¿Are the unreamed nails indicated in diaphyseal fractures of the lower extremity? A biomechanical study
Femoral intramedullary nailing was first described by Gerhard K üntscher, becoming an excellent choice in the treatment of long bones fractures, both in diaphyseal as in many cases of metaphyseal location [1]. In 1953 Modny and Bambara described interlocking nails [2]. In 1989, unreamed locking nails with a triangular solid cross section [3] appeared as an opti on in the treatment of open tibial fractures and fractures associated with major soft tissue injuries. The rationale for this new nail is that reaming destroys endosteal vascularisation [4,5], although vascular flow returns to normal within 12 weeks [4]. (Source: Injury)
Source: Injury - February 24, 2021 Category: Orthopaedics Authors: J. Albareda, E. Ibarz, J. Mateo, S. Su ñer, C. Lozano, J. Gómez, B. Redondo, A. Torres, A. Herrera, L. Gracia Source Type: research

What is the acceptance of video consultations among orthopedic and trauma outpatients? A multi-center survey in 780 outpatients
The digital development in medicine is inevitably on the rise and may alter interactions between physicians and their patients. The WHO stresses the importance of using new technologies in order to make use of the full potential for information and communication [1]. Due to the high acceptance rate towards the use of digitalization, the medical community has to make more use of the available resources and/ or develop new strategies to use digital technologies in treating patients, especially in global burdens like the COVD-19 crisis. (Source: Injury)
Source: Injury - February 23, 2021 Category: Orthopaedics Authors: Julian Scherer, Georg Osterhoff, Ernest Kaufmann, Katharina Estel, Valentin Neuhaus, Christian Willy, Pierre Hepp, Hans-Christoph Pape, David A. Back Source Type: research

Geographical mapping of road traffic injuries in Lilongwe, Malawi
Annually, 1.35 million people are estimated to die from road traffic injuries (RTI), and 93% of these deaths occur in low and middle income countries [1]. Globally, road traffic injuries are the leading cause of death in young people aged 9-25 years, and more people die from road traffic injuries than from HIV/AIDS, tuberculosis or diarrheal diseases [2]. The low income countries (LIC), which include countries with a GDP per capita of less than 1006 USD, have 9% of the world ´s population, 1% of the worlds vehicles and 13 % of the worlds road traffic deaths [1]. (Source: Injury)
Source: Injury - February 23, 2021 Category: Orthopaedics Authors: Mads Sundet, Gift Mulima, Chifundo Kajombo, Hallvard Gjerde, Asbj ørg S. Christophersen, Jan Erik Madsen, Sven Young Source Type: research

Most Orthopaedic Trauma Patients Are Using the Internet, But Do You Know Where They're Going?
Orthopaedic trauma patients can utilize the Internet to learn about their injuries, available treatment options and their surgeons. The Internet is a readily available tool, which has increased in household prevalence from 74% in 2013 up to 89% in 2016 [1] An increasing number of patients are utilizing the internet to research orthopaedic conditions and treatment options, with up to 65% of outpatient orthopaedic patients using the internet as a resource.[2-5] Concerns for a so-called digital divide between orthopaedic trauma patients and the average orthopaedic population due to trauma being associated with lower socioecon...
Source: Injury - February 23, 2021 Category: Orthopaedics Authors: Paul E. Matuszewski, Gavin S. Hautala, Shea M. Comadoll, Michael L. Raffetto, G. Wells Ducas, Cale A. Jacobs, Arun Aneja, Paul E. Matuszewski Source Type: research

Spontaneous non-traumatic dislocation of the hip as a complication of screw-plate fixation of a femoral neck fracture
Femoral neck fractures are commonly seen in elderly population as a cause of a trivial fall. In younger patients it usually occurs following high energy trauma. Dynamic hip screw (DHS) is one of the most common type of internal fixation although intramedullary fixation devices have been introduced in the treatment in the last decade not without controversy [1,2]. Described complications are failure of fixation, cut-out, malunion, non-union, disengagement of lag screw and side plate, cut-in, intrapelvic migration, vascular injuries, etc. (Source: Injury)
Source: Injury - February 23, 2021 Category: Orthopaedics Authors: M Combalia, E Mu ñoz-Mahamud, JL Febles-Oviedo, J Fernández-Valencia, A Combalia Source Type: research

Utility of Computed Tomography Angiography in Traumatic Lower Limb Injury: Review of Clinical Impact in Level 1 Trauma Centre
A retrospective review of all CT leg angiography performed at a level I trauma centre was conducted via the Radiology Informatics System (RIS) from January 2016 to April 2019 in the setting of acute traumatic injury to the lower limb. (Source: Injury)
Source: Injury - February 20, 2021 Category: Orthopaedics Authors: Timothy I. Joseph, Prasanna J. Ratnakanthan, Eldho Paul, Warren Clements Source Type: research

Epidemiology of shoulder instability in Italy: a 14-years nationwide registry study
Shoulder dislocations are common, with a rate of around 23.9 per 100,000 people a year[1-3]. Common consequences are recurrence, pain, and inability to play sports[4]. (Source: Injury)
Source: Injury - February 20, 2021 Category: Orthopaedics Authors: Umile Giuseppe Longo, Giuseppe Salvatore, Vincenzo Candela, Alessandra Berton, Calogero Di Naro, Filippo Migliorini, Emiliano Schena, Vincenzo Denaro Source Type: research

Outcomes of an Aseptic Technique for Kirschner Wire Percutaneous Pinning in the Hand and Wrist
Kirschner wires (K-wires) are commonly used for the management of unstable fractures, aiming to provide skeletal stabilization.[1] Use of plate fixation techniques are also often used to stabilize fractures; however, K-wires present a simpler and less invasive alternative, particularly in the hand and wrist due to its anatomical structures. The close proximity of tendons and nerves to plates in the hand, as well as induced scar tissue, lead to the formation of adhesions that ultimately result in joint stiffness and reduced tendon excursion.[1,2] This may be attributed to the biocompatibility of the implant material with ti...
Source: Injury - February 20, 2021 Category: Orthopaedics Authors: Kenneth H. Levy, Dillon Sedaghatpour, Alba Avoricani, Joey S. Kurtzman, Steven M. Koehler Source Type: research

Influence of surgical quality (according to postoperative radiography) on mortality, complications and recovery of walking ability in 1425 hip fracture patients
Old patients with a hip fracture suffer a high risk of mortality and complications, specially along the first year [1,2,3,4]. Complications may be local or systemic, but both of them increase mortality and worsen the final functional results. Moreover, local complications force to surgical reoperation frequently: wound and implant infection, fracture non-union, ischemic necrosis of femoral head, prosthesis loosening, recurrent dislocation, and cut-out. (Source: Injury)
Source: Injury - February 19, 2021 Category: Orthopaedics Authors: Jos é Cordero-Ampuero, Claudio Peix, Sergio Marcos, Enrique Cordero G-G Source Type: research

Trans-olecranon fracture dislocations: how should we treat them?
Elbow instability could be simple or complex, in which fractures are associated to dislocation [1,2]. More than 25% of elbow dislocations are associated to fractures [3]. Elbow joint stability relies on: primary stabilizers (ulnohumeral articulation, lateral collateral ligament complex and medial collateral ligament complex) and secondary stabilizers (radiohumeral articulation, capsule and muscles that cross the joint). All this structures work together providing stability to the joint [4-9]. Damage of two or more stabilizers is also known as complex instability [10]. (Source: Injury)
Source: Injury - February 19, 2021 Category: Orthopaedics Authors: G. Luengo-Alonso, L. Garc ía Lamas, V. Jiménez Díaz, J. Ferrero Recasens, MA Porras Moreno, D. Cecilia López Source Type: research

Biomechanical Models of in vitro constructs for Spinopelvic Osteosynthesis.
Spinopelvic lesions are the result of high-energy vertical trauma with axial skeletal overload due, generally, to a height fall where the spine impacts onto the sacrum, dissociating the lumbar spine from the pelvis 1. The horizontal tract of the sacral fracture often occurs at the level of the vertebral body of S2 although it can also occur through the one corresponding to S1, S3, the junction of S1-S2 or S2-S3 with quite similar percentages 2,3. (Source: Injury)
Source: Injury - February 19, 2021 Category: Orthopaedics Authors: Sevillano-Perez E, Postigo Pozo S, Guerado E, Zamora-Navas P, Prado-Novoa M Source Type: research

Stabilization for Acute Distal Radioulnar Instability: A Novel Surgical Technique
Instability of the distal radioulnar joint commonly results from traumatic disruption of the distal radioulnar ligaments of the triangular fibrocartilage complex (TFCC) [1,2]. According to the literature, the incidence of distal radioulnar joint (DRUJ) instability after distal radius fracture ranges from 39% to 84% [3-5]. DRUJ instability may occur after injury to any portion of the radius or ulna, including midshaft radial fractures, ulnar styloid fractures, or injuries to the interosseous membrane. (Source: Injury)
Source: Injury - February 19, 2021 Category: Orthopaedics Authors: Samuel Pajares, Natalia Mart ínez-Catalán, Ulrike Maria Novo Rivas Source Type: research

A Dual-Sensor Ultrasound Based Method for Detecting Elevated Muscle Compartment Pressures: A Prospective Clinical Pilot Study
Acute compartment syndrome remains one of the most feared complications of extremity trauma that requires urgent diagnosis and treatment(1). Despite advancements in its management, the timely diagnosis of ACS remains challenging(1). To date, there is no objective method of diagnosing ACS and the “gold standard” remains clinical diagnosis, based primarily on the classic signs of ‘pain out of proportion’, ‘pain on passive stretch’ and tense swelling initially, followed by ‘pallor’, ‘paresthesia’, ‘paralysis’ and ‘pulselessness’ at the later s...
Source: Injury - February 19, 2021 Category: Orthopaedics Authors: Meir T. Marmor, Jordan P. Barker, Jacob Matz, Erin Donohoe, Matthew J. Herring Source Type: research

Keeping Casts Dry: A Comparison of Commercially Available Cast Protectors Using a Mechanized Short Arm Cast Model
Upper extremity fractures are common in both the adult and pediatric populations. Recent literature demonstrates that fractures of the radius and ulna are among the most common fractures in both adult and pediatric populations, accounting for 16.2 fractures per 10,000 people, and that their incidence is increasing 1-4. Cast immobilization remains a mainstay of treatment, particularly for fractures occurring in the skeletally immature. However, cast wear involves the risk of complications related to water exposure, including skin breakdown, infection and foul odors 5-10. (Source: Injury)
Source: Injury - February 19, 2021 Category: Orthopaedics Authors: Stephanie D. Goldstein, Rahul G. Samtani, Pamela J. Lang, Scott Hetzel, Matthew A. Halanski Source Type: research

Comparison of Time to Healing and Major Complications after Surgical Fixation of Nondisplaced Femoral Neck Stress Fractures: A Systematic Review
Femoral neck stress fractures are an uncommon injury and account for around 5% of all stress fractures [1]. These fractures are usually seen in active patients undergoing excessive physical activity, such as young military recruits or marathon runners, and in patients with poor bone quality from underlying metabolic abnormality or osteoporosis/osteopenia [2]. The most common symptom is groin pain that worsens with activity and weight bearing [2]. If left untreated this injury can progress to fracture completion, nonunion, malunion, and osteonecrosis from fracture displacement and disruption of the femoral head blood supply...
Source: Injury - February 18, 2021 Category: Orthopaedics Authors: Jensen G. Kolaczko, Christopher J. McMellen, Steven J. Magister, Robert J. Wetzel Source Type: research

Hip Fracture Surgery Performed Out-of-Hours- A Systematic Review and Meta-analysis
Hip fractures in the geriatric population are one of the most common orthopaedic hospital presentations, with the number of admissions increasing annually in Australia and worldwide.[1, 2] These fragile patients have numerous medical conditions, suffer from increased morbidity and frequently require post-operative institutionalisation, adding significant burden to the health system.[3] (Source: Injury)
Source: Injury - February 18, 2021 Category: Orthopaedics Authors: Raymond G. Kim, Vincent V.G. An, Jeffrey F. Petchell Source Type: research

Comparison of outcomes after different methods of fixation for extracapsular hip fractures: An observational study
As life expectancy increases the global incidence of extracapsular hip fractures is expected to continue to rise well into the first half of this century [1-3] with the literature reporting the current global incidence rate of 171 per 100,000 [4]. (Source: Injury)
Source: Injury - February 18, 2021 Category: Orthopaedics Authors: Michael Dunne, Kenan Kur šumović, Rachael Fisher, Martyn Parker Source Type: research

Epidemiology of hand traumas during the COVID-19 confinement period
Hand injuries are common emergency situations, requiring surgical management in specialized centers on a daily basis [1,2]. More than a quarter of all unintentional injuries are hand injuries [3,4]. They are mainly caused by accidents in daily life situations while other traumatic injuries of the upper limb are often observed in the context of sports injuries or road traffic accident [3,5]. There are two main types of hand injuries requiring surgical treatment. Wounds with potential complex lesions of major structures in the deep tissues (e.g., tendons, nerves, arteries, ligaments and joint, bones), which require emergency...
Source: Injury - February 17, 2021 Category: Orthopaedics Authors: Thibaut Fortan é, Michael Bouyer, Malo Le Hanneur, Baptiste Belvisi, Guillaume Courtiol, Kevin Chevalier, Caroline Dainotto, Marie Loret, Agathe Kling, Antonin Bentejac, Thibault Lafosse Source Type: research

Predictor variables in acetabular fractures surgically treated
Acetabular fractures are life-altering injuries. High-energy mechanisms typically affect to young people, while low-energy to elder patients [1,2]. Surgical treatment of acetabular fractures is challenging in terms of surgical approaches and fracture complexity [3,4]. These fractures require long surgical time, extended approaches and sometimes two-stage surgeries, and intraoperative and acute postoperative complications are frequent. Outcome varies depending on series, but age and fracture pattern seems to be closely related to final functional results and up to 25% of acetabular fractures have poor functional outcomes in...
Source: Injury - February 17, 2021 Category: Orthopaedics Authors: Gonzalo Luengo-Alonso, Ainhoa Nekane Toro Ibarguen, Miguel Aroca Peinado, Jose Luis Leon Baltasar, Pedro Caba Doussoux Source Type: research

Falanga: The clinical correlates of surgical outcomes as a result of foot whipping in a resource poor setting.
In certain parts of the world, local communities are policed by different spectra of vigilantism, often as a result of government influence. This community assault can take the form of foot whipping or caning, which involves the repeated whipping of the bare soles of a person's feet (falanga). This method of punishment has been described in the Middle East (falanga), Italy (bastonata), Germany (bastonade), and China (da jiao xin) and is well documented to occur in South Africa1,2. In South Africa, the device used in foot whipping is a Sjambok which is a heavy leather whip traditionally made out of hippopotamus or rhinocero...
Source: Injury - February 17, 2021 Category: Orthopaedics Authors: R Dickson-Lowe, JJP Buitendag, MPM Graham-Brown, GVE Oosthuizen Source Type: research

Configuration of short- and long-threaded cannulated screws in proximal femoral plating decreases varus collapse of femoral neck fractures: A retrospective cohort study
Challenge remains in the fixation of femoral neck fractures largely due to their various heterogeneity in terms of patient status, bone quality, fracture geometry, vascularity disturbance, reduction quality, implant type, etc. [1,2]. Among all these factors, optimal fixation construct is a key determinant for ideal radiological and clinical outcomes. Unfortunately, no consensus has been reached regarding the optimal implant type for the fixation of femoral neck fractures. Additionally, some clinically available implant types do not always yield good outcomes, calling the need of further modification to give them improved b...
Source: Injury - February 17, 2021 Category: Orthopaedics Authors: Jun-Feng Liu, Tian-Long Wang, Shuo Ge, Shao-Hua Jia, Long-Po Zheng Source Type: research

Ipsilateral vascularised fibula with external locking plate for treatment of massive tibial bone defects
Massive bone defects can result from trauma, infection, and tumour resection [1 –5]. When a bone defect is larger than 6 cm, or when there is infected non-union, specialised techniques such as the Masquelet technique, distraction osteogenesis, and vascularised bone grafting become essential [1–7]. The vascularised fibular graft is most commonly used to manage bone defects l arger than 10 cm or smaller defects that have failed to heal with non-vascularised bone grafting [3,8]. Ipsilateral vascularised fibula could provide good biomechanical stability for the site of massive tibial defects without requiring micro...
Source: Injury - February 17, 2021 Category: Orthopaedics Authors: Ching-Hou Ma, Yen-Chun Chiu, Chin-Hsien Wu, Kun-Ling Tsai, Tsung-Kai Wen, Yuan-Kun Tu Source Type: research

Epidemiology of long bone non-unions in spain
Estimates of non-union (NU) rates between 5 and 10% of the fractures are frequently considered, but scarce data are available about epidemiological and ecological studies on long bone non-unions. A population-based study in Scotland reported an overall non-union incidence rate of 1.9%, but up to 9% in some fractures and some age groups,1 while a rate of 6.8% readmissions due to non-unions was found in a hospital cohort study in Australia,2 and a rate of 4.9% was published from Medicare administrative databases in USA. (Source: Injury)
Source: Injury - February 17, 2021 Category: Orthopaedics Authors: Norma G. Padilla-Eguiluz, Enrique G ómez-Barrena Source Type: research

Epidemiology of hand traumas during the Covid19 confinement period
Hand injuries are common emergency situations, requiring surgical management in specialized centers on a daily basis [1,2]. More than a quarter of all unintentional injuries are hand injuries [3,4]. They are mainly caused by accidents in daily life situations while other traumatic injuries of the upper limb are often observed in the context of sports injuries or road traffic accident [3,5]. There are two main types of hand injuries requiring surgical treatment. Wounds with potential complex lesions of major structures in the deep tissues (e.g., tendons, nerves, arteries, ligaments and joint, bones), which require emergency...
Source: Injury - February 17, 2021 Category: Orthopaedics Authors: Thibaut Fortan é, Michael Bouyer, Malo Le Hanneur, Baptiste Belvisi, Guillaume Courtiol, Kevin Chevalier, Caroline Dainotto, Marie Loret, Agathe Kling, Antonin Bentejac, Thibault Lafosse Source Type: research

Reduction of trochanteric fractures in lateral view is significant predictor for radiological and functional result after six months
Fracture of the proximal femur in elderly patients can be a devastating event which might lead to disability and even death. Despite improvements in implant technology, operative technique, anaesthesia, and rehabilitation the outcome for many patients remains poor [1]. Level of returning to preinjury activities among survivors is between 60 and 70% [2,3,4]. Even less patients can regain preinjury walking ability. Around 50 % of elderly patients can walk as they did before the injury [2,5,6]. (Source: Injury)
Source: Injury - February 17, 2021 Category: Orthopaedics Authors: An že Kristan, Črt Benulič, Martina Jaklič Source Type: research

Uncemented femoral stem design might have an impact on postoperative periprosthetic femur fracture pattern. A Comparison between flat-wedge and dual-wedge stems
Postoperative periprosthetic femur fracture has been reported to be a common cause of failure for primary total hip arthroplasty (THA) [1-4]. These fractures occur more frequently in the early postoperative period, with most occurring in the first 3 to 6 months after surgery [2,5-8]. The early postoperative and long-term incidence of periprosthetic fracture is consistently higher in the uncemented stems than the cemented stems. Cumulative risk of postoperative periprosthetic fracture in uncemented and cemented stems could be up to 7.7% and 2.1% at 20 years, respectively [2,9]. (Source: Injury)
Source: Injury - February 17, 2021 Category: Orthopaedics Authors: Hsuan-Hsiao Ma, Te-Feng Arthur Chou, Shang-Wen Tsai, Cheng-Fong Chen, Po-Kuei Wu, Wei-Ming Chen Source Type: research

Thoracic Injuries in Pediatric Polytraumatized Patients: Epidemiology, Treatment and Outcome
Despite improved injury prevention programs, trauma remains the most common cause of death and permanent disability in children, exceeding all other causes of death combined [1]. Polytrauma describes a general condition of a patient subjected to multiple traumatic injuries with a life-threatening condition, presenting a challenge for diagnosis and treatment. However, it lacks of a universally accepted, validated definition in both literature and practice [2]. (Source: Injury)
Source: Injury - February 16, 2021 Category: Orthopaedics Authors: R.C. Ostermann, J. Joestl, N. Lang, Thomas M. Tiefenboeck, Sylvina Ohnesorg, P. Platzer, M. Hofbauer Source Type: research

The effect of COVID-19 on a Major Trauma Network. An analysis of mechanism of injury pattern, referral load and operative case-mix
In December 2019, an epidemic of a novel coronavirus (COVID-19) emerged, with its geographical epicentre in Wuhan City, China. At present more than 12.5 million cases and more than 560,000 deaths have been recorded worldwide [1]. In Britain social distancing measures were first introduced on March 16th followed by a nationwide lockdown on March 23rd 2020 [2]. Lockdown measures included instructions for individuals to stay at home bar visits out for essential food shopping and limited exercise, closing of non-essential businesses and a ban on social gatherings [2]. (Source: Injury)
Source: Injury - February 16, 2021 Category: Orthopaedics Authors: B.M. Sephton, P. Mahapatra, M. Shenouda, N. Ferran, K. Deierl, T. Sinnett, N. Somashekar, K. Sarraf, D. Nathwani, R. Bhattacharya Source Type: research

Pathways and factors that influence time to definitive trauma care for injured children in New South Wales, Australia
Injury remains the leading cause of death and disability for children worldwide1. In Australia, presentation to the emergency department (ED) as a result of injury or poisoning accounts for the greatest number of presentations (31% of 1.75 million) for children under 15 years2. The incidence of major paediatric trauma, both in Australia and internationally, is considerably lower than that for the adult population3,4. Further, not all health facilities are adequately equipped or prepared to provide the necessary care to severely injured children5,6, resulting in variation in outcomes for injured children treated at differen...
Source: Injury - February 16, 2021 Category: Orthopaedics Authors: Kate Curtis, Belinda Kennedy, Mary K Lam, Rebecca J Mitchell, Deborah Black, Brian Burns, Michael Dinh, Andrew JA Holland Source Type: research

Point-of-Care 3D Printing: A Feasibility Study of Using 3D Printing for Orthopaedic Trauma
3D printing is a rapidly emerging manufacturing process whereby a 3-dimensional object is built additively from a computer-aided design model. In comparison with traditional manufacturing processes, 3D printing allows for lower customisation costs and small volume production without the need for costly tooling and fixtures. These advantages have been readily recognised in the field of medicine, particularly in trauma and orthopaedic surgery where it has been used for myriad applications including surgical planning models, guides, and patient-specific implants (PSI) [1,2]. (Source: Injury)
Source: Injury - February 16, 2021 Category: Orthopaedics Authors: Alex Quok An TEO, David Qing Kai NG, Peng LEE, Gavin Kane O'NEILL Source Type: research

The Chest Wall Injury Society Recommendations for Reporting Studies of Surgical Stabilization of Rib Fractures
The modern era of surgical stabilization of rib fractures (SSRF) was ushered in by the publication of the inaugural randomized controlled trial (RCT) in 2002 [1]. Since that time, interest in SSRF has grown dramatically, as evidenced by an over eight-fold increase in use of the operation for patients with a diagnosis of flail chest from 2007 to 2014 [2-4]. There has been a similar, exponential increase in the number of SSRF-related publications, from 5 in 2005 to 229 in 2019 (Figure 1). (Source: Injury)
Source: Injury - February 16, 2021 Category: Orthopaedics Authors: Fredric M. Pieracci, Sebastian Schubl, Mario Gasparri, Patrick Delaplain, Jordan Kirsch, Christopher Towe, Thomas W. White, SarahAnn Whitbeck, Andrew R. Doben Source Type: research

Do Poller screws effect union in tibial shaft fractures treated with intramedullary nailing?
Tibial shaft fractures continue to represent some of the most common long bone injuries in the United Kingdom (UK), with an annual incidence of 16.9 per 100,000 people [1]. Injury mechanisms range from low energy, indirect twisting forces to high energy, direct impacts that occur during road traffic accidents [2]. The tibia's long subcutaneous border and corresponding lack of soft tissue coverage also result in an increased susceptibility to open fractures and its associated complications [3]. Treatment options can broadly split into conservative and operative management. (Source: Injury)
Source: Injury - February 16, 2021 Category: Orthopaedics Authors: Fidel Peat, Alejandro Ordas-Bayon, Matija Krkovic Source Type: research

Blood biomarkers related to osteonecrosis of femoral head by internal fixation after Garden I femoral neck fracture: a cohort study
As the most serious complication, osteonecrosis of femoral head (ONFH) after internal fixation for femoral neck fractures brings a huge economic and psychological burden to the patients. Researchers have devoted themselves to the work to reduce or to avoid the occurrence of ONFH. As is known to all, ONFH after internal fixation is significantly related to Garden type of femoral fracture [1, 2] and reduction quality [1 –5]. In addition, previous studies have also identified a number of factors that can increase the rates of ONFH, including pre-operation traction [1, 2], implant removal [6], type of reduction [7], mech...
Source: Injury - February 16, 2021 Category: Orthopaedics Authors: Shuangshuang Cui, Likun Zhao, Yumin Wang, Qiang Dong, Jianxiong Ma, Xinlong Ma Source Type: research

Anatomical Study of the Medialis Pedis Flap and its clinical applications in Asian Singaporean Patients
The purpose of this study was to revisit the medial plantar artery's anatomy and study its distribution for raising the medialis pedis flap. Several investigators have reported their clinical experience with the use of this flap for reconstruction of soft tissue defects of the hand. However, many have reported difficulty raising the flap due to variations in its arterial anatomy and the confusion that exists with respect to the nomenclature in our literature. (Source: Injury)
Source: Injury - February 16, 2021 Category: Orthopaedics Authors: Tiwari Priya, Khong Yik Chew, Bien Keem Tan, Shian Chao Tay, Beng Hai Lim Source Type: research

Increased Articular Exposure of the Lateral Tibial Plateau with a Midline Lateral Parapatellar Arthrotomy Compared to an Anterolateral Submeniscal Arthrotomy: a Cadaveric Study
Tibial plateau fractures comprise approximately 1% of all fracture types. Isolated lateral plateau fractures are the most common pattern, encompassing up to 70% of tibial fractures [1,2]. Goals of operative treatment are anatomic articular reduction, restoration of mechanical alignment and joint stability, and treatment of associated meniscal injuries in an effort to prevent post-traumatic arthritis. Optimal surgical exposure is necessary to accomplish these goals. (Source: Injury)
Source: Injury - February 14, 2021 Category: Orthopaedics Authors: Dustin Rinehart, Adam Starr, Drew Sanders, Holt Cutler, Bruno Gross, Brandon Hull, Ashoke Sathy Source Type: research

Pre-existing psychiatric disorder is related to lower mortality from road traffic accident: A Japanese nationwide retrospective cohort study
Mental illness is a major public health problem causing a significant global burden to patients and society worldwide.1,2 Patients with mental illness have a higher risk of suicide and they are also more likely to die from accidents.3 Furthermore, patients with mental illnesses have higher mortality from various medical diseases,4-6 more adverse events during in-hospital treatment,7-9 and longer hospitalizations.7,9,10 However, recent studies have reported inconsistent results on mortality from trauma among patients with psychiatric diseases. (Source: Injury)
Source: Injury - February 14, 2021 Category: Orthopaedics Authors: Takuto Ishida, Yusuke Kuwahara, Keita Shibahashi, Yoshihiro Okura, Kazuhiro Sugiyama, Kimio Yoshimura, Yuichi Hamabe, Masaru Mimura, Takefumi Suzuki, Hiroyuki Uchida Source Type: research

The burden of injuries in Mexico: secondary data analysis from the Global Burden of Disease Study, 1990 to 2019
Injuries are a major cause of death worldwide and a public health threat that is mostly avertable, yet can cause death or disability at any age [1]. Globally, injuries cause over 4.3 million deaths per year, accounting for 11,780 deaths per day. Road traffic injuries, unintentional injuries and self-harm and interpersonal violence represented more than 40% of total deaths in the 15-29 age group and were among the five leading causes of death in 2019 [2]. Over 90.0% of deaths that result from injuries occur in low and middle income countries. (Source: Injury)
Source: Injury - February 14, 2021 Category: Orthopaedics Authors: Claudio Alberto D ávila-Cervantes, Ana Melisa Pardo-Montaño Source Type: research

The economic burden of open tibia fractures: a systematic review
Road traffic injuries are the largest cause of death amongst 15-29 year olds worldwide [1]. Tibia fractures are a common injury following trauma [2] and are susceptible to becoming an open fracture where the bone penetrates through the skin [3,4]. In the United Kingdom, the incidence is 5.6 per 100,000 people per year [2] (unknown in any LMIC) and is it is often associated with poor clinical outcomes [5, 6]. These outcomes include 18% infection, 15% non-union and 15% amputation in low- or middle-income countries (LMICs) [6] compared to 17.9% infection, 15.5% non-union and 7.3% amputation in high-income countries [5]. (Source: Injury)
Source: Injury - February 13, 2021 Category: Orthopaedics Authors: Alexander T. Schade, Chetan Khatri, Henry Nwankwo, William Carlos, William J. Harrison, Andrew J. Metcalfe Tags: Review Source Type: research

Fixation using Alternative Implants for the Treatment of Hip Fractures (FAITH-2): The Exploratory Health-Related Quality of Life and Patient-Reported Functional Outcomes of a Multi-Centre 2  × 2 Factorial Randomized Controlled Pilot Trial in Young Femoral Neck Fracture Patients
Femoral neck fractures in young patients are typically managed with internal fixation using either cancellous screws or a sliding hip screw (SHS). [1] Although fixation preserves the hip joint, patients are still at risk of complications and poor clinical outcomes. These poor clinical outcomes lead to diminished function and health related quality of life (HRQL). [2 –4] The recently completed Fixation using Alternative Implants for the Treatment of Hip Fractures (FAITH-2) pilot randomized controlled factorial trial, evaluated the effect of surgical fixation (cancellous screws vs. (Source: Injury)
Source: Injury - February 13, 2021 Category: Orthopaedics Authors: Gerard P. Slobogean, Sheila Sprague, Sofia Bzovsky, Taryn Scott, Lehana Thabane, Diane Heels-Ansdell, Robert V. O'Toole, Andrea Howe, Greg E. Gaski, Lauren C. Hill, Krista M. Brown, Darius Viskontas, Mauri Zomar, Gregory J. Della Rocca, Nathan N. O'Hara, Source Type: research

No clinical advantage of locking over nonlocking plate fixation of symphyseal disruptions
Locking plates have led to important changes in fracture management, becoming important tools in the orthopedic surgeon's arsenal [1, 2]. The biomechanical principles and design characteristics of the locking plate fixation promote biological stabilization while improving fixation by converting the shear stress created during loading into compressive stress at the screw interface [1, 3]. Moreover, the introduction of locking plates coincided with the development of minimally invasive fracture fixation approaches [1, 4]. (Source: Injury)
Source: Injury - February 13, 2021 Category: Orthopaedics Authors: Christiano Saliba Uliana, Eiji Rafael Nakahashi, Luiz Henrique Penteado Silva, Vincenzo Giordano Source Type: research

Effect of ovariectomy induced osteoporosis on metaphysis and diaphysis repair process
The fractures occur at various ages and sites [1,2]. Especially, the high incidence of fracture is observed in adolescents and the elderly, and the age distribution of fracture patients is bimodal [1,2]. In adolescence, cortical porosity occurs in both the sexes as a consequence of an increase in intracortical bone turnover, resulting in an increased incidence of fractures [3]. In the elderly, the bone fragility occurs due to osteoporosis; furthermore, the fracture risk is significantly increased in postmenopausal women owing to declined estrogen levels [4]. (Source: Injury)
Source: Injury - February 13, 2021 Category: Orthopaedics Authors: Satoshi Inoue, Kaoru Fujikawa, Miwako Matsuki-Fukushima, Masanori Nakamura Source Type: research

The relationship between work and mental health outcomes in black men after serious injury
One's ability to work can suddenly and drastically change in the aftermath of a traumatic injury. Returning to work (RTW) can be a strong indication of healing and rehabilitation and may play a pivotal role in promoting physical and functional recovery. [1,2] This is not surprising given the long-established relationship between work and health: workers in jobs with higher earning potential and social capital experience better overall health outcomes. [3,4] This includes better mental health, as work can enhance individual satisfaction, social connections, and economic security. (Source: Injury)
Source: Injury - February 13, 2021 Category: Orthopaedics Authors: Aimee J. Palumbo, Therese S. Richmond, Jessica Webster, Christopher Koilor, Sara F. Jacoby Source Type: research

3D printing innovation: New insights into upper extremity surgery planning
Surgical procedures in trauma and orthopaedics rely especially on the images obtained by plain radiographs, computerized tomography (CT) and magnetic resonance imaging (MRI). Using these images, orthopaedic surgeons can preoperatively trace the anatomy of patients and develop a detailed action plan before proceeding with the actual surgery. This reduces uncertainty and anticipates possible complications. Therefore, preoperative planning is an essential aspect of surgery success. (Source: Injury)
Source: Injury - February 12, 2021 Category: Orthopaedics Authors: Ferran Fillat-Gom à, Francesc Antoni Marcano-Fernández, Sergi Coderch-Navarro, Laia Martínez-Carreres, Alex Berenguer Source Type: research

Salvage of cephalomedullary nail cutout with the variable angle proximal femoral plate
Cephalomedullary nail (CMN) is a highly diffusion technique in the treatment of the trochanteric fractures in the elderly. Excellent results have been published, but not free of complications. One of them is the perforation of the lag screw through the superior cortex of the femoral head or neck, followed by rotation and varus collapse of the head and neck fragment (cut-out). This complication occurs between 3% and 7% of cases [1,2], showing a pseudoarthrosis of the fracture and a very important bone loss in the upper neck and femoral head. (Source: Injury)
Source: Injury - February 12, 2021 Category: Orthopaedics Authors: J. Albareda-Albareda, B. Redondo-Trasobares, J. Calvo-Tapies, E. Blanco-Baiges, A. Torres-Campos, J. Gomez-Vallejo, N. Blanco Rubio Source Type: research

3D Printing Innovation: New Insights into Upper Extremity Surgery Planning.
Surgical procedures in trauma and orthopaedics rely especially on the images obtained by plain radiographs, computerized tomography (CT) and magnetic resonance imaging (MRI). Using these images, orthopaedic surgeons can preoperatively trace the anatomy of patients and develop a detailed action plan before proceeding with the actual surgery. This reduces uncertainty and anticipates possible complications. Therefore, preoperative planning is an essential aspect of surgery success. (Source: Injury)
Source: Injury - February 12, 2021 Category: Orthopaedics Authors: Fillat-Gom à F, Marcano-Fernández FA, Coderch S, Martínez-Carreres L, Jaume Cámara Source Type: research

MIPO helical pre-contoured plates in diaphyseal humeral fractures with proximal extension. Surgical technique and results
Humeral shaft fractures comprise 3% of all bone fractures [1]; and 13% of all humeral fractures [2]. Within this group, there is a very rare subgroup: multifragmentary diaphyseal fractures involving the proximal humerus. (Source: Injury)
Source: Injury - February 12, 2021 Category: Orthopaedics Authors: Virginia Garc ía-Virto, Silvia Santiago-Maniega, Almudena Llorente-Peris, Clarisa Simón-Pérez, Begoña A. Álvarez-Ramos, Luis García Florez, Héctor J. Aguado Source Type: research

Salvage of cephalomedullary nail cutout with the variable angle proximal femoral plate.
Cephalomedullary nail (CMN) is a highly diffusion technique in the treatment of the trochanteric fractures in the elderly. Excellent results have been published, but not free of complications. One of them is the perforation of the lag screw through the superior cortex of the femoral head or neck, followed by rotation and varus collapse of the head and neck fragment (cut-out). This complication occurs between 3% and 7% of cases [1, 2], showing a pseudoarthrosis of the fracture and a very important bone loss in the upper neck and femoral head. (Source: Injury)
Source: Injury - February 12, 2021 Category: Orthopaedics Authors: J Albareda-Albareda, B Redondo-Trasobares, J Calvo-Tapies, E Blanco-Baiges, A Torres-Campos, J Gomez-Vallejo, N Blanco Rubio Source Type: research

Biomechanical behavior of retrograde intramedullary nails in distal femoral fractures
Fractures of the distal femur represent between 4 and 6% of femoral fractures [1] and about 0.4% of adult fractures [2]. Fractures of the distal femur typically occur in two groups of individuals: younger people suffering high-energy trauma, or elderly people with bones that are more fragile due to osteoporosis, mainly women. Eighty-five per cent of distal femoral fractures occur in older adults [3] with a trend of increase in the percentage of these elderly patients with osteoporosis [4]. (Source: Injury)
Source: Injury - February 12, 2021 Category: Orthopaedics Authors: J. Albareda, S. Gabarre, J. Rosell, S. Pu értolas, E. Ibarz, B. Redondo, J. Gómez, N. Blanco, M Sánchez, A. Herrera, L. Gracia Source Type: research

Corrigendum to ‘3D - Navigated percutaneous screw fixation of pelvic ring injuries - a pilot study’ [Injury 51S3 (2020) S28 – S33]
The authors regret (Source: Injury)
Source: Injury - February 12, 2021 Category: Orthopaedics Authors: Michela Florio, Luigi Capasso, Alessandro Olivi, Carla Vitiello, Antonio Leone, Francesco Liuzza Tags: Corrigendum Source Type: research

Reporting on quality of reduction and fixation of intertrochanteric fractures –A systematic review
Intertrochanteric (IT) femur fractures are commonly seen fractures in the elderly and are associated with early mortality as well as significant functional disability [1 –3]. These fractures are treated surgically using either closed or open reduction with internal fixation. The most common implants used for internal fixation are sliding hip (lag) screws with an intramedullary nail or a side plate construct [3]. The orthopaedic literature is replete with studies e xamining parameters that may influence postoperative outcomes of IT fractures. (Source: Injury)
Source: Injury - February 11, 2021 Category: Orthopaedics Authors: Meir Marmor, Guy Guenthner, Arash Rezaei, Morshed Saam, Amir Matityahu Source Type: research