Lateral Stress Radiographs of Lateral Compression Type 1 Pelvic Injuries, With the Injured Side Down or Up, Reliably Measure Occult Instability
Objectives:
To evaluate the interobserver reliability of measured displacement and occult instability of minimally displaced lateral compression type 1 (LC1) fractures on lateral stress radiographs (LSRs) and to compare differences in displacement between LSR with the injured side down (ID) and up (IU).
Design:
Retrospective review.
Setting:
Urban Level 1 trauma center.
Patients/Participants:
Twenty-three adult patients with minimally displaced ( (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - September 19, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Rami Comminution Is Associated With Displacement of Minimally Displaced Lateral Compression Type 1 Injuries on Lateral Stress Radiographs
Objectives:
To determine whether displacement on lateral stress radiographs (LSRs) in patients with minimally displaced lateral compression type 1 pelvic ring injuries is associated with any demographic and/or injury characteristics.
Design:
Retrospective comparative cohort.
Setting:
Urban level 1 trauma center.
Patients/Participants:
Ninety-three consecutive patients with minimally displaced lateral compression type 1 injuries.
Intervention:
Displacement of pelvic ring injury on LSR (≥10 mm vs. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - September 19, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
The Antibiotic Cement Bead Rouleaux: A Technical Trick to Maximize the Surface Area to Volume Ratio of Cement Beads to Improve the Elution of Antibiotics
Summary:
The use of antibiotic-impregnated cement as a local antibiotic delivery system is well-established as an adjunctive treatment for chronic osteomyelitis. Because the elution of antibiotics is a surface area phenomenon, the geometry of the cement is an important consideration. The antibiotic cement bead rouleaux technique is a simple and efficient method of bead fabrication that requires only 10 minutes of preparation time and readily available operating room supplies. The discoid structure of the beads provides 3 times the surface-area-to-volume ratio of a spherical bead, which facilitates antibiotic elution. G...
Source: Journal of Orthopaedic Trauma - August 26, 2022 Category: Orthopaedics Tags: Technical Trick Source Type: research
Depression Screening and Behavioral Health Integration in Musculoskeletal Trauma Care
Conclusions:
This case series demonstrates the feasibility of screening patients for depressive symptoms and making necessary referrals to behavioral health in outpatient musculoskeletal trauma care. We identified 50 patients with depression and appropriately triaged them for further care in our community. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - August 26, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Knee Disarticulation Versus Transfemoral Amputation: The Prosthetist's Perspective
Conclusion:
No consensus exists between prosthetists regarding preference for KD versus TFA. The advantages and disadvantages of KD reported in this study, along with the associated decision tree, can be used for future counseling of patient's faced with high-level lower extremity amputations. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - August 26, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Unreamed Intramedullary Nailing Versus External Fixation for the Treatment of Open Tibial Shaft Fractures in Uganda: A Randomized Clinical Trial
Conclusion:
In rural Uganda, treatment of open tibial shaft fractures with an unreamed intramedullary nail results in marginal clinically important improvements in functional outcomes, although there is likely an important reduction in malunion and superficial infection.
Level of Evidence:
Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - August 26, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Percutaneous Strain Reduction Screws Are a Reproducible Minimally Invasive Method to Treat Long Bone Nonunion
Conclusions:
PSRS is a safe, efficacious treatment for long bone nonunion and may be more cost-effective than traditional nonunion treatment methods. The promising initial results of this technique have now been replicated outside of the developing institution.
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 - August 26, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
In Response
No abstract available (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - August 26, 2022 Category: Orthopaedics Tags: Invited Commentary Source Type: research
Outcomes of Locking Plate Fixation With Spine Cage for Unstable Proximal Humeral Fractures in Elderly Patients
Objective:
To compare the clinical and radiological results of locking plate fixation with and without spine cage for the treatment of unstable proximal humeral fractures in elderly patients.
Design:
Retrospective study.
Setting:
Level 1 Trauma Center.
Patients/Participants:
A total of 62 patients with a mean age of 72.68 (60–88) years were included. Thirty-nine patients were treated with only a locking compression plate (LCP group), whereas 23 patients were treated with a locking compression plate and a spine cage (SC group). The mean follow-up was 32.26 (24–46) months.
Main outcome measure...
Source: Journal of Orthopaedic Trauma - August 26, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Uncertainty in Conveying Uncertainty
No abstract available (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - August 26, 2022 Category: Orthopaedics Tags: Invited Commentary Source Type: research
Statistical Literacy in the Orthopaedic Trauma Population
Conclusions:
In a cohort of traumatically injured patients, poor statistical literacy was common, occurring in more than two-thirds of patient surveyed. Older age and lower levels of education were predictive of poor BNT performance and should be considered when discussing surgical options, associated risks, and likelihood of potential complications. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - August 26, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Management of Metastatic Disease in Long Bones
Summary:
Level of Evidence:
Therapeutic Level V. See Instructions for Authors for a complete description of levels of evidence.
Patients commonly present to orthopaedic surgeons with suspicious and low-energy mechanisms of injury for long-bone fractures. Most tumor-related pathologic fractures in patients older than 40 years are due to metastatic disease. Although rare, the treating surgeon should always consider the possibility of a primary bone tumor. Obtaining a tissue sample is a required early step in the surgical process following the principles of biopsy tract selection. An adequate tissue biopsy is also ...
Source: Journal of Orthopaedic Trauma - August 26, 2022 Category: Orthopaedics Tags: Review Article Source Type: research
Treatment of Critical-Sized Bone Defects Involving the Ankle Joints: Staged Tibiotalocalcaneal Arthrodesis With Induced Membrane Technique and Intramedullary Nail
Conclusions:
Staged TTC arthrodesis with induced membrane technique and intramedullary nail can be an effective treatment method for critical-sized bone defects involving the ankle joints.
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 - August 26, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Syndesmotic Injury in Tibial Plafond Fractures Is Associated With Worse Patient Outcomes
Conclusion:
Patients with a tibial plafond fracture and concomitant syndesmotic injury had significantly worse PROMIS PF scores, more end-stage ankle reconstructions, and more open fractures. Syndesmotic injury in the setting of tibial plafond fractures portends worse patient outcomes.
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 - August 26, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Clinical and Radiographic Comparison of Splinting Constructs for Distal Radius Fractures: An Effort to Free the Elbow
Conclusions:
These results suggest both sugar-tong splint and clamshell splint construct are acceptable options in the acute management of distal radius fractures.
Level of Evidence:
Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - August 26, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
