Publications by authors named "Lawrence Henry Goodnough"

2 Publications

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Use of an Intraoperative Limb Positioner for Adjustable Distraction in Acetabulum Fractures with Femoral Head Protrusion: A Case Report.

JBJS Case Connect 2021 07 8;11(3). Epub 2021 Jul 8.

Department of Orthopaedic Surgery, Harborview Medical Center, Seattle WA.

Case: Anatomic reduction of acetabular fractures with femoral head protrusion requires lateralization of the medialized femoral head to facilitate reduction and definitive fixation. In this case of a 71-year-old man with an associated both column acetabular fracture with femoral head medialization after a fall from a 10 foot ladder, we present the successful use of a novel reduction technique involving a modified arthroscopic limb positioner to provide adjustable distraction and counteract the deforming force in this injury pattern.

Conclusion: A limb positioner can provide appropriate on-table traction in pelvis and acetabular surgery to neutralize deforming forces and facilitate reduction and fixation.
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July 2021

Intramedullary Cage Fixation for Proximal Humerus Fractures Has Low Reoperation Rates at 1 Year: Results of a Multicenter Study.

J Orthop Trauma 2020 Apr;34(4):193-198

Department of Orthopaedic Surgery, Stanford Hospitals and Clinics, Redwood City, CA.

Objectives: To determine reoperation rates after treatment of a proximal humerus fracture with cage fixation.

Design: Retrospective case series.

Setting: Eleven U.S. hospitals.

Patients: Fifty-two patients undergoing surgical treatment of proximal humerus fractures.

Intervention: Open reduction and internal fixation of a proximal humerus fracture with a proximal humerus cage.

Main Outcome Measurements: Reoperation rate at 1 year.

Results: At a minimum follow-up of 1 year, reoperations occurred in 4/52 patients (7.7%). Avascular necrosis (2/41) occurred in 4.9% of patients.

Conclusion: Standard locked plating remains an imperfect solution for proximal humerus fractures. Proximal humerus cage fixation had low rates of revision surgery at 1 year. Proximal humerus cage fixation may offer reduced rates of complication and reoperation when compared with conventional locked plating for the management of proximal humerus fractures.

Level Of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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April 2020