Abstract：
:Many of the current techniques of internal fixation of proximal humerus fractures use tension band wires to achieve secure fixation, allowing immediate postoperative exercise of the affected limb. In addition, the use of a cancellous lag screw placed from the humeral shaft into the humeral head may have several advantages. In particular, this lag screw does not violate the subacromial space and provides initial stability between the head and shaft, which facilitates placement of the tension band wires. This technique was used in 13 patients whose average age was 71 years (range 54-86). Follow-up averaged 20 months. Eight patients had two-part fractures and five patients had three-part fractures. This technique used a deltopectoral approach with manual impaction of the humeral head and shaft. A 6.5-mm AO screw was used for lag screw fixation in addition to two 18-gauge tension band wires: one placed through the tuberosities and one under the rotator cuff tendons. Passive range of motion of the involved shoulder was begun with the first postoperative week, and active range of motion and strengthening were allowed after the fourth postoperative week. At follow-up patients were evaluated for range of motion, function, pain, and radiographic appearance of the fracture. Average forward flexion was 160 degrees, external rotation was 46 degrees, and internal rotation was to the 10th thoracic vertebra. According to the functional scale proposed by Hawkins, 10 of the 13 patients had achieved a good result. Two of the remaining patients had a fair score, and one had a poor outcome.(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
J Orthop Traumajournal_title
Journal of orthopaedic traumaauthors
Cornell CN,Levine D,Pagnani MJdoi
10.1097/00005131-199402000-00006subject
Has Abstractpub_date
1994-01-01 00:00:00pages
23-7issue
1eissn
0890-5339issn
1531-2291journal_volume
8pub_type
杂志文章abstract：:The induced membrane technique for reconstruction of bone defects has proved its effectiveness and is now widely accepted. The 2 stages procedure, implying a cement spacer in the first stage and a huge bone graft in the second stage, responds to rigorous technical details involving each phase of the procedure. Prerequ...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章,评审
doi：10.1097/BOT.0000000000000979
更新日期：2017-10-01 00:00:00
abstract：:Healing patterns were compared between transverse and 60 degrees oblique osteotomies in canine tibiae stabilized under external fixation. Under similar in vitro testing conditions (osteotomy ends in contact), the axial stiffness of the oblique osteotomy under external fixation was 45% of the paired transverse osteotom...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/00005131-199109000-00016
更新日期：1991-01-01 00:00:00
abstract：OBJECTIVES:The purposes of this study were to evaluate the cantilevered bending strength and failure modes of locking screws inserted at various angles in a plate with fully circumferential threaded holes. As an additional measure, the amount of screw head prominence at these angles was also assessed. METHODS:Standard...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/BOT.0000000000000066
更新日期：2014-01-01 00:00:00
abstract：PURPOSE:The purpose of this video is to demonstrate the surgical technique of a shoulder arthrodesis for a patient with multidirectional instability and multiple failed previous surgeries. METHODS:A 25-year-old woman with a long history of left shoulder multidirectional instability in the setting of Ehlers-Danlos synd...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/BOT.0000000000001212
更新日期：2018-08-01 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
pub_type： 杂志文章
doi：10.1097/BOT.0b013e3181847a42
更新日期：2008-09-01 00:00:00
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
更新日期：2001-06-01 00:00:00
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
更新日期：2017-04-01 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
pub_type： 杂志文章
doi：10.1097/BOT.0000000000000466
更新日期：2015-12-01 00:00:00
abstract：OBJECTIVES:We evaluated the economic aspects of an orthopaedic trauma section at a regional Level I, semi-academic community hospital. This study analyzes the economics of a dedicated hospital-based orthopaedic trauma program. METHODS:Institutional financial reports were analyzed for 2 time periods. In the pre-program...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/BOT.0b013e31816bae67
更新日期：2008-04-01 00:00:00
abstract：:Orthopaedic surgery and biomechanics are intimately partnered topics in medicine. Biomechanical principles are used to design implants and fashion treatment protocols. Although it would seem that biomechanical principles in the design of fixation devices and fracture repair constructs have been already finalized, ther...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章,评审
doi：10.1097/BOT.0000000000001126
更新日期：2018-03-01 00:00:00
abstract：:The distribution of clindamycin in tibial cortical bone, administered via direct local infusion with an implantable pump, is described. Clindamycin concentrations in cortical bone were measured after 3, 7, and 21 days of intraosseous infusion. The tibia were divided into four quadrants relative to the outflow infusion...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/00005131-199410000-00003
更新日期：1994-10-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to analyze the appropriateness of transfer of patients with orthopaedic injuries to a Level I trauma center from surrounding Level II to IV centers. DESIGN:A prospective study was conducted over a 5-month period by collecting data on all orthopaedic patients being transferred ...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/BOT.0b013e3181b18b89
更新日期：2010-06-01 00:00:00
abstract：OBJECTIVES:To determine whether bundled payments are feasible in the orthopaedic fracture setting, and the potential economic implications of this reimbursement structure. DESIGN:Prospective. SETTING:Multicenter. PATIENTS/PARTICIPANTS:Between 2004 and 2014, a total of 23,643 operatively treated patients with fractur...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/BOT.0000000000000742
更新日期：2017-03-01 00:00:00
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：
更新日期：1990-01-01 00:00:00
abstract：:Displaced intra-articular fractures of the glenoid are rare and frequently result from high-energy injuries. Types IV, V, and VI fractures have in common a fracture line which extends medially into the scapular body. These fracture patterns present unique challenges for surgical approaches and reduction and fixation s...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章,评审
doi：10.1097/BOT.0b013e31817d5356
更新日期：2008-08-01 00:00:00
abstract：OBJECTIVE:Lateral cortical stress reactions have been documented to precede femoral insufficiency fractures after long-term bisphosphonate therapy. We studied the natural history of femoral stress lesions associated with long-term bisphosphonate therapy. DESIGN AND SETTING:A retrospective clinical and radiologic revie...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/BOT.0b013e3181b6499b
更新日期：2010-02-01 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
pub_type： 杂志文章,meta分析,评审
doi：10.1097/BOT.0b013e3181cad510
更新日期：2010-03-01 00:00:00
abstract：:The proximal femur nail antirotation represents a new generation of intramedullary nailing devices for fixation of stable and unstable trochanteric fractures of the proximal femur. We report 3 cases of postoperative perforation of the helical blade through the femoral head into the hip joint without any signs of rotat...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/BOT.0b013e3181893b1b
更新日期：2008-11-01 00:00:00
abstract：:Segmental defects of the tibia present a challenging problem. This report demonstrates the use of an ipsilateral vascularized fibula transfer (IVFT) in a patient with a 15 cm tibial bone defect following tumor resection. Bone union was achieved within 6 months, and 8 years after the surgery the patient has full knee f...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/BOT.0b013e3180330927
更新日期：2007-03-01 00:00:00
abstract：OBJECTIVE:To describe a novel approach for the treatment of nonunions of diaphyseal femur fractures. DESIGN:Retrospective review. SETTING:University hospital. PATIENTS:Seven patients (six men, one woman, average age 42.5 years) with diaphyseal femoral fracture nonunions treated between November 2006 and November 200...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/BOT.0b013e3181dfbb33
更新日期：2011-02-01 00:00:00
abstract：OBJECTIVE:To analyze the mechanical stability of locked plating in comparison with tension-band wiring for the fixation of fractures of the patella. METHODS:Biomechanical tests were performed on artificial foam patella specimens comparing an angular stable plate and monocortical screws with tension-band wiring. Tests ...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/BOT.0000000000000309
更新日期：2015-09-01 00:00:00
abstract：:A laboratory study was performed to compare the stability and ultimate strength of three standard fixation techniques for split-type lateral tibial plateau fractures. The three methods of fixation were (a) three 6.5-mm cancellous lag screws with washers; (b) two 6.5-mm cancellous lag screws with washers and an additio...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/00005131-199607000-00003
更新日期：1996-01-01 00:00:00
abstract：:Ipsilateral elbow and forearm fractures are quite rare in children. We present a Monteggia lesion with ipsilateral supracondylar humerus fracture in a 13-year-old girl. Through early surgical management, a successful result was achieved. We believe that, to minimize any initial or subsequent complications in such frac...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/00005131-199901000-00015
更新日期：1999-01-01 00:00:00
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
更新日期：1987-01-01 00:00:00
abstract：:Seat belt legislation has resulted in increased restraint use by passengers in automobiles in Washington State. At Harborview Medical Center in Seattle, we have observed an increased incidence of seat belt-related injuries. Twenty cases of Chance-type thoracolumbar flexion-distraction fractures were reviewed retrospec...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章
doi：10.1097/00005131-199105020-00006
更新日期：1991-01-01 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
pub_type： 杂志文章
doi：10.1097/00005131-200503000-00004
更新日期：2005-03-01 00:00:00
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
更新日期：2013-07-01 00:00:00
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
更新日期：1988-01-01 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
pub_type： 杂志文章,多中心研究
doi：10.1097/BOT.0b013e3181ab2c90
更新日期：2009-11-01 00:00:00
abstract：OBJECTIVES:To determine the current published patterns of computed tomography (CT) use postoperatively in peri-articular fractures and identify those populations whereby postoperative CT changes management or results in better clinical outcomes. DATA SOURCES:Systematic review of MEDLINE and Cochrane using a combinatio...
journal_title：Journal of orthopaedic trauma
pub_type： 杂志文章,meta分析,多中心研究
doi：10.1097/BOT.0000000000000660
更新日期：2017-01-01 00:00:00
