Long-Term Outcomes of Multiligament Knee Injuries
Conclusion:
The long-term outcomes of MLKIs are generally poor, and posttraumatic radiographic evidence of arthritis seems to be universal. Operative management of these injuries may improve long-term outcomes. Clinicians should be aware of these results when counseling patients.
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 - July 22, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Outcomes of Patients With Large Versus Small Bone Defects in Open Tibia Fractures Treated With an Intramedullary Nail: A Descriptive Analysis of a Multicenter Retrospective Study
Objectives:
To compare outcomes in patients with open tibia shaft fractures based on defect size.
Design:
Retrospective review.
Setting:
Eighteen trauma centers.
Population:
The study included 132 patients with diaphyseal tibia bone defects>1 cm and ≥50% cortical loss treated with intramedullary nail.
Outcomes:
The primary outcome was number of secondary surgeries to promote healing (bone graft, revision fixation, or bone transport). Additional outcomes included occurrence of secondary surgeries (bone graft, infection, amputation, and flap failure) and proportion healed at one year. Result...
Source: Journal of Orthopaedic Trauma - July 22, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Is It Safe to Prep the External Fixator In Situ During Staged ORIF of Bicondylar Tibial Plateau Fractures? A Retrospective Comparative Cohort Study
Conclusions:
We observed high complication rates in this cohort of OTA/AO 41C BTP fractures treated with staged ORIF, but prepping in the ex-fix did not lead to a significant increase in rates of infection or reoperation. This study provides the treating surgeon with clinical data about a common practice used to facilitate definitive fixation of unstable BTP fractures.
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 - July 22, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Radiation Exposure Among Orthopaedic Trauma Surgeons: Deconstructing Commonly Held Myths and Misperceptions
No abstract available (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - July 22, 2022 Category: Orthopaedics Tags: Invited Commentary Source Type: research
Radiation Exposure Among Orthopaedic Trauma Surgeons: Deconstructing Commonly Held Myths and Misperceptions
Conclusion:
Common myths and misperceptions regarding radiation in orthopaedic trauma are unfounded. Proper use of circumferential personal protective equipment is critical in preventing excess radiation exposure. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - July 22, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
The Ethics of Explanted Orthopaedic Hardware Return to Requesting Patients
No abstract available (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - July 22, 2022 Category: Orthopaedics Tags: Editorial Source Type: research
Pelvic Packing and Resuscitative Endovascular Balloon Occlusion of the Aorta
No abstract available (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - June 23, 2022 Category: Orthopaedics Tags: Care Controversies Source Type: research
Pelvic Ring Resuscitation Pathways
Clinical Vignette:
A 35 year-old female is injured in a high-speed motor vehicle collision in which her car is struck on the driver's side by a distracted driver. The patient is unable to self-extricate from the vehicle and she is confused at the scene. She comes directly to the trauma bay via EMS and a binder is placed in transit for suspicion of a pelvic ring injury. Upon presentation she has a GCS of 14 due to confusion, and an initial pressure of 87/50. Workup does not disclose an associated head, chest or abdominal injury and the anteroposterior pelvis radiograph demonstrates a windswept pelvis injury pattern. Des...
Source: Journal of Orthopaedic Trauma - June 23, 2022 Category: Orthopaedics Tags: Care Controversies Source Type: research
Percutaneous Reduction of Intra-Articular Posterior Wall Acetabular Rim Fragment: Surgical Technique and Case Series With an Average Follow-Up of 2 Years
Summary:
Small posterior wall rim fractures are typically stable; however, if incarcerated in the joint, they must be removed. It is possible to reduce the morbidity associated with open approaches by addressing these incarcerated fragments in a percutaneous manner. This allows the restoration of joint congruity and removal of the osteochondral fragment from the joint space. The following report details the surgical technique to accomplish this, and the results of a case series of patients who underwent this technique. The advantages include limiting the morbidity of an open approach. However, the surgeon must be prepa...
Source: Journal of Orthopaedic Trauma - June 23, 2022 Category: Orthopaedics Tags: Technical Trick Source Type: research
Is the Presence of a Psychiatric Disorder Associated With More Aggressive Management of Compartment Syndrome?
Conclusions:
Among patients with orthopaedic trauma undergoing emergent fasciotomy for acute compartment syndrome, a psychiatric disorder was not associated with a significantly increased rate of possibly unnecessary fasciotomy. Given the potential for a psychiatric condition to complicate the diagnosis of acute compartment syndrome, this data is somewhat reassuring; however, there remains a need for continued vigilance in treating patients with psychiatric conditions and research in this area.
Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence....
Source: Journal of Orthopaedic Trauma - June 23, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
National Evaluation of Social Determinants of Health in Orthopedic Fracture Care: Decreased Social Determinants of Health Is Associated With Increased Adverse Complications After Surgery
Conclusions:
This study emphasizes the large impact of SDHD on patients' outcomes following surgery and the importance of proper follow-up interventions to optimize patient care.
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 - June 23, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Clinical Impact of Malunion After All-Arthroscopic Coracoclavicular Stabilization for Displaced and Unstable Lateral Clavicle Fractures
Conclusions:
Closed reduction and internal fixation of lateral clavicle fracture with all-arthroscopic CC stabilization using cortical button potentiates bony union but may generate lateral clavicle malunion, which does not affect the clinical or functional outcome. This result can be attributed to CC ligament healing and acromioclavicular joint congruence. All-arthroscopic CC stabilization is a minimally invasive but demanding surgical alternative for managing unstable and displaced lateral clavicle fracture.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of lev...
Source: Journal of Orthopaedic Trauma - June 23, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Distal Humerus Traction Radiographs: Is the Interobserver and Intraobserver Reliability Comparable With Computed Tomography?
Conclusions:
Traction radiographs provide similar diagnostic characteristics as 2D CT in distal humerus fractures. For less-experienced surgeons, 2D CT may improve the identification of coronal fracture lines and articular comminution. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - June 23, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
The Use of Carbon Fiber Implants for Impending or Existing Pathologic Fractures
Conclusions:
This is a high-risk population for postoperative complications after stabilization of pathologic fractures. Although there were no statistical differences in complications between CFI and TI, implant choice depends on patient characteristics and surgeon preference.
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 - June 23, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
Fibula Nailing: A Retrospective Review of 110 Consecutive FibuLock Nails
Conclusion:
Fibula nails with proximal locking capabilities offer an alternative to plating with the potential for lower complication rates and lower need for implant removal.
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 - June 23, 2022 Category: Orthopaedics Tags: Original Article Source Type: research
