Superficial Deltoid Ligament and Deep Deltoid Ligament Play Equally Important Roles in the Stability of Isolated Lateral Malleolus (OTA/AO 44-B1) Fractures: A Biomechanical Study
Conclusions:
SER IV fracture patterns can be unstable with isolated injury to either the superficial or deep deltoid. This challenges the notion that deep deltoid rupture is necessary. Further clinical studies would help quantify the consequences of this instability. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Association of Nutritional Status with New-Onset Delirium in Elderly, Acute Care, Orthopaedic Trauma Patients: A Single-Center Observational Study
Conclusions:
In hospitalized, elderly, orthopaedic trauma patients, poor nutritional status may be a modifiable risk factor for NOD. Future studies are needed to determine whether aggressive nutritional interventions can reduce the incidence of NOD and improve outcomes in this cohort of patients.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Mitigation of Triceps Avulsion Fracture After Proximal Ulna Plate Fixation
Conclusions:
Our study demonstrated that an augmented suture repair of PUP fixation for olecranon fractures is a simple and effective way to significantly increase fixation strength and change the potential failure mechanism. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Primary Versus Secondary Radiotherapy for Heterotopic Ossification Prevention About the Elbow
Conclusions:
Our findings suggest that XRT for elbow HO may be safe and effective for both primary and secondary HO. XRT for HO was not shown to be associated with radiation-induced sarcoma in this series, at least in the short term. Further study in a large patient population with extended follow-up is required to better characterize populations at high risk for development of HO and secondary malignancy.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Agricultural Trauma Causing Open Fractures: Is Antibiotic Coverage Against Anaerobic Organisms Indicated?
Objective:
To compare deep infection rate and causative organisms in open fractures of the lower extremity from agricultural trauma with similar injuries in nonagricultural trauma.
Design:
Retrospective.
Setting:
Two tertiary care institutions.
Methods:
Open lower extremity fractures sustained between 2003 and 2018 caused by agriculture-related trauma in adult patients were reviewed. A nonagriculture open fracture control group (NAG) was identified for comparison. Patient demographics and injury characteristics were assessed. Outcomes included occurrence of deep infection and causative organisms.
...
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Outcomes of Various Antibiotic Cement–Coated Intramedullary Implants on the Treatment of Long Bone Septic Nonunion
Conclusions:
Antibiotic-coated intramedullary implants are successful in the treatment of septic nonunions in long bones. In our cohort, rigid, statically locked nails allowed faster rehabilitation, decreased the need for autograft, and decreased the number of additional surgical procedures. Further study is needed to confirm these findings.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Clinical Outcomes and Surgical Complications Among Patients with Bleeding Disorders After Acute Hip Fracture Surgery
Conclusions:
Hip fracture surgery in patients with bleeding disorders is not associated with higher risks of short-term mortality or reoperation. However, special consideration should be taken when calculating preoperative risks of complications among bleeding disorder patients.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Does Inpatient Mobilization Predict 1-Year Mortality After Femoral Neck Fracture Treated With Hemiarthroplasty?
Conclusions:
Ambulation with physical therapy before discharge reduced the risk of 1-year mortality by 43%, without an effect on 90-day readmission. Sixty-two percentage of our cohort was able to ambulate before discharge. Future investigations are warranted to further identify those patients at heightened risk of mortality and readmission and the role of early rehabilitation in recovery.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
The Impact of Magnetic Resonance Imaging on the Diagnosis of High-Energy Ipsilateral Femoral Neck and Shaft Fractures
Conclusions:
In this cohort, patients with middle and distal third OTA/AO 32-C type fractures had the highest association with an ipsilateral OTA/AO 31 type fracture. OTA/AO 32-A2 and 32-A3 type fractures had the highest association with femoral neck fractures seen only on MRI. The data presented suggest continued usage of the rapid sequence pelvic MRI for all patients with high-energy femoral shaft fractures in whom a femoral neck fracture was not seen on an x-ray or a computed tomography scan.
Level of Evidence:
Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence....
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Complications of Morbid Obesity in the Treatment of Acetabular Fractures: Re-evaluating Outcomes a Decade Later
Conclusion:
Acetabular fracture surgery can be safely performed in morbidly obese patients. Although obesity remains a significant risk factor for wound complications, the risk for morbidly obese patients has decreased significantly since our initial investigation because of adaptations to surgical techniques and surgeon's experience.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Pelvic Ring Injury Mortality: Are We Getting Better?
Objectives:
To determine if changes in pelvic trauma care and treatment protocols have affected overall mortality rates after pelvic ring injury.
Design:
Retrospective cohort study.
Setting:
Level I trauma center.
Patients/Participants:
A total of 3314 patients with pelvic ring injuries who presented to a single referral center from 1999 to 2018 were included in the study.
Intervention:
Pelvic ring management, years 1999-2006 versus years 2007-2018.
Main Outcome Measurements:
In hospital mortality. Other examined variables included change in patient demographics, fracture characterist...
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Commentary on: “Resuscitative Endovascular Balloon Occlusion of the Aorta in Hemodynamically Unstable Patients With Pelvic Ring Injuries”
No abstract available (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Invited Commentary Source Type: research
Resuscitative Endovascular Balloon Occlusion of the Aorta in Hemodynamically Unstable Patients With Pelvic Ring Injuries
Conclusions:
REBOA use in pelvic ring injuries is rare and most frequently used in critically ill patients with polytrauma. Successful pelvic embolization can occur in concert with REBOA use; however, the severity of injury is associated with a high complication profile. In this series of 25 patients, in-hospital mortality was 48%. For those patients who survived, 54% experienced a major complication (fasciotomy, amputation, and deep infection). Further investigation is required to evaluate the role REBOA may play in managing these patients.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors f...
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Surgical Management of Missed Pediatric Monteggia Fractures: A Systematic Review and Meta-Analysis
Conclusions:
Thirty studies with 600 patients were included. Proximal ulnar osteotomies (P = 0.016) and the absence of transcapitellar pinning (P = 0.001) were the most significant predictors for eventual reduction of radial head. Other surgical management variables were not significant predictors. These include open or closed reduction approach of radial head reduction; presence or absence of ulnar osteotomy; presence or absence of lengthening, angular correction, overcorrection, or bone grafting of ulnar osteotomy; type of fixation for ulnar osteotomy; presence or absence of radial osteotomy; presence or absence of a...
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Review Article Source Type: research
Treatment of Posttraumatic Tibial Diaphyseal Bone Defects: A Systematic Review and Meta-Analysis
Conclusions:
NBGs may be considered first line for trauma defect sizes ≤ 10 cm or posttraumatic osteomyelitis defect sizes (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - January 29, 2022 Category: Orthopaedics Tags: Review Article Source Type: research
