Negative pressure wound therapy reduces deep infection rate in open tibial fractures.

abstract：OBJECTIVES:The purpose of this study was to determine the extent to which the Mangled Extremity Severity Score (MESS) predicted outcomes for soldiers sustaining combat-related Gustilo-Anderson type III open tibia fractures. DESIGN:Retrospective cohort study. SETTING:Tertiary trauma center. PATIENTS:Service Members w...

journal_title：Journal of orthopaedic trauma

authors： Sheean AJ,Krueger CA,Napierala MA,Stinner DJ,Hsu JR,Skeletal Trauma and Research Consortium (STReC).

更新日期：2014-09-01 00:00:00

abstract：:Percutaneous iliosacral screw (IS) fixation for pelvic ring injuries with the use of an O-arm imaging system has been associated with decreased procedure time and improved accuracy of IS screw placement compared with the use of fluoroscopic guidance. Specifically, patients with sacral dysmorphism require identificatio...

journal_title：Journal of orthopaedic trauma

authors： Khan JM,Lara DL,Marquez-Lara A,Rosas S,Hasty E,Pilson HT

更新日期：2018-08-01 00:00:00

abstract：:Patella fractures are challenging orthopaedic injuries. Many commonly used fixation techniques can be ineffective and lead to poor clinical outcomes even with satisfactory reductions and fracture healing. In this investigation, we present the technique of cage plate fixation of patella fractures and the clinical outco...

journal_title：Journal of orthopaedic trauma

authors： Lorich DG,Warner SJ,Schottel PC,Shaffer AD,Lazaro LE,Helfet DL

更新日期：2015-12-01 00:00:00

abstract：:The use of Ender nails for the treatment of femoral shaft fractures has been described as technically easier and less time consuming than current intramedullary nailing techniques. We reviewed our results with unlocked Ender nails in 26 stable and 17 unstable fracture patterns an average of 3-4 years after injury. Bec...

journal_title：Journal of orthopaedic trauma

authors： Herscovici D Jr,Scott DM,Behrens F,Nelson B,Benton J

更新日期：1992-01-01 00:00:00

abstract：OBJECTIVES:The purpose of this study was to evaluate the most appropriate positioning of anatomical locking plates on the distal tibia. METHODS:We positioned 4 types of locking plates (3 straight and 1 bayonet) at anterior, middle, and posterior positions on the medial malleolus on both lower limbs of 15 cadavers. We ...

journal_title：Journal of orthopaedic trauma

authors： Song HK,Noh JW,Lee JH,Yang KH

更新日期：2013-07-01 00:00:00

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

authors： Rutgers M,Ring D

更新日期：2006-10-01 00:00:00

abstract：OBJECTIVES:Improved patient outcomes after plating of displaced clavicle fractures have been demonstrated by recent clinical studies. Many of these patients, however, complain of anterior chest wall numbness after this procedure; we hypothesize that numbness likely persists long term for many patients, but without effe...

journal_title：Journal of orthopaedic trauma

authors： Christensen TJ,Horwitz DS,Kubiak EN

更新日期：2014-11-01 00:00:00

abstract：:In an attempt to reduce pin loosening, a flanged external fixator pin has been designed and its bending stiffness has been compared with that of a standard pin. The pins were inserted into pilot holes previously drilled into a piece of teak hardwood. Loads of different magnitudes were applied at a fixed moment arm and...

journal_title：Journal of orthopaedic trauma

authors： Oni OO,Capper M,Soutis C

更新日期：1995-02-01 00:00:00

abstract：OBJECTIVE:To determine whether multiple approaches pose an increased risk to fracture healing when compared with a standard single approach in the treatment of pilon (OTA 43C) fractures. DESIGN:Retrospective review of a prospective database. SETTING:Level I academic trauma center and level II community trauma center....

journal_title：Journal of orthopaedic trauma

authors： Chan DS,Balthrop PM,White B,Glassman D,Sanders RW

更新日期：2017-02-01 00:00:00

abstract：BACKGROUND:Traumatic spondylolisthesis of the axis, is a common cervical spine fracture; however, to date there is limited data available to guide the treatment of these injuries. The purpose of this review is to provide an evidence-based analysis of the literature and clinical outcomes associated with the surgical and...

journal_title：Journal of orthopaedic trauma

authors： Murphy H,Schroeder GD,Shi WJ,Kepler CK,Kurd MF,Fleischman AN,Kandziora F,Chapman JR,Benneker LM,Vaccaro AR

更新日期：2017-09-01 00:00:00

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

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

更新日期：2016-03-01 00:00:00

abstract：:Successful treatment of periprosthetic femur fractures, like all fractures, requires careful attention to understand the fracture pattern nuances, identifying and executing a rational treatment approach, and providing an appropriate postoperative recovery protocol. Unlike most other fractures, modification of standard...

journal_title：Journal of orthopaedic trauma

authors： Ricci WM

更新日期：2015-03-01 00:00:00

abstract：OBJECTIVES:This study compared the acute treatment effects of systemic analgesics with (celecoxib) and without anti-inflammatory activity (acetaminophen) on bone fracture healing. STUDY DESIGN:Longitudinal time study of fracture healing in rats. METHODS:Closed, mid diaphyseal femur fractures were produced in female S...

journal_title：Journal of orthopaedic trauma

authors： Bergenstock M,Min W,Simon AM,Sabatino C,O'Connor JP

更新日期：2005-11-01 00:00:00

abstract：:This biomechanical study compares two methods of internal fixation of the tibiofibular syndesmosis used in Weber type C malleolar fractures of the ankle. The transverse syndesmotic 3.5-mm screw was compared with two 1.5-mm Kirschner wires introduced obliquely across the distal tibiofibular syndesmosis. The influence o...

journal_title：Journal of orthopaedic trauma

authors： Peter RE,Harrington RM,Henley MB,Tencer AF

更新日期：1994-01-01 00:00:00

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

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

abstract：:Pediatric femoral shaft fractures present many challenging patient care decisions. Nonoperative treatment approaches still dominate care of the youngest age groups while surgical intervention is commonplace in virtually all older children. Treatment is determined primarily by patient age as modified by clinical factor...

journal_title：Journal of orthopaedic trauma

authors： Gordon JE,Mehlman CT

更新日期：2017-11-01 00:00:00

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

authors： Klima ML

更新日期：2021-02-01 00:00:00

abstract：:We present a rare case of complete talar extrusion after trauma. Treatment of this severe injury remains controversial as a result of the lack of congruent evidence-based literature, associated high complication rate with primary repair, and difficulty in objectively assessing long-term outcomes. Recent small sampled ...

journal_title：Journal of orthopaedic trauma

authors： Gerken N,Yalamanchili R,Yalamanchili S,Penagaluru P,Md EM,Cox G

更新日期：2011-11-01 00:00:00

abstract：PURPOSE:Comminuted iliac fractures are uncommon and difficult to treat. The purpose of this study is to further delineate the fractures, to present a management protocol, and to evaluate the results of treatment. DESIGN:Retrospective clinical study. SETTING:Level one trauma center at Harborview Medical Center. PATIE...

journal_title：Journal of orthopaedic trauma

authors： Switzer JA,Nork SE,Routt ML Jr

更新日期：2000-05-01 00:00:00

abstract：:Forty-three patients with 43 comminuted femoral shaft fractures treated with the Brooker-Wills interlocking nail were followed through bony union to determine the device's ability to maintain length and rotational control of these difficult injuries. Only severely comminuted fractures, types III and IV, were included....

journal_title：Journal of orthopaedic trauma

authors： Brumback RJ,Handal JA,Poka A,Burgess AR,Feddis G

更新日期：1987-01-01 00:00:00

abstract：OBJECTIVE:To determine whether the superior sensitivity of computed tomography (CT) results in changes in treatment plans for cervical spine fractures that have been diagnosed on plain films alone. DESIGN:Retrospective review of radiographic studies for cervical spine trauma. SETTING/PARTICIPANTS:An orthopaedic spine...

journal_title：Journal of orthopaedic trauma

authors： Katz MA,Beredjiklian PK,Vresilovic EJ,Tahernia AD,Gabriel JP,Chan PS,Heppenstall RB

更新日期：1999-06-01 00:00:00

abstract：OBJECTIVES:To investigate the clinical and functional outcome in an elderly population with acetabular fractures after low-energy trauma treated acutely with a total hip arthroplasty supported by a reinforcement ring (Burch-Schneider antiprotrusion cage) and autologous bone grafting of the acetabulum. SETTING:Universi...

journal_title：Journal of orthopaedic trauma

authors： Tidermark J,Blomfeldt R,Ponzer S,Söderqvist A,Törnkvist H

更新日期：2003-03-01 00:00:00

abstract：:A case of a complex distal humeral fracture is presented. The patient lacked sufficient bony architecture to allow for conventional reconstruction. A technique is described using an intramedullary plate to obtain bony stabilization and permit early range of motion exercises. ...

journal_title：Journal of orthopaedic trauma

authors： Russell GV Jr,Pearsall AW

更新日期：2002-05-01 00:00:00

abstract：:Although there is little doubt that arthroplasty of one form or another is appropriate treatment for many patients with a displaced femoral neck fracture, there is ongoing controversy about the relative merits of different types of arthroplasty among specific groups of patients. In particular, total hip arthroplasty i...

journal_title：Journal of orthopaedic trauma

authors： Schmidt AH,Leighton R,Parvizi J,Sems A,Berry DJ

更新日期：2009-07-01 00:00:00

abstract：OBJECTIVES:This study aimed to evaluate the incidence and morphologic features of posterolateral fragments in lateral and bicondylar tibial plateau fractures. DESIGN:This study used retrospective chart and computed tomography (CT) reviews. SETTING:The study was conducted in a university hospital. PATIENTS:All patien...

journal_title：Journal of orthopaedic trauma

authors： Sohn HS,Yoon YC,Cho JW,Cho WT,Oh CW,Oh JK

更新日期：2015-02-01 00:00:00

abstract：:Seat belt legislation has resulted in increased restraint use by passengers in automobiles in Washington State. At Harborview Medical Center in Seattle, we have observed an increased incidence of seat belt-related injuries. Twenty cases of Chance-type thoracolumbar flexion-distraction fractures were reviewed retrospec...

journal_title：Journal of orthopaedic trauma

authors： Anderson PA,Henley MB,Rivara FP,Maier RV

更新日期：1991-01-01 00:00:00

abstract：OBJECTIVE:To evaluate the experience of a single tertiary care teaching hospital with the association between use of bisphosphonates and atypical femoral fractures, and to identify potential risk factors and chronologic incidence. DESIGN:Retrospective review. SETTING:Tertiary-care teaching hospital. PATIENTS:Thirty-...

journal_title：Journal of orthopaedic trauma

authors： Black JD,Kancherla VK,De Long WG Jr

更新日期：2016-04-01 00:00:00

abstract：:The application of the pelvic clamp as a tool for emergency stabilization of unstable pelvic ring fractures has proved to be a life-saving procedure. Using correct technique, the pelvic clamp can be applied within a few minutes after the patient's admission. To avoid severe complications (eg, pin perforation into the ...

journal_title：Journal of orthopaedic trauma

authors： Pohlemann T,Braune C,Gänsslen A,Hüfner T,Partenheimer A

更新日期：2004-02-01 00:00:00

abstract：OBJECTIVES:Lateral locked plating for proximal tibial fractures with metaphyseal disruption provides a biomechanically stable and biologically favorable alternative to conventional medial/lateral plate fixation. New polyaxial screw technology incorporates expanding screw bushings, allowing variable angle screw placemen...

journal_title：Journal of orthopaedic trauma

authors： Cullen AB,Curtiss S,Lee MA

更新日期：2009-08-01 00:00:00

abstract：:This paper presents a modified surgical technique for interlocked intramedullary stabilization of tibia fractures. An external distractor is used to achieve an indirect fracture reduction on a fluoroscopy table. This method avoids the potential traction complications associated with conventional fracture tables. The f...

journal_title：Journal of orthopaedic trauma

authors： Rubinstein RA Jr,Green JM,Duwelius PJ

更新日期：1992-01-01 00:00:00