Risk Factors for Development of a Recalcitrant Femoral Nonunion: A Single Surgeon Experience in 122 Patients
Conclusions:
The use of both intramedullary nails and modern plates were associated with a high rate of recalcitrance. Infection, current smokers, metabolic bone disease, and 3 or more prior surgical procedures were predictors for the development of a recalcitrant nonunion.
Level of Evidence:
Therapeutic Leve 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
In Response
No abstract available (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - October 21, 2021 Category: Orthopaedics Tags: Letters to the Editor Source Type: research
Letter to the Editor on “Vancomycin Powder Use in Fractures at High Risk of Surgical Site Infection”
No abstract available (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - October 21, 2021 Category: Orthopaedics Tags: Letters to the Editor Source Type: research
Is a Low-Cost Drill Cover System Noninferior to Conventional Surgical Drills for Skeletal Traction Pin Placement?
Summary:
The Drill Cover system was developed as a low-cost alternative to conventional surgical drills with specific applicability to low- and middle-income countries. However, the system may also be useful for the sterile placement of traction pins in the emergency department of high-income country hospitals. In September 2019, a US-based Level-1 trauma center began using the Drill Cover system to apply skeletal traction pins in patients with femoral shaft fractures. With these data, we performed a retrospective interrupted time series study to determine if the Drill Cover system was noninferior to conventional surgi...
Source: Journal of Orthopaedic Trauma - October 21, 2021 Category: Orthopaedics Tags: Technical Trick Source Type: research
Percent of Normal: A Pragmatic Patient-Reported Outcome Measure for the Orthopaedic Trauma Clinic
Conclusions:
The PON is a pragmatic PROM that can be easily administered in clinic by the physician to quickly assess and manage a variety of fractures, avoiding the disadvantages of nonrelative general or region-specific PROMs. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - October 21, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Impact of Psychosocial and Economic Factors on Functional Outcomes After Operative Calcaneus Fractures
Conclusions:
Polytrauma, alcohol abuse, psychiatric illness, work status, and posttraumatic osteoarthrosis were predictors of poor functional outcomes. The findings of this study add to previous literature that has demonstrated the importance of social, behavioral, and environmental factors on recovery after orthopaedic injury.
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 - October 21, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Obesity as a Predictor of Outcomes in Type III and Type IV Supracondylar Humerus Fractures
Objectives:
To investigate the association of obesity with fracture characteristics and outcomes of operatively treated pediatric supracondylar humerus fractures.
Design:
Retrospective multicenter.
Setting:
Two Level I pediatric hospitals.
Patients:
Patients (age (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - October 21, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Is the Iliac Cortical Density Similarly Positioned in the Developing Pediatric Pelvis?
Objectives:
The iliac cortical density (ICD) is a critical fluoroscopic landmark for pelvic percutaneous screw placement. Our purpose was to evaluate the ICD as a landmark in pediatrics and quantify the diameter of osseous pathways for 3 screw trajectories: iliosacral (IS) at S1 and transiliac–transsacral (TSTI) at S1 and S2.
Methods:
Two hundred sixty-seven consecutive pelvic CT scans in children 0–16 years of age were analyzed. ICD and S1 vertebral heights were measured at multiple regions along S1. Their height and corresponding ratios, as well as osseous screw corridor dimensions were compared between ag...
Source: Journal of Orthopaedic Trauma - October 21, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Retrograde Intramedullary Nailing of Pediatric Femoral Shaft Fractures Does Not Result in Growth Arrest at the Distal Femoral Physis—A Retrospective Cases Series
Objective:
To evaluate femoral growth after placement of retrograde intramedullary nails in the treatment of pediatric femoral shaft fractures.
Design:
Retrospective case series.
Setting:
Large urban trauma center in Mongolia.
Patients/Participants:
Twenty-nine pediatric patients who sustained a diaphyseal femoral shaft fracture were included in the study.
Intervention:
Retrograde intramedullary nail fixation with the standard, fin, or pediatric fin Surgical Implant Generation Network nail across an open distal femoral physis.
Main Outcome Measures:
The main outcome measure was the di...
Source: Journal of Orthopaedic Trauma - October 21, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Matched Comparison of Bone Transport Using External Fixator Over a Nail Versus External Fixator Over a Plate for Segmental Tibial Bone Defects
Objective:
To compare the outcomes and complications of bone transport over a nail (BTON) with those of bone transport over a plate (BTOP) for segmental tibial bone defects.
Design:
Retrospective matched study design.
Setting:
A major metropolitan tertiary referral trauma center.
Patients:
Thirty-six patients with segmental tibial bone defects of>4 cm were included in this study.
Intervention:
Either BTON or BTOP was performed on 18 patients.
Main Outcome Measurements:
We compared the healing of the distraction process and of the docking site between the techniques. Distraction parame...
Source: Journal of Orthopaedic Trauma - October 21, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Defining the Ideal “Nail Exit Path” of a Tibial Intramedullary Nail—A Computed Tomography Analysis of 860 Tibiae
Conclusions:
We have presented an anatomic study analyzing the ideal nail exit path using computed tomography scans of 860 tibiae. We defined that the ideal nail exit path of a tibial nail is lateral with respect to the center of the tibial plafond. This is supported by previous clinical studies and has significant implications for preventing malalignment when treating distal tibial fractures with intramedullary nailing. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - October 21, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Traumatic Arthrotomies: Do They All Need the Operating Room?
Conclusions:
Although further study may still be needed, this study suggests that small, minimally contaminated TAs with no associated fracture have a low risk of adverse complications, can safely be treated nonoperatively, and are associated with a significantly decreased cost of care.
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 - October 21, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Total Hip Arthroplasty for Acute Femoral Neck Fractures: Who Should Perform the Operation—Adult Reconstructive or Trauma Surgeons?
Conclusions:
THA for acute FN fracture performed by AR surgeons demonstrated higher rates of accurate radiographic component positioning, significantly lower major complication rates at 90 days and 1 year, and greater implant survival at 1 year.
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 - October 21, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Fracture and Patient Characteristics Associated With Early Conversion Total Hip Arthroplasty After Acetabular Fracture Fixation
Conclusion:
Transverse posterior wall fractures have a high risk of early conversion THA compared with other acetabular fracture patterns, especially when in combination with other significant risk factors. Consideration for different and novel management options warrants further study in this subset of acetabular fracture 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 - October 21, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
A Prospective Clinical Trial Comparing Surgical Fixation Versus Nonoperative Management of Minimally Displaced Complete Lateral Compression Pelvis Fractures
Objective:
To compare the early pain and functional outcomes of operative fixation versus nonoperative management for minimally displaced complete lateral compression (LC; OTA/AO 61-B1/B2) pelvic fractures.
Design:
Prospective clinical trial.
Setting:
Two academic trauma centers.
Patients:
Forty-eight adult patients with LC pelvic ring injuries with (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - October 21, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
