Overlapping Surgery for Ankle Fractures: Is It Safe?

abstract：SUMMARY:In the following case, a 20-year-old male was involved in a motorcycle accident where he sustained an open midshaft femur fracture treated with open reduction and internal fixation. Several weeks later, the wound became infected and the plate was removed. Over the following 20 years numerous incision and debrid...

journal_title：Journal of orthopaedic trauma

authors： Bellapianta J,Gerdeman A,Sharan A,Lozman J

更新日期：2007-05-01 00:00:00

abstract：OBJECTIVES:To determine whether opioid use disorders (OUDs) are associated with adverse perioperative outcomes in patients undergoing surgical fixation for proximal femur fractures. METHODS:The National Hospital Discharge Survey was queried to identify patients surgically treated for proximal femur fractures between 1...

journal_title：Journal of orthopaedic trauma

authors： Summers S,Grau L,Massel D,Rosas S,Ong A,Hernandez VH

更新日期：2018-05-01 00:00:00

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

authors： Stahlman GC,Wyrsch RB,McNamara MJ

更新日期：1995-01-01 00:00:00

abstract：:Over the last several decades, interest in global health across all fields of medicine, including orthopaedic surgery, has grown markedly. Cross-national collaborations are an effective means of conducting high-quality clinical research and offer many advantages over single-center investigations. Successful collaborat...

journal_title：Journal of orthopaedic trauma

authors： Shearer DW,Volberding PA,Schemitsch EH,Cook GE,Slobogean GP,Morshed S

更新日期：2015-12-01 00:00:00

abstract：OBJECTIVES:Lateral locked plating for proximal tibial fractures with metaphyseal disruption provides a biomechanically stable and biologically favorable alternative to conventional medial/lateral plate fixation. New polyaxial screw technology incorporates expanding screw bushings, allowing variable angle screw placemen...

journal_title：Journal of orthopaedic trauma

authors： Cullen AB,Curtiss S,Lee MA

更新日期：2009-08-01 00:00:00

abstract：:Road traffic accidents are a leading cause of global mortality. In March 2010, the United Nations General Assembly and the World Health Organization (WHO) officially proclaimed 2011-2020 as the "Decade of Action for Road Safety." Researchers must focus on vulnerable road users and low- and middle-income countries (LMI...

journal_title：Journal of orthopaedic trauma

authors： Evaniew N,Godin K,Schemitsch EH,Bhandari M

更新日期：2014-01-01 00:00:00

abstract：OBJECTIVE:To study the effect of tourniquet control on intramedullary reaming. DESIGN:An experimental prospective nonsurvival animal study was performed using 5 mongrel dogs. A pneumatic tourniquet was randomized to either the right or left hind limb. Tibial intramedullary reaming was performed with progressively larg...

journal_title：Journal of orthopaedic trauma

authors： Karunakar MA,Frankenburg EP,Le TT,Hall J

更新日期：2004-11-01 00:00:00

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

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

更新日期：2013-12-01 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：UNLABELLED:To determine which of 2 techniques for the treatment of periprosthetic femoral shaft fractures is of greater stiffness. DESIGN:A laboratory study using 8 pairs of matched, embalmed femurs. METHODS:Femurs implanted with a cemented total hip prosthesis had a simulated periprosthetic femur fracture created di...

journal_title：Journal of orthopaedic trauma

authors： Fulkerson E,Koval K,Preston CF,Iesaka K,Kummer FJ,Egol KA

更新日期：2006-02-01 00:00:00

abstract：OBJECTIVE:This review aims to summarize current knowledge regarding the underlying patho-mechanisms of delayed fracture healing in polytraumatized patients. DATA SOURCES AND STUDY SELECTION:The following search terms were used: "fracture", "hemorrhage," "chest trauma," "inflammation," "inflammatory response," "fractur...

journal_title：Journal of orthopaedic trauma

authors： Hildebrand F,van Griensven M,Huber-Lang M,Flohe SB,Andruszkow H,Marzi I,Pape HC,Trauma Research Network of the German Society of Trauma, DGU.

更新日期：2016-03-01 00:00:00

abstract：:From 1998 to 2006, 578 patients who were skeletally immature with proximal humerus fractures were treated at our institution. During that time period, 4 patients (0.7%) had associated brachial plexus and major peripheral nerve palsies. Average age at the time of injury was 12.3 years (range 10-14 years). Two fractures...

journal_title：Journal of orthopaedic trauma

authors： Hwang RW,Bae DS,Waters PM

更新日期：2008-04-01 00:00:00

abstract：:Four acute cases of volar carpometacarpal dislocations of the medial four metacarpals were treated in our hospital's emergency room. Our initial diagnosis after clinical examination was confirmed by routine x-rays of the hand. Closed reduction was followed by percutaneous fixation of the carpometacarpal joints with Ki...

journal_title：Journal of orthopaedic trauma

authors： Kumar S,Arora A,Jain AK,Agarwal A

更新日期：1998-09-01 00:00:00

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

authors： Powell ET 4th

更新日期：2008-11-01 00:00:00

abstract：:Fractures of the distal humerus involving the articular surface can be challenging. The complexity of these fracture patterns increases when the distal fracture is associated with a concomitant humeral shaft fracture with significant proximal extension. The combined exposure technique described here allows for consist...

journal_title：Journal of orthopaedic trauma

authors： Lewicky YM,Sheppard JE,Ruth JT

更新日期：2007-02-01 00:00:00

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：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

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

更新日期：2010-10-01 00:00:00

abstract：:Although opioids are widely used for the management of pain in patients with hip fracture, these medications are known to have a wide range of adverse effects that can result in suboptimal outcomes or serious life-threatening complications. Common opioid-related adverse events include gastrointestinal effects, central...

journal_title：Journal of orthopaedic trauma

authors： Sanzone AG

更新日期：2016-05-01 00:00:00

abstract：OBJECTIVES:To radiographically demonstrate the upper sacral nerve root tunnel (USNRT) in both cadaveric specimens and a clinical cohort and to quantify its clinical relevance. SETTING:Level 1 trauma center and anatomy laboratory. PATIENTS AND PARTICIPANTS:Eleven cadaveric pelves and 23 consecutive patients who underw...

journal_title：Journal of orthopaedic trauma

authors： Farrell ED,Gardner MJ,Krieg JC,Chip Routt ML Jr

更新日期：2009-05-01 00:00:00

abstract：OBJECTIVES:The purpose of this article was to present results of cases using a subcutaneous bone pouch technique and to assess the potential "autosterilization" effect that occurs when these contaminated free bone fragments are placed in nontraumatized tissue. DESIGN:Retrospective review of prospectively collected dat...

journal_title：Journal of orthopaedic trauma

authors： Lindvall E,Martirosian A,Morshed S

更新日期：2015-12-01 00:00:00

abstract：:Healthcare policy has changed drastically, and with the 50-year anniversary of the passage of Medicare approaching in 2015, the authors evaluate the development of the current healthcare system and its relationship to the development of modern orthopaedic trauma. With more changes in healthcare policy forthcoming, it ...

journal_title：Journal of orthopaedic trauma

authors： Mitchell PM,Thakore R,Obremskey A,Sethi MK

更新日期：2014-10-01 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：OBJECTIVES:To compare the static and dynamic mechanical properties of a modified crossed cannulated screw (CS) configuration, the inverted triangle (IT) cannulated screw configuration, and a compression hip screw (CHS) with derotation screw in Pauwels type III femoral neck fractures. METHODS:Thirty synthetic femora we...

journal_title：Journal of orthopaedic trauma

authors： Johnson JP,Borenstein TR,Waryasz GR,Klinge SA,McClure PK,Chambers AB,Hayda RA,Born CT

更新日期：2017-07-01 00:00:00

abstract：OBJECTIVES:To review the clinical course, complication rates, and mid-term functional outcomes associated with the treatment of displaced femoral neck stress fractures (FNSFs). DESIGN:Retrospective Case Series. SETTING:Military Tertiary Referral Center. PATIENTS:Twenty-one operatively treated displaced FNSFs between...

journal_title：Journal of orthopaedic trauma

authors： Cochran GK,Staeheli GR,Deafenbaugh BK,Kuhn KM

更新日期：2020-11-01 00:00:00

abstract：:Bone grafts are the second most common tissue transplanted in the United States, and they are an essential treatment tool in the field of acute and reconstructive traumatic orthopaedic surgery. Available in cancellous, cortical, or bone marrow aspirate form, autogenous bone graft is regarded as the gold standard in th...

journal_title：Journal of orthopaedic trauma

authors： Baldwin P,Li DJ,Auston DA,Mir HS,Yoon RS,Koval KJ

更新日期：2019-04-01 00:00:00

abstract：:Reamed intramedullary nailing was used to treat 102 closed tibial shaft fractures. Although a high rate of union was achieved (98%), we noted a higher incidence of complications than previously reported. Thirty-five (37%) patients exhibited one or more components of malunion. In 17 (18%) patients, further operative pr...

journal_title：Journal of orthopaedic trauma

authors： Williams J,Gibbons M,Trundle H,Murray D,Worlock P

更新日期：1995-01-01 00:00:00

abstract：:Successful treatment of periprosthetic femur fractures, like all fractures, requires careful attention to understand the fracture pattern nuances, identifying and executing a rational treatment approach, and providing an appropriate postoperative recovery protocol. Unlike most other fractures, modification of standard...

journal_title：Journal of orthopaedic trauma

authors： Ricci WM

更新日期：2015-03-01 00:00:00

abstract：OBJECTIVE:To determine whether operating on "major" vertebral fractures leads to premature abortion of surgery and/or other acute cardiopulmonary complications. DESIGN:Retrospective review. CLINICAL SETTING:Level 1 trauma center. PATIENTS/PARTICIPANTS AND INTERVENTION:We retrospectively queried our institutional Tra...

journal_title：Journal of orthopaedic trauma

authors： Alvi MA,Kapurch JR 2nd,Ivanov DV,Kerezoudis P,Bydon M,Freedman BA

更新日期：2019-01-01 00:00:00

abstract：OBJECTIVES:Evaluate the effect of the COVID-19 pandemic and the "shelter-in-place" order on orthopaedic trauma presenting to a community level II trauma center. It is hypothesized the overall number of orthopaedic trauma encounters (OTE), the number of OTEs related to both high and low severity injuries, as well as the...

journal_title：Journal of orthopaedic trauma

authors： Stoker S,McDaniel D,Crean T,Maddox J,Jawanda G,Krentz N,Best J,Speicher M,Siwiec R

更新日期：2020-06-08 00:00:00

abstract：:We present a case of 39-year-old female with a scapulothoracic dissociation and acromioclavicular (AC) separation and who had fixation of the AC joint with a locking plate, coracoclavicular screw, and transarticular AC screw. The coracoclavicular and AC relationships were maintained during postoperative rehabilitation...

journal_title：Journal of orthopaedic trauma

authors： Merk BR,Minihane KP,Shah NA

更新日期：2008-09-01 00:00:00