Treatment of type II and type III open tibia fractures in children.

Abstract:

OBJECTIVES:To determine whether severe open tibial fractures in children behave like similar fractures in adults. DESIGN AND SETTING:A combined retrospective and prospective review evaluated treatment protocol for type II and type III open tibial fractures in children over a ten-year period from 1984 to 1993. PATIENTS:Twenty-three fractures were studied in children aged 3.5 to 14.5 (18 boys and 5 girls). There were six type II, eight type IIIA, and nine type IIIB fractures. Type I fractures were not included. Seven fractures were comminuted with significant butterfly fragments or segmental patterns. INTERVENTION:Treatment consisted of adequate debridement of soft tissues, closure of dead space, and stabilization with external fixation. Bone debridement only included contaminated devitalized bone or devitalized bone without soft tissue coverage. Bone that could be covered despite periosteal stripping was preserved. MAIN OUTCOME MEASUREMENTS:Clinical and roentgenographic examinations were used to determine time to union. RESULTS:All fractures in this series healed between eight and twenty-six weeks. Wound coverage included two flaps, three skin grafts, and two delayed primary closures. No bone grafts were required. There were no deep infections, growth arrests, or malunions. Follow-up has ranged from six months to four years. CONCLUSIONS:Open tibia fractures in children differ from similar fractures in adults in the following ways: soft tissues have excellent healing capacity, devitalized bone that is not contaminated or exposed can be saved and will become incorporated, and external fixation can be maintained until the fracture has healed. Periosteum in young children can form bone even in the face of bone loss.

journal_name

J Orthop Trauma

authors

Bartlett CS 3rd,Weiner LS,Yang EC

doi

10.1097/00005131-199707000-00010

subject

Has Abstract

pub_date

1997-07-01 00:00:00

pages

357-62

issue

5

eissn

0890-5339

issn

1531-2291

journal_volume

11

pub_type

杂志文章
  • Surgeons and their patients disagree regarding cosmetic and overall outcomes after surgery for high-energy lower extremity trauma.

    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

    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

  • Management of Simultaneous Patellar Tendon and Anterior Cruciate Ligament Ruptures-A Systematic Review of Available Literature.

    abstract:BACKGROUND:Combined rupture of the anterior cruciate ligament (ACL) and patellar tendon (PT) is a rare injury pattern. Currently, little evidence exists to help guide management decisions for these patients. METHODS:A systematic literature search was conducted using PubMed (MEDLINE) and Scopus (EMBASE and MEDLINE) for...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001219

    authors: Matthews AH,Fraser EJ,Parkinson B

    更新日期:2018-08-01 00:00:00

  • Distal locking screw insertion using a cannulated drill bit: technical note.

    abstract::A modified freehand method using a cannulated drill bit for the insertion of distal locking screws for interlocking intramedullary nails is described. It should be useful to introduce surgeons to interlocking and to aid those who are not comfortable with the freehand method. ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199306000-00009

    authors: Barrick EF

    更新日期:1993-01-01 00:00:00

  • Stabilization of displaced articular fragments in calcaneal fractures using bioabsorbable pin fixation: a technique guide.

    abstract::Successful operative intervention in displaced intra-articular calcaneal fractures depends in part on the maintenance of an anatomic reduction of the posterior facet. This guide describes our use of bioabsorbable implants to solve this problem. ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3181ca38ce

    authors: Min W,Munro M,Sanders R

    更新日期:2010-12-01 00:00:00

  • Modified Technique of Separate Vertical Wiring for the Fixation of Patellar Inferior Pole Fracture.

    abstract::To evaluate the biomechanical and clinical results of modified separate vertical wiring technique (SVW) for inferior pole patellar fracture repair we conducted a finite element biomechanical study using 2 fixation methods and evaluated a clinical series of eleven patients. The modified SVW technique was an effective, ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001080

    authors: He S,Huang X,Yan B,Zhu J,Bao N,Zhao J

    更新日期:2018-04-01 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

  • 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

  • Optimal Technical Factors During Operative Management of Low-Energy Femoral Neck Fractures.

    abstract:OBJECTIVE:To determine if cancellous screw (CS) and sliding hip screw (SHS) technical factors during low-energy femoral neck fracture fixation affects a 24-month revision surgery rate and health-related quality of life (HRQL). DESIGN:Prospective randomized controlled study. SETTING:International, multicenter. PATIEN...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001891

    authors: Schottel PC,Blankstein M,Sprague S,Swiontkowski M,Bzovsky S,Bhandari M,Schemitsch EH,FAITH Investigators.

    更新日期:2021-02-01 00:00:00

  • Modern perspectives of open reduction and plate fixation of proximal humerus fractures.

    abstract::Recent innovations have greatly increased the range of proximal humeral fractures that are amenable to open reduction and plate fixation.The optimum technique for some of the more complex fracture patterns is not yet fully refined.This article aims to describe the recent advances in the treatment of complex proximal h...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0b013e31821c0a2f

    authors: Robinson CM,Amin AK,Godley KC,Murray IR,White TO

    更新日期:2011-10-01 00:00:00

  • Osteochondroma formation after a Salter II fracture.

    abstract::Osteochondromas are one of the most commonly observed benign bone tumors. Although there have been a number of experimental studies carried out to determine the origin of osteochondromas, their etiology remains a controversial issue. A well-documented case is presented in which a displaced Salter-Harris type II physea...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199410000-00013

    authors: Mintzer CM,Klein JD,Kasser JR

    更新日期:1994-10-01 00:00:00

  • 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

  • Infection Rates and Treatment of Low-Velocity Extremity Gunshot Injuries.

    abstract:OBJECTIVES:To determine the rates of infection in low-energy gunshot wounds (GSWs) to the extremity. DESIGN:Retrospective review. SETTING:Level I trauma center. PATIENTS/PARTICIPANTS:Patients (N = 140) with at least 90-day follow-up for extremity-only low-energy GSW injuries from 2010-2014 were retrospectively revie...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000827

    authors: Nguyen MP,Savakus JC,OʼDonnell JA,Prayson NF,Reich MS,Golob JF Jr,McDonald AA,Como JJ,Vallier HA

    更新日期:2017-06-01 00:00:00

  • rhBMP-2 enhances the bone healing response in a diabetic rat segmental defect model.

    abstract:OBJECTIVE:Recombinant human bone morphogenetic protein-2 (rhBMP-2) has been shown to enhance new bone formation in fracture and bone defect models in both normal and diabetic rats. Effects of rhBMP-2 in a segmental femoral defect model in diabetes mellitus (DM) BB Wistar rats have not been reported. METHODS:Collagen s...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31819f290e

    authors: Azad V,Breitbart E,Al-Zube L,Yeh S,O'Connor JP,Lin SS

    更新日期:2009-04-01 00:00:00

  • Multiplanar Fixation for Patella Fractures Using a Low-Profile Mesh Plate.

    abstract::Patella fractures are challenging orthopaedic injuries. Many commonly used fixation techniques can be ineffective and lead to poor clinical outcomes even with satisfactory reductions and fracture healing. In this investigation, we present the technique of cage plate fixation of patella fractures and the clinical outco...

    journal_title:Journal of orthopaedic trauma

    pub_type: 临床试验,杂志文章

    doi:10.1097/BOT.0000000000000415

    authors: Lorich DG,Warner SJ,Schottel PC,Shaffer AD,Lazaro LE,Helfet DL

    更新日期:2015-12-01 00:00:00

  • Outcomes Following the Urgent Surgical Management of Displaced Femoral Neck Stress Fractures.

    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

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001810

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

    更新日期:2020-11-01 00:00:00

  • Calcaneal Avulsion Fractures: A Multicenter Analysis of Soft-Tissue Compromise and Early Fixation Failure.

    abstract:OBJECTIVE:To characterize the presentation and outcomes of calcaneal avulsion fractures. DESIGN:Case series. SETTING:Two ACS Level I trauma centers. PATIENTS/PARTICIPANTS:Forty-seven calcaneal avulsion fractures isolated from a cohort of 1365 calcaneus fractures treated over a 17-year period. MAIN OUTCOME MEASUREME...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BOT.0000000000001582

    authors: Mitchell PM,OʼNeill DE,Branch E,Mir HR,Sanders RW,Collinge CA

    更新日期:2019-11-01 00:00:00

  • A prospective study of pain reduction and knee dysfunction comparing femoral skeletal traction and splinting in adult trauma patients.

    abstract:OBJECTIVES:To determine if distal femoral traction pins result in knee dysfunction in patients with femoral or pelvic fracture, and to determine if skeletal traction relieves pain more effectively than splinting for femoral shaft fractures. DESIGN:Prospective cohort trial. SETTING:Level I urban trauma center. PATIEN...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000202

    authors: Bumpass DB,Ricci WM,McAndrew CM,Gardner MJ

    更新日期:2015-02-01 00:00:00

  • Regional anesthesia improves outcome after distal radius fracture fixation over general anesthesia.

    abstract:OBJECTIVE:To compare the efficacy of anesthetic type on clinical outcomes after operative treatment of distal radius fractures. DESIGN:Retrospective review of prospectively collected data. SETTING:Academic medical center. PATIENTS:One hundred eighty-seven patients with a distal radius fracture (OTA type 23) were ide...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318238becb

    authors: Egol KA,Soojian MG,Walsh M,Katz J,Rosenberg AD,Paksima N

    更新日期:2012-09-01 00:00:00

  • The PFNA proximal femur nail in treatment of unstable proximal femur fractures--3 cases of postoperative perforation of the helical blade into the hip joint.

    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

    authors: Brunner A,Jöckel JA,Babst R

    更新日期:2008-11-01 00:00:00

  • Quality of Reduction of Displaced Intra-Articular Calcaneal Fractures Using a Sinus Tarsi versus Extensile Lateral Approach.

    abstract:OBJECTIVE:To evaluate the difference in quality of fracture reduction between the sinus tarsi approach (STA) and extensile lateral approach (ELA) using postoperative CT scans in displaced intra-articular calcaneal fractures (DIACFs). DESIGN:Retrospective SETTING:: Level 1 and Level 2 academic centers. PATIENTS:Consec...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001971

    authors: Busel G,Mir HR,Merimee S,Patel R,Atassi O,De La Fuente G,Donohue D,Maxson B,Infante A,Shah A,Watson D,Downes K,Sanders RW

    更新日期:2020-09-18 00:00:00

  • Vascular abnormalities as assessed with CT angiography in high-energy tibial plafond fractures.

    abstract:OBJECTIVE:The purpose of this study was to examine the results of computed tomography angiography (CTA) obtained in patients with high-energy tibial plafond fractures and assess if the information gleaned from CTA could be useful to the treating orthopedic surgeon. DESIGN:Consecutive patient series. SETTING:Level 2 t...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31815cf6e9

    authors: LeBus GF,Collinge C

    更新日期:2008-01-01 00:00:00

  • Split depression tibial plateau fractures: a biomechanical study.

    abstract:OBJECTIVE:To determine the biomechanical characteristics of four different fixation constructs for split depression fractures of the lateral tibial plateau (OTA classification 41B3.1). DESIGN:Laboratory investigation using a cadaveric simulated split depression tibial plateau fracture model. SETTING:Split depression ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200203000-00006

    authors: Karunakar MA,Egol KA,Peindl R,Harrow ME,Bosse MJ,Kellam JF

    更新日期:2002-03-01 00:00:00

  • Natural history of anterior chest wall numbness after plating of clavicle fractures: educating patients.

    abstract:OBJECTIVES:Improved patient outcomes after plating of displaced clavicle fractures have been demonstrated by recent clinical studies. Many of these patients, however, complain of anterior chest wall numbness after this procedure; we hypothesize that numbness likely persists long term for many patients, but without effe...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000095

    authors: Christensen TJ,Horwitz DS,Kubiak EN

    更新日期:2014-11-01 00:00:00

  • A biomechanical study of three wiring techniques for cerclage-plating.

    abstract::Transverse fractures at the distal tip of a well-fixed femoral prosthesis are difficult to stabilize using plates and screws due to the presence of the underlying intramedullary stem. The attachment of plates using cerclage wires obviates the need for screws, but the stability provided by cerclage plating is a clinica...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199505000-00004

    authors: Stevens SS,Irish AJ,Vachtsevanos JG,Csongradi J,Beaupré GS

    更新日期:1995-01-01 00:00:00

  • Shoulder Arthrodesis.

    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

    authors: Legato JM,OʼConnell M,Fuller DA

    更新日期:2018-08-01 00:00:00

  • Talar revascularization after a complete talar extrusion.

    abstract::We present a rare case of complete talar extrusion after trauma. Treatment of this severe injury remains controversial as a result of the lack of congruent evidence-based literature, associated high complication rate with primary repair, and difficulty in objectively assessing long-term outcomes. Recent small sampled ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318210f236

    authors: Gerken N,Yalamanchili R,Yalamanchili S,Penagaluru P,Md EM,Cox G

    更新日期:2011-11-01 00:00:00

  • Unstable proximal extraarticular tibia fractures: a biomechanical evaluation of four methods of fixation.

    abstract:OBJECTIVE:To compare the biomechanical stability of extraarticular proximal tibia fractures reconstructed using a double-plate construct, locking plate system, hybrid external fixator, and single lateral periarticular plate, all from the same manufacturer. DESIGN:Standardized proximal tibial fractures (AO classificati...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200409000-00010

    authors: Peindl RD,Zura RD,Vincent A,Coley ER,Bosse MJ,Sims SH

    更新日期:2004-09-01 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

  • Observed and expected outcomes in transfer and nontransfer patients with a hip fracture.

    abstract:OBJECTIVES:Hospitals and providers that accept transfer patients risk lower ratings on publically reported quality measures that are inadequately adjusted for infirmity and complexity. We compared the outcomes of transferred patients and nontransferred patients after treatment of a hip fracture and sought to determine ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31821146b1

    authors: Wiggers JK,Guitton TG,Smith RM,Vrahas MS,Ring D

    更新日期:2011-11-01 00:00:00

  • Results of indirect reduction and plating of femoral shaft nonunions after intramedullary nailing.

    abstract:OBJECTIVE:To observe and report the clinical results of indirect plating techniques in the treatment of femoral shaft nonunions originally treated with intramedullary nailing. DESIGN:Prospective consecutive. SETTING:Regional trauma center. PATIENTS:A consecutive series of twenty-three patients with nonunion of femor...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200105000-00004

    authors: Bellabarba C,Ricci WM,Bolhofner BR

    更新日期:2001-05-01 00:00:00