SurgiColl Pub Date : 2023-12-22 DOI: 10.58616/001c.88826

Nadim Kheir, Mohammadreza Abbasian, Kaveh Momenzadeh, P. Williamson, Amin Mohamadi, Mohammad Khak, Mohammad Javad Shariate, Hans Van Lancker, Mason Garcia, Thomas Noonan, Paul Appleton, John Wixted, Edward Rodriguez, Michael Weaver, A. Nazarian

{"title":"The Biomechanical Performance of Different Plate Fixation Configurations to Repair Vancouver Type C Periprosthetic Femur Fractures","authors":"Nadim Kheir, Mohammadreza Abbasian, Kaveh Momenzadeh, P. Williamson, Amin Mohamadi, Mohammad Khak, Mohammad Javad Shariate, Hans Van Lancker, Mason Garcia, Thomas Noonan, Paul Appleton, John Wixted, Edward Rodriguez, Michael Weaver, A. Nazarian","doi":"10.58616/001c.88826","DOIUrl":"https://doi.org/10.58616/001c.88826","url":null,"abstract":"The incidence of femoral periprosthetic fractures (PPF) is rising. Vancouver type C PPFs compromise the majority type of fracture associated with high complication rates. The complexity of Vancouver C-type PPFs lies in the presence of the femoral stem in the proximal fracture fragment. This study compares the biomechanical performance of four plate fixation configurations to repair Vancouver type C periprosthetic femur fractures. Six large adult 4th generation biomechanical low-density femur Sawbones instrumented with cemented femoral stems were used to conduct this study. A comminuted Vancouver-type C PPF was simulated and fixed with a plate. Four proximal fragment construct configurations were studied with combinations of unicortical screws, bicortical screws, and cerclage cable fixation. Constructs were loaded in axial compression and four-point bending, and the stiffness was calculated. Constructs with bicortical screw fixation had significantly greater stiffness than those with unicortical screw and cerclage cable fixation in axial and four-point bending loads. Constructs with cerclage cable and unicortical screw fixation had greater stiffness than ones with unicortical screw fixation. Using bicortical screws in the proximal construct of Vancouver type C PPFs increases construct stiffness in axial and bending loads. Though controversial, using cerclage cables might have a place for construct augmentation when using only unicortical screws or a combination of unicortical and bicortical screws.","PeriodicalId":488685,"journal":{"name":"SurgiColl","volume":"4 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138944280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knee Joint Distraction with an External Fixator Requires Further Investigation 使用外固定器牵引膝关节需要进一步研究

SurgiColl Pub Date : 2023-12-22 DOI: 10.58616/001c.90903

E. C. Rodríguez-Merchán

引用次数: 0

Capitellum Fracture: Surgical Exposure and Fixation Strategies 头盖骨骨折：手术暴露和固定策略

SurgiColl Pub Date : 2023-12-22 DOI: 10.58616/001c.84858

Sina Ramtin, Asif M. Ilyas

引用次数: 0

A New Technique For Tibiotalar Arthrodesis: Shotel Ankle Arthrodesis Nail System 胫骨关节置换的新技术：Shotel 踝关节置换钉系统

SurgiColl Pub Date : 2023-12-22 DOI: 10.58616/001c.90445

Guttu T Maskalo, Elizabeth O. Clayton, Jesse A Raszewski, Omar M Yaldo, Confidence Njoku-Austin, Kenzo M Cotton, Rebekah Belayneh, Stephen P Canton, Nia A. James, Devon M. Scott, Christopher E Marrero, M. Hogan

{"title":"A New Technique For Tibiotalar Arthrodesis: Shotel Ankle Arthrodesis Nail System","authors":"Guttu T Maskalo, Elizabeth O. Clayton, Jesse A Raszewski, Omar M Yaldo, Confidence Njoku-Austin, Kenzo M Cotton, Rebekah Belayneh, Stephen P Canton, Nia A. James, Devon M. Scott, Christopher E Marrero, M. Hogan","doi":"10.58616/001c.90445","DOIUrl":"https://doi.org/10.58616/001c.90445","url":null,"abstract":"This study aimed to present the short-term outcomes of tibiotalar joint arthrodesis using the Shotel ankle arthrodesis nail system. 10 patients underwent ankle arthrodesis using the new nail system between 2021 and 2022 due to advanced arthritis. Patients were followed up for a mean of nine months. Outcomes were assessed using metrics such as radiographic union, pain, and patient-reported outcomes questionnaires. We explained a stepwise description of a novel technique for isolated tibiotalar ankle arthrodesis using a curved nail. We also presented our postoperative protocol, including weight-bearing and rehabilitation protocol. The union rate was 100% after a mean time of nine months of follow-up. There were no complications related to the hardware requiring revision or removal. Pain was measured with a visual analog scale and improved from a mean of 6.7 to 4.2. Patients undergoing tibiotalar arthrodesis using the Shotel nail have acceptable outcomes. Considering this technique as a minimally invasive intervention, we believe that soft tissue complications are less than conventional open techniques.","PeriodicalId":488685,"journal":{"name":"SurgiColl","volume":"3 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138944887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cervical Myelopathy: Diagnosis and Surgical Strategies 颈椎病：诊断与手术策略

SurgiColl Pub Date : 2023-12-22 DOI: 10.58616/001c.90491

Philip K. Paschal, William D. Zelenty, A. Sama, F. Cammisa, F. Girardi, Gbolabo Sokunbi

{"title":"Cervical Myelopathy: Diagnosis and Surgical Strategies","authors":"Philip K. Paschal, William D. Zelenty, A. Sama, F. Cammisa, F. Girardi, Gbolabo Sokunbi","doi":"10.58616/001c.90491","DOIUrl":"https://doi.org/10.58616/001c.90491","url":null,"abstract":"Cervical myelopathy, a condition caused by compression of the spinal cord in the neck, is characterized by an insidious onset with slow clinical deterioration; however, it can have a rapid progression in a subset of patients, culminating in spinal cord damage/injury. In elderly patients, Cervical myelopathy is marked by multifaceted deterioration of the anatomic structures in the spinal column. Injuries can result in more acute presentations of Cervical myelopathy. Symptoms typically stem from mechanical pressure and ischemic changes exerted on the spinal cord. Common symptoms include neck pain/stiffness, spasticity/balance and gait dysfunction, loss of dexterity and fine motor movements, and upper and lower extremity dysesthesias. To diagnose accurately, a detailed history and physical examination are required. Radiographs, computed tomography (CT), and magnetic resonance imaging (MRI) are often needed, with MRI being the gold standard. Many surgical approaches exist to address spinal cord compression. The surgical approach is influenced by several factors: the exact location of cord compression (anterior/posterior), the number of levels of stenosis, overall spinal alignment, body habitus and other factors such as prior surgery.","PeriodicalId":488685,"journal":{"name":"SurgiColl","volume":"2 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138944052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Humeral Shaft Fracture Nonunion and HIV Pre-exposure Prophylaxis (PrEP): A Case Report 肱骨轴骨折未愈合与艾滋病毒暴露前预防疗法 (PrEP)：病例报告

SurgiColl Pub Date : 2023-12-22 DOI: 10.58616/001c.74087

L. Fones, Paul Endres, Amir R. Kachooei, Asif M. Ilyas

引用次数: 0

Necrotizing Fasciitis of the Upper Extremity: A Systematic Review of the Literature 上肢坏死性筋膜炎：文献系统回顾

SurgiColl Pub Date : 2023-12-22 DOI: 10.58616/001c.84186

Vivek K. Bilolikar, Santiago Rengifo, Kaushal Desai, Bryan A. Hozack

{"title":"Necrotizing Fasciitis of the Upper Extremity: A Systematic Review of the Literature","authors":"Vivek K. Bilolikar, Santiago Rengifo, Kaushal Desai, Bryan A. Hozack","doi":"10.58616/001c.84186","DOIUrl":"https://doi.org/10.58616/001c.84186","url":null,"abstract":"Through this review, we sought to accomplish two goals: 1) analyze and synthesize the published case reports on upper extremity necrotizing fasciitis and 2) identify any trends in the diagnosis and treatment of upper extremity necrotizing fasciitis. Studies included in this systematic review were conducted per PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines with the following eligibility criteria: (1) single case or limited case series, (2) established diagnosis of necrotizing fasciitis in the hand, wrist, or forearm, (3) English language publication. Most of the patients in this review (38, (70.37%)) presented with an inciting injury. A minority of patients had other associated co-morbidities independent of injury, including Diabetes Mellitus, immunosuppression, and IV drug use. The most common infectious agents were gram-positive cocci, identified in 32 (59.26%) cases, followed by gram-negative bacilli in 21 (38.89%) cases. The most common pathogen was Group A streptococcus (GAS), reported in 15 (27.78%) cases, followed by Vibrio vulnificus in 6 (11.11%) cases. Most patients were managed with empiric antibiotic treatment. Fifty patients (92.6%) reported surgical intervention and 45 (83.3%) had at least one debridement. Most patients in the cases reviewed had either no or minimal long-term sequelae following their infection. Early recognition of the signs and symptoms of necrotizing fasciitis is imperative to avoid loss of limb and/or death. Further, aggressive management with empiric antibiotic coverage and rapid surgical intervention improves outcomes in patients with necrotizing fasciitis of the upper extremity.","PeriodicalId":488685,"journal":{"name":"SurgiColl","volume":"27 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138947179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fracture nonunions – We can do better 骨折未愈合 - 我们可以做得更好

SurgiColl Pub Date : 2023-12-22 DOI: 10.58616/001c.91037

Saqib Rehman

引用次数: 0

Outcomes of Lisfranc Injuries Treated with a New Flexible Fixation Technique: A Retrospective Case Series 采用新型柔性固定技术治疗 Lisfranc 损伤的疗效：回顾性病例系列

SurgiColl Pub Date : 2023-12-22 DOI: 10.58616/001c.90449

Meloria A. Hoskins, Jacob Staub, Brandon J. Martinazzi, Zachary A. Koroneos, Kempland C. Walley, Michael C. Aynardi

{"title":"Outcomes of Lisfranc Injuries Treated with a New Flexible Fixation Technique: A Retrospective Case Series","authors":"Meloria A. Hoskins, Jacob Staub, Brandon J. Martinazzi, Zachary A. Koroneos, Kempland C. Walley, Michael C. Aynardi","doi":"10.58616/001c.90449","DOIUrl":"https://doi.org/10.58616/001c.90449","url":null,"abstract":"Ligamentous Lisfranc injuries are devastating injuries that can lead to complications and difficulty returning to work and sports. Controversy exists over the preferred method of treatment for purely ligamentous injuries. The study aims to evaluate early postoperative complications and time to return to work/play in patients with ligamentous Lisfranc injuries who underwent ORIF using flexible fixation. A retrospective chart review was performed on nine patients who underwent ORIF with flexible fixation using the InternalBrace (Arthrex Naples, FL) for ligamentous Lisfranc injuries. Patients were evaluated at 2- weeks, 6- weeks, and 12- weeks postoperatively with radiographs at 6- weeks, 12- weeks, and 24- weeks postoperatively. The average follow-up time was 6.6 months (SD = 5.1), the average time to unrestricted weight-bearing was 6.8 weeks (n=9), and the average time to return to work/sport as tolerated was 14.3 weeks (n=7). The only complication noted at the 2-week follow-up was hypersensitivity along the foot [1 (11%)], resolved by the 12-week follow-up. No radiographic hardware complications were noted at either 6-week or 12-week postoperative x-rays. Flexible fixation using the InternalBrace (Arthrex, Naples, FL) is an effective procedure for patients with ligamentous Lisfranc injuries. The present study found no early postoperative complications, and the time to return to work/sport was comparable to other methods of ORIF reported in the literature.","PeriodicalId":488685,"journal":{"name":"SurgiColl","volume":"5 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138945115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Education Level, Access to Transportation, and the Home Environment on Patient-Reported Outcomes after Orthopaedic Trauma Surgery 教育水平、交通便利和家庭环境对骨科创伤手术后患者报告结果的影响

SurgiColl Pub Date : 2023-09-22 DOI: 10.58616/001c.84890

Nicolas J. Echeverria, Sai A. Mandalapu, Alexander Kaufman, Daohai Yu, Xiaoning Lu, Frederick V. Ramsey, Jared Colon, Joshua Luginbuhl, Saqib Rehman

{"title":"The Impact of Education Level, Access to Transportation, and the Home Environment on Patient-Reported Outcomes after Orthopaedic Trauma Surgery","authors":"Nicolas J. Echeverria, Sai A. Mandalapu, Alexander Kaufman, Daohai Yu, Xiaoning Lu, Frederick V. Ramsey, Jared Colon, Joshua Luginbuhl, Saqib Rehman","doi":"10.58616/001c.84890","DOIUrl":"https://doi.org/10.58616/001c.84890","url":null,"abstract":"Objectives It is known that Social Determinants of Health (SDOH) impact a variety of health outcomes. Of these determinants, it remains unclear how education level, access to transportation, and the home environment influence Patient-Reported Outcomes (PROs) following orthopaedic trauma surgery. Methods A cross-sectional survey was conducted at an urban level 1 trauma center to collect data on demographics, education level, access to transportation, and the home environment of 120 patients who underwent fracture fixation surgery. Patient data was correlated with PRO data as measured by Patient Reported Outcomes Measurement Information System (PROMIS) survey scores, including global mental health (GM), global physical health (GP), pain interference (PI), and physical function (PF). A multivariable mixed-effects regression analysis was performed to determine associations between SDOH and PROs. Results Multivariable regression analysis results demonstrated that patients with high school or lower education levels were associated with better PF (P=0.007). Patients with access to transportation were associated with higher GM (P = 0.016), while those who lived greater than 5 miles from the hospital were associated with higher GP (P = 0.0498). Those with difficulty accessing the bathroom were associated with lower GP (P = 0.007) and GM (P = 0.0008), increased PI (P = 0.0002), and lower PF (P = 0.004). People living in apartments had higher GM (P = 0.0008). Navigating stairs inside the home was associated with lower GP (P = 0.030) and higher PI (P = 0.0007), while those who navigated stairs outside of their home reported higher GP (P = 0.038). Conclusion This study found that in our population, education level, access to transportation, and the home environment appeared to be associated with PROs following orthopaedic trauma surgery.","PeriodicalId":488685,"journal":{"name":"SurgiColl","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136060161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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