Mechanical effects of off-axis insertion of locking screws: should we do it?

abstract：OBJECTIVE:To observe the results and describe the technique of closed reduction and placement of a two-pin supra-acetabular external fixator, followed by immediate weight bearing, in the treatment of displaced vertically stable lateral compression pelvic fractures. DESIGN:Prospective, consecutive. SETTING:Regional tr...

journal_title：Journal of orthopaedic trauma

authors： Bellabarba C,Ricci WM,Bolhofner BR

更新日期：2006-01-01 00:00:00

abstract：OBJECTIVE:To determine if the addition of a dorsal ulnar pin plate provides improved stability characteristics in the management of intra-articular distal radius fractures with an associated dorsal ulnar fragment. METHODS:OTA/AO type C3 fractures, with a dorsal ulnar fragment of one-third or one-half the width of the ...

journal_title：Journal of orthopaedic trauma

authors： Patrick NC,Lewis GS,Roush EP,Black SS,Henderson SR,Taylor KF

更新日期：2020-09-01 00:00:00

abstract：OBJECTIVES:To relate the incidence of implant failure after internal anterior fixation of the pelvic ring to functional outcome and the health-related quality of life in patients. DESIGN:Retrospective chart and radiographic review. SETTING:Level I Trauma center. METHODS:We retrospectively identified all patients who...

journal_title：Journal of orthopaedic trauma

authors： Frietman B,Verbeek J,Biert J,Frölke JP

更新日期：2016-06-01 00:00:00

abstract：:The technique of lengthening over an antegrade nail is used widely for distraction osteogenesis of the femur. Most reported complications of this technique are related to Schanz pins. We hypothesized that reducing the number of Schanz pins would enable successful distraction with fewer complications. To this purpose, ...

journal_title：Journal of orthopaedic trauma

authors： Kucukkaya M,Karakoyun O,Kuzgun U

更新日期：2013-01-01 00:00:00

abstract：OBJECTIVES:(1) To demonstrate that a validated trauma triage score for middle-aged and geriatric patients could identify those at high risk of mortality within the first 2 days of hospitalization and (2) determine the cost of care for this cohort of patients. DESIGN:Prospective cohort study. SETTING:Single level 1 tr...

journal_title：Journal of orthopaedic trauma

authors： Lott A,Haglin J,Saleh H,Hall J,Egol KA,Konda SR

更新日期：2018-07-01 00:00:00

abstract：OBJECTIVES:To determine if mean ultimate strength or failure mechanism differed between comminuted olecranon fractures created at the proximal 25% or 50% of the trochlear notch and fixed with precontoured posterior locking plates (PLPs). METHODS:Comminuted osteotomies were created in 10 matched pairs of cadaveric uppe...

journal_title：Journal of orthopaedic trauma

authors： Fantry A,Sobel A,Capito N,Hodax JD,Pidgeon T,Koruprolu S,Rich R,Fava JL,Green A,Paxton S

更新日期：2018-11-01 00:00:00

abstract：:We report an isolated anterior dislocation of the radial head in an adult after sustaining a fall on the outstretched arm. Based on history and presentation, we speculate that the injury occurred in a position of hyperextension and supination. Reduction was achieved by a pronation maneuver. ...

journal_title：Journal of orthopaedic trauma

authors： Bonatus T,Chapman MW,Felix N

更新日期：1995-01-01 00:00:00

abstract：:A prospective randomized study was set up, comparing a compression hip screw with the Vandeputte (VDP) endoprosthesis treatment for fresh, unstable peritrochanteric fractures, according to the Evans-Jensen and AO systems. Ninety patients, ages > or = 70 years, 47 of whom were treated with a compression hip screw and 4...

journal_title：Journal of orthopaedic trauma

authors： Stappaerts KH,Deldycke J,Broos PL,Staes FF,Rommens PM,Claes P

更新日期：1995-01-01 00:00:00

abstract：:Tibial plateau fractures can involve planes that require reduction and stabilization from a posterior approach. This includes posteromedial, posterolateral, and posterior column shear type injuries. This video outlines the prone posteromedial approach to the tibial plateau for posterior column fracture exposure, reduc...

journal_title：Journal of orthopaedic trauma

authors： Shields CN,Eftekhary N,Egol KA

更新日期：2020-08-01 00:00:00

abstract：OBJECTIVE:The open reduction and internal fixation of radial shaft fractures and osteotomies with standard 3.5-mm plates can be complicated by tendon irritation, hardware prominence, and fracture through the screw holes. With the advent of locking plate technology, implant companies and some surgeons have recommended e...

journal_title：Journal of orthopaedic trauma

authors： Garrigues GE,Glisson RR,Garrigues NW,Richard MJ,Ruch DS

更新日期：2011-06-01 00:00:00

abstract：:Ipsilateral elbow and forearm fractures are quite rare in children. We present a Monteggia lesion with ipsilateral supracondylar humerus fracture in a 13-year-old girl. Through early surgical management, a successful result was achieved. We believe that, to minimize any initial or subsequent complications in such frac...

journal_title：Journal of orthopaedic trauma

authors： Arazi M,Oğün TC,Kapicioğlu MI

更新日期：1999-01-01 00:00:00

abstract：OBJECTIVES:We studied the safety of immediate weight bearing as tolerated (IWBAT) and immediate range of motion (IROM) following open reduction internal fixation (ORIF) of selected malleolar ankle fractures (defined as involving bony or ligamentous disruption of two or more of the malleoli or syndesmosis without articu...

journal_title：Journal of orthopaedic trauma

authors： Fram BR,Rogero RG,Chang G,Krieg JC,Raikin SM

更新日期：2020-11-09 00:00:00

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

authors： Sagi HC,Afsari A,Dziadosz D

更新日期：2010-05-01 00:00:00

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

authors： Cox MA,Bowie R,Horne G

更新日期：1993-01-01 00:00:00

abstract：:Stress fracture of the anterior tibial cortex is an extremely challenging fracture to treat, especially in the high-performance female athlete who requires rapid return to competition. Previous reports have not addressed treating these fractures in the world-class athlete with anterior plating. We hypothesize that ant...

journal_title：Journal of orthopaedic trauma

authors： Borens O,Sen MK,Huang RC,Richmond J,Kloen P,Jupiter JB,Helfet DL

更新日期：2006-07-01 00:00:00

abstract：:Monteggia fractures represent approximately 1 to 2 percent of forearm fractures, whereas Galeazzi fractures represent 3 to 6 percent. The combination of these injuries in the same extremity is an exceedingly rare occurrence. We report a case of ipsilateral combination Monteggia and Galeazzi fractures in an adult patie...

journal_title：Journal of orthopaedic trauma

authors： Clare DJ,Corley FG,Wirth MA

更新日期：2002-02-01 00:00:00

abstract：OBJECTIVES:To evaluate the relationship between mechanism of injury and mortality in geriatric trauma patients and the ability of existing injury severity indices (ISIs) to assess mortality. DESIGN:Retrospective review. SETTING:Urban level 1 trauma center. PARTICIPANTS:Four thousand five hundred forty-five trauma pa...

journal_title：Journal of orthopaedic trauma

authors： Konda SR,Lack WD,Seymour RB,Karunakar MA

更新日期：2015-07-01 00:00:00

abstract：OBJECTIVES:To evaluate the outcomes of treatment with a percutaneous compression plate (PCCP) in stable and unstable intertrochanteric hip fractures. DESIGN:Clinical prospective nonrandomized cohort study. SETTING:San Cecilio University Hospital, Granada (Spain). A tertiary-care hospital. PATIENTS:Patients older tha...

journal_title：Journal of orthopaedic trauma

authors： Carvajal-Pedrosa C,Gómez-Sánchez RC,Hernández-Cortés P

更新日期：2016-06-01 00:00:00

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

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

abstract：OBJECTIVE:To characterize the presentation and outcomes of calcaneal avulsion fractures. DESIGN:Case series. SETTING:Two ACS Level I trauma centers. PATIENTS/PARTICIPANTS:Forty-seven calcaneal avulsion fractures isolated from a cohort of 1365 calcaneus fractures treated over a 17-year period. MAIN OUTCOME MEASUREME...

journal_title：Journal of orthopaedic trauma

authors： Mitchell PM,OʼNeill DE,Branch E,Mir HR,Sanders RW,Collinge CA

更新日期：2019-11-01 00:00:00

abstract：OBJECTIVES:A sheep model of osteoporosis suitable for implant testing for osteoporotic fractures was evaluated with regard to normalization of hormonal status and possible rebound of bone mineral density subsequent to the termination of steroid application. DESIGN:Osteoporosis was induced in 10 aged, female white alpi...

journal_title：Journal of orthopaedic trauma

authors： Goldhahn J,Jenet A,Schneider E,Lill CA

更新日期：2005-01-01 00:00:00

abstract：OBJECTIVE:To measure the dimensions of the narrowest portion of the sacral ala for safe insertion of iliosacral lag screws. DESIGN:Computed tomography (CT) model. SETTING:Level One trauma center. PATIENTS:Thirteen adult patients underwent pelvic CT imaging. MAIN OUTCOME MEASURE:Axial CT scans of intact pelves were ...

journal_title：Journal of orthopaedic trauma

authors： Noojin FK,Malkani AL,Haikal L,Lundquist C,Voor MJ

更新日期：2000-01-01 00:00:00

abstract：OBJECTIVE:The purpose of the present study was to compare the biomechanical stability of C1 and C2 vertebrae after treatment of ligamentous instability by either modified Brooks posterior wiring (MB) or transarticular screw (TAS) techniques. We hypothesized that the TAS technique would be more stable because of direct ...

journal_title：Journal of orthopaedic trauma

authors： Mitchell TC,Sadasivan KK,Ogden AL,Mayeux RH,Mukherjee DP,Albright JA

更新日期：1999-09-01 00:00:00

abstract：:Business intelligence in the field of medicine, particularly with physicians, has been an abstract concept at best with no objective metric. Furthermore, in many arenas, it was taboo for medical students, residents, and physicians to discuss the business and finances of their work for fear that it would interfere with...

journal_title：Journal of orthopaedic trauma

authors： Hill AD

更新日期：2014-09-01 00:00:00

abstract：:Compression screws, Ender rods, and Zickel nails were evaluated mechanically to determine their resulting stability in the fixation of experimental subtrochanteric femur osteotomies. Twenty-five pairs of human cadaver femurs were used. Experimental osteotomies were created and a random member of each pair was fixed wi...

journal_title：Journal of orthopaedic trauma

authors： Wainer RA,Wright PH,Gilbert JA,Taylor DF

更新日期：1990-01-01 00:00:00

abstract：OBJECTIVES:Fractures of the distal femur are severe injuries that present many clinical challenges. Nonunion, delayed union, implant failure, and the need for secondary procedures can reflect complications of healing. This article reviews the literature on distal femur fractures treated with locking plates to determine...

journal_title：Journal of orthopaedic trauma

authors： Henderson CE,Kuhl LL,Fitzpatrick DC,Marsh JL

更新日期：2011-02-01 00:00:00

abstract：:A case of intracardiac malpositioning of a sternoclavicular Kirschner pin is reported. After an uneventful closed wire-fixation of sternoclavicular subluxation and a normal postanesthetic recovery, a 17-year-old male patient developed opacification of the right hemithorax and signs of internal bleeding. The lateral ch...

journal_title：Journal of orthopaedic trauma

authors： Smolle-Juettner FM,Hofer PH,Pinter H,Friehs G,Szyskowitz R

更新日期：1992-01-01 00:00:00

abstract：OBJECTIVE:To determine whether using nothing stronger than codeine and tramadol provides adequate pain alleviation in people recovering from fixation of a fracture of the femur or tibia shaft. DESIGN:Retrospective case series. SETTING:Level 1 trauma center in the United States. PATIENTS:All adult patients from Octob...

journal_title：Journal of orthopaedic trauma

authors： Reich MS,Klahs KJ,Fernandez I,Nguyen MP

更新日期：2020-02-01 00:00:00

abstract：PURPOSE:The purpose of this video is to demonstrate the surgical technique of a shoulder arthrodesis for a patient with multidirectional instability and multiple failed previous surgeries. METHODS:A 25-year-old woman with a long history of left shoulder multidirectional instability in the setting of Ehlers-Danlos synd...

journal_title：Journal of orthopaedic trauma

authors： Legato JM,OʼConnell M,Fuller DA

更新日期：2018-08-01 00:00:00

abstract：INTRODUCTION:Proximal ulna fractures can cause a significant loss of forearm rotation, elbow stiffness, and disability. The objective of this study was to quantify the loss of forearm rotation after simulated varus and valgus malunions of the proximal ulna. METHODS:Eight cadaveric upper extremities were used to quanti...

journal_title：Journal of orthopaedic trauma

authors： Snow BJ,Javidan P,Itamura JM,Lee TQ

更新日期：2014-03-01 00:00:00