1,015 results match your criteria Chance Fracture


Trunk Skeletal Muscle Mass and Phase Angle Measured by Bioelectrical Impedance Analysis are Associated with the Chance of Femoral Neck Fracture in Very Elderly People.

Clin Interv Aging 2020 12;15:889-895. Epub 2020 Jun 12.

Department of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, People's Republic of China.

Background: The study aimed to investigate the potential association of trunk skeletal muscle mass (tSM) and phase angle measured by bioelectrical impedance analysis (BIA) with the chance of femoral neck fractures in very elderly people.

Patients And Methods: This case-control study enrolled 78 femoral neck fracture patients aged over 75 years (29 males) and 1:2 matched healthy controls. All participants were subjected to BIA examination by specialists. Read More

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http://dx.doi.org/10.2147/CIA.S250629DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305852PMC

An airplane landing accident. How safe is the use of passenger lap seat belts in aircrafts?

World Neurosurg 2020 Jun 26. Epub 2020 Jun 26.

Neurosurgery Clinic, Haseki Research and Training Hospital, Istanbul, Turkey.

Background: Seat belts are considered the reason for seat belt syndrome, which mainly occurs during rapid deceleration in motor vehicle accidents. The seat belt syndrome is characterized by the contusion of the front torso, intrathoracic or intra-abdominal organ injuries, and spinal thoracic or lumbar chance fractures.

Case Description: This case study presents a 21-year-old female who was injured by a lap-type seat belt and diagnosed with seat belt syndrome after an airplane landing accident. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.06.038DOI Listing

Denosumab, raloxifene, romosozumab and teriparatide to prevent osteoporotic fragility fractures: a systematic review and economic evaluation.

Health Technol Assess 2020 Jun;24(29):1-314

School of Medical Sciences, University of Manchester, Manchester, UK.

Background: Fragility fractures are fractures that result from mechanical forces that would not ordinarily result in fracture.

Objectives: The objectives were to evaluate the clinical effectiveness, safety and cost-effectiveness of non-bisphosphonates {denosumab [Prolia; Amgen Inc., Thousand Oaks, CA, USA], raloxifene [Evista; Daiichi Sankyo Company, Ltd, Tokyo, Japan], romosozumab [Evenity; Union Chimique Belge (UCB) S. Read More

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http://dx.doi.org/10.3310/hta24290DOI Listing

Pathological fracture does not affect prognosis in dedifferentiated chondrosarcoma of the limbs.

J Orthop Sci 2020 Jun 18. Epub 2020 Jun 18.

IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Background: The aim of this retrospective study is to analyze history and treatment outcomes of pathological fracture (PF) in dedifferentiated chondrosarcoma (DdChS) of the limbs..

Methods: We retrospectively reviewed 175 adult patients with primary DdChS of the limbs. Read More

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http://dx.doi.org/10.1016/j.jos.2020.04.013DOI Listing

Predictive value of valgus head-shaft angle in identifying Neer 4-part proximal humerus fractures. A radiographic and CT-scan analysis of 120 cases.

Acta Biomed 2020 May 30;91(4-S):217-223. Epub 2020 May 30.

Orthopaedics and Traumatology Unit, Cattinara Hospital - ASUITS, Strada di Fiume 447, 34149 Trieste (Italy).

Background And Aim Of The Work: Understanding the fracture morphology and its relation to the expected outcome and risk of complications is fundamental for proximal humerus fractures (PHFs) management. Most Neer 3- and 4-part fractures may deserve surgical treatment. Unfortunately, plain x-rays may not be able to differentiate between a 3- or 4-part fractures unless an axillary or analogue projection is carried out. Read More

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http://dx.doi.org/10.23750/abm.v91i4-S.9717DOI Listing

Synthesis of fracture radiographs with deep neural networks.

Health Inf Sci Syst 2020 Dec 30;8(1):21. Epub 2020 May 30.

Department of Emergency Medicine, Yale School of Medicine, New Haven, CT USA.

Purpose: We describe a machine learning system for converting diagrams of fractures into realistic X-ray images. We further present a method for iterative, human-guided refinement of the generated images and show that the resulting synthetic images can be used during training to increase the accuracy of deep classifiers on clinically meaningful subsets of fracture X-rays.

Methods: A neural network was trained to reconstruct images from programmatically created line drawings of those images. Read More

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http://dx.doi.org/10.1007/s13755-020-00111-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261299PMC
December 2020

Limb Salvage by Resection Arthrodesis with the use of Osteoarticular Allograft in the Treatment of Aggressive Giant Cell Tumour around the Knee.

Mymensingh Med J 2020 Apr;29(2):317-324

Professor Dr Nakul Kumar Datta, Chairman, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbagh, Dhaka, Bangladesh; E-mail:

Osteoarticular allografts have provided the chance of limb-sparing trial in tumor surgery. Several authors have reported 50-75% long term (>10 years) successful use of these types of grafts, and large well recognized series provide confirmation that limb reconstruction following extensive resection of bone and joints has been possible with their use. Infection has been a major problem, affecting up to 12 per cent of recipients and often resulting in re-operations and infrequently amputations. Read More

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Does Computer-assisted Surgery Improve Lag Screw Placement During Cephalomedullary Nailing of Intertrochanteric Hip Fractures?

Clin Orthop Relat Res 2020 Jun 1. Epub 2020 Jun 1.

M. Kuhl, St. Cloud Orthopedics, Sartell, MN, USA C. Beimel, Stryker Trauma GmbH, Kiel, Germany.

Background: Computer-assisted surgery (CAS) techniques have been shown to improve implant placement and reduce the radiation time during cephalomedullary nailing in cadaveric and pilot clinical studies of intertrochanteric hip fractures. However, clinical comparisons of CAS and conventional techniques are lacking. It is unclear whether CAS offers clear advantages in terms of radiation time, operative time, and accuracy of lag-screw placement in patients undergoing surgery for intertrochanteric hip fractures and whether any potential difference in accuracy is associated with a change in the risk of lag-screw cut-out postoperatively. Read More

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http://dx.doi.org/10.1097/CORR.0000000000001306DOI Listing

A risk assessment tool for predicting fragility fractures and mortality in the elderly.

J Bone Miner Res 2020 May 27. Epub 2020 May 27.

Osteoporosis and Bone Biology, Garvan Institute of Medical Research, Sydney, Australia.

Existing fracture risk assessment tools are not designed to predict fracture-associated consequences, possibly contributing to the current under-management of fragility fractures worldwide. We aimed to develop a risk assessment tool for predicting the conceptual risk of fragility fractures and consequences. The study involved 8965 people aged ≥60 years from the Dubbo Osteoporosis Epidemiology Study and the Canadian Multicentre Osteoporosis Study. Read More

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http://dx.doi.org/10.1002/jbmr.4100DOI Listing
May 2020
6.832 Impact Factor

[Post-acute geriatric rehabilitation outcomes in fracture patients treated in an orthogeriatric trauma center-A prospective investigation with historical control].

Z Gerontol Geriatr 2020 May 4. Epub 2020 May 4.

Diakonissen Krankenhaus Mannheim Abteilung für Geriatrie, Speyerer Straße 91-93, 68163, Mannheim, Deutschland.

Background: Despite the increasing amount of positive evidence with respect to mortality for the orthogeriatric co-management in a center for geriatric traumatology (CGT), effects on the course after the acute inpatient hospital treatment have been insufficiently investigated.

Methods: Patients over 75 years old who needed rehabilitation following acute inpatient treatment before (retrospective, n = 90) and after (prospective, n = 99) the introduction of a certified CGT were investigated. The two groups were compared with respect to the frequency of discharge into an indication-specific (AHB) and geriatric rehabilitation, mobility performance including the five times sit-to-stand test, short physical performance battery (SPPB) and competence in activities of daily living with the Barthel index (BI). Read More

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http://dx.doi.org/10.1007/s00391-020-01727-0DOI Listing

Treatment options for proximal humeral fractures in the older adults and their implication on personal independence.

Arch Orthop Trauma Surg 2020 Apr 30. Epub 2020 Apr 30.

Department of Orthopaedic Surgery and Traumatology, University Hospital of Basel, Spitalstrasse 21, 4031, Basel, Switzerland.

Background: No consensus exists on the optimal treatment of proximal humeral fractures (PHFx). Uncertainty about surgical treatment in the older adults using locking plates (e.g. Read More

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http://dx.doi.org/10.1007/s00402-020-03452-0DOI Listing

Management of Subgingival Root Fracture with Decoronation and Orthodontic Extrusion in Mandibular Dentition: A Report of Two Cases.

Contemp Clin Dent 2019 Jul-Sep;10(3):554-557

Department of Orthodontics and Dentofacial Orthopedics, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.

Incidence of horizontal root fracture in permanent dentition is relatively uncommon with reported incidence being <7%. Treatment and prognosis of such injuries vary with the location of fracture line. More apical the fracture lines more likely the favorable outcome. Read More

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http://dx.doi.org/10.4103/ccd.ccd_736_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150556PMC

George Chance and Frank Holdsworth: Understanding Spinal Instability and the Evolution of Modern Spine Injury Classification Systems.

Neurosurgery 2020 Jun;86(6):E509-E516

Department of Neurosurgery, Rutgers New Jersey Medical School, Newark, New Jersey.

The concept of spinal cord injury has existed since the earliest human civilizations, with the earliest documented cases dating back to 3000 BC under the Egyptian Empire. Howevr, an understanding of this field developed slowly, with real advancements not emerging until the 20th century. Technological advancements including the dawn of modern warfare producing mass human casualties instigated revolutionary advancement in the field of spine injury and its management. Read More

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http://dx.doi.org/10.1093/neuros/nyaa081DOI Listing
June 2020
3.620 Impact Factor

Ureteropelvic junction disruption associated with Chance fracture dislocation: A case of seat belt injury.

Urol Case Rep 2020 Jul 2;31:101188. Epub 2020 Apr 2.

Department of Urology, Niigata Prefectural Central Hospital, Jouetsu, Niigata, Japan.

We experienced a rare case of ureteropelvic junction disruption (UPJD) as a seat belt injury. A 19-year-old female was transferred after a car accident while wearing a seat belt. Computed tomography showed multiple fractures including Chance fracture dislocation of the first lumbar spine and right renal laceration with partial infarction. Read More

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http://dx.doi.org/10.1016/j.eucr.2020.101188DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150507PMC

Socioeconomic position is associated with surgical treatment of open fractures of the lower limb: results from a Swedish population-based study.

Acta Orthop 2020 Apr 14:1-5. Epub 2020 Apr 14.

Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm.

Background and purpose - High-energy trauma to the lower limbs can result in open fractures, treated by reconstructive surgery or amputation. We examined whether socioeconomic position is associated with choice of primary treatment.Patients and methods - We performed a nationwide population-based study using the Swedish National Patient Register to identify all adult patients who between 1998 and 2013 underwent reconstruction or amputation after an open fracture below the knee. Read More

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http://dx.doi.org/10.1080/17453674.2020.1751418DOI Listing

Humeral shaft fracture and radial nerve palsy in Korean soldiers: focus on arm wrestling related injury.

BMJ Mil Health 2020 Apr 9. Epub 2020 Apr 9.

Department of Orthopaedic Surgery, Armed Forces Capital Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea.

Introduction: Humeral shaft fractures can lead to radial nerve injury and may require surgery and rehabilitation. We determined the causative events of humeral fracture, including arm wrestling, in young Korean soldiers and examined whether humeral fracture is related to demographic characteristics and the presence of radial nerve palsy.

Methods: We reviewed 7. Read More

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http://dx.doi.org/10.1136/bmjmilitary-2019-001373DOI Listing

"Nature Abhors a Vaccuum": Invagination of the Small Intestine into the Lumbar Disc Space After a Spinal Fusion Operation.

Diagnostics (Basel) 2020 Mar 27;10(4). Epub 2020 Mar 27.

Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu 42415, Korea.

A 77-year-old woman having back pain due to an L2 vertebral body compression fracture took a lumbar spine magnetic resonance imaging (MRI). In MRI, in addition to the L2 vertebral body fracture, invagination of the small intestine into the intervertebral disc space at L5-S1 was found by chance. On a lateral lumbar spinal X-ray, the lordotic angle was markedly increased at the L5-S1 level. Read More

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http://dx.doi.org/10.3390/diagnostics10040185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235918PMC

Cost-effectiveness of a multidisciplinary co-management program for the older hip fracture patients in Beijing.

Osteoporos Int 2020 Mar 26. Epub 2020 Mar 26.

The George Institute for Global Health, University of New South Wales, Level 5, 1 King St, Newtown, NSW, 2042, Australia.

The multidisciplinary co-management program for geriatric patients with hip fracture is cost-effective in the Chinese population and it has the potential to be scaled up in China.

Introduction: The study aimed to investigate the cost-effectiveness of a multidisciplinary co-management program for patients with hip fracture in China.

Methods: Hip fracture patients who were admitted to an orthopedic hospital in Beijing were included in the multidisciplinary co-management program. Read More

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http://dx.doi.org/10.1007/s00198-020-05393-1DOI Listing

[Posttraumatic vertebral disc alterations after B and C type spinal injuries in childhood-Clinical and radiological 10-year results for two cases].

Unfallchirurg 2020 Apr;123(4):302-308

Abteilung für Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle (Saale), Halle (Saale), Deutschland.

Pediatric traumatic vertebral injuries usually present as stable A (AOspine classification) fractures, whereas B and C injuries are relatively uncommon. In contrast to adults the appropriate treatment strategy in children remains an issue of debate.The data from two pediatric patients admitted with B and C type spinal injuries in 2007 and 2008 were retrospectively analyzed. Read More

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http://dx.doi.org/10.1007/s00113-020-00780-zDOI Listing

Computerized Tomography-Based Morphometric Analysis of Odontoid in 100 Egyptian Patients.

Int J Spine Surg 2020 Feb 29;14(1):59-65. Epub 2020 Feb 29.

Department of Spine Surgery, El-Hadra Orthopedic Hospital, Alexandria, Egypt.

Background: There is still no consensus in the literature regarding the use of 1 screw or 2 screws. A number of studies have proved ethnic variations in the morphometry of the odontoid. There is no literature on the morphometry of odontoid in Egyptian patients. Read More

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http://dx.doi.org/10.14444/7008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7043813PMC
February 2020

Axillary nerve elongation in humeral fracture plating: A cadaveric study for comparison between straight and helical Philos plates.

J Orthop 2020 May-Jun;19:233-236. Epub 2020 Feb 4.

Department of Trauma and Orthopaedic Surgery, University Hospital Graz, Graz, Austria.

Helical plating is a known concept in humeral fracture treatment. Attention should be paid to the axillary nerve when inserting a plate underneath the deltoid muscle. The purpose of this cadaveric study was to estimate axillary nerve stretching when introducing the plate. Read More

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http://dx.doi.org/10.1016/j.jor.2020.02.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7013103PMC
February 2020

Posterior Arch Screw for Type II Odontoid Fracture: An Alternative Procedure.

World Neurosurg 2020 Jun 14;138:e106-e111. Epub 2020 Feb 14.

Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Fujieda City, Japan.

Background/objective: Atlantoaxial fusion procedures may be difficult in situations such as high-riding vertebral artery, a narrow C2 pedicle, and the presence of ponticulus posticus-arcuate foramen. With respect to vertebral artery (VA) anomalies, persistent first intersegmental artery, extracranial origin of the posterior inferior cerebellar artery at the C1-C2 level, and fenestration of the VA are all major risk factors for VA injury in C1-C2 fusion surgeries.

Methods: To safeguard the VA, we designed the unilateral fusion procedure (all screws lie in the ipsilateral side, either the right side or left side): a unilateral transarticular screw combined with an ipsilateral-side C1 posterior arch screw and a C2 laminar screw (LS), with both C1-C2 screws inserted from opposite side, although the trajectory will be on the same side. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.02.014DOI Listing

Dynamic Fracture and Fragmentation Characteristics of Metal Cylinder and Rings Subjected to Internal Explosive Loading.

Materials (Basel) 2020 Feb 8;13(3). Epub 2020 Feb 8.

State Key Laboratory of Explosion Science and Technology, Beijing Institute of Technology, Beijing 100081, China.

Dynamic fracture and fragmentation characteristics of explosively driven rings and cylinders are important issues in the field of weapon effectiveness and protection. However, the comparison of fracture characteristics between metal cylinder and rings, and the fracture characteristics of the metal shells at different axial positions, are rarely touched. In the present work, a recovery tank was used to collect fragments, and witness plates were used to investigate the fragment spatial distributions. Read More

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http://dx.doi.org/10.3390/ma13030778DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040745PMC
February 2020

Aortic Transection after Blunt Abdominal Trauma in a Child.

Ann Vasc Surg 2020 Jul 5;66:671.e11-671.e14. Epub 2020 Feb 5.

Louisiana State University Health Sciences Center, New Orleans, LA.

Abdominal aortic injury secondary to blunt abdominal aortic trauma (BAAI) is rare in children but frequently occurs in association with other injuries, including bowel injury and vertebral fracture. We present a case of a 14-year-old boy who sustained a partial transection of the infrarenal aorta with a lumbar chance fracture and small bowel injury after a motor vehicle accident. Repair was performed with bowel resection followed by Dacron graft interposition. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.01.095DOI Listing

Exercise to Reduce Mobility Disability and Prevent Falls After Fall-Related Leg or Pelvic Fracture: RESTORE Randomized Controlled Trial.

J Gen Intern Med 2020 Feb 3. Epub 2020 Feb 3.

Neuroscience Research Australia, University of New South Wales, Randwick, NSW, Australia.

Background: Disability and falls are common following fall-related lower limb and pelvic fractures.

Objective: To evaluate the impact of an exercise self-management intervention on mobility-related disability and falls after lower limb or pelvic fracture.

Design: Randomized controlled trial. Read More

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http://dx.doi.org/10.1007/s11606-020-05666-9DOI Listing
February 2020

Occult thoracic disco-ligamentous Chance fracture in computed tomography: a case report.

Eur Spine J 2020 Jan 23. Epub 2020 Jan 23.

Department of Neurosurgery, University Hospital 12 de Octubre, Avda de Córdoba s/n, 28041, Madrid, Spain.

We report on a 46-year-old woman who was involved in a road traffic accident. Neurological examination demonstrated paraplegia, while initial CT showed bilateral pneumothorax and hemothorax, rib fractures, a C2 vertebral body fracture with C2-C3 dislocation and active arterial bleeding at the sacral level. Given the fact that her neurological status did not particularly correspond with what we observed on CT scan, MRI was obtained due to the suspicion that a much more severe occult injury could be present. Read More

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http://dx.doi.org/10.1007/s00586-020-06294-xDOI Listing
January 2020

[Tendon transfer as a treatment modality of peroneal nerve palsy].

Ugeskr Laeger 2020 Jan;182(2)

This review summaries the knowledge of the treatment of peroneal nerve palsy. Isolated peroneal nerve palsy is often seen after fracture of the knee or knee dislocation. In cases with chronic peroneal nerve palsy and foot drop, tendon transfer of the posterior tibial muscle tendon to the dorsum of the foot is a possibility to be considered. Read More

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January 2020

Endoscopic Lateral Calcaneal Ostectomy and Peroneal Tendon Decompression With the Patient in the Prone Position as Management of Subfibular Impingement After Calcaneal Fracture.

Arthrosc Tech 2019 Oct 19;8(10):e1069-e1073. Epub 2019 Sep 19.

Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, Hong Kong SAR, China.

Subfibular impingement is a common cause of lateral heel pain after calcaneal fracture. It can be caused by calcaneofibular impingement, peroneal impingement, or a combination thereof. It may not be easy to differentiate bony impingement from soft-tissue impingement. Read More

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http://dx.doi.org/10.1016/j.eats.2019.05.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948115PMC
October 2019

Age-specific occurrence of pathological fractures in patients with spina bifida.

Eur J Pediatr 2020 May 6;179(5):773-779. Epub 2020 Jan 6.

Charité-Universitätsmedizin Berlin, Center for Chronically Sick Children, Berlin, Germany.

Pathological fractures (PFs) are common in patients with spina bifida. However, most previous studies refer to the overall fracture rate and largely neglecting putative age-dependent aspects. The aim of this retrospective study was to characterize patterns of fracture occurrence in childhood. Read More

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http://dx.doi.org/10.1007/s00431-019-03537-yDOI Listing

Nanocrystalline Li-Al-Mn-Si Foil as Reversible Li Host: Electronic Percolation and Electrochemical Cycling Stability.

Nano Lett 2020 Feb 20;20(2):896-904. Epub 2019 Dec 20.

Department of Nuclear Science and Engineering and Department of Materials Science and Engineering , Massachusetts Institute of Technology , Cambridge , Massachusetts 02139 , United States.

When a metallic foil (Li metal or LiAl) with initial Li inventory (LiInv) is used as the anode in lithium-ion batteries, its metallurgical damage state in the presence of organic liquid electrolyte and cycling electrochemical potential is of great interest. While LiAl foil operates at a voltage that eliminates Li dendrite, the state-of-health (SOH) of LiAl anode can still degrade quickly in full-cell cycling. To analyze the causes, we decompose SOH = SOHe × SOHi × LiInv, where SOHe is SOH of electronic percolation within the anode, SOHi is SOH of Li percolation from cathode to the anode interior, and LiInv is the amount of cyclable lithium in a full cell, all normalized such that 1 means perfectly healthy, and 0 means dead. Read More

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http://dx.doi.org/10.1021/acs.nanolett.9b03626DOI Listing
February 2020

Self-Healing Concrete by Biological Substrate.

Materials (Basel) 2019 Dec 8;12(24). Epub 2019 Dec 8.

Department of Civil Engineering, National Chung-Hsing University, No. 250, Kuo Kuang Road, Taichung 402, Taiwan.

At present, the commonly used repair materials for concrete cracks mainly include epoxy systems and acrylic resins, which are all environmentally unfriendly materials, and the difference in drying shrinkage and thermal expansion often causes delamination or cracking between the original concrete matrix and the repair material. This study aimed to explore the feasibility of using microbial techniques to repair concrete cracks. The bacteria used were environmentally friendly . Read More

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http://dx.doi.org/10.3390/ma12244099DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947293PMC
December 2019

A Comparative Study of Orbital Blow Out Fracture Repair, Using Autogenous Bone Graft and Alloplastic Materials.

Indian J Otolaryngol Head Neck Surg 2019 Dec 10;71(4):542-549. Epub 2019 Aug 10.

4Department of ENT, Medical College and Hospital, Kolkata, West Bengal India.

Maxillofacial trauma, a common injury in urban population following road traffic accident or act of interpersonal violence of which orbital floor fractures is common. It impairs the integrity of the extraocular muscles and may be accompanied by enophthalmos, orbital deformity and diplopia. Orbital reconstruction is essential to improve anatomical and visual deformity. Read More

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http://dx.doi.org/10.1007/s12070-019-01724-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6838252PMC
December 2019

Compartment Syndrome in Tibial Plateau Fractures: Do Previously Established Predictors Have External Validity?

J Orthop Trauma 2020 May;34(5):238-243

Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT.

Objective: To test previously established radiographic predictors of compartment syndrome in tibial plateau fractures and determine whether novel measurements may further improve a surgeon's ability to identity patients at high risk for developing this outcome.

Design: Retrospective review.

Setting: Academic Level I trauma center. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001703DOI Listing

The medial femoral condyle free corticoperiosteal flap versus traditional bone graft for treatment of nonunions of long bones: a retrospective comparative cohort study.

Injury 2019 Dec 21;50 Suppl 5:S54-S58. Epub 2019 Oct 21.

Orthopaedics and Traumatology II, Surgery of the Hand and Upper Limb, AOU Città della Salute e della Scienza, CTO Hospital, Turin, Italy. Electronic address:

Fracture healing is a complex process and many factors change the local biology of the fracture and reduce the physiologic repair process. Since 1991 the free vascularised corticoperiosteal graft has been proposed to treat nonunions. In this study we compare the healing rate and the healing time of the free vascularised corticoperiosteal graft harvested from medial femoral condyle versus the traditional cancellous bone graft from the iliac crest combined with other biologic or pharmacologic factors. Read More

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http://dx.doi.org/10.1016/j.injury.2019.10.049DOI Listing
December 2019

[Factors Influencing Access to Follow-Up Rehabilitation].

Rehabilitation (Stuttg) 2020 Jun 4;59(3):141-148. Epub 2019 Nov 4.

Klinik für Rehabilitationsmedizin, Medizinische Hochschule Hannover.

Purpose: Identification of patient-related influencing factors on access to follow-up rehabilitation METHODS: Partially standardized, written survey of patients between the ages of 18 and 65 in 3 acute hospitals in Hanover, who were assigned to one of the following six defined indication groups on the basis of their diagnosis: (1) surgically treated bone fractures, (2) knee and hip endoprosthesis, (3) malignant disease from visceral surgery, (4) heart disease without surgical intervention, (5) heart disease with surgical intervention, and (6) stroke. In addition to personal information (such as age and gender) personal rehabilitation goals, rehabilitation motivation, disease processing, functioning, state of health, the knowledge of right to request and suffrage and the personal desire to start a follow-up rehabilitation were raised.

Results: Of the 1,227 patients surveyed, 42. Read More

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http://dx.doi.org/10.1055/a-1011-2629DOI Listing
June 2020
2 Reads

The role of edmonton frailty scale and asa grade in the assessment of morbidity and mortality after fracture neck of femur in elderly.

Acta Orthop Belg 2019 Sep;85(3):346-351

Frailty is a complex syndrome which affects the energy, physical ability, cognition and general health. Hip fractures are associated with causes and consequences of frailty such as osteoporosis, frequent falls, low body mass index, multiple medications and cognitive impairment. The aim of our study is to assess the value of ASA grade and Edmonton frailty score in the outcome of treatment of fracture neck of femurs in elderly patients. Read More

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September 2019
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Correlation Between Different Interbody Grafts and Pseudarthrosis After Anterior Cervical Discectomy and Fusion Compared with Control Group: Systematic Review.

World Neurosurg 2020 Feb 24;134:272-279. Epub 2019 Oct 24.

Department of Neurosurgery, University of Campinas (UNICAMP), Campinas, Brazil.

Background: Cervical spine degenerative disease is one of the main causes of myelopathy. Anterior cervical discectomy and fusion (ACDF) is the most common surgical procedure used to treat cervical myelopathy. Therefore, it is important to study pseudarthrosis rates after ACDF and correlate them with the graft used. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.10.100DOI Listing
February 2020

Effect of third molars in the line of mandibular angle fractures on postoperative complications: systematic review and meta-analysis.

Int J Oral Maxillofac Surg 2020 Apr 23;49(4):471-482. Epub 2019 Oct 23.

Department of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil. Electronic address:

The aim of this systematic review was to verify whether the presence of a lower third molar in the mandibular angle fracture line is associated with postoperative complications. An electronic survey was conducted in five databases. Eligibility criteria included observational and experimental studies that evaluated the association between the presence of the lower third molar in the fracture line of mandibular angle fractures and possible postoperative complications, including infection, paresthesia, necessity of plate removal, temporomandibular joint disorders, malocclusion, dehiscence, and non-union. Read More

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http://dx.doi.org/10.1016/j.ijom.2019.09.017DOI Listing

Long-term outcomes of high-dose single-fraction radiosurgery for chordomas of the spine and sacrum.

J Neurosurg Spine 2019 Oct 18:1-10. Epub 2019 Oct 18.

2Neurosurgery.

Objective: The current treatment of chordomas is associated with significant morbidity, high rates of local recurrence, and the potential for metastases. Stereotactic radiosurgery (SRS) as a primary treatment could reduce the need for en bloc resection to achieve wide or marginal margins. Spinal SRS outcomes support the exploration of SRS's role in the durable control of these conventionally radioresistant tumors. Read More

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http://dx.doi.org/10.3171/2019.7.SPINE19515DOI Listing
October 2019
2 Reads

What Is the Best Evidence for Management of Displaced Midshaft Clavicle Fractures? A Systematic Review and Network Meta-analysis of 22 Randomized Controlled Trials.

Clin Orthop Relat Res 2020 02;478(2):392-402

D. E. Axelrod, S. Ekhtiari, A. Bozzo, M. Bhandari, H. Johal, Division of Orthopaedic Surgery, McMaster University, Hamilton, ON, Canada M. Bhandari, Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.

Background: Displaced mid-third clavicle fractures are common, and their management remains unclear. Although several meta-analyses have compared specific operative techniques with nonoperative management, it is not possible to compare different operative constructs with one another using a standard meta-analysis. Conversely, a network meta-analysis allows comparisons among more than two treatment arms, using both direct and indirect comparisons between interventions across many trials. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000986DOI Listing
February 2020
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Total Hip Arthroplasty or Hemiarthroplasty for Hip Fracture.

N Engl J Med 2019 12 26;381(23):2199-2208. Epub 2019 Sep 26.

The affiliations of the members of the writing committee are as follows: the Division of Orthopaedic Surgery, Department of Surgery (M.B., S.S., S.B.), the Department of Health Research Methods, Evidence, and Impact (M.B., G.G., S.S., D.H.-A., L.T., S.D.W., P.J.D.), the Department of Medicine (G.G., P.J.D.), and the Population Health Research Institute (P.J.D.), McMaster University, Hamilton, and the Department of Surgery, University of Western Ontario, London (E.H.S.) - all in Ontario, Canada; the Department of Orthopedic Surgery, New York University Langone Medical Center, New York (T.A.E.); the Department of Orthopedic Surgery, Louisiana State University Health Sciences Center, New Orleans (R.D.Z.); the Division of Orthopedic Surgery, Oslo University Hospital, Oslo (F.F.); the Department of Traumatology, Orthopedic Surgery, and Emergency, Hospital Vall d'Hebrón, Barcelona (E.G.-F.); the Department of Orthopedic and Trauma Surgery, Deventer Ziekenhuis, Deventer (Y.V.K.), and the Department of Orthopedic Surgery, OLVG, Amsterdam (R.W.P.) - both in the Netherlands; and the Department of Orthopaedic Surgery, James Cook University Hospital, Middlesbrough, the Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, and the Department of Health Sciences, University of York, York - all in the United Kingdom (A.R.).

Background: Globally, hip fractures are among the top 10 causes of disability in adults. For displaced femoral neck fractures, there remains uncertainty regarding the effect of a total hip arthroplasty as compared with hemiarthroplasty.

Methods: We randomly assigned 1495 patients who were 50 years of age or older and had a displaced femoral neck fracture to undergo either total hip arthroplasty or hemiarthroplasty. Read More

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http://dx.doi.org/10.1056/NEJMoa1906190DOI Listing
December 2019
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Retrograde intramedullary nail fixation compared with fixed-angle plate fixation for fracture of the distal femur: the TrAFFix feasibility RCT.

Health Technol Assess 2019 09;23(51):1-132

Medical Research Council Lifecourse Epidemiology Unit, Southampton General Hospital, University of Southampton, Southampton, UK.

Background: Fractures of the distal femur are an increasingly common injury; the optimal management of these injuries remains controversial. The two interventions used in UK practice are intramedullary fixation, with a locked retrograde nail, and extramedullary fixation, with a fixed angle plate.

Objectives: This study assessed the feasibility of a definitive trial and included a process evaluation to understand the generalisability and likely success of a future trial. Read More

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http://dx.doi.org/10.3310/hta23510DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6778843PMC
September 2019
3 Reads

Searching for the 'winner' hip fracture patient: the effect of modifiable and non-modifiable factors on clinical outcomes following hip fracture surgery.

Hip Int 2019 Sep 23:1120700019878814. Epub 2019 Sep 23.

Orthopaedic Department, University General Hospital of Larissa, Greece.

Background: Various factors, other than the quality of surgery, may influence clinical outcomes of hip fracture patients. We aimed to evaluate the relative impact of several factors on functional outcome, quality of life, re-fracture and mortality rates following surgery for hip fractures.

Methods: We studied 498 (62. Read More

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http://dx.doi.org/10.1177/1120700019878814DOI Listing
September 2019
2 Reads