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

authors： Koulouvaris P,Theos C,Kottakis S,Demertzis N

更新日期：2007-03-01 00:00:00

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

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

更新日期：2007-02-01 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：OBJECTIVES:Prophylaxis against thromboembolic complications has become routine after major orthopedic surgery. In contrast, it remains an issue for debate whether prophylaxis after minor surgery and immobilization is necessary, even though these treatments are well-known risk factors for deep-vein thrombosis (DVT). The...

journal_title：Journal of orthopaedic trauma

authors： Lapidus LJ,Rosfors S,Ponzer S,Levander C,Elvin A,Lärfars G,de Bri E

更新日期：2007-01-01 00:00:00

abstract：OBJECTIVE:This study tests the bone debridement efficacy and damage to cancellous bone produced by different wound irrigation methods. METHODS:Cancellous bone slices of bovine distal femurs (3 cm x 3 cm) were divided into eight test groups and scored with a saw in a latticed pattern. Four test groups were contaminated...

journal_title：Journal of orthopaedic trauma

authors： Draeger RW,Dirschl DR,Dahners LE

更新日期：2006-11-01 00:00:00

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

authors： Rutgers M,Ring D

更新日期：2006-10-01 00:00:00

abstract：:This technique article presents a small-incision, gluteal-splitting approach for the treatment of select fractures involving the posterior acetabulum. The approach essentially involves the proximal portion of the Kocher-Langenbeck incision, and it can be extended to a larger exposure if needed. It is ideally suited fo...

journal_title：Journal of orthopaedic trauma

authors： Carr JB,Leach PB

更新日期：2006-09-01 00:00:00

abstract：:Femoral neck nonunions are a difficult complication in the treatment of femoral neck fractures and have traditionally been managed using an intertrochanteric valgus osteotomy and blade plate. We propose an alternative method, a proximal femoral valgus osteotomy using a sliding hip screw instead of a blade plate. This ...

journal_title：Journal of orthopaedic trauma

authors： Schoenfeld AJ,Vrabec GA

更新日期：2006-07-01 00:00:00

abstract：:Stress fracture of the anterior tibial cortex is an extremely challenging fracture to treat, especially in the high-performance female athlete who requires rapid return to competition. Previous reports have not addressed treating these fractures in the world-class athlete with anterior plating. We hypothesize that ant...

journal_title：Journal of orthopaedic trauma

authors： Borens O,Sen MK,Huang RC,Richmond J,Kloen P,Jupiter JB,Helfet DL

更新日期：2006-07-01 00:00:00

abstract：:The 2-step closed reduction maneuver was developed to aid in the rarely encountered inferior shoulder dislocation. The maneuver converts the humeral head from an inferior dislocation to an anterior dislocation and then reduces the humeral head into the glenoid. The operator places one hand on the shaft of the humerus ...

journal_title：Journal of orthopaedic trauma

authors： Nho SJ,Dodson CC,Bardzik KF,Brophy RH,Domb BG,MacGillivray JD

更新日期：2006-05-01 00:00:00

abstract：OBJECTIVES:The increasing number of fractures of the proximal humerus, especially in the elderly, carries with it the unsolved problem of the optimal treatment for the displaced or unstable fractures. The authors' goal was to analyze whether fixation with a bent valgus angled blade plate could improve the outcomes repo...

journal_title：Journal of orthopaedic trauma

authors： Meier RA,Messmer P,Regazzoni P,Rothfischer W,Gross T

更新日期：2006-04-01 00:00:00

abstract：OBJECTIVE:New locked plate devices offer theoretical advantages for the treatment of supracondylar femur fractures associated with a total knee arthroplasty (TKA). These devices also can be inserted with relative ease by using minimally invasive techniques, provide a fixed angle construct, and improve fixation in osteo...

journal_title：Journal of orthopaedic trauma

authors： Ricci WM,Loftus T,Cox C,Borrelli J

更新日期：2006-03-01 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：:A case of an angulated, greenstick fracture of the scapula mimicking scapular winging in a skeletally immature 12-year-old boy is described. The bony deformity was visualized with plain radiography. CT was helpful in exclusion of a thoracic injury or an underlying neoplasm. Closed reduction yielded satisfactory result...

journal_title：Journal of orthopaedic trauma

authors： Bowen TR,Miller F

更新日期：2006-02-01 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：:The application of a pelvic clamp for provisional stability of unstable pelvic fractures has been advocated in the orthopaedic literature. Although the technique has gained some supporters, problems with placement and associated complications have prevented widespread acceptance. We have modified the pelvic clamp (ACE...

journal_title：Journal of orthopaedic trauma

authors： Archdeacon MT,Hiratzka J

更新日期：2006-01-01 00:00:00

abstract：OBJECTIVES:This study compared the acute treatment effects of systemic analgesics with (celecoxib) and without anti-inflammatory activity (acetaminophen) on bone fracture healing. STUDY DESIGN:Longitudinal time study of fracture healing in rats. METHODS:Closed, mid diaphyseal femur fractures were produced in female S...

journal_title：Journal of orthopaedic trauma

authors： Bergenstock M,Min W,Simon AM,Sabatino C,O'Connor JP

更新日期：2005-11-01 00:00:00

abstract：:Several clinical trials have examined the safety and efficacy of recombinant human bone morphogenic protein-7 (rhBMP-7) for osseous repair in clinical trauma. This article summarizes the results obtained from three recent clinical trials, which suggest that rhBMP-7 is useful in the treatment of tibial nonunion, long b...

journal_title：Journal of orthopaedic trauma

authors： McKee MD

更新日期：2005-11-01 00:00:00

abstract：BACKGROUND:Radiographic evaluation of the spine after an acute traumatic event is an integral part of the initial assessment of the patient. Despite this, an imaging protocol that includes detailed recommendations of the views, modalities, and techniques of radiographic work-up is lacking in the peer-reviewed literatur...

journal_title：Journal of orthopaedic trauma

authors： France JC,Bono CM,Vaccaro AR

更新日期：2005-10-01 00:00:00

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

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

abstract：:Minifragment implants provide several advantages for the stabilization of distal humerus fractures. Compared with small fragment implants, minifragment implants may provide enhanced fracture fixation because a greater number of screws can be placed into the distal fragments. In addition, minifragment plates are easier...

journal_title：Journal of orthopaedic trauma

authors： Russell GV Jr,Jarrett CA,Jones CB,Cole PA,Gates J

更新日期：2005-08-01 00:00:00

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

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

更新日期：2005-07-01 00:00:00

abstract：OBJECTIVE:This study was designed to determine the clinical relevant accuracy of CT-based navigation for drilling. DESIGN:Experimental model. SETTING:Laboratory. METHODS:Twelve drills of varying lengths and diameters were tested with 2 different set-ups. Group 1 used free-hand navigated drilling technique with foam ...

journal_title：Journal of orthopaedic trauma

authors： Hüfner T,Geerling J,Oldag G,Richter M,Kfuri M Jr,Pohlemann T,Krettek C

更新日期：2005-05-01 00:00:00

abstract：BACKGROUND:Calcaneal fractures comprise 1 to 2 percent of all fractures. Approximately 75% of calcaneal fractures are intra-articular. The management of intra-articular calcaneal fractures remains controversial. Nonoperative treatment options include elevation, ice, early mobilization, and cyclic compression of the pla...

journal_title：Journal of orthopaedic trauma

authors： Bajammal S,Tornetta P 3rd,Sanders D,Bhandari M

更新日期：2005-05-01 00:00:00

abstract：OBJECTIVES:To compare the results between a new intramedullary Gamma nail and a compression hip screw in the treatment of trochanteric fractures. DESIGN:Prospective randomized. SETTING:Level 1 trauma center. PATIENTS:Two hundred ten consecutive patients older than 65 years with trochanteric femoral fractures. INTER...

journal_title：Journal of orthopaedic trauma

authors： Utrilla AL,Reig JS,Muñoz FM,Tufanisco CB

更新日期：2005-04-01 00:00:00

abstract：:Salvage of limb length following oblique proximal foot amputations is presented. The technique, results, and follow-up of this procedure are described and compared with other standard procedures. A prospective study was done on 3 adolescents who presented consecutively during years 1999 and 2000. The salvage procedure...

journal_title：Journal of orthopaedic trauma

authors： Dwyer AJ,Paul R,Gosselin RA

更新日期：2005-04-01 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

authors： Rozbruch SR,Ilizarov S,Blyakher A

更新日期：2005-03-01 00:00:00

abstract：:We present the case of an intraforaminal iliosacral screw placed percutaneously with aid of C-arm using inlet, outlet, and lateral views of the pelvis. The iliosacral screw was placed above the S1 foramen on the outlet view, into the middle of S1 via the ala on the inlet view, and below the cortical shadow of the ala ...

journal_title：Journal of orthopaedic trauma

authors： Sagi HC,Lindvall EM

更新日期：2005-02-01 00:00:00

abstract：OBJECTIVES:A sheep model of osteoporosis suitable for implant testing for osteoporotic fractures was evaluated with regard to normalization of hormonal status and possible rebound of bone mineral density subsequent to the termination of steroid application. DESIGN:Osteoporosis was induced in 10 aged, female white alpi...

journal_title：Journal of orthopaedic trauma

authors： Goldhahn J,Jenet A,Schneider E,Lill CA

更新日期：2005-01-01 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:To test the hypothesis that oblique screws at the ends of a plate provide increased strength of fixation as compared to standard screw insertion. DESIGN:Biomechanical laboratory study in synthetic bone test medium. METHODS:Narrow 4.5-mm stainless steel low-contoured dynamic compression plates were anchored ...

journal_title：Journal of orthopaedic trauma

authors： Stoffel K,Stachowiak G,Forster T,Gächter A,Kuster M

更新日期：2004-10-01 00:00:00

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

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

更新日期：2004-09-01 00:00:00

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

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

更新日期：2004-08-01 00:00:00

abstract：OBJECTIVE:To determine the relative stability achieved in unstable supracondylar femur fractures treated with long (36 cm) and short (20 cm) retrograde intramedullary nails using 1 or 2 proximal locking bolts. We hypothesized that longer nails would reduce fracture site motion compared with short nails and that 2 proxi...

journal_title：Journal of orthopaedic trauma

authors： Sears BR,Ostrum RF,Litsky AS

更新日期：2004-07-01 00:00:00

abstract：OBJECTIVES:To examine the biomechanical behavior of 2 techniques of double-plate osteosynthesis for fractures of the adult distal humerus using conventional reconstruction plates and locking compression plates. DESIGN:Basic science study. SETTING:Experimental in vitro study. PATIENTS/PARTICIPANTS:Forty fresh-frozen ...

journal_title：Journal of orthopaedic trauma

authors： Korner J,Diederichs G,Arzdorf M,Lill H,Josten C,Schneider E,Linke B

更新日期：2004-05-01 00:00:00

abstract：SUMMARY:We present the previously unreported complication of symptomatic heterotopic ossification of the quadriceps following placement of a large-diameter Steinmann pin for the purpose of temporary skeletal traction. Following the development of distal quadriceps heterotopic bone formation in three patients, we conduc...

journal_title：Journal of orthopaedic trauma

authors： Specht LM,Gupta S,Egol KA,Koval KJ

更新日期：2004-04-01 00:00:00

abstract：OBJECTIVES:To compare the accuracy of 5 commonly available fine wire tensioners used in hybrid and ring external fixation. DESIGN:A laboratory investigation. SETTING:The testing of 5 commonly available tensioners was performed with a servohydraulic test frame (MTS Bionix 858, Minneapolis, MN). MAIN OUTCOME MEASUREME...

journal_title：Journal of orthopaedic trauma

authors： Roberts CS,Antoci V,Antoci V Jr,Voor MJ

更新日期：2004-03-01 00:00:00

abstract：:The application of the pelvic clamp as a tool for emergency stabilization of unstable pelvic ring fractures has proved to be a life-saving procedure. Using correct technique, the pelvic clamp can be applied within a few minutes after the patient's admission. To avoid severe complications (eg, pin perforation into the ...

journal_title：Journal of orthopaedic trauma

authors： Pohlemann T,Braune C,Gänsslen A,Hüfner T,Partenheimer A

更新日期：2004-02-01 00:00:00

abstract：OBJECTIVE:To review our series of open calcaneal fractures compared with other series. DESIGN:Retrospective review. SETTING:All patients were treated at a single Level 1 trauma center. PATIENTS/PARTICIPANTS:We reviewed 19 consecutive patients, each with an open fracture of the calcaneus. Fracture morphology ranged f...

journal_title：Journal of orthopaedic trauma

authors： Aldridge JM 3rd,Easley M,Nunley JA

更新日期：2004-01-01 00:00:00

abstract：OBJECTIVES:To identify factors affecting the outcomes of surgery for acetabular fracture in patients over the age of 60 years. DESIGN:Retrospective review of records and radiographs; current examination, radiographs and outcome surveys when possible. SETTING:Academic, Level 1 trauma center. PATIENTS/PARTICIPANTS:For...

journal_title：Journal of orthopaedic trauma

authors： Anglen JO,Burd TA,Hendricks KJ,Harrison P

更新日期：2003-10-01 00:00:00