Economic Impact of Nonmodifiable Risk Factors in Orthopaedic Fracture Care: Is Bundled Payment Feasible?

abstract：:In March 2016, North American academic leaders with an interest in and commitment to the field of global orthopaedics met in Orlando, Florida, to gauge each institution's clinical, research, and educational programs in developing countries, establish the main limitations to participating in global health efforts, and ...

journal_title：Journal of orthopaedic trauma

authors： Miclau T,MacKechnie MC,Shearer DW,COACT group.

更新日期：2018-10-01 00:00:00

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

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

更新日期：2011-03-01 00:00:00

abstract：OBJECTIVES:To compare open reduction and internal fixation (ORIF) and nonsurgical treatment outcomes in displaced midshaft clavicle fractures. DATA SOURCES:PubMed, MEDLINE, EMBASE, Web of Science, Cochrane Library, and ClinicalTrials.gov were searched in September 2017. STUDY SELECTION:Inclusion criteria were randomi...

journal_title：Journal of orthopaedic trauma

authors： Ahmed AF,Salameh M,AlKhatib N,Elmhiregh A,Ahmed GO

更新日期：2018-07-01 00:00:00

abstract：OBJECTIVES:To determine whether surgeons' and patients' perceptions of outcomes after high-energy lower-extremity trauma are similar and to identify factors associated with disagreement. DESIGN:Prospective study. SETTING:Eight level 1 trauma centers. PATIENTS:Four hundred sixty-three patients treated for limb-threat...

journal_title：Journal of orthopaedic trauma

authors： O'Toole RV,Castillo RC,Pollak AN,MacKenzie EJ,Bosse MJ,LEAP Study Group.

更新日期：2009-11-01 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：:Anterior approaches to the pelvis for acetabular surgery require an intimate knowledge of pelvic anatomy. The utilitarian anterior approach is the ilioinguinal approach. This article will describe a technique for modifying the medial window of the ilioinguinal approach to facilitate intrapelvic visualization and instr...

journal_title：Journal of orthopaedic trauma

authors： Hagen JE,Weatherford BM,Nascone JW,Sciadini MF

更新日期：2015-02-01 00:00:00

abstract：OBJECTIVES:Far cortical locking (FCL) constructs have been shown to increase axial interfragmentary displacement while limiting shear and have been specifically recommended in the treatment of distal femur fractures. However, there is no available data regarding their mechanical behavior within the range of bridge span...

journal_title：Journal of orthopaedic trauma

authors： Habet N,Elkins J,Peindl R,Killen C,Lack WD

更新日期：2019-02-01 00:00:00

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

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

更新日期：2019-07-01 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：OBJECTIVES:External fixator pins are thought to have improved pullout strength if inserted into both cortices and if pilot holes are drilled. We tested these hypotheses and investigated effects of osteoporosis and pin location on pin pullout strength. METHODS:Self-drilling external fixator pins were inserted using 4 t...

journal_title：Journal of orthopaedic trauma

authors： Oliphant BW,Kim H,Osgood GM,Golden RD,Hawks MA,Hsieh AH,OʼToole RV

更新日期：2013-02-01 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：OBJECTIVES:The aim of this article is to provide a concise review of the basic science of extracorporeal shock wave therapy (ESWT) and to perform a systematic review of the literature for the use of ESWT in the treatment of fractures and delayed unions/nonunions. DATA SOURCES:Articles in the English or German language...

journal_title：Journal of orthopaedic trauma

authors： Zelle BA,Gollwitzer H,Zlowodzki M,Bühren V

更新日期：2010-03-01 00:00:00

abstract：OBJECTIVES:To assess the treatment preferences of orthopaedic surgeons for displaced three- and four-part proximal humerus fractures. DESIGN:Cross-sectional survey. SETTING:Academic and nonacademic institutions across Canada. PATIENTS/PARTICIPANTS:Members of the Canadian Orthopedic Trauma Society and the Joint Ortho...

journal_title：Journal of orthopaedic trauma

authors： Guy P,Slobogean GP,McCormack RG

更新日期：2010-04-01 00:00:00

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

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

更新日期：2008-09-01 00:00:00

abstract：OBJECTIVES:The purpose of this study is to evaluate the predictive ability of the Orthopedic Trauma-Open Fracture Classification (OTA-OFC) system in regards to short-term (90 days) outcomes of amputation, infection necessitating intravenous antibiotics, and wound healing in clinical practice across multiple centers. D...

journal_title：Journal of orthopaedic trauma

authors： Johnson JP,Karam M,Schisel J,Agel J

更新日期：2016-11-01 00:00:00

abstract：OBJECTIVE:To quantify intrapelvic surface symmetry in reference to a preshaped suprapectineal acetabular implant. METHODS:In this cross-sectional study, an anatomically preshaped acetabular fracture implant was fitted on 3D surface models of 516 pelvises from a preexisting bone database using a software tool for autom...

journal_title：Journal of orthopaedic trauma

authors： Osterhoff G,Petersik A,Sprengel K,Pape HC

更新日期：2019-03-01 00:00:00

abstract：OBJECTIVES:Biomechanical studies of osteoporotic bone have used synthetic models rather than cadaveric samples because of decreased variability, increased availability, and overall ease of the use of synthetic models. We compared the torsional mechanical properties of cadaveric osteoporotic bone with those of currently...

journal_title：Journal of orthopaedic trauma

authors： Becker EH,Kim H,Shorofsky M,Hsieh AH,Watson JD,OʼToole RV

更新日期：2017-05-01 00:00:00

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

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

更新日期：1991-01-01 00:00:00

abstract：:The pull-out strength of two types of bone staples (A, Techmedica; B, Richards) was evaluated in a canine model and compared with a control of 6.5 mm cancellous bone screw (Synthes). Fifteen adult mongrel dogs were divided into three groups of five animals each. The implants were placed in the lateral femoral condyle ...

journal_title：Journal of orthopaedic trauma

authors： Bargar WL,Sharkey NA,Paul HA,Manske DJ

更新日期：1987-01-01 00:00:00

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

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

更新日期：2000-06-01 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：OBJECTIVE:This study tests the bone debridement efficacy and damage to cancellous bone produced by different wound irrigation methods. METHODS:Cancellous bone slices of bovine distal femurs (3 cm x 3 cm) were divided into eight test groups and scored with a saw in a latticed pattern. Four test groups were contaminated...

journal_title：Journal of orthopaedic trauma

authors： Draeger RW,Dirschl DR,Dahners LE

更新日期：2006-11-01 00:00:00

abstract：OBJECTIVES:Anatomic reduction of the fibula with regard to the tibia is the goal when treating syndesmotic injuries. No objective method exists to describe the distal tibiofibular relationship. The primary and secondary objectives of this study was to describe and validate radiologic measurements of the syndesmosis and...

journal_title：Journal of orthopaedic trauma

authors： Nault ML,Hébert-Davies J,Laflamme GY,Leduc S

更新日期：2013-11-01 00:00:00

abstract：OBJECTIVE:To determine the impact of smoking on intensive care unit (ICU) outcomes in patients who underwent operative fixation for spine trauma. DESIGN:Retrospective cohort study. SETTING:Single academic level I trauma center. PATIENTS:One hundred eighty-one consecutive surgical spine trauma patients from January 2...

journal_title：Journal of orthopaedic trauma

authors： Du JY,Weinberg DS,Moore TA,Vallier HA

更新日期：2020-07-01 00:00:00

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

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

abstract：OBJECTIVES:To determine if there are differences in healing, complications, or number of procedures required to obtain union among open and closed tibia fractures treated with intramedullary (IM) nails inserted with and without reaming. DESIGN:Prospective, surgeon-randomized comparative study. SETTING:Level One traum...

journal_title：Journal of orthopaedic trauma

authors： Finkemeier CG,Schmidt AH,Kyle RF,Templeman DC,Varecka TF

更新日期：2000-03-01 00:00:00

abstract：OBJECTIVES:The incidence of osteoporotic proximal tibial fractures has increased during the last 2 decades. A promising approach in osteoporotic fracture fixation is polymethylmethacrylate-based cement augmentation of implants to gain better implant purchase in the bone. This study investigates the biomechanical benefi...

journal_title：Journal of orthopaedic trauma

authors： Goetzen M,Nicolino T,Hofmann-Fliri L,Blauth M,Windolf M

更新日期：2014-05-01 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: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

authors： Rozbruch SR,Ilizarov S,Blyakher A

更新日期：2005-03-01 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