Compartment Syndrome in Children With a Supracondylar Fracture: Not Everyone has Risk Factors
Objectives:
To clarify the incidence, associated conditions, and timing of fasciotomy for compartment syndrome (CS) in children with a supracondylar (SC) fracture of the humerus.
Design:
A retrospective trauma system database study.
Setting:
Accredited trauma centers in Pennsylvania.
Patients:
A statewide trauma database was searched for children 2–13 years of age admitted with a SC fracture between January 2001 and December 2015. Four thousand three hundred eight children met inclusion criteria.
Intervention:
Treatment of a SC fracture.
Main Outcome Measurement:
Diagnosis of CS/per...
Source: Journal of Orthopaedic Trauma - July 22, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
A Biomechanical Comparison of Trochanteric Versus Piriformis Reconstruction Nails for Femoral Neck Fracture Prophylaxis
Conclusions:
A piriformis fossa entry site with or without an intramedullary implant weakens the femoral neck in load to failure testing. A greater trochanteric entry yields a load to failure equivalent to that of an intact femoral neck. Instrumentation with a greater trochanteric cephalomedullary nail is significantly stronger than a piriformis fossa cephalomedullary nail during axial loading in a composite femur model. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - July 22, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Validation of Relative Motion Measurement Method of Lateral Compression Pelvic Fractures During Examination Under Anesthesia
Objectives:
To determine if the relative distance between the acetabular teardrops on unstressed and lateral compressive stress examination under anesthesia (EUA) pelvic fluoroscopic images is reproducible between independent reviewers.
Design:
Retrospective database review.
Setting:
Level 1 trauma center.
Patients/Intervention:
Fifty-eight patients with a lateral compression type 1 pelvic ring injury who underwent EUA.
Main Outcome Measure:
Validation of EUA objective measurements between blinded, independent reviewers using interclass and intraclass correlation coefficients.
Results:
...
Source: Journal of Orthopaedic Trauma - July 22, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Quantitative Evaluation of Embolic Load in Femoral and Tibial Shaft Fractures Treated With Reamed Intramedullary Fixation
Objectives:
To compare the volume of embolic load during intramedullary fixation of femoral and tibial shaft fractures. Our hypothesis was that tibial intramedullary nails (IMNs) would be associated with less volume of intravasation of marrow than IM nailing of femur fractures.
Design:
Prospective observational study.
Setting:
Urban Level I trauma center.
Patients/Participants:
Twenty-three patients consented for the study: 14 with femoral shaft fractures and 9 with tibial shaft fractures.
Intervention:
All patients underwent continuous transesophageal echocardiography, and volume of embolic...
Source: Journal of Orthopaedic Trauma - July 22, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
Large Individual Bilateral Differences in Tibial Torsion Impact Accurate Contralateral Templating and the Evaluation of Rotational Malalignment
Objective:
To determine individual bilateral differences (IBDs) in tibial torsion in a diverse population.
Methods:
Computed tomography scans of uninjured bilateral tibiae were used to determine tibial torsion and IBDs in torsion using 4 measurement methods. Age, sex, and self-identified race/ethnicity were also recorded for each subject. Mean tibial torsion and IBDs in torsion were compared in the overall cohort and when stratified by sex and race/ethnicity. Simple and multiple linear regression models were used to correlate demographic variables with tibial torsion and IBDs in torsion.
Results:
One hund...
Source: Journal of Orthopaedic Trauma - July 22, 2021 Category: Orthopaedics Tags: Original Article Source Type: research
