Levels of Evidence in Orthopaedic Trauma Literature.

Abstract:

OBJECTIVE:To review and critically assess trends observed regarding the levels of evidence in published articles in orthopaedic traumatology literature. DATA SOURCES:The Journal of Orthopaedic Trauma, Journal of Bone and Joint Surgery-American, and Clinical Orthopaedics and Related Research. STUDY SELECTION:All articles from the years 1998, 2003, 2008, and 2013 in The Journal of Orthopaedic Trauma (JOT) and orthopaedic trauma-related articles from The Journal of Bone and Joint Surgery-American (JBJS-A) and Clinical Orthopaedics and Related Research (CORR) were analyzed. Articles were categorized by type and ranked for level of evidence according to guidelines from the Centre for Evidence-Based Medicine. DATA EXTRACTION:Study type and standardized level of evidence were determined for each article. Articles were subcategorized as high-level evidence (I, II), moderate-level evidence (III), and low-level evidence (IV, V). DATA SYNTHESIS:During the study period, Journal of Bone and Joint Surgery-American reduced its low-level studies from 80% to 40% (P = 0.00015), Clinical Orthopaedics and Related Research decreased its low-level studies from 70% to 27%, and Journal of Orthopaedic Trauma decreased its low-level studies from 78% to 45%. Level IV and V therapeutic, prognostic, and diagnostic studies demonstrated significant decreases during the study period (P = 0.0046, P < 0.0001, P = 0.026). The percentage of high-level studies increased from 13% to 19%; however, this was not significant (P = 0.42). There was a trend showing an increase in level I and II studies for therapeutic, prognostic, and diagnostic studies (P = 0.06). CONCLUSIONS:There has been a statistically significant decrease in lower level of evidence studies published in the orthopaedic traumatology literature over the past 15 years.

journal_name

J Orthop Trauma

authors

Scheschuk JP,Mostello AJ,Lombardi NJ,Maltenfort MG,Freedman KB,Tjoumakaris FP

doi

10.1097/BOT.0000000000000557

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

362-6

issue

7

eissn

0890-5339

issn

1531-2291

pii

00005131-201607000-00003

journal_volume

30

pub_type

杂志文章,评审
  • Ninety-Five Degree Angled Blade Plate Fixation of High-Energy Unstable Proximal Femur Fractures Results in High Rates of Union and Minimal Complications.

    abstract:OBJECTIVES:To describe the surgical technique and clinical outcomes of high-energy proximal femur fractures treated with a 95-degree angled blade plate. DESIGN:Retrospective case series. SETTING:Single academic Level I trauma center. PATIENT/PARTICIPANTS:Forty-five consecutive patients from March 2012 to April 2017 ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001505

    authors: Berkes MB,Schottel PC,Weldon M,Hansen DH,Achor TS

    更新日期:2019-07-01 00:00:00

  • A mechanical study of gap motion in cadaveric femurs using short and long supracondylar nails.

    abstract:OBJECTIVE:To determine the relative stability achieved in unstable supracondylar femur fractures treated with long (36 cm) and short (20 cm) retrograde intramedullary nails using 1 or 2 proximal locking bolts. We hypothesized that longer nails would reduce fracture site motion compared with short nails and that 2 proxi...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200407000-00004

    authors: Sears BR,Ostrum RF,Litsky AS

    更新日期:2004-07-01 00:00:00

  • The effect of suture pattern and tension on cutaneous blood flow as assessed by laser Doppler flowmetry in a pig model.

    abstract:OBJECTIVE:To determine the effects of various suture patterns on cutaneous blood flow (CBF) at the wound edge as increasing tension is applied through the suture. METHODS:Four different suture patterns commonly used for wound closure (simple, vertical mattress, horizontal mattress, and Allgower-Donati) were placed ind...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318169074c

    authors: Sagi HC,Papp S,Dipasquale T

    更新日期:2008-03-01 00:00:00

  • Osteochondroma formation after a Salter II fracture.

    abstract::Osteochondromas are one of the most commonly observed benign bone tumors. Although there have been a number of experimental studies carried out to determine the origin of osteochondromas, their etiology remains a controversial issue. A well-documented case is presented in which a displaced Salter-Harris type II physea...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199410000-00013

    authors: Mintzer CM,Klein JD,Kasser JR

    更新日期:1994-10-01 00:00:00

  • Suprapatellar Versus Infrapatellar Tibial Nail Insertion: A Prospective Randomized Control Pilot Study.

    abstract:PURPOSE:The purpose of this OTA-approved pilot study was to compare the clinical and functional outcomes of the knee joint after infrapatellar (IP) versus suprapatellar (SP) tibial nail insertion. DESIGN:Prospective, randomized. SETTING:Level I trauma center. METHODS:After institutional review board approval, skelet...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BOT.0000000000000499

    authors: Chan DS,Serrano-Riera R,Griffing R,Steverson B,Infante A,Watson D,Sagi HC,Sanders RW

    更新日期:2016-03-01 00:00:00

  • The effects of clopidogrel (Plavix) and other oral anticoagulants on early hip fracture surgery.

    abstract:OBJECTIVE:Risk for bleeding complications during and after early hip fracture surgery for patients taking clopidogrel and other anticoagulants have not been defined. The purpose of this study is to assess the perioperative bleeding risks and clinical outcome after early hip fracture surgery performed on patients taking...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318240d70f

    authors: Collinge CA,Kelly KC,Little B,Weaver T,Schuster RD

    更新日期:2012-10-01 00:00:00

  • Intramedullary nailing of the femoral shaft: a prospective, randomized study.

    abstract::We conducted a prospective, randomized study on 84 consecutive patients with 88 acute, traumatic femoral shaft fractures using 32 Grosse-Kempf nails, 29 Russell-Taylor nails, and 27 Synthes nails. Although total operative times and proximal and distal locking times were similar for the three groups, the procedure was ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BOT.0000000000000185

    authors: Cameron CD,Meek RN,Blachut PA,O'Brien PJ,Pate GC

    更新日期:2014-08-01 00:00:00

  • Knee arthrodesis with simultaneous lengthening using the Ilizarov method.

    abstract:OBJECTIVE:To determine whether knee arthrodesis with simultaneous lengthening using the Ilizarov method for a nonreconstructable knee joint with bone loss and infection is a successful salvage procedure. DESIGN:Retrospective review of patients. SETTING:University hospital-based orthopaedic practice. PATIENTS:From 19...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200503000-00004

    authors: Rozbruch SR,Ilizarov S,Blyakher A

    更新日期:2005-03-01 00:00:00

  • Retrograde Femoral Nailing Using Percutaneous Reduction Techniques.

    abstract::Femoral shaft fractures are commonly treated with closed reduction and reamed intramedullary nailing. However, some reductions are difficult to obtain or maintain, especially in muscular or large patients. When closed methods fail to achieve reduction, percutaneous techniques are extremely useful. In addition, the use...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000890

    authors: Pettett BJ,Avery MC,Ostrum RF

    更新日期:2017-08-01 00:00:00

  • Use of Inlet-Obturator Oblique View (Leeds View) for Placement of Posterior Wall Screws in Acetabular Fracture Surgery.

    abstract::Posterior wall (PW) fractures are the most common fractures requiring surgical fixation in acetabular surgery. Extra-articular screw placement must be confirmed intraoperatively. Herein we describe the use of the inlet and obturator oblique view (the Leeds view) for screw placement in elementary PW and in associated b...

    journal_title:Journal of orthopaedic trauma

    pub_type: 临床试验,杂志文章

    doi:10.1097/BOT.0000000000000724

    authors: Tosounidis TH,Giannoudis PV

    更新日期:2017-04-01 00:00:00

  • Anteroinferior 2.7-mm versus 3.5-mm plating for AO/OTA type B clavicle fractures: a comparative cohort clinical outcomes study.

    abstract:OBJECTIVES:To compare the Disability of the Arm, Shoulder, and Hand (DASH) and Constant scores, time to union, rate of union, patient cosmetic satisfaction rate, and the need for secondary procedures between 2.7- and 3.5-mm anteroinferior plating for Arbeitsgemeinschaft für Osteosynthesefragen (AO)/Orthopaedic Trauma A...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3182693f32

    authors: Galdi B,Yoon RS,Choung EW,Reilly MC,Sirkin M,Smith WR,Liporace FA

    更新日期:2013-03-01 00:00:00

  • Three-dimensional computerized tomographic demonstration of bilateral atlantoaxial rotatory dislocation in an adult: report of a case and review of the literature.

    abstract::A rare case of bilateral atlantoaxial rotatory dislocation (Fielding type V) in an adult is presented. The diagnosis was rapidly made by computed axial tomography. Prior reports of this entity have not clearly defined the pathoanatomy, which in our case was confirmed by three-dimensional tomographic reconstruction. We...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/00005131-199402000-00015

    authors: Born CT,Mure AJ,Iannacone WM,DeLong WG Jr

    更新日期:1994-01-01 00:00:00

  • Assessment of Open Syndesmosis Reduction Techniques in an Unbroken Fibula Model: Visualization Versus Palpation.

    abstract:OBJECTIVES:This cadaveric study sought to evaluate the accuracy of syndesmotic reduction using direct visualization via an anterolateral approach compared with palpation of the syndesmosis through a laterally based incision. METHODS:Ten cadaveric specimens were obtained and underwent baseline computed tomography (CT) ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001322

    authors: Pang EQ,Coughlan M,Bonaretti S,Finlay A,Bellino M,Bishop JA,Gardner MJ

    更新日期:2019-01-01 00:00:00

  • Using a Validated Middle-Age and Geriatric Risk Tool to Identify Early (

    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

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001187

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

    更新日期:2018-07-01 00:00:00

  • Predictors of Improved Early Clinical Outcomes Following Elective Implant Removal.

    abstract:OBJECTIVES:To determine preoperative factors predictive of improvement in pain and function following elective implant removal. We hypothesized that patients undergoing orthopaedic implant removal to relieve pain would have significant improvements in both pain and function. DESIGN:Prospective Cohort Study SETTING:: L...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001920

    authors: Kempton LB,Gaski GE,Brown K,McKinley TO,Virkus WW

    更新日期:2020-10-13 00:00:00

  • Failure of exchange reamed intramedullary nails for ununited femoral shaft fractures.

    abstract:OBJECTIVE:To determine the effectiveness of exchange reamed nails for treatment of aseptic femoral delayed unions and nonunions. DESIGN:Retrospective chart review. PATIENTS:Nineteen patients admitted to the Carolinas Medical Center Level I trauma center from 1990 to 1996 for repair of femoral shaft fracture nonunion ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200006000-00005

    authors: Weresh MJ,Hakanson R,Stover MD,Sims SH,Kellam JF,Bosse MJ

    更新日期:2000-06-01 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

  • A biomechanical study of three wiring techniques for cerclage-plating.

    abstract::Transverse fractures at the distal tip of a well-fixed femoral prosthesis are difficult to stabilize using plates and screws due to the presence of the underlying intramedullary stem. The attachment of plates using cerclage wires obviates the need for screws, but the stability provided by cerclage plating is a clinica...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199505000-00004

    authors: Stevens SS,Irish AJ,Vachtsevanos JG,Csongradi J,Beaupré GS

    更新日期:1995-01-01 00:00:00

  • Predictors of Unplanned Reoperation After Operative Treatment of Pelvic Ring Injuries.

    abstract:OBJECTIVES:To evaluate the incidence of unplanned reoperations after pelvic ring injuries and to develop a risk prediction model. DESIGN:Retrospective review. SETTING:Level I Trauma Center. PATIENTS:The medical records of 913 patients (644 male and 269 female patients; mean age, 39 years; age range, 16-89 years) wit...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001170

    authors: Ochenjele G,Reid KR,Castillo RC,Schoonover CD,Montalvo RN,Manson TT,Sciadini MF,Nascone JW,Carlini AR,OʼToole RV

    更新日期:2018-07-01 00:00:00

  • Intramedullary plate fixation of a distal humerus fracture: a case report.

    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

    pub_type: 杂志文章

    doi:10.1097/00005131-200205000-00011

    authors: Russell GV Jr,Pearsall AW

    更新日期:2002-05-01 00:00:00

  • Open reduction and plate fixation of displaced AO type C3 fractures of the distal radius: restoration of articular congruity in eighteen cases.

    abstract:OBJECTIVE:To determine the ability of open reduction and plate fixation to restore articular congruity in the treatment of fractures of the distal radius with intraarticular comminution and displacement. DESIGN:Prospectively followed series. METHODS:Eighteen consecutive fractures of the distal radius with intraarticu...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200106000-00008

    authors: Schneeberger AG,Ip WY,Poon TL,Chow SP

    更新日期:2001-06-01 00:00:00

  • Mathematical precision in rotational corrective osteotomy of the femur.

    abstract::We used a mathematical model to determine whether the approach to derotation of the malrotated femur can be improved for use in corrective osteotomy of the femur. Rotational corrective osteotomy of the femur (RCOF) is a procedure performed by orthopedic surgeons to correct congenital femoral torsion deformities and po...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199806000-00012

    authors: Pulisetti TD,Onwochei MO,Ebraheim NA,Humphries C,Coombs RJ

    更新日期:1998-06-01 00:00:00

  • Gravity Stress Radiographs and the Effect of Ankle Position on Deltoid Ligament Integrity and Medial Clear Space Measurements.

    abstract:INTRODUCTION:External rotation and gravity stress radiographs have been described to distinguish stable supination-external rotation-II (SER-II) ankle fractures from unstable SER-IV fractures. It has been previously shown that both external rotation and gravity stress views are equivalent in their ability to diagnose d...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000817

    authors: Ashraf A,Murphree J,Wait E,Winston T,Wooldridge A,Meriwether M,Wilson J,Grimes JS

    更新日期:2017-05-01 00:00:00

  • Quantification of the upper and second sacral segment safe zones in normal and dysmorphic sacra.

    abstract:OBJECTIVES:To quantify the obliquity and dimensions of the upper and second sacral segment iliosacral screw safe zones and to determine the differences between normal and dysmorphic sacral morphology. DESIGN:Retrospective cohort. SETTING:University Level I trauma center. PATIENTS/PARTICIPANTS:Fifty patients with pel...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3181cf0404

    authors: Gardner MJ,Morshed S,Nork SE,Ricci WM,Chip Routt ML Jr

    更新日期:2010-10-01 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

  • Physical Performance Limitations After Severe Lower Extremity Trauma in Military Service Members.

    abstract:OBJECTIVES:To characterize the type and magnitude of lower extremity physical performance deficits in military service members who have undergone rehabilitation after limb salvage or transtibial amputation. DESIGN:Cross-sectional prospective. SETTING:Level I trauma military medical and rehabilitation center. PATIENT...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001103

    authors: Wilken JM,Roy CW,Shaffer SW,Patzkowski JC,Blanck RV,Owens JG,Hsu JR

    更新日期:2018-04-01 00:00:00

  • Quality of Reduction of Displaced Intra-Articular Calcaneal Fractures Using a Sinus Tarsi versus Extensile Lateral Approach.

    abstract:OBJECTIVE:To evaluate the difference in quality of fracture reduction between the sinus tarsi approach (STA) and extensile lateral approach (ELA) using postoperative CT scans in displaced intra-articular calcaneal fractures (DIACFs). DESIGN:Retrospective SETTING:: Level 1 and Level 2 academic centers. PATIENTS:Consec...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001971

    authors: Busel G,Mir HR,Merimee S,Patel R,Atassi O,De La Fuente G,Donohue D,Maxson B,Infante A,Shah A,Watson D,Downes K,Sanders RW

    更新日期:2020-09-18 00:00:00

  • Avoiding rotational mismatch of locking distal tibia plates depends on proper plate position.

    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

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31827cd67d

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

    更新日期:2013-07-01 00:00:00

  • Harvesting of autogenous cancellous bone graft from the proximal tibial metaphysis. A review of 230 cases.

    abstract::A study was undertaken to review the results of donor site morbidity of cancellous bone grafts obtained from the proximal tibial metaphysis. Two hundred six patients who underwent 230 proximal tibial bone graft harvestings were reviewed. Patients with lower-extremity fractures or nonunions who required cancellous bone...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199112000-00014

    authors: O'Keeffe RM Jr,Riemer BL,Butterfield SL

    更新日期:1991-01-01 00:00:00

  • Patellar fixation protected with a load-sharing cable: a mechanical and clinical study.

    abstract::The stability of patellar fracture fixation protected with a load-sharing cable was studied in cadavers. A transverse patellar osteotomy was produced and stabilized with standard patellar fixation with or without a figure-of-eight cable that extends from the proximal pole of the patella to the tibial tubercle. Standar...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-198802030-00010

    authors: Perry CR,McCarthy JA,Kain CC,Pearson RL

    更新日期:1988-01-01 00:00:00