Strategies in Trauma and Limb Reconstruction 
This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.
This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.Dermotaxis v/s loop suture technique for closure of fasciotomy wounds: a study of 50 cases
We describe using dermotaxis for skin edge approximation that is done using inexpensive equipment available readily in any standard operating room. Twenty-five patients had fasciotomy wounds closed either by dermotaxis or a loop suture technique with the inclusion criteria being closed fractures, no concomitant skin loss, fracture-related compartment syndrome and fasciotomy performed within 36 Â h. The fasciotomy incision was closed in a single stage by loop suture technique or gradually by dermotaxis once the oedema had settled between 3 and 5Â days. Results were graded as excellent if approximation could be achieved, goo...
Source: Strategies in Trauma and Limb Reconstruction - April 1, 2018 Category: Orthopaedics Source Type: research
Bridging hard callus at 48  days in an open femoral shaft fracture with segmental defect treated with a first-stage Masquelet technique: I wasn’t expecting that
AbstractThe Masquelet technique is a strategy for management of segmental bone defects. It is a two-stage procedure that involves inducing a synovial-like membrane that can be used for a bone graft. Segmental bone defects can occur following trauma and can accompany traumatic brain injury. There is a well-documented, albeit debated, association between traumatic brain injury and increased rate of new bone formation. Here, we present a case of unexpected callus formation in a segmental femoral fracture. The patient had a traumatic brain injury and was treated with the first stage of the Masquelet technique. Owing to the amo...
Source: Strategies in Trauma and Limb Reconstruction - April 1, 2018 Category: Orthopaedics Source Type: research
The Teramoto distal tibial oblique osteotomy (DTOO): surgical technique and applicability for ankle osteoarthritis with varus deformity
This report describes the surgical technique and its applicability. DTOO can be used for cases of varus ankle osteoarthritis with a range of the ankle joint movement of at least 10 ° or more. The osteotomy is obliquely directed cut across the distal tibia from proximal-medial to distal lateral and is of an opening-wedge type with the centre of rotation coincident with the centre of the tibiofibular joint. A laminar spreader instrument is inserted in the osteotomy to open the wedge until the lateral surface of the talar body is seen on X-ray to be in contact and congruent with medial articular surface of the lateral malleo...
Source: Strategies in Trauma and Limb Reconstruction - April 1, 2018 Category: Orthopaedics Source Type: research
Treatment of extraarticular knee extension contracture secondary to prolonged external fixation by a modified Judet quadricepsplasty technique
AbstractThe goal of this study is to evaluate the functional results of the modified Judet quadricepsplasty for a knee extension contracture secondary to prolonged external fixation. This is a retrospective study of 31 patients with the diagnosis of an extraarticular knee extension contracture who had  prolonged external fixation of the femur. Functional assessment was conducted after a minimum follow-up of 1 year. After performing the functional assessment, according to the Judet scale, 51% of the 31 patients had good results and 19.35% (6 cases) showed excellent results. The improvement in m obility from pre-operative...
Source: Strategies in Trauma and Limb Reconstruction - April 1, 2018 Category: Orthopaedics Source Type: research
Extra-articular deformity correction using Taylor spatial frame prior to total knee arthroplasty
We describe our experience with staged correction of deformity using a Taylor Spatial Frame (TSF) followed by total knee arthroplasty in these patients and highlight the advantage of staged approach. The use of TSF fixator for deformity correction prior to a primary total knee arthroplasty has not been described in the literature. We describe three cases of secondary osteoarthritis of the knee associated with multiplanar tibial deformity treated effectively with a total knee arthroplasty following deformity correction and union using a TSF. All patients had an improved Knee Society score and Oxford Knee score postoperative...
Source: Strategies in Trauma and Limb Reconstruction - March 20, 2018 Category: Orthopaedics Source Type: research
Cozen ’s deformity: resolved by guided growth
We present 19 patients who were successfully treated with guided growth, tethering the proximal medial physis. There were ten boys and nine girls, ranging in age from two to 13.6  years at the time of intervention. The mean follow-up from injury was 7.3 years. We documented the intermalleolar distance, mechanical axis deviation (by zone), medial proximal tibial angle (MPTA), and leg length discrepancy. Removal of the plate, or more recently, the metaphyseal screw, was unde rtaken upon normalization of the mechanical axis. Including the four patients who have undergone repeat tethering for recurrent valgus (one patient—...
Source: Strategies in Trauma and Limb Reconstruction - March 16, 2018 Category: Orthopaedics Source Type: research
Role of ultrasound in detection of radiolucent foreign bodies in extremities
AbstractRemoval of foreign bodies from soft tissues in emergency is very challenging and becomes more problematic when it is radiolucent. Blind exploration is sometimes hazardous for patients especially when it is in proximity to a vessel or a nerve or an overlying tendon. The purpose of this study was to determine the accuracy of ultrasonography (USG) in detecting radiolucent soft tissue foreign bodies in the extremities. From January 2014 to January 2016, 120 patients with either a positive history or clinically suspected soft tissue foreign body and negative radiography were evaluated by USG with a high-frequency (13 â€...
Source: Strategies in Trauma and Limb Reconstruction - February 9, 2018 Category: Orthopaedics Source Type: research
Measurement of wire deflection on loading may indicate union in Ilizarov constructs, an in vitro model
This study aimed to test a method for assessing wire deflection within an Ilizarov frame. (1) To assess the repeatability of our novel measurement method in measuring wire deflection within an Ilizarov frame in vitro. (2) To compare the amount of wire deflection in an unstable model with that in an intact bone model. (3) To assess accuracy of this method by comparing wire deflection measured with overall machine extension. Tests were performed on clinical grade-tensioned fine wire 4-ring Ilizarov constructs stabilising a simulated fracture, with and without an unstable defect. Models were sequentially loaded to 700 Â N usi...
Source: Strategies in Trauma and Limb Reconstruction - February 2, 2018 Category: Orthopaedics Source Type: research
A novel treatment approach to infected nonunion of long bones without systemic antibiotics
This study aims to assess the efficacy of local antibiotics used as a replacement to prolonged intravenous therapy. Thirteen patients with infected nonunion of long bones who failed at least one previous surgery were included. The infection was treated through extensive debridement, application of antibiotic-impregnated calcium sulphate pellets and the bone stabilized with external fixation. These patients were monitored for union and infection by clinical signs, laboratory values, and radiographs over a period of 24 Â months. The results support an eradication of infection and union in all patients with no antibiotic-asso...
Source: Strategies in Trauma and Limb Reconstruction - January 29, 2018 Category: Orthopaedics Source Type: research
The Teramoto distal tibial oblique osteotomy (DTOO): surgical technique and applicability for ankle osteoarthritis with varus deformity
This report describes the surgical technique and its applicability. DTOO can be used for cases of varus ankle osteoarthritis with a range of the ankle joint movement of at least 10 ° or more. The osteotomy is obliquely directed cut across the distal tibia from proximal-medial to distal lateral and is of an opening-wedge type with the centre of rotation coincident with the centre of the tibiofibular joint. A laminar spreader instrument is inserted in the osteotomy to open the wedge until the lateral surface of the talar body is seen on X-ray to be in contact and congruent with medial articular surface of the lateral malleo...
Source: Strategies in Trauma and Limb Reconstruction - January 29, 2018 Category: Orthopaedics Source Type: research
The tibial bayonet method of wound closure
AbstractManagement of open lower limb fractures with soft tissue defects can be a technically challenging orthopaedic problem. Limited availability of orthoplastic services means that alternatives to the fix and flap concept are required in order to prevent infected non-unions from developing. The proposed ‘bayonet apposition’ allows the surgeon to temporarily shorten the limb without angulating the limb or creating a bone defect and removing viable bone. The viable bone edges are overlapped in a bayonet-like manner in order to appose the wound and skin edges. The limb length is restored by gradua lly distracting the b...
Source: Strategies in Trauma and Limb Reconstruction - January 24, 2018 Category: Orthopaedics Source Type: research
Distraction arthroplasty compared to other cartilage preservation procedures in patients with post-traumatic arthritis: a systematic review
AbstractPost-traumatic arthritis (PTA) is characterized by the deterioration of articular cartilage temporally associated with an articular injury. With a paucity of literature comparing joint preservation techniques, we performed a systematic review of the literature intending to describe and summarize the results of ankle distraction arthroplasty as it compares with studies on tibio-talar microfracture, allograft, and autograft for ankle joint preservation in the post-traumatic population under 50 Â years of age. Research databases were searched and abstracts screened for relevance on our topic of interest. Abstracts mee...
Source: Strategies in Trauma and Limb Reconstruction - January 23, 2018 Category: Orthopaedics Source Type: research
Treatment of extraarticular knee extension contracture secondary to prolonged external fixation by a modified Judet quadricepsplasty technique
AbstractThe goal of this study is to evaluate the functional results of the modified Judet quadricepsplasty for a knee extension contracture secondary to prolonged external fixation. This is a retrospective study of 31 patients with the diagnosis of an extraarticular knee extension contracture who had  prolonged external fixation of the femur. Functional assessment was conducted after a minimum follow-up of 1 year. After performing the functional assessment, according to the Judet scale, 51% of the 31 patients had good results and 19.35% (6 cases) showed excellent results. The improvement in m obility from pre-operative...
Source: Strategies in Trauma and Limb Reconstruction - December 16, 2017 Category: Orthopaedics Source Type: research
Bridging hard callus at 48  days in an open femoral shaft fracture with segmental defect treated with a first-stage Masquelet technique: I wasn’t expecting that
AbstractThe Masquelet technique is a strategy for management of segmental bone defects. It is a two-stage procedure that involves inducing a synovial-like membrane that can be used for a bone graft. Segmental bone defects can occur following trauma and can accompany traumatic brain injury. There is a well-documented, albeit debated, association between traumatic brain injury and increased rate of new bone formation. Here, we present a case of unexpected callus formation in a segmental femoral fracture. The patient had a traumatic brain injury and was treated with the first stage of the Masquelet technique. Owing to the amo...
Source: Strategies in Trauma and Limb Reconstruction - November 7, 2017 Category: Orthopaedics Source Type: research
Complex tibial fractures are associated with lower social classes and predict early exit from employment and worse patient-reported QOL: a prospective observational study of 46 complex tibial fractures treated with a ring fixator
This study indicates that at 12Â months after frame removal there are poorer patient-reported QOL as when compared to reference populations. Furthermore, this study suggests that complex tibial fractures are associated with lower so cial classes and that only 27% of patients in this sample, who prior to injury were employed, had returned to employment at approximately 19Â months after the injury. (Source: Strategies in Trauma and Limb Reconstruction)
Source: Strategies in Trauma and Limb Reconstruction - November 4, 2017 Category: Orthopaedics Source Type: research
