Magnetic Resonance Imaging of Trauma Patients Treated With Contemporary External Fixation Devices: A Multicenter Case Series.

Abstract:

OBJECTIVES:To report the safety and clinical outcomes of placing current magnetic resonance imaging (MRI) components inside and outside the MRI bore during MRIs. DESIGN:Retrospective case series. SETTING:Four trauma centers (3 Level I and 1 Level II), from January 2005 to January 2015. PATIENTS:All patients who had MRIs with external fixators in place either inside or outside the MRI bore. INTERVENTION:MRI of patients with external fixator in place. MAIN OUTCOME MEASUREMENTS:Adverse events were defined as catastrophic pullout of the external fixator during the MRI, thermal injury to the skin, severe field distortions precluding the intended imaging, alterations of the magnetic field, or visible structural damage to the magnet casing. RESULTS:Thirty-eight patients with 44 external fixators were identified who had MRI with the fixator inside or outside the MRI bore. Twelve patients with 13 external fixators had MRI with the external fixator inside the MRI bore. Twenty-seven patients with 32 external fixators had MRI with the external fixator outside the MRI bore. There were no adverse events. CONCLUSIONS:Although no universal guidelines exist, there are circumstances in which obtaining MRIs of patients with external fixators can be safe. This is the first clinical series with the primary outcome of safety when placing modern external components both inside and outside an MRI bore during a scan. LEVEL OF EVIDENCE:Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

journal_name

J Orthop Trauma

authors

Hayden BL,Theriault R,Bramlett K,Lucas R,McTague M,Bedi HS,Flacke S,Weaver MJ,Marcantonio AJ,Ryan SP

doi

10.1097/BOT.0000000000000954

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

e375-e380

issue

11

eissn

0890-5339

issn

1531-2291

journal_volume

31

pub_type

杂志文章,多中心研究
  • Regeneration of diaphyseal bone defects using resorbable poly(L/DL-lactide) and poly(D-lactide) membranes in the Yucatan pig model.

    abstract:OBJECTIVES:To determine the effects of tubular resorbable polymer membranes on the healing of a segmental diaphyseal bone defect. DESIGN:A randomized prospective study using the minipig model. Animals were evaluated with in vivo roentgenograms on a biweekly basis until explanted at twelve weeks. SETTING:After surgery...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199711000-00002

    authors: Meinig RP,Buesing CM,Helm J,Gogolewski S

    更新日期:1997-11-01 00:00:00

  • Treatment of diaphyseal fractures of the humerus using a functional brace.

    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

    pub_type: 杂志文章

    doi:10.1097/01.bot.0000249423.48074.82

    authors: Rutgers M,Ring D

    更新日期:2006-10-01 00:00:00

  • Late-onset sternomanubrial dislocation with progressive kyphotic deformity after a thoracic burst fracture.

    abstract::Fractures and dislocations of the sternum may be associated with flexion-compression injuries of the thoracic spine. Sternal injuries most commonly occur at or near the sternomanubrial joint. We present a patient with a known thoracic spine fracture who developed a subsequent late-onset, symptomatic sternomanubrial di...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199509040-00014

    authors: Stahlman GC,Wyrsch RB,McNamara MJ

    更新日期:1995-01-01 00:00:00

  • Overlapping Surgery for Ankle Fractures: Is It Safe?

    abstract:OBJECTIVE:To determine whether the practice of overlapping surgery influenced patient safety after open reduction internal fixation (ORIF) for ankle fractures. DESIGN:Retrospective case-control. SETTING:Level 1 Academic Midwest trauma center. PATIENTS:All patients who underwent ankle fracture ORIF by a single surgeo...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001757

    authors: Baessler A,Mullis B,Loder R,Corn K,Mavros C

    更新日期:2020-08-01 00:00:00

  • Traumatic anterior dislocation of the radial head in an adult.

    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

    pub_type: 杂志文章

    doi:10.1097/00005131-199505000-00014

    authors: Bonatus T,Chapman MW,Felix N

    更新日期:1995-01-01 00:00:00

  • Acute vascular injury associated with fracture of the distal radius: a report of 6 cases.

    abstract:OBJECTIVES:To highlight the potential for vascular injury with fracture of the distal radius. DESIGN:Retrospective case series. SETTING:The practices of several orthopaedic hand surgeons. PATIENTS/PARTICIPANTS:Six patients with arterial injury as a consequence of fracture of the distal radius: 2 partial lacerations ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318188d686

    authors: de Witte PB,Lozano-Calderon S,Harness N,Watchmaker G,Green MS,Ring D

    更新日期:2008-10-01 00:00:00

  • Deficit (14 cm) of the tibia solved by a double sliding graft using the Ilizarov apparatus.

    abstract::A 14 cm deficit of the tibia with a soft tissue deficit was resolved using the apparatus of Ilizarov. The apparatus was applied using a double corticotomy of the proximal and distal remainder of the tibia. The fragments were moved until they met each other in the central part of the deficit. Afterwards, a part of the ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:

    authors: Milicevic N

    更新日期:1990-01-01 00:00:00

  • The surgical treatment of isolated mason type 2 fractures of the radial head in adults: comparison between radial head resection and open reduction and internal fixation.

    abstract:OBJECTIVES:To compare the outcomes of two different surgical treatments for the management of isolated closed Mason Type 2 radial head fractures. DESIGN:Retrospective study. The Student t test and McPearson chi-square test were used to evaluate whether there was a significance difference between the groups. PATIENTS:...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318220a227

    authors: Zarattini G,Galli S,Marchese M,Mascio LD,Pazzaglia UE

    更新日期:2012-04-01 00:00:00

  • Cannulated hip screws: a study of fixation integrity, cut-out resistance, and high-cycle bending fatigue performance.

    abstract::One major advancement in the treatment of femoral neck fractures has been the development of cannulated screws. This study investigates the integrity of five commercially available cannulated screw systems. Transcervical fractures were created in 25 adult femora and repaired by three cannulated hip screws of a randoml...

    journal_title:Journal of orthopaedic trauma

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005131-199408000-00004

    authors: Rouleau JP,Blasier RB,Tsai E,Goldstein SA

    更新日期:1994-08-01 00:00:00

  • Modified Pauwels' intertrochanteric osteotomy in neglected femoral neck fractures in children: a report of 10 cases followed for a minimum of 5 years.

    abstract:OBJECTIVES:To evaluate the role of a modified Pauwels' intertrochanteric osteotomy (MPIO) in neglected femoral neck fractures in children. DESIGN:Prospective study with retrospective analysis. SETTING:Tertiary care Postgraduate Institute of Medical Sciences. PATIENTS:Ten children (8 males, 2 females) with an average...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31804cfdad

    authors: Magu NK,Singh R,Sharma AK,Ummat V

    更新日期:2007-04-01 00:00:00

  • Nail and Plate Combination Fixation for Periprosthetic and Interprosthetic Fractures.

    abstract::Nail plate combination technique can be applied in the setting of periprosthetic and interprosthetic fractures to promote reliable healing with a biomechanically favorable construct. Here, technical aspects and discussion of the technique are reviewed through a case of an 87-year-old woman who suffered from an interpr...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001571

    authors: Yoon RS,Patel JN,Liporace FA

    更新日期:2019-09-01 00:00:00

  • Impact of an Integrated Hip Fracture Inpatient Program on Length of Stay and Costs.

    abstract:BACKGROUND:Hip fractures are associated with significant morbidity and mortality. Co-management models pairing orthopaedic surgeons with hospitalists or geriatricians may be effective at improving processes of care and outcomes such as length of stay (LOS) and cost. We set out to determine the effect of an integrated h...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000691

    authors: Soong C,Cram P,Chezar K,Tajammal F,Exconde K,Matelski J,Sinha SK,Abrams HB,Fan-Lun C,Fabbruzzo-Cota C,Backstein D,Bell CM

    更新日期:2016-12-01 00:00:00

  • Clinical Experience With the Use of Low-Intensity Pulsed Ultrasound (LIPUS) in the Treatment of Atypical Femoral Fractures.

    abstract:OBJECTIVE:The aim of this study was to report the clinical results of atypical femoral fractures (AFFs) treated with low-intensity pulsed ultrasound (LIPUS). MATERIALS AND METHODS:The data on AFFs that were surgically treated in our hospital from 2010 to 2016 was retrospectively analyzed. AFF was diagnosed based on th...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/01.bot.0000520889.69599.f3

    authors: Lee SY,Niikura T,Iwakura T,Fukui T,Kuroda R

    更新日期:2017-07-01 00:00:00

  • Healing complications after internal fixation of trochanteric hip fractures: the prognostic value of osteoporosis.

    abstract::In a 3-year prospective randomized trial, the prognostic value of osteoporosis in terms of predicting healing complications due to implant failures or loss of fracture reduction has been studied in 113 patients with inter-trochanteric hip fractures treated with either a sliding screwplate or Ender nailing. According t...

    journal_title:Journal of orthopaedic trauma

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005131-199310000-00006

    authors: Barrios C,Broström LA,Stark A,Walheim G

    更新日期:1993-01-01 00:00:00

  • The role of negative pressure wound therapy with reticulated open cell foam in the treatment of war wounds.

    abstract::The treatment of war wounds poses many unique challenges to all healthcare providers (surgeons, flight medics, nurses, etc.), whether they are located at the far forward trauma hospitals located in or near areas of conflict, at regional hospitals such as Landstuhl Medical Center in Germany, or the larger military hosp...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0b013e318188e27d

    authors: Powell ET 4th

    更新日期:2008-11-01 00:00:00

  • Volar radiocarpal dislocation with ulnar translocation.

    abstract::The first known reported case of volar radiocarpal dislocation with ulnar translocation is described with a review of previous literature on the isolated components of these injuries. Radiographic criteria for their diagnosis are presented with recommendations for early operative intervention to minimize the risk of s...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/00005131-198802040-00009

    authors: Penny WH 3rd,Green TL

    更新日期:1988-01-01 00:00:00

  • Varus Posteromedial Rotatory Instability of the Elbow: Injury Pattern and Surgical Experience of 27 Acute Consecutive Surgical Patients.

    abstract:OBJECTIVES:To identify associated injuries that occur in varus posteromedial rotatory instability (VPMRI) of the elbow and present their surgical management. DESIGN:Level II retrospective study. SETTING:Tertiary referral center. PATIENT/PARTICIPANTS:Twenty-seven patients with VPMRI injuries treated surgically over a...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001313

    authors: McLean J,Kempston MP,Pike JM,Goetz TJ,Daneshvar P

    更新日期:2018-12-01 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

  • In vitro toxicity and activity of Dakin's solution, mafenide acetate, and amphotericin B on filamentous fungi and human cells.

    abstract:OBJECTIVES:Posttraumatic invasive fungal infections threaten critically injured combat-related injuries and require a combination of extensive surgery and systemic antifungal therapy, along with topical antimicrobials used adjunctively to control the infection. We evaluated the in vitro activity of topical agents in va...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3182830bf9

    authors: Barsoumian A,Sanchez CJ,Mende K,Tully CC,Beckius ML,Akers KS,Wenke JC,Murray CK

    更新日期:2013-08-01 00:00:00

  • Percutaneous autologous bone marrow injection in the treatment of distal meta-diaphyseal tibial nonunions and delayed unions.

    abstract:OBJECTIVE:To report the outcomes of percutaneous autologous bone marrow injection for nonunion or delayed union of the distal tibial metaphysis in patients with prior plating. DESIGN:Consecutive case series. SETTING:Tertiary center. PATIENTS:Eleven consecutive patients (aged 24-51 years) were referred to us with a n...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31828bf077

    authors: Braly HL,O'Connor DP,Brinker MR

    更新日期:2013-09-01 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

  • Femoral nerve palsy after pelvic fracture treated with INFIX: a case series.

    abstract:OBJECTIVE:The treatment of some pelvic injuries has evolved recently to include the use of a subcutaneous anterior pelvic fixator (INFIX). We present 8 cases of femoral nerve palsy in 6 patients after application of an INFIX to highlight this potentially devastating complication to pelvic surgeons using this technique ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000193

    authors: Hesse D,Kandmir U,Solberg B,Stroh A,Osgood G,Sems SA,Collinge CA

    更新日期:2015-03-01 00:00:00

  • Complications of locking plate fixation in complex proximal tibia injuries.

    abstract:OBJECTIVES:To report the complications and pitfalls in the treatment of complex injuries of the proximal tibia when locking plates are used. DESIGN, SETTING, AND PATIENTS:This was a retrospective case series conducted at a university Level I trauma center. Thirty-seven patients with complex proximal tibia fractures (4...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318030df96

    authors: Phisitkul P,McKinley TO,Nepola JV,Marsh JL

    更新日期:2007-02-01 00:00:00

  • Trauma program development.

    abstract::The development of a strong trauma program is clearly one of the most important facets of successful business development. Several recent publications have demonstrated that well run trauma services can generate significant profits for both the hospital and the surgeons involved. There are many aspects to this task th...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000142

    authors: Althausen PL

    更新日期:2014-07-01 00:00:00

  • Mortality after pelvic fractures in the elderly.

    abstract::Theoretically, fissures and minor fractures of the pelvis sustained by the elderly after low-energy trauma may lead to thromboembolic complications. Few studies exist, but clinically, these injuries had been considered to have an excellent prognosis until a recent study reported a 10% fatality rate from pulmonary embo...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/00005131-198906000-00005

    authors: Rossvoll I,Finsen V

    更新日期:1989-01-01 00:00:00

  • Abductor Muscle Function and Trochanteric Tenderness After Hemiarthroplasty for Femoral Neck Fracture.

    abstract:OBJECTIVES:To compare the abductor muscle function and trochanteric tenderness in patients operated with hemiarthroplasty using the direct lateral (DL) or posterolateral (PL) approach for displaced femoral neck fracture. DESIGN:Prospective cohort study. SETTING:A secondary teaching hospital. PARTICIPANTS:We enrolled...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000532

    authors: Sayed-Noor AS,Hanas A,Sköldenberg OG,Mukka SS

    更新日期:2016-06-01 00:00:00

  • Anatomic Fixation of Supination External Rotation Type IV Equivalent Ankle Fractures.

    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

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000318

    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

  • A concept for the validation of fracture classifications.

    abstract::The fracture classification systems currently used most frequently were not developed or validated by rigorous scientific evaluation methods. This paper discusses the classification of fractures from an epidemiological and clinical decision-making perspective and proposes a standardized methodological concept for thei...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/01.bot.0000155310.04886.37

    authors: Audigé L,Bhandari M,Hanson B,Kellam J

    更新日期:2005-07-01 00:00:00

  • Intramedullary nailing of tibial shaft fractures distal to total knee arthroplasty.

    abstract::Tibial shaft fractures distal to total knee arthroplasty are rare, but they are likely to become more common with the increasing number of arthroplasty procedures being performed. These fracture patterns have been treated in the past either with closed reduction and casting/bracing or with open reduction internal fixa...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000096

    authors: Haller JM,Kubiak EN,Spiguel A,Gardner MJ,Horwitz DS

    更新日期:2014-12-01 00:00:00

  • A biomechanical analysis of internal fixation of complex tibial plateau fractures.

    abstract:OBJECTIVE:To compare the mechanical stability of fixation of an unstable bicondylar tibial plateau fracture with several different fixation techniques in a cadaveric model. DESIGN:Randomized laboratory investigation using a simulated bicondylar tibial plateau fracture with metaphyseal-diaphyseal dissociation. SETTING...

    journal_title:Journal of orthopaedic trauma

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005131-199911000-00005

    authors: Horwitz DS,Bachus KN,Craig MA,Peters CL

    更新日期:1999-11-01 00:00:00