femoral head into the hip joint without any signs of rotat...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Brunner A,Jöckel JA,Babst R

    更新日期:2008-11-01 00:00:00

  • Barefoot stubbing injuries to the great toe in children: a new classification by injury mechanism.

    abstract:OBJECTIVE:This study was conducted to categorize barefoot stubbing injuries to the great toe in children by injury mechanism to differentiate benign stubbing injuries from more complex injuries necessitating surgery. DESIGN:Prospective clinical series of consecutively treated patients. SETTING:Tertiary university hos...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Park DY,Han KJ,Han SH,Cho JH

    更新日期:2013-11-01 00:00:00

  • Knee pain correlates with union after tibial nailing.

    abstract:OBJECTIVES:The purpose of this study is to evaluate the change in quantitatively scored knee pain during union. DESIGN:This is a retrospective review of prospectively collected data over a 15-year period. SETTING:Academic medical center. PATIENTS:All patients treated with an intramedullary nail were evaluated for kn...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Ryan SP,Tornetta P 3rd,Dielwart C,Kaye-Krall E

    更新日期:2011-12-01 00:00:00

  • A mechanical comparison of the locking compression plate (LCP) and the low contact-dynamic compression plate (DCP) in an osteoporotic bone model.

    abstract:OBJECTIVE:To determine if locking compression plates (LCP) are mechanically advantageous compared to low-contact dynamic compression plates (DCP) when used as a bridging plate in a synthetic model of osteoporotic bone. METHODS:Five synthetic bars (Synbone Osteoporotic bone) were initially tested in compression and the...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Snow M,Thompson G,Turner PG

    更新日期:2008-02-01 00:00:00

  • Small-incision surgical exposure for select fractures of the acetabulum: the gluteus maximus-splitting approach.

    abstract::This technique article presents a small-incision, gluteal-splitting approach for the treatment of select fractures involving the posterior acetabulum. The approach essentially involves the proximal portion of the Kocher-Langenbeck incision, and it can be extended to a larger exposure if needed. It is ideally suited fo...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Carr JB,Leach PB

    更新日期:2006-09-01 00:00:00

  • The Incidence of Posterior Malleolar Involvement in Distal Spiral Tibia Fractures: Is it Higher than We Think?

    abstract:OBJECTIVES:To investigate the incidence of concomitant posterior malleolar fractures (PMFs) in operative, distal-third, spiral tibia fractures. DESIGN:Prospective protocol with retrospective review of data. SETTING:Single, Level 1 trauma center. PATIENTS/PARTICIPANTS:One hundred ninety-three consecutive, skeletally ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Sobol GL,Shaath MK,Reilly MC,Adams MR,Sirkin MS

    更新日期:2018-11-01 00:00:00

  • Repair of supracondylar femur fracture and unilateral knee replacement at the same surgery.

    abstract::In patients who are candidates for a total knee arthroplasty and suffer a periarticular fracture of the femur, the arthroplasty may be performed after bony union of the fracture or immediately, in conjunction with the fracture repair. Herein we present the case of a sixty-year-old female with rheumatoid arthritis and ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Patterson RH,Earll M

    更新日期:1999-06-01 00:00:00

  • Open Reduction and Internal Fixation Versus Nonsurgical Treatment in Displaced Midshaft Clavicle Fractures: A Meta-Analysis.

    abstract:OBJECTIVES:To compare open reduction and internal fixation (ORIF) and nonsurgical treatment outcomes in displaced midshaft clavicle fractures. DATA SOURCES:PubMed, MEDLINE, EMBASE, Web of Science, Cochrane Library, and were searched in September 2017. STUDY SELECTION:Inclusion criteria were randomi...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,meta分析


    authors: Ahmed AF,Salameh M,AlKhatib N,Elmhiregh A,Ahmed GO

    更新日期:2018-07-01 00:00:00

  • Lengthening of the femur over an existing intramedullary nail.

    abstract::Leg length discrepancies can occur despite successful union of femur fractures after intramedullary nailing (IMN). Often, the leg length discrepancy can result in significant disability to the patient, altered gait biomechanics, pelvic obliquity, and pain. Therefore, a successful clinical result for such deformities a...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Kim HJ,Fragomen AT,Reinhardt K,Hutson JJ Jr,Rozbruch SR

    更新日期:2011-11-01 00:00:00

  • Transulnar percutaneous pinning of displaced distal radial fractures: a preliminary report.

    abstract::Difficulty in maintaining the reduction of displaced radial fractures has prompted the use of numerous techniques to address this problem. The purpose of this study was to determine if four or five 0.045-in Kirschner pins when placed percutaneously through the ulna into the radius could maintain the reduction of this ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Rayhack JM,Langworthy JN,Belsole RJ

    更新日期:1989-01-01 00:00:00

  • Change over time of SF-36 functional outcomes for operatively treated unstable ankle fractures.

    abstract:OBJECTIVE:Ankle fractures are one of the most common operatively treated lower extremity fractures. Several studies indicate that patients often have residual effects after this injury. The purpose of this study is to use the SF-36 questionnaire at two times to assess patients' functional recovery and residual effects ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Obremskey WT,Dirschl DR,Crowther JD,Craig WL 3rd,Driver RE,LeCroy CM

    更新日期:2002-01-01 00:00:00

  • CT scan assessment of the syndesmosis: a new reproducible method.

    abstract:OBJECTIVES:Anatomic reduction of the fibula with regard to the tibia is the goal when treating syndesmotic injuries. No objective method exists to describe the distal tibiofibular relationship. The primary and secondary objectives of this study was to describe and validate radiologic measurements of the syndesmosis and...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Nault ML,Hébert-Davies J,Laflamme GY,Leduc S

    更新日期:2013-11-01 00:00:00

  • Preinjury Narcotic Use Does Not Affect Treatment for Compartment Syndrome.

    abstract:OBJECTIVES:To determine the association of preinjury opioid use on incidence of fasciotomy after lower extremity trauma. DESIGN:Retrospective case-control study. SETTING:Level 1 trauma center. PATIENTS/PARTICIPANTS:We identified 245 consecutive patients treated with fasciotomy for compartment syndrome of the lower e...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Chen SR,Abblitt WP,Knoll OM,Cooper SA,Backstrom ZK,Jahangir AA,Sethi MK

    更新日期:2020-03-01 00:00:00

  • Comparison of Early Fatigue Failure of the TFNa and Gamma 3 Cephalomedullary Nails in the United States From 2015 to 2019.

    abstract:OBJECTIVES:To compare reports of implant fatigue failure submitted to the FDA of 2 commonly used cephalomedullary nails. METHODS:In total, 2724 medical device reports from the FDA's MAUDE database from Jan 2015 to Oct 2019 were reviewed for the Trochanteric Femoral Nail-Advanced (TFNa) and Gamma 3 implants. RESULTS:D...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Klima ML

    更新日期:2021-02-01 00:00:00

  • Technical problems and complications in the removal of the less invasive stabilization system.

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    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Suzuki T,Smith WR,Stahel PF,Morgan SJ,Baron AJ,Hak DJ

    更新日期:2010-06-01 00:00:00

  • Dual-energy X-ray absorptiometry as a measure of healing in fractures treated by intramedullary nailing.

    abstract::The conventional qualitative techniques of manual manipulation and plain radiography do not give a quantifiable measurement of healing. With internal fixation, manual manipulation is not usually possible, and conventional radiographs may not give much useful information, particularly if only a small amount of callus i...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Cattermole HC,Fordham JN,Muckle DS,Cunningham JL

    更新日期:1996-01-01 00:00:00

  • Prospective comparison of contrast-enhanced computed tomography versus magnetic resonance venography in the detection of occult deep pelvic vein thrombosis in patients with pelvic and acetabular fractures.

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    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Stover MD,Morgan SJ,Bosse MJ,Sims SH,Howard BJ,Stackhouse D,Weresh MJ,Kellam JF

    更新日期:2002-10-01 00:00:00

  • Use of the reamer irrigator aspirator for the treatment of a 20-year recurrent osteomyelitis of a healed femur fracture.

    abstract:SUMMARY:In the following case, a 20-year-old male was involved in a motorcycle accident where he sustained an open midshaft femur fracture treated with open reduction and internal fixation. Several weeks later, the wound became infected and the plate was removed. Over the following 20 years numerous incision and debrid...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章


    authors: Bellapianta J,Gerdeman A,Sharan A,Lozman J

    更新日期:2007-05-01 00:00:00