OTA international : the open access journal of orthopaedic trauma最新文献

Clinical relevance of current patient-reported outcome measures for ankle fracture: surgeons' perspective. 踝关节骨折患者报告结果的临床相关性：外科医生的观点。

OTA international : the open access journal of orthopaedic trauma Pub Date : 2024-10-30 eCollection Date: 2024-12-01 DOI: 10.1097/OI9.0000000000000349

Kyle Schweser, Emily Leary, Ashley E Levack, Meir T Marmor

{"title":"Clinical relevance of current patient-reported outcome measures for ankle fracture: surgeons' perspective.","authors":"Kyle Schweser, Emily Leary, Ashley E Levack, Meir T Marmor","doi":"10.1097/OI9.0000000000000349","DOIUrl":"10.1097/OI9.0000000000000349","url":null,"abstract":"Objectives: Determine the relevance of the most frequently used patient-reported outcome measures (PROMs) for monitoring patient recovery after ankle fracture, from the clinical perspective of orthopaedic trauma surgeons, given lack of validated PROMs.Design: Prospective cohort.Setting: Orthopaedic Trauma Association committee meetings, electronic correspondence.Patients/participants: Orthopaedic trauma surgeons.Intervention: Delphi method for consensus activities.Level of evidence: IV.Main outcome measurements: Most clinically relevant PROMs for ankle fracture recovery.Results: Several English-language PROMs were identified based on use in literature and relevance to ankle fractures. 7 were selected by expert consensus. These are the Ankle Fracture Outcome of Rehabilitation Measure (A-FORM), Foot and Ankle Ability Measure (FAAM), American Academy of Orthopaedic Surgeons (AAOS), Foot and Ankle Disability Index (FADI) Score, Lower Extremity Functional Scale (LEFS), Olerud-Molander Ankle Score (OMAS), and Patient-Reported Outcome Measurement Information System Physical Function (PROMIS PF). The most clinically relevant PROM is the A-FORM, followed by the AAOS, LEFS, PROMIS PF, FADI, and OMAS, and the least clinically relevant overall, the FAAM.Conclusions: Understanding which PROM best matches physician expectations for tracking recovery is an important step toward a robust, evidence-based approach to patient care. The A-FORM was identified as the most clinically relevant among the most used PROMs. These results will aid surgeons, clinicians, and scientists to identify a uniformly, clinically relevant PROM for the treatment and study of outcomes and recovery after isolated ankle fracture.","PeriodicalId":74381,"journal":{"name":"OTA international : the open access journal of orthopaedic trauma","volume":"7 4","pages":"e349"},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hypertrophic nonunion management with distraction osteogenesis: a scoping review of the literature. 用牵张成骨法治疗肥大性非椎体髁退变：文献综述。

OTA international : the open access journal of orthopaedic trauma Pub Date : 2024-09-18 eCollection Date: 2024-12-01 DOI: 10.1097/OI9.0000000000000342

Benjamin J Rouse, Gerard A Sheridan, Brian J Page, Austin T Fragomen, S Robert Rozbruch

{"title":"Hypertrophic nonunion management with distraction osteogenesis: a scoping review of the literature.","authors":"Benjamin J Rouse, Gerard A Sheridan, Brian J Page, Austin T Fragomen, S Robert Rozbruch","doi":"10.1097/OI9.0000000000000342","DOIUrl":"10.1097/OI9.0000000000000342","url":null,"abstract":"Introduction: Traditionally, stiff hypertrophic nonunions have been managed with open preparation of the nonunion site, which is then secured with internal fixation. Alternative surgical options are available including distraction osteogenesis with an external fixator. There is currently a limited amount of literature pertaining to the use of distraction osteogenesis in the management of hypertrophic nonunion. The aim of this systematic review was to collate and assess the effectiveness of distraction osteogenesis (DO) in the management of hypertrophic nonunions and to evaluate the complications that are commonly reported in the literature.Methods: We searched for articles pertaining to the treatment of hypertrophic nonunion using distraction osteogenesis. Several electronic bibliographic databases and clinical trial registries were searched using the MeSH terms \"hypertrophic non-union,\" \"distraction osteogenesis,\" \"stiff non-union,\" and \"External Fixation\" in various combinations to return the maximal number of studies for review. We performed a systematic review and identified a total of 11 studies eligible for review.Results: The review of the literature demonstrated that this technique is highly effective in achieving bony union with minimal complications. The most common complication is mild superficial pin site infections, usually managed with oral antibiotics and effective wound hygiene. Other complications reported were deep pin tract infections, broken hardware, and deformity recurrence due to collapse of regenerate bone.Conclusion: The use of distraction osteogenesis with external fixator devices is an effective and safe method for producing bony union in hypertrophic nonunions. There were minimal associated complications.","PeriodicalId":74381,"journal":{"name":"OTA international : the open access journal of orthopaedic trauma","volume":"7 4","pages":"e342"},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11410321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medial augmentation of distal femur fractures using the contralateral distal femur locking plate: A technical note. 使用对侧股骨远端锁定钢板对股骨远端骨折进行内侧加固：技术说明。

OTA international : the open access journal of orthopaedic trauma Pub Date : 2024-09-03 eCollection Date: 2024-09-01 DOI: 10.1097/OI9.0000000000000347

Jaime Andrés Leal

{"title":"Medial augmentation of distal femur fractures using the contralateral distal femur locking plate: A technical note.","authors":"Jaime Andrés Leal","doi":"10.1097/OI9.0000000000000347","DOIUrl":"10.1097/OI9.0000000000000347","url":null,"abstract":"Introduction: Lateral locking plates are commonly employed for the fixation of distal femur fractures. However, scenarios involving medial comminution, extremely distal fractures, periprosthetic fractures, or nonunion could necessitate medial augmentation. This study explores the possibility of using lateral distal femoral locking plate systems for medial fixation by employing the contralateral plate.Methods: This study presents a technical note on the application of lateral distal femur locking systems for medial augmentation in patients as indicated by current literature findings. Postoperative imaging modalities, including radiography and computed tomography (CT), were used to assess the plates' fit to the distal femur. Three cases following the specified technical note are presented.Results: The various plate systems, all comprising distal femur locking systems, demonstrated adaptability to the medial femur anatomy as confirmed by intraoperative visualization and postoperative radiographs, including two-dimensional and three-dimensional CT scans. It has also been possible to achieve at least 3 independent fixation points regardless of the size of the medial condyle.Conclusions: Locking distal femoral plates can be a viable option for medial augmentation in indicated cases, achieving anatomical adaptation to the distal femur. This provides robust augmentation without the need for additional instruments beyond those used for the lateral cortex.","PeriodicalId":74381,"journal":{"name":"OTA international : the open access journal of orthopaedic trauma","volume":"7 3","pages":"e347"},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11365623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rehabilitation systems: trauma centers Asia-Pacific (Australia and Japan). 康复系统：创伤中心亚太地区（澳大利亚和日本）。

OTA international : the open access journal of orthopaedic trauma Pub Date : 2024-08-02 eCollection Date: 2024-07-01 DOI: 10.1097/OI9.0000000000000314

Keith Landale, Jesper Sonntag, Shimpei Kitada, Takashi Miyamoto, Zsolt J Balogh

引用次数: 0

Rehabilitation after musculoskeletal injury: European perspective. 肌肉骨骼损伤后的康复：欧洲视角。

OTA international : the open access journal of orthopaedic trauma Pub Date : 2024-08-02 eCollection Date: 2024-07-01 DOI: 10.1097/OI9.0000000000000330

Michael Kelly, Richard L Donovan, Zoe H Dailiana, Hans-Christophe Pape, Francisco Chana-Rodríguez, Carlotta Pari, Kornelis Jan Ponsen, Stefano Cattaneo, Alberto Belluati, Achille Contini, Jesús Gómez-Vallejo, Marta Casallo-Cerezo, Gijs J A Willinge, Ruben N van Veen, J Carel Goslings, Stamatios A N Papadakis, Efthymios Iliopoulos

{"title":"Rehabilitation after musculoskeletal injury: European perspective.","authors":"Michael Kelly, Richard L Donovan, Zoe H Dailiana, Hans-Christophe Pape, Francisco Chana-Rodríguez, Carlotta Pari, Kornelis Jan Ponsen, Stefano Cattaneo, Alberto Belluati, Achille Contini, Jesús Gómez-Vallejo, Marta Casallo-Cerezo, Gijs J A Willinge, Ruben N van Veen, J Carel Goslings, Stamatios A N Papadakis, Efthymios Iliopoulos","doi":"10.1097/OI9.0000000000000330","DOIUrl":"10.1097/OI9.0000000000000330","url":null,"abstract":"Trauma is one of the main causes of death in younger people and ongoing disability worldwide. In Europe, while there is generally good organization of trauma reception and acute treatment, rehabilitation from major musculoskeletal injuries is less well defined and provided. This article documents the diverse approaches to rehabilitation after major injury in 6 European nations. The recognition of need is universal, but achieving a robust rehabilitation strategy is more elusive across the varying health care systems. Switzerland has the most robust service in the insured population. In the other countries, particularly where there is a reliance on public institutes, this provision is at best patchy. In the Netherlands, innovative patient-empowering strategies have gained traction with notable success, and in the United Kingdom, a recent randomized trial also showed this approach to be reproducible and robust. Overall, there is a clear need for learning across the national systems and implementation of a minimum set of standards.","PeriodicalId":74381,"journal":{"name":"OTA international : the open access journal of orthopaedic trauma","volume":"7 5 Suppl","pages":"e330"},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11301633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trauma center rehabilitation systems in Latin America. 拉丁美洲的创伤中心康复系统。

OTA international : the open access journal of orthopaedic trauma Pub Date : 2024-08-02 eCollection Date: 2024-07-01 DOI: 10.1097/OI9.0000000000000332

Luis G Padilla-Rojas, Johnatan Tamayo-Cosio, Darío E Garín-Zertuche, Christian A Rojas-Herrera, Linda Vallejo, Jaime A Leal, José O Soarez-Hungria, Marcelo T Caiero, Horacio Tabares-Neyra, Jorge L González Roig, Vincenzo Giordano

引用次数: 0

Rehabilitation after musculoskeletal injury: Israeli and South African perspectives. 肌肉骨骼损伤后的康复：以色列和南非的观点。

OTA international : the open access journal of orthopaedic trauma Pub Date : 2024-08-02 eCollection Date: 2024-07-01 DOI: 10.1097/OI9.0000000000000319

Brian Bernstein, Kirsty Berry, Elior Moreh, Isabella Schwartz, Yoram A Weil, Lindsay Scott, Nomalungelo Nyathi

引用次数: 0

Rehabilitation after musculoskeletal injury: an overview of systems in the United States and Canada. 肌肉骨骼损伤后的康复：美国和加拿大的康复体系概览。

OTA international : the open access journal of orthopaedic trauma Pub Date : 2024-08-02 eCollection Date: 2024-07-01 DOI: 10.1097/OI9.0000000000000311

Theodore A Miclau, Lisa Pascual, Silvio Ndoja, Abigail Frazer, Lauren Beaupre, Emil H Schemitsch

{"title":"Rehabilitation after musculoskeletal injury: an overview of systems in the United States and Canada.","authors":"Theodore A Miclau, Lisa Pascual, Silvio Ndoja, Abigail Frazer, Lauren Beaupre, Emil H Schemitsch","doi":"10.1097/OI9.0000000000000311","DOIUrl":"10.1097/OI9.0000000000000311","url":null,"abstract":"As North America is largely industrialized with a variety of available private transportation options, trauma is a common occurrence, resulting in significant burdens of disability and costs to the health care system. To meet increasing trauma care needs, there is a robust organization of trauma and rehabilitation systems, particularly within the United States and Canada. The American and Canadian health care systems share multiple similarities, including well-equipped Level I trauma centers, specialized inpatient rehabilitation units for polytrauma patients, and thorough evaluations for recovery and post-discharge placement. However, they also have several key differences. In Canada, the criteria for admission to inpatient rehabilitation vary by location, and inpatient rehabilitation is universally accessible, whereas outpatient rehabilitation services are generally not covered by insurance. In the United States, these admission criteria for post-acute inpatient rehabilitation are standardized, and both inpatient and outpatient services are covered by private and government-funded insurance with varying durations. Overall, both health care systems face challenges in post-acute rehabilitation, including benefit limitations and limited provider access in rural areas, and must continue to evolve to meet the rehabilitation needs of injured patients as they reintegrate into their communities.","PeriodicalId":74381,"journal":{"name":"OTA international : the open access journal of orthopaedic trauma","volume":"7 5 Suppl","pages":"e311"},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11318513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The nonsalvageable tibia: amputation and prosthetics. 不可修复的胫骨：截肢与假肢。

OTA international : the open access journal of orthopaedic trauma Pub Date : 2024-06-05 eCollection Date: 2024-06-01 DOI: 10.1097/OI9.0000000000000306

Steven Rivero, Nicole M Stevens

引用次数: 0

Open tibial shaft fracture fixation strategies: intramedullary nailing, external fixation, and plating. 胫骨轴骨折开放性固定策略：髓内钉、外固定和钢板固定。

OTA international : the open access journal of orthopaedic trauma Pub Date : 2024-06-05 eCollection Date: 2024-06-01 DOI: 10.1097/OI9.0000000000000316

Michelle Shen, Nirmal Tejwani

引用次数: 0