Journal of Orthopaedic Trauma最新文献

{"title":"Efficacy of minimally invasive reduction with cerclage fixation in spiral or oblique subtrochanteric femoral fractures: A retrospective cohort study comparing cables and wires.","authors":"Incheol Kook, Ki-Chul Park, Keong Yoon Kim, Ilyun Jung, Kyu Tae Hwang","doi":"10.1097/bot.0000000000002738","DOIUrl":"https://doi.org/10.1097/bot.0000000000002738","url":null,"abstract":"To compare the outcomes of a minimally invasive reduction (MIR) technique using a cable and a wire in spiral or oblique subtrochanteric femoral fractures (SFF).METHODS.","PeriodicalId":16644,"journal":{"name":"Journal of Orthopaedic Trauma","volume":"1 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138687477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The VANCO Trial Findings Are Generalizable to a North American Trauma Registry.","authors":"Joseph T Patterson, Gerard P Slobogean, Joshua L Gary, Renan C Castillo, Reza Firoozabadi, Anthony R Carlini, Manjari Joshi, Lauren E Allen, Yanjie Huang, Michael J Bosse, William T Obremskey, Todd O McKinley, J Spence Reid, Robert V O'Toole, Nathan N O'Hara","doi":"10.1097/bot.0000000000002704","DOIUrl":"https://doi.org/10.1097/bot.0000000000002704","url":null,"abstract":"To estimate the generalizability of treatment effects observed in the VANCO trial to a broader population of patients with tibial plateau or pilon fractures.","PeriodicalId":16644,"journal":{"name":"Journal of Orthopaedic Trauma","volume":"104 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138687223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intravenous Versus Locally Injected Tranexamic Acid in a Fragility Hip Fracture Population: A Retrospective Review.","authors":"Stephen L Davis, Matthew J Solomito, Mandeep Kumar","doi":"10.1097/bot.0000000000002737","DOIUrl":"https://doi.org/10.1097/bot.0000000000002737","url":null,"abstract":"Evaluate differences between blood transfusion and complication rates among fragility hip fracture patients treated with locally injected (Local) versus intravenous (IV) tranexamic acid (TXA).METHODS.","PeriodicalId":16644,"journal":{"name":"Journal of Orthopaedic Trauma","volume":"15 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138687191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Full Reversal of Anticoagulants Before Cephalomedullary Fixation of Geriatric Hip Fractures May Not Be Necessary: Erratum","authors":"","doi":"10.1097/bot.0000000000002705","DOIUrl":"https://doi.org/10.1097/bot.0000000000002705","url":null,"abstract":"","PeriodicalId":16644,"journal":{"name":"Journal of Orthopaedic Trauma","volume":" 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138612901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of Focal Osteolysis in a Titanium Limb-Lengthening Device: A Comparison to a Stainless-Steel Model","authors":"O. Sax, Larysa P. Hlukha, Kyle A. Kowalewski, Sandeep S. Bains, J. Dubin, J. Herzenberg, Michael J. Assayag, Philip K. McClure","doi":"10.1097/BOT.0000000000002709","DOIUrl":"https://doi.org/10.1097/BOT.0000000000002709","url":null,"abstract":"Objectives: To evaluate 1 manufacturer's titanium intramedullary lengthening nail (ILN) for radiographic evidence of adverse tissue reactions similar to those in their stainless-steel ILN that was recalled in 2021, with specific outcomes of (1) incidence of periosteal reaction and osteolysis and (2) adverse tissue reaction-related device failures. Design: Radiographic review of consecutive patients with ≥1-year clinical follow-up who received 1 manufacturer's ILNs implanted in the femur and/or tibia from February 2012 to July 2021. Setting: Single tertiary-care center. Patients/Participants: Two hundred twenty-six limbs with titanium ILNs and 57 limbs with stainless-steel ILNs. Intervention: Precice titanium ILN (NuVasive Specialized Orthopedics, San Diego, CA) and Stryde stainless-steel ILN (NuVasive Specialized Orthopedics). Main Outcome Measurements: Radiographic outcome data and complications. Results: Of 226 limbs with titanium ILNs, 160 (70.8%) had periosteal reaction, and 2 (0.9%) had osteolysis. Periosteal reaction and osteolysis rates in stainless-steel ILNs (57 limbs) were 39% and 26%, respectively. No adverse tissue reaction-related device failures were noted with titanium. Several other complications presented, notably hip and/or knee tissue contracture (141), consolidation problems (8), and needing peroneal nerve decompression (14). Conclusions: Osteolysis incidence was substantially less among the titanium population, supporting the claim that observed osteolysis in the stainless-steel cohort was attributed to its construct. On average, periosteal reaction was radiographically appreciated later in patients with titanium than stainless steel. Further study is needed to confirm this finding. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":16644,"journal":{"name":"Journal of Orthopaedic Trauma","volume":"66 7","pages":"664 - 668"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138627513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reverse Obliquity Intertrochanteric Femur Fractures: Technical Tips to Avoid Failure: Erratum","authors":"","doi":"10.1097/bot.0000000000002714","DOIUrl":"https://doi.org/10.1097/bot.0000000000002714","url":null,"abstract":"","PeriodicalId":16644,"journal":{"name":"Journal of Orthopaedic Trauma","volume":" 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138617819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Raising the Bar","authors":"Roy Sanders","doi":"10.1097/bot.0000000000002702","DOIUrl":"https://doi.org/10.1097/bot.0000000000002702","url":null,"abstract":"W hen Ismail Serageldin, director of the Library of Alexandria, told the World Intellectual Property Organisation (WIPO) that global population growth meant food production would have to increase by 70 percent by 2050, using the same amount of water, he identified agricultural innovation as the key to solving the problem. With global efforts to improve fertil-iser quality, harvesting technology and water resources, what role can R&D and mobile communications play in transforming agriculture in Africa? \" Mobile technology can radically transform smallholder farmers' access to critical and timely information, \" says Fiona Smith, mAgri programme director at GSMA, an association of mobile operators. \" New mAgricul-ture services being developed allow farmers to call a helpline and get advice from an agriculture extension service provider or receive personalised daily agriculture alerts through SMS or voicemail. They can exchange up-to-date information on pests and diseases, seed and input varieties, weather, market prices and so on. In many African countries, agricultural extension agents are stretched to service up to 4,000 farmers each, which results in long delays between visits. Mobile phones provide a complementary way to reach farmers with timely and personalised information. \" In Nigeria, Nokia is active in this area with Nokia Life, a phone-based information service that provides updates tailored to the subscrib-Technological innovation, especially in mobile, will be critical to improving agricultural productivity, but R&D funding must be ramped up after years of neglect er's needs, such as weather reports; advice on when to sow crops, use fertiliser and harvest; and current prices for crops and fish. Meanwhile, Sustainable Harvest, an Oregon-based coffee importer, has rolled out mobile-based technology to farmers across Lat-in America and Africa. Its Relationship Information Tracking System collects coffee data, including information on where coffee was washed, dried and stored, to help smallholder producers increase their cooperative's competitiveness and transparency. It has piloted the technology with the Kilicafe cooperative in Tanzania. \" By tracking key data, starting from individual farmers, Kilicafe received the information it needed to maximise the availability of their highest quality coffees and identify areas for quality improvement overall, \" says Pam Kahl, director of communications at Sustainable Harvest Coffee Importers. \" To date the programme has registered almost 3,400 farmers and tracked 131,485 kilograms of coffee – $170,472-worth – all using the RITS Producer system. Additionally, we found that RITS Producer reduced the time spent collecting information for grower certification schemes …","PeriodicalId":16644,"journal":{"name":"Journal of Orthopaedic Trauma","volume":" 24","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138612350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined Hip Procedure Versus Open Reduction and Internal Fixation for Displaced Acetabular Fractures in Patients Older than 75 years: A Matched Cohort Study","authors":"Edward Kahhaleh, Etienne L Belzile, Thomas Reed-Métayer, J. Dartus, Dominic Plante, M. Lesieur, Jean Lamontagne, L. Bédard, S. Pelet","doi":"10.1097/BOT.0000000000002699","DOIUrl":"https://doi.org/10.1097/BOT.0000000000002699","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Objective: To compare surgical outcomes between combined hip procedure (CHP: open reduction and internal fixation [ORIF] with total hip replacement) and ORIF alone for the treatment of displaced acetabular fractures in a geriatric population. Design: Retrospective case–control study. Setting: Academic Level 1 trauma center. Patients: Consecutive patients from 2012 till 2020 with acetabular fractures fitting inclusion criteria were enrolled. Intervention: Combined hip procedure or ORIF alone for displaced acetabular fractures. Main Outcome Measurement: Revision surgery at the latest follow-up, defined as the need for implant revision in the CHP group and conversion to total hip replacement in the ORIF group. Results: The need for revision surgery was lower in the CHP group (12.5%) compared with the ORIF alone group (25%). The median time for conversion to total hip replacement in the ORIF alone group was 2.6 years. Ten-year survivorship was significantly higher in the CHP group (85.7% vs. 45.8%, P < 0.01). Patients in the CHP group presented with higher American Society of Anesthesiologists and Charlson index scores and had more marginal impaction and concomitant femoral head fractures. Conclusions: In patients older than 75 years presenting with a displaced acetabular fracture with marginal impaction or femoral head fracture, survivorship of CHP is higher than ORIF alone. A combined hip procedure should be considered in such patients. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":16644,"journal":{"name":"Journal of Orthopaedic Trauma","volume":" 8","pages":"601 - 606"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138618238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comprehensive analysis of pediatric elbow radiographic lines and angles","authors":"M. Bašković, Andrija Gregov","doi":"10.1097/bot.0000000000002729","DOIUrl":"https://doi.org/10.1097/bot.0000000000002729","url":null,"abstract":"The study aimed to determine relevant radiographic lines and angles of children's elbow A retrospective cross-sectional study Tertiary pediatric trauma center X-rays of healthy children's elbows aged 0-18 years, in whom the radiographic image of the elbow in two projections was read without signs of fracture and possible indirect signs of fracture, while the exclusion criterion was a clearly visible poor image projection. Outcome Measures and Comparisons: Gender, age [patients were divided into six groups -group 1 (0-3 years), group 2 (4-6 years), group 3 (7-9 years), group 4 (10-12 years), group 5 (13-15 years), group 6 (16-18 years)], side, intersection of the radiocapitellar line in the anteroposterior projection, intersection of the radiocapitellar line in the lateral projection, intersection of the anterior humeral line, Baumann angle, carrying angle, lateral capitellohumeral angle, shaft condylar angle, intersection of the coronoid line and radioulnar overlap. 200 elbows were evaluated. The radiocapitellar line in AP and lateral projections passed through the middle third of the capitellum in 74.5% and 93%, respectively. The anterior humeral line passed through the middle third of the capitellum in 88.5% of cases. When observing the proportion of radiocapitellar lines passing through the middle third of the capitellum in the AP, with increasing age an increasing proportion of lines pass through the middle third of the capitellum [from 8.3% in group 1 (0 to 3 years) to 94.1% in group 6 (16 to 18 years), p = 0.001] and lateral projection (from 50% in group 1 to 100% in group 6, p = 0.023) and anterior humeral line (from 25% in group 1 to 100% in group 6, p = 0.0001). The mean Baumman angle, carrying angle, lateral capitellohumeral angle, shaft condylar angle were 71.59°, 10.97°, 50.84°, and 55.31°, respectively. With age, the shaft condylar angle records the greatest increase (from 41.6° in group 1 to 68.2° in group 6, p = 0.000). A correlation was observed between Baumann's angle and carrying angle (r = - 0.674) and between Baumann's angle and radioulnar overlap (r = 0.542). Considering the anatomical variability of children's elbow, radiological measurements and their interpretation, in the context of timely diagnostics, must be approached with great caution, especially in younger age groups, because it is with them that the largest proportion of lines and angles do not follow established principles.","PeriodicalId":16644,"journal":{"name":"Journal of Orthopaedic Trauma","volume":"87 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139246953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Open versus Closed Geriatric Ankle Fractures","authors":"Mathew Bowers, Canhnghi N. Ta, R. Vasudevan, C. Trimm, W. Kent","doi":"10.1097/bot.0000000000002732","DOIUrl":"https://doi.org/10.1097/bot.0000000000002732","url":null,"abstract":"To determine if open (O) or closed (C) geriatric ankle fractures had different patient characteristics or outcomes. Design: Retrospective cohort study Setting: Urban level 1 trauma center Patient Selection Criteria: Patients, age 60 years and older, who underwent operative fixation of a rotational ankle fracture (OTA/AO 44A-C) between January 2012 and September 2021. Outcome Measures and Comparisons: Morbidity, defined as 90-day reoperation, 90-day readmission, or loss of mobility, as well as 1-year mortality compared between patients with closed and open fractures. The open cohort was older (75 years vs 68 years; p=.003) but had similar Charlson Comorbidity Indices (CCI) (4.6 O vs 4.0 C; p=.323) and pre-injury rates of independent ambulation (70.4% O vs 80.9% C; p=.363). There were higher rates of 1-year mortality (11% vs 0%; p<0.001), deep infection (14.8% vs 3.9%; p=.019), and loss of mobility (64.7% vs 23.0%; p<0.001) in the open cohort. Multivariate regression identified open fracture as an independent predictor of 90-day reoperation (OR: 20.6; p=.022) and loss of mobility (OR: 5.1; p=.011). Despite having comorbidities and pre-injury function similar to the closed geriatric ankle fracture cohort, open ankle fracture was independently predictive of greater loss of mobility. Nearly two-thirds of geriatric patients with open ankle fractures experienced a decline in functional independence, compared with 1 in 4 of those with closed fractures. Open fracture was associated with higher rates of deep infection, reoperation, and 1-year mortality. Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":16644,"journal":{"name":"Journal of Orthopaedic Trauma","volume":"5 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139258024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}