Clinical Outcomes for Hemiarthroplasty Versus Total Hip Arthroplasty in Patients With Femoral Neck Fracture Who Meet Published National Criteria for Total Hip Arthroplasty
Conclusions:
Patients who meet the NICE criteria for THA and are able to WIOs preinjury are more likely to have a higher level of independent mobility and a better functional outcome at 1-year if they receive a THA, as opposed to receiving a HA.
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 - December 24, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Management of Vancouver B2 Periprosthetic Femoral Fractures, Revision Total Hip Arthroplasty Versus Open Reduction and Internal Fixation: A Systematic Review and Meta-Analysis
Conclusion:
The 1621 patients included comprised a mixture of different fracture patterns, prostheses, and patient comorbidities. The overall complication rate for ORIF was 24% versus 18% for rTHA (P = 0.13). The results demonstrate that rTHA has a similar revision rate to ORIF in PFFs with a loose femoral component and adequate bone stock. ORIF was superior to rTHA in prevention of postoperative dislocation; however, there was no difference between other complications. This review suggests a potential role of both ORIF and rTHA in the management of Vancouver B2 PFFs.
Level of Evidence:
Therapeutic Level III. Se...
Source: Journal of Orthopaedic Trauma - December 24, 2021 Category: Orthopaedics Tags: Review Article Source Type: research
Distal Femur Replacement Versus Open Reduction and Internal Fixation for Treatment of Periprosthetic Distal Femur Fractures: A Systematic Review and Meta-Analysis
Objective:
To compare complications and functional outcomes of treatment with primary distal femoral replacement (DFR) versus open reduction and internal fixation (ORIF).
Data Sources:
PubMed, Embase, and Cochrane databases were searched for English language studies up to May 19, 2020, identifying 913 studies.
Study Selection:
Studies that assessed complications of periprosthetic distal femur fractures with primary DFR or ORIF were included. Studies with sample size ≤5, mean age (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - December 24, 2021 Category: Orthopaedics Tags: Review Article Source Type: research
In Response
No abstract available (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - November 25, 2021 Category: Orthopaedics Tags: Letters to the Editor Source Type: research
Obesity as a Predictor of Outcomes in Type III and IV Supracondylar Humerus Fractures
No abstract available (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - November 25, 2021 Category: Orthopaedics Tags: Letters to the Editor Source Type: research
Clamp Assisted Reduction of the Transverse Acetabular Fracture With Anterior Column Screw Fixation and Posterior Plating: A Technical Trick and Case Series
We present a surgical technique for transverse or transverse/posterior wall acetabular fractures repaired using a clamp-assisted reduction through the sciatic notch, followed by anterior column screw fixation and subsequent posterior column plating through a Kocher–Langenbeck exposure. We review a case series of 55 patients treated with this technique and evaluate reduction quality using postoperative computed tomogram scans to assess for any residual step-off. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - November 25, 2021 Category: Orthopaedics Tags: Technical Trick Source Type: research
A Modified Levine Approach for Exposure of the Anterior Column, Anterior Wall, and Sacroiliac Joint: A Surgical Technique and a Case Series
In this study, we introduce a soft tissue release technique to mobilize the abdominal muscles and inguinal ligament to allow expanded surgical access to the distal anterior column/wall and sacroiliac joint and to create a working space for fracture reduction and fixation. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - November 25, 2021 Category: Orthopaedics Tags: Technical Trick Source Type: research
Triceps Tenotomy as an Alternative Exposure for Fixation of OTA/AO 13-C Fractures: A Technical Trick
Summary:
Intra-articular fractures of the distal humerus present challenges to treating physician and patient alike. The olecranon osteotomy is accepted as the standard exposure for intra-articular distal humerus fractures; nevertheless, complications such as nonunion and implant prominence are common. In this article, we describe the clinical outcomes and anatomic features of the triceps tenotomy as an alternative method of exposure for internal fixation of intra-articular distal humerus fractures. The olecranon osteotomy approach affords greater exposure of the distal humerus articular surface; however, there was no ...
Source: Journal of Orthopaedic Trauma - November 25, 2021 Category: Orthopaedics Tags: Technical Trick Source Type: research
Flouroscopic Control of Tibial Torsion After Intramedullary Nailing: A Technical Trick
We present here a fast and low-tech intraoperative method on how to achieve identical tibial torsion of the operated and noninjured side. The method can be used for tibia shaft and metaphyseal fractures and only requires a normal C-arm fluoroscope with 2 monitors. First, a true lateral image of the knee on the noninjured side with the femoral condyles aligned is obtained. Second, with the leg and the C-arm rotation and tilt fixed, the fluoroscope is moved parallel to the patient axis and a lateral ankle image is obtained and saved. The fibula position relative to the tibia at the level of the Volkmann tubercle on the later...
Source: Journal of Orthopaedic Trauma - November 25, 2021 Category: Orthopaedics Tags: Technical Trick Source Type: research
Medial Column Support in Pilon Fractures Using Percutaneous Intramedullary Large Fragment Fixation
Summary:
Pilon fractures are complex injuries to the tibial plafond requiring stable fixation in the setting of effective soft tissue management, particularly in high-energy injuries, open fractures, or in geriatric individuals. Medial column support of the distal tibial metaphysis is often an essential component when applying balanced fixation. However, the biologic implications of multiple surgical approaches in the setting of damaged tissue, devitalized bone, or significant bone loss may contribute to increased complications. Percutaneous intramedullary large fragment screws offer both stability and a soft tissue–...
Source: Journal of Orthopaedic Trauma - November 25, 2021 Category: Orthopaedics Tags: Technical Trick Source Type: research
Validation of the AO Spine Sacral Classification System: Reliability Among Surgeons Worldwide
Conclusion:
The AO Spine Sacral Classification System is universally reliable among general orthopaedic surgeons and subspecialists worldwide, with substantial interobserver and excellent intraobserver reliability. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - November 25, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Methamphetamines and Acetabular Reoperation Rates: Poor Outcomes From the Front Lines
Conclusions:
Methamphetamine use is a nonmodifiable factor associated with a 3-fold increase in adjusted odds for 1-year reoperation after surgical fixation of acetabular fractures.
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 - November 25, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Does Radial Head Resection Impair Hand and Wrist Function? A Long-Term Follow-Up
Conclusions:
In our study population, long-term functional outcomes after radial head resection were encouraging. Thus, this procedure may be considered as a surgical alternative when radial head reconstruction or replacement fails.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - November 25, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Surgical Site Complications in Open Pronation-Abduction Ankle Fracture–Dislocations With Medial Tension Failure Wounds
Conclusions:
Open pronation-abduction ankle fracture–dislocations with medial tension failure wounds remain a challenging and potentially devastating injury. Our study suggests that with appropriate surgical debridement, early stabilization, and primary wound closure, acceptable outcomes with a relatively low risk of surgical site complications can be achieved.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - November 25, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Effectiveness of Gravity and Manual Stress Radiographs and the Use of Lateral Talar Displacement in Determining Ankle Stability of Supination-External Rotation Type Ankle Fractures
Conclusion:
This study shows that manual stress radiographs are just as effective as gravity stress radiographs in making an assessment of ankle fracture stability as there was no difference in diagnostic value between gravity and manual stress imaging in regards to surgical decision-making. Use of additional radiographic measurements such as the LTDR can provide additional information in determining stability when MCS is within a clinical gray area.
Level of Evidence:
Diagnostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - November 25, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
