The realities of relationship failure.

Abstract:

:Young surgeons and their spouses experience a myriad of stresses in the first few years of practice. Issues related to job search, moving to a new community, learning one's craft, time management, changes to spouse's career, child rearing, and the ever blurring line between work time and free time may all contribute to a decline in a couple's relationship. Recognizing these issues as obstacles to a healthy relationship and working to stay attuned to each other's emotional needs is of paramount importance. Some couples experiencing problems benefit from couples counseling, although many will ultimately go on to split and divorce. Going through a divorce can be an extremely consuming process, which may leave a person emotionally and financially depleted. Efforts to maintain other supports systems and to limit excessive work responsibilities may allow for a smoother passage through this commonly difficult period of life.

journal_name

J Orthop Trauma

authors

Dunbar RP Jr

doi

10.1097/BOT.0b013e3182641fd8

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

S32-3

eissn

0890-5339

issn

1531-2291

journal_volume

26 Suppl 1

pub_type

杂志文章
  • Orthopaedic trauma and the evolution of healthcare policy in America.

    abstract::Healthcare policy has changed drastically, and with the 50-year anniversary of the passage of Medicare approaching in 2015, the authors evaluate the development of the current healthcare system and its relationship to the development of modern orthopaedic trauma. With more changes in healthcare policy forthcoming, it ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000214

    authors: Mitchell PM,Thakore R,Obremskey A,Sethi MK

    更新日期:2014-10-01 00:00:00

  • Optimal Technical Factors During Operative Management of Low-Energy Femoral Neck Fractures.

    abstract:OBJECTIVE:To determine if cancellous screw (CS) and sliding hip screw (SHS) technical factors during low-energy femoral neck fracture fixation affects a 24-month revision surgery rate and health-related quality of life (HRQL). DESIGN:Prospective randomized controlled study. SETTING:International, multicenter. PATIEN...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001891

    authors: Schottel PC,Blankstein M,Sprague S,Swiontkowski M,Bzovsky S,Bhandari M,Schemitsch EH,FAITH Investigators.

    更新日期:2021-02-01 00:00:00

  • Inflammation, Bone Healing, and Anti-Inflammatory Drugs: An Update.

    abstract::Fracture healing is a unique multifaceted process requiring the presence of cells, molecular mediators, and angiogenic factors. The state of inflammation dominates the initial phase, but the ideal magnitude and duration of the process for an optimal outcome remains obscure. Biological response modifiers, such as plate...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0000000000000465

    authors: Giannoudis PV,Hak D,Sanders D,Donohoe E,Tosounidis T,Bahney C

    更新日期:2015-12-01 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

    doi:10.1097/BOT.0000000000001307

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

    更新日期:2018-11-01 00:00:00

  • Surgical treatment with an angular stable plate for complex displaced proximal humeral fractures in elderly patients: a randomized controlled trial.

    abstract:OBJECTIVE:The objective of the study was to evaluate functional outcome, patient self-assessment, and radiographic outcome at 1 year in displaced three- and four-part proximal humeral fractures (OTA group 11-B2 and 11-C2). DESIGN:Randomized controlled trial. SETTING:Academic medical center. PATIENTS/PARTICIPANTS:Fif...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BOT.0b013e31821c2e15

    authors: Fjalestad T,Hole MØ,Hovden IA,Blücher J,Strømsøe K

    更新日期:2012-02-01 00:00:00

  • The Effect of Insertion Technique on Temperatures for Standard and Self-Drilling External Fixation Pins.

    abstract:OBJECTIVES:No studies have assessed the effects of parameters associated with insertion temperature in modern self-drilling external fixation pins. The current study assessed how varying the presence of irrigation, insertion speed, and force impacted the insertion temperatures of 2 types of standard and self-drilling e...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000859

    authors: Manoogian S,Lee AK,Widmaier JC

    更新日期:2017-08-01 00:00:00

  • A new technique for creating an abdominal window in a hip spica cast.

    abstract::Opening an abdominal window in a hip spica type of cast can be a troubling maneuver for both orthopaedic surgeon and patient. We present a simple device to create an abdominal window more easily. ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200307000-00009

    authors: Kiter E,Demirkan F,Kiliç BA,Erkula G

    更新日期:2003-07-01 00:00:00

  • A new ankle spanning fixator construct for distal tibia fractures: optimizing visualization, minimizing pin problems, and protecting the heel.

    abstract::Pilon and ankle fractures and ligamentous injuries about the ankle often require external fixation to allow for soft tissue stabilization before definitive surgery. Often used external fixator constructs can cause obscuring of the site of injury on radiographs, pin tract infections, loosening of calcaenal pin fixation...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3182604639

    authors: Ziran BH,Morrison T,Little J,Hileman B

    更新日期:2013-02-01 00:00:00

  • Can We Estimate the Amount of Malrotation in Supracondylar Humerus Fractures After CRPP?

    abstract:BACKGROUND:Acceptable amounts of malrotation after CRPP for pediatric supracondylar humerus fracture (SCHFx) have yet to be defined. This is an attempt to correlate radiographic parameters of a malrotated SCHFx with degrees of rotational malalignment to assist intraoperative assessment of reduction. METHODS:3D models ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001735

    authors: Prabhakar P,Pierce WA,Standefer KD,Ho CA

    更新日期:2020-07-01 00:00:00

  • Treatment of Gartland type III pediatric supracondylar humerus fractures with the Kapandji technique in the prone position.

    abstract:OBJECTIVE:The purpose of this study was to report the efficacy of the Kapandji technique performed in the prone position for humeral supracondylar fractures in children. DESIGN:Retrospective. SETTING:Level I trauma center. PATIENTS/PARTICIPANTS:We retrospectively reviewed 34 children with Gartland type III supracond...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000015

    authors: Kao HK,Yang WE,Li WC,Chang CH

    更新日期:2014-06-01 00:00:00

  • Kirschner wire bending.

    abstract::Although Kirschner wires are useful implants in many situations, migration of the wire and irritation of the surrounding soft tissues are common complications. Seven steps are described herein, which result in a Kirschner wire that is bent 180° angle, providing a smooth anchor into bone. Use of this technique produces...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318290f818

    authors: Firoozabadi R,Kramer PA,Benirschke SK

    更新日期:2013-11-01 00:00:00

  • Open fractures of the tibia treated by immediate intramedullary tibial nail insertion without reaming: a prospective study.

    abstract:OBJECTIVE:Does immediate tibial nail insertion without reaming as part of protocol-driven management provide a safe and effective treatment for open tibia fractures? STUDY DESIGN:Prospective cohort. SETTING:Level 1 trauma center. PATIENTS:A consecutive series of 161 patients with Gustilo grade I-IIIb open tibia frac...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3180336923

    authors: Kakar S,Tornetta P 3rd

    更新日期:2007-03-01 00:00:00

  • Is There an Impact of Concomitant Injuries and Timing of Fixation of Major Fractures on Fracture Healing? A Focused Review of Clinical and Experimental Evidence.

    abstract:OBJECTIVE:This review aims to summarize current knowledge regarding the underlying patho-mechanisms of delayed fracture healing in polytraumatized patients. DATA SOURCES AND STUDY SELECTION:The following search terms were used: "fracture", "hemorrhage," "chest trauma," "inflammation," "inflammatory response," "fractur...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/BOT.0000000000000489

    authors: Hildebrand F,van Griensven M,Huber-Lang M,Flohe SB,Andruszkow H,Marzi I,Pape HC,Trauma Research Network of the German Society of Trauma, DGU.

    更新日期:2016-03-01 00:00:00

  • Triangular osteosynthesis of vertically unstable sacrum fractures: a new concept allowing early weight-bearing.

    abstract:OBJECTIVE:Presentation of a new triangular osteosynthesis technique that permits early weight-bearing in vertically unstable sacral fractures. DESIGN:Retrospective evaluation of a consecutive series. SETTING:Level I trauma center. PATIENTS:Thirty-four patients, twenty-eight of whom were polytraumatized, all with ver...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199806000-00002

    authors: Schildhauer TA,Josten C,Muhr G

    更新日期:1998-06-01 00:00:00

  • 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.

    abstract::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 syst...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3181d4be0f

    authors: Pedrini G,Cardi M,Landini A,Strada G

    更新日期:2011-03-01 00:00:00

  • Uncemented Reverse Total Shoulder Arthroplasty as Initial Treatment for Comminuted Proximal Humerus Fractures.

    abstract:OBJECTIVES:To determine whether uncemented implants would provide similar outcomes while avoiding the complications associated with cement in the treatment of elderly patients with proximal humerus fractures (PHFs) with primary reverse total shoulder arthroplasty (RTSA). DESIGN:Case series. SETTING:A single Level I t...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001465

    authors: Wright JO,Ho A,Kalma J,Koueiter D,Esterle J,Marcantonio D,Wiater JM,Wiater B

    更新日期:2019-07-01 00:00:00

  • Inadvertent intraforaminal iliosacral screw placement despite apparent appropriate positioning on intraoperative fluoroscopy.

    abstract::We present the case of an intraforaminal iliosacral screw placed percutaneously with aid of C-arm using inlet, outlet, and lateral views of the pelvis. The iliosacral screw was placed above the S1 foramen on the outlet view, into the middle of S1 via the ala on the inlet view, and below the cortical shadow of the ala ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200502000-00010

    authors: Sagi HC,Lindvall EM

    更新日期:2005-02-01 00:00:00

  • Teamwork in Trauma: System Adjustment to a Protocol for the Management of Multiply Injured Patients.

    abstract:OBJECTIVES:We developed a protocol to determine the timing of definitive fracture care based on the adequacy of resuscitation. Inception of this project required a multidisciplinary group, including physicians from anesthesiology, general trauma and critical care, neurosurgery, orthopaedic spine, and orthopaedic trauma...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000383

    authors: Vallier HA,Moore TA,Como JJ,Dolenc AJ,Steinmetz MP,Wagner KG,Smith CE,Wilczewski PA

    更新日期:2015-11-01 00:00:00

  • Rotator Cuff-Sparing Approach for Antegrade Humeral Nailing With Biceps Tenodesis: A Technical Trick With Clinical Implications.

    abstract::Antegrade intramedullary nails are an established, effective method of fixation for humeral shaft fractures. One significant limitation of this technique is chronic postoperative shoulder pain, which is likely related to the standard approach that involves splitting the rotator cuff to gain access to the nail starting...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000684

    authors: Christ AB,Gausden EB,Warner SJ,Nellestein AM,Thacher RR,Lorich DG

    更新日期:2017-02-01 00:00:00

  • Primary total hip arthroplasty with a Burch-Schneider antiprotrusion cage and autologous bone grafting for acetabular fractures in elderly patients.

    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

    pub_type: 杂志文章

    doi:10.1097/00005131-200303000-00007

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

    更新日期:2003-03-01 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

  • 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

  • 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

    doi:10.1097/BOT.0b013e3181893b1b

    authors: Brunner A,Jöckel JA,Babst R

    更新日期:2008-11-01 00:00:00

  • Fractures in Patients With COVID-19 Infection: Early Prognosis and Management. A Case Series of 20 Patients in a Single Institution in Lombardy, Northern Italy.

    abstract::Fifty-eight percent of the total infections in Italy of COVID-19 were found in northern Italy, in particular, Lombardy. From February 21, 2020, to March 23, 2020, 20 patients with a fracture and a diagnosis of COVID-19 were hospitalized. Demographic data, COVID-19 symptoms, laboratory and radiographic examinations, an...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001905

    authors: Jannelli E,Castelli A,Ferranti Calderoni E,Annunziata S,Maccario G,Ivone A,Pasta G,Mosconi M

    更新日期:2020-10-01 00:00:00

  • Hip fractures: an increasing health care cost.

    abstract::Studies in several countries have indicated that there is likely to be a dramatic increase in the number of hip fractures in the early part of the 21st century. At a time when health care costs are coming under close scrutiny internationally, the added financial burden of the increasing number of fractures is of conce...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:

    authors: Cox MA,Bowie R,Horne G

    更新日期:1993-01-01 00:00:00

  • Split depression tibial plateau fractures: a biomechanical study.

    abstract:OBJECTIVE:To determine the biomechanical characteristics of four different fixation constructs for split depression fractures of the lateral tibial plateau (OTA classification 41B3.1). DESIGN:Laboratory investigation using a cadaveric simulated split depression tibial plateau fracture model. SETTING:Split depression ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200203000-00006

    authors: Karunakar MA,Egol KA,Peindl R,Harrow ME,Bosse MJ,Kellam JF

    更新日期:2002-03-01 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

  • Operative fixation of acetabular fractures in the pregnant patient.

    abstract:OBJECTIVE:To describe in utero radiation exposures in pregnant patients undergoing acetabular fracture repair. DESIGN:Retrospective case series. SETTING:University-affiliated regional trauma center. PATIENT/PARTICIPANTS:Eight pregnant patients with acetabular fractures treated over a 6-year period. There were an add...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3181847a42

    authors: Porter SE,Russell GV,Qin Z,Graves ML

    更新日期:2008-09-01 00:00:00

  • Nonoperative treatment of Bennett's fracture: a 13-year follow-up.

    abstract::We reviewed the treatment and results of 22 Bennett's fractures. Of these fractures, treated by closed reduction and plaster immobilization, 20 were available for follow-up. Eighteen patients had a subjectively satisfactory outcome, and seven had a radiographically confirmed arthrosis of the first carpometacarpal join...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199502000-00004

    authors: Oosterbos CJ,de Boer HH

    更新日期:1995-02-01 00:00:00

  • Modern Results of Functional Bracing of Humeral Shaft Fractures: A Multicenter Retrospective Analysis.

    abstract:OBJECTIVES:To evaluate the rate of, and reasons for, conversion of closed treatment of humeral shaft fractures using a fracture brace, to surgical intervention. DESIGN:Multicenter, retrospective analysis. SETTING:Nine Level 1 trauma centers across the United States. PATIENTS:A total of 1182 patients with a closed hu...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001666

    authors: Serrano R,Mir HR,Sagi HC,Horwitz DS,Borade A,Ketz JP,Kistler BJ,Quade JH,Beebe MJ,Au BK,Sanders RW,Shah AR

    更新日期:2020-04-01 00:00:00