Journal of surgical orthopaedic advances最新文献_第9页

Robotic Arm-assisted Total Hip Arthroplasty Reduces Postoperative Trochanteric Bursitis and Changes in Hip Offset. 机器人手臂辅助全髋关节置换术可减少术后转子滑囊炎和髋关节偏移的变化。

Journal of surgical orthopaedic advances Pub Date : 2024-01-01

Connor A King, Ye Joon Kim, Alexander T Bradley, Kenneth S Chakour, John M Martell, Hue H Luu

引用次数: 0

Rates and Risk Factors for Quadriceps and Patellar Tendon Repair Failure: A Single Institution Case Series. 股四头肌和髌骨肌腱修复失败的发生率和危险因素：单一机构病例系列。

Journal of surgical orthopaedic advances Pub Date : 2024-01-01

Madilyn Mandich, Andrea H Johnson, Christina M Morganti, James J York, Benjamin M Petre, Justin J Turcotte, Daniel E Redziniak

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Suture Augmentation of Internal Fixation for Highly Comminuted Patella Fractures. 缝线增强内固定治疗髌骨高度粉碎骨折。

Journal of surgical orthopaedic advances Pub Date : 2024-01-01

Zachary Telgheder, Gauray Mookerjee, James Aglio, Matthew P Sullivan

{"title":"Suture Augmentation of Internal Fixation for Highly Comminuted Patella Fractures.","authors":"Zachary Telgheder, Gauray Mookerjee, James Aglio, Matthew P Sullivan","doi":"","DOIUrl":"","url":null,"abstract":"Treatment of comminuted patella fractures is challenging. Augmentation of internal fixation has been proposed to improve stability. The authors describe an effective technique to augment internal fixation consisting of locked sutures within the quadriceps and patellar tendons. This technique functions to off-load internal fixation and restore tension to the extensor mechanism. The locked suture augmentation technique was performed for 13 patients undergoing open treatment of patella fractures by the senior author from 2016 to 2019. Patients were followed for an average of 10.2 months. No patients suffered postoperative infection or wound complication requiring intervention. There were no cases of fracture displacement, implant failure, loss of fixation, postoperative infection, or wound complication requiring intervention. Mean range of motion was 0 - 134 degrees of extension, and no patients demonstrated an extensor lag. The authors conclude that locked suture augmentation of comminuted patella fractures represents a viable technique that demonstrates excellent early clinical results. (Journal of Surgical Orthopaedic Advances 33(4):201-205, 2024).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"33 4","pages":"201-205"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793010","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

Biomechanical Implications of Asymmetric Gardner-Wells Tong Placement During Cervical Spine Traction. 颈椎牵引时不对称Gardner-Wells Tong放置的生物力学意义。

Journal of surgical orthopaedic advances Pub Date : 2024-01-01

Hossein Tabrizi, Evan Kohler, Sarah Adams, David Fernandez, Patrick Atkinson

引用次数: 0

Comparison of Lateral versus Medial Entry Femoral Traction Pin Complication Rates. 股骨牵引针外侧入路与内侧入路并发症发生率的比较

Journal of surgical orthopaedic advances Pub Date : 2023-01-01

T David Luo, S Hanif Hussaini, Nicholas A Andring, Erin A Kelly, Eben A Carroll, Jason J Halvorson

{"title":"Comparison of Lateral versus Medial Entry Femoral Traction Pin Complication Rates.","authors":"T David Luo, S Hanif Hussaini, Nicholas A Andring, Erin A Kelly, Eben A Carroll, Jason J Halvorson","doi":"","DOIUrl":"","url":null,"abstract":"Distal femoral skeletal traction is a common procedure for the stabilization of fractures of the pelvis, acetabulum, and femur following trauma. Femoral traction pins are traditionally inserted via medial-to-lateral (MTL) entry to accurately direct the pin away from the medial neurovascular bundle. Alternatively, cadaveric studies have demonstrated low risk to the neurovascular bundle using a lateral-to-medial (LTM) approach. The purpose of this study was to compare the incidence of complications of LTM and MTL femoral traction pin placement at a single institution. This was a retrospective review of patients from the orthopaedic consult registry at a academic Level I Trauma Center. We identified 233 LTM femoral traction pin procedures in 231 patients and 29 MTL pin procedures in 29 patients. The two pin placement techniques were compared with respect to complications, specifically the incidence of neurovascular injury, cellulitis, septic arthritis, osteomyelitis, and heterotopic ossification after femoral traction pin placement. Two complications were reported. One patient developed heterotopic ossification along the pin tract after LTM traction pin placement. Another patient developed septic arthritis after LTM pin placement, likely attributable to retrograde intramedullary nailing of his open femur fracture rather than his traction pin. There were no reports of neurovascular injury, cellulitis, or osteomyelitis associated with pin placement. The complication rate was 0.9% for LTM group and 0.0% for MTL group (p = 0.616). LTM femoral traction pin placement is a safe procedure with a similarly low complication rate compared with traditional MTL placement when the limb is positioned in neutral alignment. (Journal of Surgical Orthopaedic Advances 32(4):259-262, 2023).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 4","pages":"259-262"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320328","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

Heterotopic Ossification Prophylaxis in Acetabular Fracture Surgery: A Systematic Review. 髋臼骨折手术中的异位骨化预防：系统回顾

Journal of surgical orthopaedic advances Pub Date : 2023-01-01

Colin K Cantrell, Erik B Gerlach, Gregory H Versteeg, Michael D Stover, Bennet A Butler

{"title":"Heterotopic Ossification Prophylaxis in Acetabular Fracture Surgery: A Systematic Review.","authors":"Colin K Cantrell, Erik B Gerlach, Gregory H Versteeg, Michael D Stover, Bennet A Butler","doi":"","DOIUrl":"","url":null,"abstract":"Heterotopic ossification (HO) following acetabular fracture surgery is relatively common. The purpose of this study was to perform a systematic review of the literature regarding HO rates following acetabular surgery and the effectiveness of the various prophylactic measures taken to prevent its occurrence. A search of PubMed, MEDLINE, and Cochrane Database of Systematic Reviews was performed using the search terms (\"Acetabular\" OR \"Acetabulum\") AND (\"Heterotopic Ossification\" OR \"HO\" OR \"Ectopic Ossification\"). Inclusion criteria included articles published in English reporting on HO in acetabular fracture surgery. Descriptive statistics were calculated with categorical data presented as frequency with percentages and continuous data as means. Standard weighted means were calculated for all parameters. Sixty-six articles were included in this study with a total of 5,028 patients. HO was identified in 1,511 (30%) of fractures. Indomethacin (27%) and radiation therapy (24%) demonstrated decreased rates of HO formation versus no prophylaxis (36%). In particular, rates of severe HO formation were substantially decreased with radiation therapy (3%) and indomethacin (7%) compared to no prophylaxis (18%). Indomethacin and radiation therapy both appear to decrease HO formation and severity without substantially increasing surgical morbidity. (Journal of Surgical Orthopaedic Advances 32(4):217-224, 2023).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 4","pages":"217-224"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320264","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

High Variability in Type and Indications for Bone Void Filler in Tibial Plateau Fracture Repair. 胫骨平台骨折修复中骨空隙填充物的类型和适应症差异很大。

Journal of surgical orthopaedic advances Pub Date : 2023-01-01

Michael F Githens, Cesar Cardenas, Reza Firoozabadi

引用次数: 0

Proximal Tibial Osteotomies: Indications, Techniques, and Outcomes. 胫骨近端截骨术：适应症、技术和结果。

Journal of surgical orthopaedic advances Pub Date : 2023-01-01

Sohail Qazi, Stephen Martinkovich, Patrick DeMeo, Brian Mosier, Gary Schmidt, Jon Hammarstedt

引用次数: 0

Does Surgeon Compensation Differ by Implant Choice for the Treatment of Femoral Neck Fractures? 治疗股骨颈骨折的植入物选择不同，外科医生的报酬也不同吗？

Journal of surgical orthopaedic advances Pub Date : 2023-01-01

Erik Gerlach, John Carney, Mark Plantz, Colin K Cantrell, Jeremy Marx, Peter Swiatek, Rusheel Nayak, Bennet Butler

{"title":"Does Surgeon Compensation Differ by Implant Choice for the Treatment of Femoral Neck Fractures?","authors":"Erik Gerlach, John Carney, Mark Plantz, Colin K Cantrell, Jeremy Marx, Peter Swiatek, Rusheel Nayak, Bennet Butler","doi":"","DOIUrl":"","url":null,"abstract":"The objective of this study was to determine if physicians are compensated equally for the treatment of femoral neck fractures based on fixation method in a propensity score matched cohort of patients. The American College of Surgeons' National Surgical Quality Improvement Project (ACS NSQIP) database was queried for patients undergoing open reduction internal fixation (ORIF), hemiarthroplasty (HA), and total hip arthroplasty (THA) for femoral neck fractures. Exact matching was used to account for differences in patient-specific variables and underlying medical comorbidities. Total relative value units (RVU), operative time, RVU/minute, and reimbursement/minute were compared between the three procedures after exact matching to assess relative valuation. Propensity score matching resulted in a total of 4,581 patients eligible for final data analysis (1,527 patients in each treatment group). The groups were very well matched for age, sex, BMI, comorbidities, and American Society of Anesthesiologists (ASA) class (p > 0.99 for all). When dividing compensation by case duration, ORIF generated the most RVUs per minute (0.31 ± 0.19 or $11.01 ± 7.02) followed by THA (0.27 ± 0.14 or $9.86 ± 5.15) and HA (0.25 ± 0.1 or $8.99 ± 3.75; p<0.001 for all). This study shows that orthopaedic surgeons are compensated the most for ORIF followed by THA and HA for fixation of femoral neck fractures. (Journal of Surgical Orthopaedic Advances 32(3):164-168, 2023).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 3","pages":"164-168"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522205","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

Outcomes of Iliac Wing Fractures: A Systematic Review of the Literature. 髂骨翼骨折的预后：文献系统回顾

Journal of surgical orthopaedic advances Pub Date : 2023-01-01

Jacquelyn P Cruz, Colin K Cantrell, Daniel J Johnson, Erik B Gerlach, Bennet A Butler

{"title":"Outcomes of Iliac Wing Fractures: A Systematic Review of the Literature.","authors":"Jacquelyn P Cruz, Colin K Cantrell, Daniel J Johnson, Erik B Gerlach, Bennet A Butler","doi":"","DOIUrl":"","url":null,"abstract":"To review the literature on iliac wing fractures to assess outcomes of operative and nonoperative treatment. A search of PubMed, MEDLINE, and Cochrane Database of Systematic Reviews was performed. Articles reporting on iliac wing fractures without pelvic ring destabilization or intraarticular extension were included. Study information and patient data were collected, and a Methodological Index for Non-randomized Studies (MINORS) score was assigned to each article. In total, 19,363 articles were identified with 32 qualifying for inclusion. The articles included 131 patients with 133 fractures. The mean age was 43.6, and mean follow-up time was 41.9 months. Forty-eight (36%) fractures were treated operatively, and 85 (64%) were treated nonoperatively. Associated injuries included bowel injuries, other pelvic fractures, gunshot wounds, and arterial injuries. There is an absence of comparative studies between operative and nonoperative management of iliac wing fractures. Indications for operative management appear to depend on comminution, open fractures, and associated injuries. (Journal of Surgical Orthopaedic Advances 32(3):139-147, 2023).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 3","pages":"139-147"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522346","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