Fractures of the ipsilateral femur and tibia: emphasis on intra-articular and soft tissue injury.

Abstract:

:Twenty-one patients with fractures of the ipsilateral femur and tibia were treated at Boston City Hospital from 1982 through 1987. Fourteen (67%) of the 21 patients sustained a total of 17 open fractures (76% of which were grade II or III wounds). Over 50% of the patients suffered concomitant ipsilateral knee injuries. Associated injuries required 37 nonorthopaedic procedures; 30 orthopaedic procedures were required to stabilize the axial skeleton and the other three extremities. Five patients ultimately required amputation, reflecting the magnitude of the initial high-energy trauma. Superior results were achieved when early rigid intramedullary fixation of the femur and rigid stabilization of the tibia with either an intramedullary nail or an external fixator was undertaken. Patients that underwent initial rigid intramedullary fixation of both the femur and tibia required fewer secondary operative procedures than those treated with primary external fixation. Rigid internal fixation allowed for thorough evaluation and treatment of the ligamentous structures of the knee and facilitated management of the soft tissue trauma.

journal_name

J Orthop Trauma

authors

Paul GR,Sawka MW,Whitelaw GP

doi

10.1097/00005131-199004030-00013

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

309-14

issue

3

eissn

0890-5339

issn

1531-2291

journal_volume

4

pub_type

杂志文章
  • Technique for removal of intramedullary nails when there is failure of the proximal extraction device: a report of three cases.

    abstract::When attempting to remove an intramedullary nail, the extraction device can fail. This can occur due to stripping of the proximal threads or, more rarely, due to entrapped broken metal devices (impacted cap screws; broken introducers, extractors, or taps). This latter situation is particularly problematic if access to...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199702000-00012

    authors: Georgiadis GM,Heck BE,Ebraheim NA

    更新日期:1997-02-01 00:00:00

  • Anterior intrapelvic modification to the ilioinguinal approach.

    abstract::Anterior approaches to the pelvis for acetabular surgery require an intimate knowledge of pelvic anatomy. The utilitarian anterior approach is the ilioinguinal approach. This article will describe a technique for modifying the medial window of the ilioinguinal approach to facilitate intrapelvic visualization and instr...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000266

    authors: Hagen JE,Weatherford BM,Nascone JW,Sciadini MF

    更新日期:2015-02-01 00:00:00

  • Biomechanical evaluation of the less invasive stabilization system for the internal fixation of distal femur fractures.

    abstract:OBJECTIVE:Comparison between a Less Invasive Stabilization System (LISS) using monocortical screws with angular stability and two conventional plate systems Condylar Buttress Plate (CBP) and Dynamic Condylar Screw (DCS) for the treatment of distal femoral fractures with respect to biomechanical properties. DESIGN:Biom...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200109000-00004

    authors: Marti A,Fankhauser C,Frenk A,Cordey J,Gasser B

    更新日期:2001-09-01 00:00:00

  • Treatment of displaced, proximal, humeral, epiphyseal fractures with a two-prong splint.

    abstract::To evaluate the use of a two-prong splint for displaced, proximal, humerus, epiphyseal fractures, seven children with Neer-Horwitz Classification Type 3-4 fractures of the proximal humerus were retrospectively investigated. After closed reduction, fracture stabilization was accomplished with the use of a two-prong spl...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200309000-00007

    authors: Karatosun V,Unver B,Alici E,Serin E

    更新日期:2003-09-01 00:00:00

  • Hexapod Stacked Transport for Tibial Infected Nonunions With Bone Loss: Long-Term Functional Outcomes.

    abstract:OBJECTIVES:To analyze long-term functional outcomes in patients with posttraumatic infected tibial nonunions having undergone bone transport with hexapod external fixator. DESIGN:Retrospective cohort study. SETTING:Level 1 trauma center. PATIENTS/PARTICIPANTS:Thirty-eight patients with infected nonunions of the tibi...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001005

    authors: Napora JK,Weinberg DS,Eagle BA,Kaufman BR,Sontich JK

    更新日期:2018-01-01 00:00:00

  • Modern perspectives of open reduction and plate fixation of proximal humerus fractures.

    abstract::Recent innovations have greatly increased the range of proximal humeral fractures that are amenable to open reduction and plate fixation.The optimum technique for some of the more complex fracture patterns is not yet fully refined.This article aims to describe the recent advances in the treatment of complex proximal h...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0b013e31821c0a2f

    authors: Robinson CM,Amin AK,Godley KC,Murray IR,White TO

    更新日期:2011-10-01 00:00:00

  • Splitting of the proximal femur with a new femoral nail.

    abstract::We present a case of a 19-year-old woman with a closed diaphyseal femur fracture and who had fixation of the fracture using a newer lateral entry nail, which resulted in an intraoperative proximal femur fracture. The patient underwent revision the following day and subsequently returned to regular activity without sig...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3181a53790

    authors: Hsu JR,Stinner DJ,Brown DA,Skeletal Trauma Research Consortium (STReC).

    更新日期:2010-04-01 00:00:00

  • Amputations through the hind foot: a report of three cases using a modified Dwyer and Paul procedure.

    abstract::Salvage of limb length following oblique proximal foot amputations is presented. The technique, results, and follow-up of this procedure are described and compared with other standard procedures. A prospective study was done on 3 adolescents who presented consecutively during years 1999 and 2000. The salvage procedure...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/01.bot.0000164168.94365.49

    authors: Dwyer AJ,Paul R,Gosselin RA

    更新日期:2005-04-01 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

    doi:10.1097/01.bot.0000249423.48074.82

    authors: Rutgers M,Ring D

    更新日期:2006-10-01 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

    doi:10.1097/BOT.0000000000001860

    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

  • Syndesmotic Ankle Fractures.

    abstract:OBJECTIVES:The diagnosis and treatment of syndesmotic ankle fractures is controversial. This systematic review was performed to clarify the current understanding addressing several clinical questions that arise in the treatment of such injuries. DATA SOURCES:The English language literature was searched using PubMed, E...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0000000000000937

    authors: Michelson JD,Wright M,Blankstein M

    更新日期:2018-01-01 00:00:00

  • The Clinical Utility of Additional Axillary and Velpeau Radiographs in the Evaluation of Suspected Shoulder Trauma.

    abstract:OBJECTIVES:To investigate the clinical utility of additional axillary or Velpeau views in evaluating potential shoulder trauma after a standard radiograph series of anteroposterior, Grashey, and/or trans-scapular views. DESIGN:Retrospective study. SETTING:Level I academic medical center. PATIENTS:All patients in a 1...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001760

    authors: Cruz SA,Castillo H,Chintapalli RTV,Adams OE,Morgan VK,Koh JL,Lee MJ,Shi LL

    更新日期:2020-08-01 00:00:00

  • Evidence gaps in the global decade of road traffic safety.

    abstract::Road traffic accidents are a leading cause of global mortality. In March 2010, the United Nations General Assembly and the World Health Organization (WHO) officially proclaimed 2011-2020 as the "Decade of Action for Road Safety." Researchers must focus on vulnerable road users and low- and middle-income countries (LMI...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000103

    authors: Evaniew N,Godin K,Schemitsch EH,Bhandari M

    更新日期:2014-01-01 00:00:00

  • Character, Incidence, and Predictors of Knee Pain and Activity After Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture.

    abstract:OBJECTIVE:To study the activity and incidence of knee pain after sustaining an isolated tibia fracture treated with an infrapatellar intramedullary nail at 1 year. DESIGN:Retrospective review of prospective cohort. SETTING:Multicenter Academic and Community hospitals. PATIENTS:Four hundred thirty-seven patients with...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BOT.0000000000000475

    authors: Obremskey W,Agel J,Archer K,To P,Tornetta P 3rd,SPRINT Investigators.

    更新日期:2016-03-01 00:00:00

  • Posterior Wall Osteotomy of the Acetabulum to Access Incarcerated Marginal Impaction.

    abstract::Marginal impaction of the acetabulum is typically accessible through fracture planes specific to the nature of the injury. Infrequently, however, incarcerated marginal impaction or free osteochondral fragments are not accessible through these existing fracture planes. As such, alternative methods to access these artic...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000759

    authors: Schroeder AJ,Avilucea FR,Archdeacon MT

    更新日期:2017-05-01 00:00:00

  • Definitive Management of Distal Tibia and Simple Plafond Fractures With Circular External Fixation.

    abstract::Obtaining optimal results in the treatment of extraarticular distal tibia fractures can be challenging. Plate and screw and intramedullary fixation have proven to be effective treatments, but are associated with significant complication rates when used for open fractures and patient with severe medical comorbidities. ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000694

    authors: Quinnan SM

    更新日期:2016-11-01 00:00:00

  • Skeletal traction versus external fixation for pediatric femoral shaft fractures: a comparison of hospital costs and charges.

    abstract:OBJECTIVES:To compare the hospital costs, charges, and reimbursement for treatment of pediatric femur fractures by two treatment methods: external fixation and 90-90 traction with spica casting. DESIGN:Retrospective clinical review. SETTING:Department of Orthopaedic Surgery, Children's Hospital Oakland, regional pedi...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199811000-00006

    authors: Nork SE,Hoffinger SA

    更新日期:1998-11-01 00:00:00

  • Can we trust ex vivo mechanical testing of fresh--frozen cadaveric specimens? The effect of postfreezing delays.

    abstract:BACKGROUND:Because embalming has been demonstrated to decrease the mechanical integrity of bone, most investigators favor fresh-frozen specimens for biomechanical evaluation. However, little is known about how the integrity of fresh--frozen specimens may change during biomechanical testing or may be affected by standar...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318225b875

    authors: Cartner JL,Hartsell ZM,Ricci WM,Tornetta P 3rd

    更新日期:2011-08-01 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

    doi:10.1097/00005131-200201000-00007

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

    更新日期:2002-01-01 00:00:00

  • Does Value Matter in Orthopaedic Trauma?: A Survey of Orthopaedic Trauma Association Members.

    abstract:OBJECTIVES:With value-based payment models on the horizon, this study was designed to examine the perceptions of value-based care among orthopaedic traumatologists and how they influence their practice. DESIGN:Systems-based survey study. SETTING:Orthopaedic Trauma Association (OTA) research surveys. PARTICIPANTS:OTA...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001622

    authors: Gorman TL,S Albersheim M,Parikh HR,Flagstad IR,Okelana AB,Vang S,Johal H,Cunningham BP

    更新日期:2019-11-01 00:00:00

  • Valgus osteotomy of the proximal femur with sliding hip screw for the treatment of femoral neck nonunions: the technique, a case series, and literature review.

    abstract::Femoral neck nonunions are a difficult complication in the treatment of femoral neck fractures and have traditionally been managed using an intertrochanteric valgus osteotomy and blade plate. We propose an alternative method, a proximal femoral valgus osteotomy using a sliding hip screw instead of a blade plate. This ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/00005131-200608000-00006

    authors: Schoenfeld AJ,Vrabec GA

    更新日期:2006-07-01 00:00:00

  • Acute vascular injury associated with fracture of the distal radius: a report of 6 cases.

    abstract:OBJECTIVES:To highlight the potential for vascular injury with fracture of the distal radius. DESIGN:Retrospective case series. SETTING:The practices of several orthopaedic hand surgeons. PATIENTS/PARTICIPANTS:Six patients with arterial injury as a consequence of fracture of the distal radius: 2 partial lacerations ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318188d686

    authors: de Witte PB,Lozano-Calderon S,Harness N,Watchmaker G,Green MS,Ring D

    更新日期:2008-10-01 00:00:00

  • Irreducible fracture dislocation of the knee.

    abstract::A unique case of an irreducible fracture dislocation of the knee is reported. A review of the literature revealed no previously reported cases of fracture dislocation of the distal femur not amenable to closed reduction. ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/00005131-199607000-00013

    authors: Pugh KJ,Wilber JH

    更新日期:1996-01-01 00:00:00

  • Accuracy study of computer-assisted drilling: the effect of bone density, drill bit characteristics, and use of a mechanical guide.

    abstract:OBJECTIVE:This study was designed to determine the clinical relevant accuracy of CT-based navigation for drilling. DESIGN:Experimental model. SETTING:Laboratory. METHODS:Twelve drills of varying lengths and diameters were tested with 2 different set-ups. Group 1 used free-hand navigated drilling technique with foam ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:

    authors: Hüfner T,Geerling J,Oldag G,Richter M,Kfuri M Jr,Pohlemann T,Krettek C

    更新日期:2005-05-01 00:00:00

  • Cadaveric Biomechanical Analysis of 3 Lateral Ulnar Collateral Ligament Reconstructions.

    abstract:OBJECTIVE:To biomechanically assess the angular stability provided by 3 techniques for reconstruction of the lateral ulnar collateral ligament. METHODS:Eight cadaveric elbows were tested with the lateral collateral ligament complex intact, disrupted from the origin at the lateral epicondyle, and reconstructed with 3 d...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001051

    authors: Chauhan A,Baratz ME,Schimoler P,Ruch D,Miller MC

    更新日期:2018-03-01 00:00:00

  • Anatomic Fixation of Supination External Rotation Type IV Equivalent Ankle Fractures.

    abstract:OBJECTIVES:To compare radiographic and clinical outcomes of supination external rotation type IV equivalent (SER IV E) ankle fractures (AO/OTA classification 44-B2.1) treated with transsyndesmotic screw fixation with those treated with deltoid and posterior inferior tibiofibular ligament (PITFL) repair. DESIGN:Case se...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000318

    authors: Little MM,Berkes MB,Schottel PC,Garner MR,Lazaro LE,Birnbaum JF,Helfet DL,Lorich DG

    更新日期:2015-05-01 00:00:00

  • Temporary bridge plating of the medial column in severe midfoot injuries.

    abstract::Severe crush injuries to the midfoot often involve comminuted cuneiform or tarsal navicular fractures. Treatment principles for the bony injury of the crushed midfoot include maintenance of the medial column length and alignment, as well as appropriate stable fixation after open or closed fracture reductions. This is ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/00005131-200308000-00007

    authors: Schildhauer TA,Nork SE,Sangeorzan BJ

    更新日期:2003-08-01 00:00:00

  • Percutaneous autologous bone marrow injection in the treatment of distal meta-diaphyseal tibial nonunions and delayed unions.

    abstract:OBJECTIVE:To report the outcomes of percutaneous autologous bone marrow injection for nonunion or delayed union of the distal tibial metaphysis in patients with prior plating. DESIGN:Consecutive case series. SETTING:Tertiary center. PATIENTS:Eleven consecutive patients (aged 24-51 years) were referred to us with a n...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31828bf077

    authors: Braly HL,O'Connor DP,Brinker MR

    更新日期:2013-09-01 00:00:00

  • Regeneration of diaphyseal bone defects using resorbable poly(L/DL-lactide) and poly(D-lactide) membranes in the Yucatan pig model.

    abstract:OBJECTIVES:To determine the effects of tubular resorbable polymer membranes on the healing of a segmental diaphyseal bone defect. DESIGN:A randomized prospective study using the minipig model. Animals were evaluated with in vivo roentgenograms on a biweekly basis until explanted at twelve weeks. SETTING:After surgery...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199711000-00002

    authors: Meinig RP,Buesing CM,Helm J,Gogolewski S

    更新日期:1997-11-01 00:00:00

  • Navigated femoral nailing using noninvasive registration of the contralateral intact femur to restore anteversion. Technique and clinical use.

    abstract::The difficulty in assessing femoral rotation during intramedullary nailing is well-established. Navigation systems allow the surgeon to detect and set the version of the injured leg at the desired angle. We report the first cases of navigated femoral nailing using noninvasive registration of the contralateral uninjure...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31812f69a9

    authors: Kendoff D,Citak M,Gardner MJ,Gösling T,Krettek C,Hüfner T

    更新日期:2007-11-01 00:00:00