A novel surgical technique for removal of intramedullary nails when there is a failure of the proximal extraction device: report of two cases and review of literature.
Diaphyseal fractures of the tibia is a common injury with an incidence of 16.9/100000 population. Surgical treatment with intramedullary interlocking nail is the treatment of choice in closed diaphyseal tibial injuries. Removal of the nail is required in non-union, infected implant, implant failure or during exchange nailing procedure. Implant removal surgery presents some unique challenges to the Orthopaedic surgeons like broken nails, broken screws and failure of the extraction devices to engage with the threads of the nail due to stripping of the threads in the proximal part of the nail. (Source: Injury)
Source: Injury - April 3, 2024 Category: Orthopaedics Authors: Devendra Pathrot, Sunil Manual, Srinath K.M.D. Ortho, Chidendra M. Shettar Tags: Review Source Type: research
New fracture patterns distal epiphysis femur in youth: update of current classification
Injuries leading to bone fracture affecting the epiphyseal physis are important and common in orthopaedic medicine and cause diagnostic and therapeutic challenges for orthopaedic surgeons. The related incidence rate of these fractures in the paediatric population is 15-18% [1]. (Source: Injury)
Source: Injury - April 3, 2024 Category: Orthopaedics Authors: G. Papotto, G. Milordo, S. Comitini, GC. Salvo, A. Palmeri, F. Costanzo, GF. Longo, M. Ganci Source Type: research
Are extra locking bolts or fibular plating more important in extreme nailing of distal tibia fractures? A cadaveric biomechanical analysis
Distal tibia fractures can be treated with intramedullary tibial nailing or plating [1,2]. Nailing may be preferred to plating because of its minimally invasive approach which may decrease operative time and avoid fracture devascularization [3]. Further, nailing may permit earlier weightbearing [4]. However, it can be challenging to achieve acceptable fixation when the fracture location is so distal that it only permits placement of one or two interlocking screws through the distal portion of the nail, and there are concerns for higher rates of malunion in these fractures treated with nails [4]. (Source: Injury)
Source: Injury - April 3, 2024 Category: Orthopaedics Authors: Daniel J. Cunningham, Joshua E. Lawrence, Murali Kovvur, Kristin E. Turner, Giovanni Oppizzi, Dali Xu, Li-Qun Zhang, Daniel J. Johnson, Peter Mittwede, Aresh Sepehri, Jordan Brand, Robert V. O'Toole, Mark J. Gage Source Type: research
Body surface area is a predictor of 90-day all-cause mortality in critically ill patients with acute kidney injury
Acute kidney injury (AKI) is a heterogeneous clinical syndrome involving a range of risk factors and acute injuries that affect both short- and long-term clinical outcomes [1]. Studies have shown that AKI occurs in 10-15% of hospitalized patients and in over 50% of intensive care unit (ICU) patients [2,3]. Obesity has become an epidemic over recent years. Existing literature shows that AKI is common in surgical patients with severe obesity. Obesity is a new risk factor for AKI and a higher Body mass index (BMI) is associated with a higher incidence of AKI [4]. (Source: Injury)
Source: Injury - April 3, 2024 Category: Orthopaedics Authors: Sencai Lin, Xiaobo Yang Source Type: research
Early Predictors of Health-Related Quality of Life Outcomes at 12 Months Post-Burn: ABLE study
There remains a paucity of evidence on the early predictors of long-term Health-Related Quality of Life (HRQoL) outcomes post-burn in hospitalised adults. The overall aim of this study was to identify the factors (personal, environmental, burn injury and burn treatment factors) that may predict long-term HRQoL outcomes among adult survivors of hospitalised burn injuries at 12 months post-burn. A total of 274 participants, aged 18 years or over, admitted to a single state-wide burn centre with a burn injury were recruited. (Source: Injury)
Source: Injury - April 3, 2024 Category: Orthopaedics Authors: Martha Druery, Arpita Das, Jacelle Warren, Peter A Newcombe, Jeffrey Lipman, Cate M Cameron Source Type: research
Diagnostic impacts on management of soft tissue injuries associated with tibial plateau fractures: A narrative review
Tibial plateau fractures account for 1% of all fractures [1]. These fractures are associated with an increased risk of post-traumatic arthritis. Operative management of tibial plateau fractures focuses on restoration of joint congruency and mechanical alignment, which are key factors in clinical and radiological outcomes of the knee [2]. (Source: Injury)
Source: Injury - April 3, 2024 Category: Orthopaedics Authors: Alastair Stephens, Henry Searle, William Carlos, Austin Gomindes, Adam Pilarski, Farhan Syed, Nicholas Smith, Chetan Khatri Tags: Review Source Type: research
Establishing a UK National Registry for Peripheral Nerve Injury Repair Surgery: A Strategic Blueprint
Peripheral nerve injuries have a significant impact on patient quality of life. Quality of care for peripheral nerve repair remains undefined in the UK. A National Registry for Peripheral Nerve Repair is proposed to systematically collect, analyse, and utilise data to enhance patient outcomes, refine surgical techniques, and foster collaborative research. This letter outlines the strategic framework for establishing such a registry, emphasising purpose, feasibility assessment, stakeholder identification, governance structure and data management. (Source: Injury)
Source: Injury - April 3, 2024 Category: Orthopaedics Authors: Rory Cuthbert, Ashley I. Simpson Source Type: research
Background factors for intra-operative hypotension during hip fracture repair surgery in the elderly under spinal anesthesia managed by orthopedic surgeons: A retrospective case-control study
Spinal anesthesia (SA) reduces the postoperative pulmonary complications, postoperative acute renal failure, intraoperative vasopressor use, and total medical costs associated with general anesthesia and is widely used in orthopedic surgery [1 –3]. (Source: Injury)
Source: Injury - April 3, 2024 Category: Orthopaedics Authors: Kumiko Yotsuya, Junichiro Sarukawa, Kaoru Yamazaki, Tatsuya Yasuda, Takato Oishi, Hiroki Ushirozako, Hideyuki Arima, Yukihiro Matsuyama Source Type: research
ORTHOPOD: Linking ambulatory Future trauma Injury Distribution from Fragility Proximal Femur Fracture caseload
In the United Kingdom 16,000 deaths are attributable to trauma annually [1], and accidental injury is the leading cause of death amongst in-patient admission and emergency surgery in younger adults [1]. The number of National Health Service (NHS) inpatient beds has reduced by over half since 1990 [2]. High bed occupancy, coupled with systematic inefficiency, commonly results in surgical delay as well as organisation wide pressures. Our previous work has highlighted the nature of UK Orthopaedic Trauma and the requirement for investment in and increased utilisation of ambulatory (day- case) trauma lists. (Source: Injury)
Source: Injury - April 3, 2024 Category: Orthopaedics Authors: T Walshaw, T.M. Morris, M. Fouweather, T.E. Baldock, N. Wei, W.G.P. Eardley Source Type: research
Fixation of Proximal Tibial Fractures with Intramedullary Nail and Immediate Weightbearing: A Beneficial Alternative
Newer intramedullary (IM) nails have become another option in the fixation of proximal tibia fractures. There is limited data on the successful use of these implants in intra-articular and extra-articular fractures of the proximal tibia, and no studies assessing the ability of these implants to maintain alignment with early weight bearing. Our objective was to determine whether immediate weight bearing after IM fixation, with or without supplemental plate or screw fixation, of proximal third tibial fractures (OTA/AO 41A-C) results in a change in alignment prior to union. (Source: Injury)
Source: Injury - April 3, 2024 Category: Orthopaedics Authors: Ashley Force, Sandip Tarpada, Lisa Follett, Nicket Dedhia, Apostolos Dimitroulias, Milan Kumar Sen Source Type: research
Anatomical study of the modified direct posterior gluteal splitting approach for acetabular fractures
The Kocher –Langenbeck approach is considered the gold standard for fractures of the acetabulum requiring a posterior approach for repair due to direct visualization of the entire posterior wall and column [1,2]. There are many reports of good postoperative results with internal fixation of acetabular fractu res using the Kocher–Langenbeck approach [3–5]. However, the Kocher–Langenbeck approach requires a long skin incision from near the posterior superior iliac spine through the tip of the greater trochanter to a location 10–15 cm distal to it [2]. (Source: Injury)
Source: Injury - April 2, 2024 Category: Orthopaedics Authors: Toru Matsugaki, Akihiro Yamashita, Keishiro Kikuchi, Koichi Watanabe Source Type: research
The Influence of Pelvic Tilt on Sacral Insufficiency Fracture Occurrence: Insights into the Prevalence of High Pelvic Tilt Among Patients Affected
Pelvic ring injuries are relatively rare injuries [1,2], accounting for only about 3% of all fractures. However, polytraumatized patients were diagnosed with pelvic ring injuries in almost 25% of cases [1,2] and they are quite frequently in older patients [1,3] due to the low-energy trauma mechanism, which leads to fractures in bone with lower bone density [1]. The incidence of pelvic ring fractures in older people is 90/100,000 and it is increasing due to demographic changes [3]. Such fractures, referred to as fragility fractures, could be both a symptom or a sign of osteoporosis. (Source: Injury)
Source: Injury - April 2, 2024 Category: Orthopaedics Authors: Katharina J äckle, Marc-Pascal Meier, Friederike Klockner, Paul Jonathan Roch, Thelonius Hawellek, Lukas Weiser, Wolfgang Lehmann Source Type: research
Appraisal of the clinical practice guidelines on thromboprophylaxis in orthopaedic procedures; Do we AGREE (II)?
Optimal thromboprophylaxis in orthopaedic procedures is crucial in an attempt to lower the risk of venous thromboembolism, including deep vein thrombosis and pulmonary embolism. We aim to: 1) identify clinical practice guidelines (CPGs) and recommendations (CPRs) on thromboprophylaxis in adult patients undergoing orthopaedic procedures, and 2) assess the methodological quality and reporting clarity of these guidelines. (Source: Injury)
Source: Injury - April 1, 2024 Category: Orthopaedics Authors: Maria P Ntalouka, Antonis Koutalos, Fragkiskos Angelis, Metaxia Bareka, Michael Hantes, Theofilos Karachalios, Eleni Arnaoutoglou Tags: Review Source Type: research
Challenges, Opportunities, and Priorities for Tier-1 Emergency Medical Services (EMS) Development in Low- and Middle-Income Countries: A Modified Delphi-Based Consensus Study Among the Global Prehospital Consortium
The disease burden addressable by prehospital and out-of-hospital emergency care(OHEC) spans communicable diseases, maternal conditions, chronic conditions, and injuries.[1] Of the 45 million deaths in low- and middle-income countries(LMICs) annually, 54% are addressable by emergency medical services(EMS) and facility-based emergency care, equating to 1,023 million disability-adjusted life years(DALYs).[1] Injury constitutes the single largest DALYs burden, accounting for 32% more deaths than malaria, tuberculosis and HIV/AIDS combined, representing 10% of global mortality(6 million annual deaths), and is disproportionatel...
Source: Injury - April 1, 2024 Category: Orthopaedics Authors: Peter G. Delaney, Simonay De Vos, Zachary J. Eisner, Jason Friesen, Marko Hingi, Usama Javed Mirza, Ramu Kharel, Jon Moussally, Nathanael Smith, Marcus Slingers, Jared Sun, Alfred Harun Thullah Source Type: research
Size and fixation options of dorsoulnar fragments in distal radius fractures
This study aimed to investigate the influence of size and fixation options of dorsoulnar fragments on the clinical outcomes of distal radius fractures (DRFs). (Source: Injury)
Source: Injury - March 31, 2024 Category: Orthopaedics Authors: Jia-qing Ji, Xin Zhang, Cai Tao, Kai Chen, Ji-kui Qian, Feng Yuan, Jian Fan Source Type: research
