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

{"title":"Osseointegration programmatic development: interdisciplinary team with a patient-centered approach.","authors":"Amber Stanley, Meghan K Wally, Christine Churchill, Kristine McGuire, Tarey Strickland, Angela Abernethy, Toby Perkins, Angelica M Melendez, Kevin Hickey, Rachel B Seymour","doi":"10.1097/OI9.0000000000000372","DOIUrl":"10.1097/OI9.0000000000000372","url":null,"abstract":"<p><p>Successful implementation of an osseointegration program requires a skilled and committed interdisciplinary team engaged in supporting patients and their families throughout the OI process. The roles and responsibilities of clinical and ancillary team members are described in detail, along with a discussion of the needed patient and family support resources. Time spent developing the interdisciplinary team, with strong regulatory support and engagement of hospital administration and the health system, will promote higher patient satisfaction and outcomes and innovative future directions.</p>","PeriodicalId":74381,"journal":{"name":"OTA international : the open access journal of orthopaedic trauma","volume":"8 1 Suppl","pages":"e372"},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607466","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}

{"title":"The Impact of National Orthopaedic Fracture Registries: A Systematic Review.","authors":"Nicolas Jozefowski, Carlo Eikani, Nithya Lingampalli, Patrick Lawler, Athena Barrett, Aaron Hoyt, Andrew Pickles, Elizabeth Huggins, Julie Agel, Rachel Seymour, Mai Nguyen, Meir Marmor, Ashley E Levack","doi":"10.1097/OI9.0000000000000361","DOIUrl":"10.1097/OI9.0000000000000361","url":null,"abstract":"<p><strong>Purpose: </strong>Large-scale registry data efforts are common in orthopaedic surgery; however, there is wide variation between registries and little known about registry impact. The purpose of this study was to assess the publication or \"scholarly\" impact of current national trauma/fracture registries.</p><p><strong>Methods: </strong>A search was executed to identify potential national and international trauma/fracture registries and create a comprehensive list of registries. Thirty-four relevant national registries were identified. Searches were executed to identify any published articles published by or affiliated with the selected registries. Over 13,000 abstracts were screened by at least 2 reviewers. The full text of 650 articles were screened by at least 2 reviewers, and data were extracted from 383 articles. Citations were excluded if they were reviews and meta-analyses; referencing non-trauma-specific, insurance, institutional, or state-wide databases; describing facial, spine, or rib trauma; reporting nonregistry data; and did not report on fracture patients. Data were collected at the article level and registry level.</p><p><strong>Results: </strong>The median number of articles per registry was 3.5 (range: 1-66) with a median impact factor of 3.2 (range per registry: 1.4-11.0). The National Hip Fracture Database (United Kingdom) had the highest publication rate per year of any registry (3.9). Twenty-four percent of registries had a publication rate of greater than 1 article per year, whereas only 8.8% had a publication rate over 2 per year. Only 8 registries had 10 or more publications in total. The National Trauma Data Bank (United States) had the highest number of fracture-specific publications overall (66) and an average citation rate of 29 per publication. The National Hip Fracture Database had the second highest number of article (62) with an average citation per article of 23.6.</p><p><strong>Conclusion: </strong>With the exception of a few registries, most national trauma/fracture registries have low yearly publication and citation rates. Researchers must consider the utility of resources needed to sustain registry efforts in the context of the impact of registry data. Future studies will seek to identify salient features of the highest impact registries.</p>","PeriodicalId":74381,"journal":{"name":"OTA international : the open access journal of orthopaedic trauma","volume":"8 1","pages":"e361"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124165","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}

{"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":"<p><strong>Objectives: </strong>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.</p><p><strong>Design: </strong>Prospective cohort.</p><p><strong>Setting: </strong>Orthopaedic Trauma Association committee meetings, electronic correspondence.</p><p><strong>Patients/participants: </strong>Orthopaedic trauma surgeons.</p><p><strong>Intervention: </strong>Delphi method for consensus activities.</p><p><strong>Level of evidence: </strong>IV.</p><p><strong>Main outcome measurements: </strong>Most clinically relevant PROMs for ankle fracture recovery.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}

{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}

{"title":"Rehabilitation systems: trauma centers Asia-Pacific (Australia and Japan).","authors":"Keith Landale, Jesper Sonntag, Shimpei Kitada, Takashi Miyamoto, Zsolt J Balogh","doi":"10.1097/OI9.0000000000000314","DOIUrl":"10.1097/OI9.0000000000000314","url":null,"abstract":"<p><p>Rehabilitation systems in Australia and Japan represent a multidisciplinary team approach that have similarities and differences. Treatment is based on a goal-driven, holistic, patient-centered approach. This article provides an overview of the structure of the rehabilitation systems in Australia and Japan, including written guidelines, in-hospital programs, and postdischarge options.</p>","PeriodicalId":74381,"journal":{"name":"OTA international : the open access journal of orthopaedic trauma","volume":"7 5 Suppl","pages":"e314"},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11301632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141904149","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}

{"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":"<p><p>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.</p>","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}

{"title":"Trauma center rehabilitation systems in Latin America.","authors":"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","doi":"10.1097/OI9.0000000000000332","DOIUrl":"10.1097/OI9.0000000000000332","url":null,"abstract":"<p><p>Trauma is a leading cause of mortality and morbidity worldwide with high rates of disability in survivors. With improvements in care, rehabilitation of the trauma patient is a cornerstone to reducing sequelae. A lack of well-established hospital rehabilitation units and standardized protocols for managing posttraumatic injuries is a common problem in Latin American countries. Future studies should seek to understand the barriers and gaps in care so that consensus and ultimately best practice guidelines can be developed and included in rehabilitation programs throughout trauma centers in Latin America.</p>","PeriodicalId":74381,"journal":{"name":"OTA international : the open access journal of orthopaedic trauma","volume":"7 5 Suppl","pages":"e332"},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11301634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903891","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}

{"title":"Rehabilitation after musculoskeletal injury: Israeli and South African perspectives.","authors":"Brian Bernstein, Kirsty Berry, Elior Moreh, Isabella Schwartz, Yoram A Weil, Lindsay Scott, Nomalungelo Nyathi","doi":"10.1097/OI9.0000000000000319","DOIUrl":"10.1097/OI9.0000000000000319","url":null,"abstract":"<p><p>Rehabilitation for patients sustaining isolated and multiple musculoskeletal injuries due to trauma remains a mainstay of recovery. There are a wide variety of systems in place to manage the rehabilitation process. This article describes the post-traumatic rehabilitation procedures from 2 member countries of the International Orthopaedic Trauma Association, Israel and South Africa. The systems are reflective of the clear differences between these 2 countries with vastly different economic strata and health care systems. In Israel, the rehabilitation programs and resources are most likely the result of the mature social support systems and the trauma experience. In South Africa, the programs are reflective of a two-tier health care system, with patients exposed to varying levels of rehabilitation resources.</p>","PeriodicalId":74381,"journal":{"name":"OTA international : the open access journal of orthopaedic trauma","volume":"7 5 Suppl","pages":"e319"},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11301630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141904148","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}

{"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":"<p><p>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.</p>","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}