A Novel Traction Frame for Femur Fracture Management in Developing Countries: Technique and Outcomes.

Abstract:

:Fractures of the femur have long been a major cause of morbidity and mortality in developing countries and are most frequently caused by road traffic accidents. Intramedullary nail fixation has become the gold standard of care for diaphyseal fractures of the femur. However, modern techniques require proper implants, access to imaging, and accessible operating room facilities, all of which have limited availability in the developing world. We describe a new technique for assembly of a polyvinyl chloride traction frame for treatment of femur fractures in resource-poor settings. Our report includes a retrospective review of patients treated with polyvinyl chloride traction frames in the Dominican Republic and Haiti.

journal_name

J Orthop Trauma

authors

Levy DM,Meadows MC,Gates DJ

doi

10.1097/BOT.0000000000001407

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

e203-e206

issue

5

eissn

0890-5339

issn

1531-2291

pii

00005131-201905000-00015

journal_volume

33

pub_type

杂志文章,多中心研究
  • Closed elbow dislocation and brachial artery damage.

    abstract::Damage to the brachial artery associated with closed elbow dislocation but without accompanying fracture is rare. Only 25 cases have been reported to date. We present a case that responded well to brachial artery vein grafting, and review the literature on this subject. Operative repair is recommended in this uncommon...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/00005131-199312000-00012

    authors: Slowik GM,Fitzimmons M,Rayhack JM

    更新日期:1993-01-01 00:00:00

  • 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

  • Pathomechanical significance of radial head subluxation in the onset of osteochondritis dissecans of the radial head.

    abstract::Osteochondritis dissecans of the elbow mainly involves the capitellum; however, no authors have reported the condition in the radial head with subluxation of the radial head. We report four cases in which osteochondritis dissecans involved the radial head and was accompanied by radial head subluxation. All patients we...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318214d678

    authors: Tatebe M,Hirata H,Shinohara T,Yamamoto M,Morita A,Horii E

    更新日期:2012-01-01 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

  • Intramedullary allograft fibula as a reduction and fixation tool for treatment of complex proximal humerus fractures with diaphyseal extension.

    abstract:SUMMARY:In this study, we present a novel technique for reduction and fixation of complex, unstable proximal humerus fractures with diaphyseal extension with the assistance of fibula allograft. We treated 14 patients using this technique since 2009 and found that it improves the reduction and enhances fixation while ma...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31829a346d

    authors: Berkes MB,Little MT,Lazaro LE,Cymerman RM,Pardee NC,Helfet DL,Dines JS,Lorich DG

    更新日期:2014-03-01 00:00:00

  • Osteogenic protein-1 induces bone formation in the presence of bacterial infection in a rat intramuscular osteoinduction model.

    abstract:OBJECTIVE:Evaluate the ability of osteogenic protein-1 to induce formation of de novo bone in the presence of bacterial infection and metal in an intramuscular osteoinduction model in the rat. DESIGN:Prospective experimental design with assessment time points of up to 4 weeks. SETTING:Intramuscular pocket surgically ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200408000-00008

    authors: Chen X,Kidder LS,Schmidt AH,Lew WD

    更新日期:2004-08-01 00:00:00

  • Radiographic analysis of the Brooker-Wills interlocking nail in the treatment of comminuted femoral fractures.

    abstract::Forty-three patients with 43 comminuted femoral shaft fractures treated with the Brooker-Wills interlocking nail were followed through bony union to determine the device's ability to maintain length and rotational control of these difficult injuries. Only severely comminuted fractures, types III and IV, were included....

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-198702010-00002

    authors: Brumback RJ,Handal JA,Poka A,Burgess AR,Feddis G

    更新日期:1987-01-01 00:00:00

  • Syndesmotic Ankle Fractures.

    abstract:OBJECTIVES:The diagnosis and treatment of syndesmotic ankle fractures is controversial. This systematic review was performed to clarify the current understanding addressing several clinical questions that arise in the treatment of such injuries. DATA SOURCES:The English language literature was searched using PubMed, E...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0000000000000937

    authors: Michelson JD,Wright M,Blankstein M

    更新日期:2018-01-01 00:00:00

  • The anterior intra-pelvic (modified rives-stoppa) approach for fixation of acetabular fractures.

    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

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3181dd0b84

    authors: Sagi HC,Afsari A,Dziadosz D

    更新日期:2010-05-01 00:00:00

  • Concomitant ipsilateral intertrochanteric and subcapital fracture of the hip.

    abstract::A unique case of coexistent intertrochanteric and subcapital fractures of the hip is presented. A review of the literature found only one previous report of the simultaneous occurrence of these fractures. Closed reduction with in situ pinning was performed. Other treatment alternatives are reviewed and discussed. ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199304000-00008

    authors: Isaacs C,Lawrence B

    更新日期:1993-01-01 00:00:00

  • Medial elbow exposure for coronoid fractures: FCU-split versus over-the-top.

    abstract:OBJECTIVE:The optimal exposure interval for anteromedial coronoid fractures is unknown. The purpose of this study was to quantitatively compare the osseous and ligamentous exposure of the medial elbow using the flexor carpi ulnaris (FCU)-Splitting and Hotchkiss Over-the-Top approaches. METHODS:Forty surgical approache...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31828ba91c

    authors: Huh J,Krueger CA,Medvecky MJ,Hsu JR,Skeletal Trauma Research Consortium.

    更新日期:2013-12-01 00:00:00

  • The association between restraint system and upper extremity injury after motor vehicle collisions.

    abstract:OBJECTIVES:This study was designed to investigate the relationship between upper extremity (UE) injuries and occupant restraint systems among front seat occupants who were involved in frontal motor vehicle collisions (MVCs). DESIGN:Case-control. SETTING:The 1995 through 2002 National Automotive Sampling System (NASS)...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/01.bot.0000161543.52643.ab

    authors: Goldman MW,MacLennan PA,McGwin G Jr,Lee DH,Sparks DR,Rue LW 3rd

    更新日期:2005-09-01 00:00:00

  • Subchondral screw fixation of cervical hip fractures: joint congruence studied with combined arthrography and tomography.

    abstract::This study was done to determine whether fixation with the Uppsala internal fixation technique into the subchondral bone of the femoral head in the treatment of cervical hip fractures could lead to elevation of the femoral head cartilage. Combined arthrography and frontal tomography of the hip joint in the plane of th...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-198909000-00004

    authors: Rehnberg L,Olerud C,Sahlstedt B

    更新日期:1989-01-01 00:00:00

  • Thrombin Hemostatic Matrix Reduces Heterotopic Ossification in Acetabular Fractures Fixed Through the Kocher-Langenbeck Approach.

    abstract:OBJECTIVE:To determine whether an injectable thrombin product [thrombin hemostatic matrix (THM)] at closure of a Kocher-Langenbeck approach reduces the risk of heterotopic ossification (HO) formation after an acetabular fracture. DESIGN:Case control. SETTING:Two Level 1 trauma centers. PATIENTS:Patients with operati...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001783

    authors: Montgomery T,Pearson J,Agarwal A,Olinger C,Tobey D,Beebe M,McGwin G,Cichos K,Ghanem E,Spitler C,Dubose C,Quade J

    更新日期:2020-09-01 00:00:00

  • Internal fixation of experimental intraarticular calcaneal fractures: a biomechanical analysis of two fixation methods.

    abstract:OBJECTIVE:To evaluate and compare the mechanical stability of two different fixation techniques on experimentally induced calcaneus fractures. METHODS:Thirteen fresh frozen cadaver lower limbs had intraarticular calcaneal fractures produced with an impact loading device. Internal fixation was then performed through la...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199708000-00010

    authors: Carr JB,Tigges RG,Wayne JS,Earll M

    更新日期:1997-08-01 00:00:00

  • Open fractures of the tibia treated by immediate intramedullary tibial nail insertion without reaming: a prospective study.

    abstract:OBJECTIVE:Does immediate tibial nail insertion without reaming as part of protocol-driven management provide a safe and effective treatment for open tibia fractures? STUDY DESIGN:Prospective cohort. SETTING:Level 1 trauma center. PATIENTS:A consecutive series of 161 patients with Gustilo grade I-IIIb open tibia frac...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3180336923

    authors: Kakar S,Tornetta P 3rd

    更新日期:2007-03-01 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

  • Smoking Is Associated With Longer Intensive Care Unit Stays in Spine Trauma Patients.

    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

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001739

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

    更新日期:2020-07-01 00:00:00

  • Screw Fixation Versus Hemiarthroplasty for Nondisplaced Femoral Neck Fractures in the Elderly: A Cost-Effectiveness Analysis.

    abstract:OBJECTIVE:To evaluate the cost-effectiveness of screw fixation versus hemiarthroplasty for nondisplaced femoral neck fractures in low-demand elderly patients. METHODS:We constructed a Markov decision model using a low-demand, 80-year-old patient as the base case. Costs, health-state utilities, mortality rates, and tra...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001747

    authors: Yong TM,Austin DC,Molloy IB,Kunkel ST,Jevsevar DS,Gitajn IL

    更新日期:2020-07-01 00:00:00

  • Loss of Follow-up in Orthopaedic Trauma: Who Is Getting Lost to Follow-up?

    abstract:OBJECTIVES:Noncompliance with postoperative follow-up visits remains a common problem in orthopaedic trauma. The aim of this study was to identify risk factors for loss of follow-up after orthopaedic trauma. DESIGN:Retrospective review. SETTING:Urban level 1 academic trauma center. PATIENTS:A total of 307 (226 men/8...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000346

    authors: Zelle BA,Buttacavoli FA,Shroff JB,Stirton JB

    更新日期:2015-11-01 00:00:00

  • Management of severe musculoskeletal injuries of the upper extremity.

    abstract::Limb salvage was successful in 25 patients treated for severe grade III upper extremity injuries. In a retrospective review of 20 men and five women, follow-up time averaged 26 months. These high-energy injuries were characterized by massive soft-tissue injury, highly comminuted fractures, and significant neurovascula...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:

    authors: Levin LS,Goldner RD,Urbaniak JR,Nunley JA,Hardaker WT Jr

    更新日期:1990-01-01 00:00:00

  • Surgical Site Infections in Patients With Type 3 Open Fractures: Comparing Antibiotic Prophylaxis With Cefazolin Plus Gentamicin Versus Piperacillin/Tazobactam.

    abstract:OBJECTIVES:The purpose of this study was to compare rates of surgical site infection (SSI) in patients with type 3 open fractures who had received cefazolin plus gentamicin versus piperacillin/tazobactam for antibiotic prophylaxis. DESIGN:Retrospective cohort study. SETTING:Level 1 trauma center. PATIENTS:Seven hund...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000554

    authors: Redfern J,Wasilko SM,Groth ME,McMillian WD,Bartlett CS 3rd

    更新日期:2016-08-01 00:00:00

  • Consortium of Orthopaedic Academic Traumatologists: A Model for Collaboration in Orthopaedic Surgery.

    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

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001288

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

    更新日期:2018-10-01 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

  • Open scapulothoracic dissociation with intact neurovascular status in a child.

    abstract::A case of open scapulothoracic dissociation with intact neurovascular status in an 8-year-old girl is reported. Scapulothoracic dissociation is a rare injury. Most cases present with significant soft tissue disruption in the shoulder region secondary to separation of the scapula from the thorax, and involve major vasc...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-198802000-00009

    authors: An HS,Vonderbrink JP,Ebraheim NA,Shiple F,Jackson WT

    更新日期:1988-01-01 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

  • Improved intramedullary nail interlocking in osteoporotic bone.

    abstract:OBJECTIVE:Intramedullary nail locking bolts often fail to gain purchase or cut out in osteoporotic bone. The biomechanical stability of a bladelike device that lowers intraosseous stress levels by distributing the load over a greater volume of bone was compared with conventional locking bolts in osteoporotic bone. MET...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200103000-00008

    authors: Ito K,Hungerbühler R,Wahl D,Grass R

    更新日期:2001-03-01 00:00:00

  • Prospective Randomized Trial on Smoking Cessation in Orthopaedic Trauma Patients: Results from the Let's STOP (Smoking in Trauma Orthopaedic Patients) Now Trial.

    abstract:OBJECTIVES:To determine if inpatient counseling with additional counseling could increase smoking cessation. DESIGN:Prospective study. SETTING:Level I trauma center. PATIENTS/PARTICIPANTS:Current smokers with an operative fracture randomly assigned to control (no counseling), brief counseling (inpatient counseling),...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000002028

    authors: Matuszewski PE,Joseph K,O'Hara NN,DiClemente C,O'Toole RV

    更新日期:2020-11-25 00:00:00

  • Bone Marrow Aspirate Concentrate in Animal Long Bone Healing: An Analysis of Basic Science Evidence.

    abstract:OBJECTIVES:Long bone fractures that fail to heal or show a delay in healing can lead to increased morbidity. Bone marrow aspirate concentrate (BMAC) containing bone mesenchymal stem cells (BMSCs) has been suggested as an autologous biologic adjunct to aid long bone healing. The purpose of this study was to systematical...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0000000000000453

    authors: Gianakos A,Ni A,Zambrana L,Kennedy JG,Lane JM

    更新日期:2016-01-01 00:00:00

  • The sequential recovery of health status after tibial plafond fractures.

    abstract:OBJECTIVES:To assess the recovery of ankle function and general health status at multiple time points during the first 24 months after an isolated tibial plafond fracture treated with joint-spanning external fixation and to determine factors that affect a rapid versus a slow recovery and factors that influence patient ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3181c8ad52

    authors: Marsh JL,McKinley T,Dirschl D,Pick A,Haft G,Anderson DD,Brown T

    更新日期:2010-08-01 00:00:00