Abstract:
:One hundred ten fractures due to gunshots were reviewed to examine the medical, social, and financial implants of such injuries. The population was predominantly male (91%), unemployed (56%), and uninsured (79%). Sixty-eight percent were documented substance abusers, and 65% of the injuries appeared to be related to illicit drug activities. There were 94 long bone fractures and 16 intraarticular fractures. Early operative treatment was employed in 64 patients (58%) with formal internal fixation in 31. There was no difference between type of treatment, associated injury variables, and outcome, and no increase in complications with acute operative management employing internal fixation. Medical charges averaged $13,108 per patient, a 1200% increase over injuries treated at this institution in 1972 and a rise far in excess of the medical care inflation rate (334%) during the same period.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Hakanson R,Nussman D,Gorman RA,Kellam JF,Hanley EN Jrsubject
Has Abstractpub_date
1994-06-01 00:00:00pages
519-23issue
6eissn
0147-7447issn
1938-2367journal_volume
17pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::The use of a mobile-bearing knee system is routine in modern total knee arthroplasty (TKA). There are indications for use of a mobile-bearing TKA for a growing number of patients. The design, however, was not always well appreciated. Fears of perioperative difficulties and lack of understanding of the design principle...
journal_title:Orthopedics
pub_type: 历史文章,杂志文章
doi:
更新日期:2006-09-01 00:00:00
abstract::Between 1982 and 1986, 56 femoral fractures associated with cementless total hip arthroplasty (THA) were evaluated and compared to a randomly selected cementless THA control group without fractures. Depending upon the femoral shaft location, these fractures were classified as Types I, II or III. There were 45 (80%) Ty...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1989-02-01 00:00:00
abstract::Jumper's knee is a common cause of anterior knee pain among athletes and active populations. Numerous treatments have been described with variable results. To better delineate this, the authors reviewed all articles from 2000 to 2014 pertaining to the treatment of patellar tendinopathy, focusing namely on treatment of...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20160714-06
更新日期:2016-11-01 00:00:00
abstract::Studies have shown the effectiveness of cervical disk replacement. However, clinical outcomes, particularly by radiographic assessment during the 36-month follow-up visit, have not been reported for cervical disk replacement with Mobi-C (LDR, Austin, Texas) disk prostheses. A retrospective study was conducted at 10 ce...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20141023-50
更新日期:2014-11-01 00:00:00
abstract::A cross-sectional study was conducted in 3995 non-hospitalized diabetic patients to evaluate symptoms commonly associated with "diabetic foot" syndrome. Each patient was examined twice over 2 years during routine follow-up. The male/female ratio differed significantly between the study group and general population. Me...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::Proximal fibular stress fracture is an uncommon injury in athletes but has been frequently reported in the military population. Although the true incidence is unknown and its pathophysiology is not completely understood, proximal fibular stress fracture is believed to be a rare injury and awareness of it will help cli...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract::To minimize possible complications such as patellar subluxation, quadriceps atrophy and skin tightness and slough which interfere with successful rehabilitation following knee surgery, the author employed a quadriceps dislocation medial approach for total knee arthroplasty and ligament (medial and both cruciates) surg...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1991-10-01 00:00:00
abstract::Adhesion formation between the flexor tendon and its surrounding fibro-osseous sheath results in a decreased postoperative range of motion (ROM) in the hand. Transforming growth factor-beta (TGF-β) is a key cytokine in the pathogenesis of tissue fibrosis. In this study, the effects of TGF-β1 neutralizing antibody were...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100924-06
更新日期:2010-11-02 00:00:00
abstract::We present a case that demonstrates an occasion where an alternative method of C1-C2 fusion may be used when a posterior approach limited to the atlantoaxial level is not desirable. A 22-year-old man presented with a symptomatic nonunited Brooks posterior atlantoaxial fusion following a chronically displaced type II o...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1999-12-01 00:00:00
abstract::Total knee arthroplasty is a safe last-resort treatment for osteoarthritis that has excellent results in low-function-demand elderly patients. Current implants offer the same results in high-function-demand patients. However, supportive data do not exist.One-year Krackow Activity Scores (KAS) of 552 patients from 2 pr...
journal_title:Orthopedics
pub_type: 杂志文章,多中心研究
doi:10.3928/01477447-20120426-22
更新日期:2012-05-01 00:00:00
abstract::There is no mystery regarding the allure of metal-metal bearings: high stability and low wear potential. The special risks associated with these bearings are coming into focus and include a macrophage response to excessive metal particles (metal reactivity) and a lymphocyte-dominated reaction (metal sensitivity). The ...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20090728-06
更新日期:2009-09-01 00:00:00
abstract::Many techniques have been employed to facilitate intramedullary nailing of femur fractures. Maintaining limb length during the operation can be difficult. The authors describe the use of distal femoral fine wire skeletal traction as a technique to maintain reduction while allowing intramedullary nailing of femur fract...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160201-07
更新日期:2016-03-01 00:00:00
abstract::Converting unicompartmental knee arthroplasty (UKA) to total knee arthroplasty can be difficult, and specialized techniques are needed. Issues include bone loss, joint-line, sizing, and rotation. Determining the complexity of conversion preoperatively helps predict the need for augmentation, grafting, stems, or constr...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090728-32
更新日期:2009-09-01 00:00:00
abstract::Concerns exist regarding using short stems during total hip arthroplasties performed in elderly patients. For this study, the authors assessed sequential bone remodeling findings in metaphyseal-loading short stems using serial radiography. A total of 100 consecutive primary THAs using short stems were performed in pat...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20140626-57
更新日期:2014-07-01 00:00:00
abstract::Incorrect bone tunnel position, particularly on the femoral side, is a frequent cause of failed anterior cruciate ligament reconstruction. Several studies have reported that drilling the femoral tunnel through the anteromedial portal allows a more anatomical placement on the lateral femoral condyle and higher knee sta...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120725-14
更新日期:2012-08-01 00:00:00
abstract::Fourteen of 80 interpreters (18%) for deaf students at a national center on deafness sought medical care for painful conditions of the upper extremity; 11 others (14%) had less severe or transient symptoms. The conditions were brought on by repetitive use and were relieved by rest. All represented overuse syndromes. T...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1990-02-01 00:00:00
abstract::Marijuana use among orthopedic patients has not been extensively studied. The purpose of this study was to investigate the prevalence of marijuana use among orthopedic surgery patients. Additionally, the authors sought to better characterize how and why their patients use marijuana. Patients presenting at 3 institutio...
journal_title:Orthopedics
pub_type: 杂志文章,多中心研究
doi:10.3928/01477447-20191212-07
更新日期:2020-03-01 00:00:00
abstract::The performance of TKA through less than traditional visualization presents a new set of problem areas. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2005-11-01 00:00:00
abstract::This article describes a case of late locking mechanism failure and disassociation of a Pinnacle acetabular cup (DePuy, Warsaw, Indiana) and Marathon polyethylene liner (DePuy) 53 months after routine primary total hip arthroplasty in an active patient. Following an uncomplicated initial postoperative recovery, the pa...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120327-29
更新日期:2012-04-01 00:00:00
abstract::Patients with knee osteoarthritis present with reduced quadriceps muscle strength, which is partially responsible for impaired function and disability. Although total knee replacement (TKR) is an effective surgical procedure, residual muscle weakness is not usually addressed and may persist for years postoperatively. ...
journal_title:Orthopedics
pub_type: 杂志文章,随机对照试验
doi:10.3928/01477447-20110124-06
更新日期:2011-03-11 00:00:00
abstract::Bicondylar tibial plateau fractures usually include damage to the soft tissue, and efforts to fix both the lateral and medial columns with plates can result in tissue loss and infection. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110414-07
更新日期:2008-05-01 00:00:00
abstract::Fifty-five patients underwent operative treatment of slipped capital femoral epiphyses at Children's Hospital Medical Center in Cincinnati, Ohio, between January 1975 and April 1980. Charts and x-rays were available for review in 45 of these patients with 68 affected hips; the incidence of bilaterality was 51%. Sixty-...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract::Although ankle arthroscopy has been limited by the restricted available joint space, the use of distraction in addition to joint distention has permitted improved surgical and diagnostic examination of the ankle. In contrast to previously described methods of distraction, a simple, effective, and noninvasive method of...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract::In conclusion, intraspinal lumbar synovial cysts are uncommon causes of sciatic pain. Intraspinal synovial cysts are associated with degenerative arthritis of the lumbar spine. The radiographic findings on myelography are non-specific, but CT and MRI are helpful in establishing the diagnosis and in differentiating syn...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:1991-05-01 00:00:00
abstract::This study assesses femoral neck shortening and its effect on gait pattern and muscle strength in patients with femoral neck fractures treated with internal fixation. Seventy-six patients from a multicenter randomized controlled trial participated. Patient characteristics and Short Form 12 and Western Ontario and McMa...
journal_title:Orthopedics
pub_type: 杂志文章,随机对照试验
doi:10.3928/01477447-20130624-13
更新日期:2013-07-01 00:00:00
abstract::This study determined the relationship of various pelvic landmarks to the pelvic plane in the lateral position. Five whole-body cadavers were used in this study. All navigation data were collected using the OrthoPilot navigation system (B. Braun Aesculap, Tuttlingen, Germany) to register all landmarks. The pelvic plan...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090915-51
更新日期:2009-10-01 00:00:00
abstract::Multiligamentous knee injuries with simultaneous patellar tendon ruptures are rare. Surgeons must be prepared to address injured structures of the knee to allow return of knee function. Restoring motion while protecting repairs is important. The authors present 2 cases and discuss treatment strategy for preoperative e...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150105-06
更新日期:2015-01-01 00:00:00
abstract::Hematogenous gram negative infection of the long bones can present a confusing clinical picture that may delay treatment or lead to an inappropriate choice of initial treatment, and thereby compromise the resuit. This report emphasizes the common clinical features of this condition: previous urinary or gastrointestina...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19830701-09
更新日期:1983-07-01 00:00:00
abstract::Intermediate clinical and radiographic results of the new generation of total ankle arthroplasties have been encouraging. Many of the devastating problems of earlier designs have been avoided, yet these newer implants are not without complications. Many problems can be avoided with careful preoperative planning and by...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20061001-03
更新日期:2006-10-01 00:00:00
abstract::Polyhydroxyacids are a promising class of bioresorbable materials withpotential applications in spinal surgery. One such polymer, MacroPore (MacroPore Biosurgery Inc, San Diego, Calif), offers a balance of strength, predictable degradation, lack of stimulus of foreign body reaction, and biocompatibility with neural ti...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:2002-10-01 00:00:00