919 results match your criteria Chance Fracture


Debridement, internal fixation and staged autogenous bone graft for the management of infected femoral non-union.

Injury 2018 Dec 3;49 Suppl 4:S48-S57. Epub 2018 Dec 3.

Hip Department - Orthopedic and Trauma v, I.R.C.C.S. Policlinico San Donato, 20097, San Donato Mil.se, Milan, Italy; Division of Orthopaedic Surgery, McMaster University, Canada.

An infected non-union is a major and potentially devastating complication following bone fractures. It is often debilitating for the patients, physically and psychologically, because of its long healing period and emotional toll on patient and caregivers. Different surgical procedures (in one or two stages) are described in literature for its treatment. Read More

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http://dx.doi.org/10.1016/j.injury.2018.11.018DOI Listing
December 2018
1 Read

Surgical treatment of pediatric supracondylar humerus fracture could be safely performed by general orthopedists.

Musculoskelet Surg 2018 Dec 4. Epub 2018 Dec 4.

Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Pathumwan, Bangkok, 10330, Thailand.

Purpose: Displaced pediatric supracondylar humerus fracture (SCHF) requires a reduction and instrumentation. The trend is to send the cases to a fellowship-trained pediatric orthopedist. This study reviewed the outcomes and complications of SCHF surgically managed by orthopedic surgeons with different backgrounds of subspecialty training. Read More

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http://dx.doi.org/10.1007/s12306-018-0578-0DOI Listing
December 2018
1 Read

Edge chipping resistance of ceramics bonded to a dentine analogue.

J Mech Behav Biomed Mater 2018 Nov 12;90:587-590. Epub 2018 Nov 12.

Post-graduate Program in Dentistry, Dental School, University of Passo Fundo, Campus I, BR285, Passo Fundo, RS 99052-900, Brazil. Electronic address:

Objective: To evaluate the edge chip resistance (R) of two CAD/CAM monolithic ceramics (GC- IPS e.max CAD and YZ- Zenostar Zr Translucent) bonded to a dentine analogue substrate (G10- NEMA G10).

Methods: Plate-shaped specimens were prepared from GC and YZ ceramics and were either bonded (B) to G10 or attached (NB) to a universal testing machine for edge chipping test. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17516161183142
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http://dx.doi.org/10.1016/j.jmbbm.2018.11.010DOI Listing
November 2018
2 Reads

Rapid Healing and Remodeling Process of Pediatric Seat-Belt Fracture without Surgical Treatment.

Korean J Neurotrauma 2018 Oct 31;14(2):169-172. Epub 2018 Oct 31.

Department of Neurosurgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.

Pediatric seat-belt fracture is a rare condition, and its management has not been well defined. The authors report a case of pediatric Chance fracture that was managed conservatively and that demonstrated rapid bone healing. A 7-year-old boy presented with back pain after a motor vehicle accident. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.13004/kjnt.2018.
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http://dx.doi.org/10.13004/kjnt.2018.14.2.169DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218343PMC
October 2018
3 Reads

Pericollapse Stage of Osteonecrosis of the Femoral Head: A Last Chance for Joint Preservation.

Chin Med J (Engl) 2018 Nov;131(21):2589-2598

Department of Orthopaedic, Graduate School of Peking Union Medical College, China-Japan Friendship Hospital Institute of Clinical Medicine, Beijing 100029, China.

Objective: To propose a new definition of the pericollapse stage of osteonecrosis of the femoral head (ONFH) and review its significance in disease diagnosis and treatment selection.

Data Sources: A search for eligible studies was conducted in three electronic databases including PubMed, Cochrane Library, and Embase up to August 10, 2018, using the following keywords: "osteonecrosis", "prognosis", and "treatment".

Study Selection: Investigations appraising the clinical signs, symptoms, and imaging manifestations in different stages of ONFH were included. Read More

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http://dx.doi.org/10.4103/0366-6999.244111DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6213842PMC
November 2018
1 Read

Capture the vertebral fracture: Risk factors as a prediction.

J Back Musculoskelet Rehabil 2018 Oct 10. Epub 2018 Oct 10.

University of Novi Sad, Faculty of Medicine Novi Sad, Serbia.

Objective: Vertebral fractures are the most common osteoporotic fractures occurring due to low bone mineral density, as well as other risk factors. The aim of the paper is to investigate risk factors for vertebral osteoporotic fracture occurrence in postmenopausal women.

Methods: Retrospective analysis of data pertaining to 651 postmenopausal women obtained from the National Osteoporosis Registry of Serbia was conducted. Read More

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http://dx.doi.org/10.3233/BMR-170898DOI Listing
October 2018

Traumatic Chance Fracture of Cervical Spine: A Rare Fracture Type and Surgical Management.

Asian J Neurosurg 2018 Jul-Sep;13(3):906-909

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

Cervical spine chance fracture (flexion-distraction) is a rare type of fracture, and the surgical management remains a dilemma to the neurosurgeons as there is a paucity of evidence accordingly. We herein report a traumatic chance fracture of C7 fractures and its surgical management. A 33-year-old male was transferred to our center after being hit as pedestrian and was diagnosed to have a chance fracture of C7 and bilateral C7 root injury. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_80_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159064PMC
October 2018

The prevalence of overtreatment of osteoporosis: results from the PAADRN trial.

Arch Osteoporos 2018 Sep 28;13(1):103. Epub 2018 Sep 28.

Faculty of Medicine, University of Toronto, Toronto, Canada.

Overtreatment of osteoporosis increases costs and puts patients at unnecessary risk of experiencing adverse drug events. In the Patient Activation After DXA Receipt Notification (PAADRN) trial, we found that 8% of individuals with no indication for therapy were recommended a new osteoporosis medication or continuation of an existing medication.

Purpose: There is a robust body of literature addressing undertreatment in osteoporosis, but limited data addressing overtreatment. Read More

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http://link.springer.com/10.1007/s11657-018-0517-6
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http://dx.doi.org/10.1007/s11657-018-0517-6DOI Listing
September 2018
12 Reads

Mini-Invasive Intramedullary Fixation of Displaced Midshaft Clavicle Fractures with an Elastic Titanium Nail.

JBJS Essent Surg Tech 2018 Jun 23;8(2):e16. Epub 2018 May 23.

Department of Orthopaedic Surgery, Akershus University Hospital, Lørenskog, Akershus, Norway.

Background: The treatment of completely displaced midshaft clavicle fractures is still controversial, but surgical treatment provides a shorter recovery period and higher union rates than nonoperative treatment with a sling. Even though the literature does not clearly support surgery for these fractures, surgery is becoming more frequent. Elastic stable intramedullary nailing (ESIN) with a titanium nail is a well-documented mini-invasive procedure with functional outcomes comparable with those of plate fixation after 1 year but a high rate of implant removal of up to 80%. Read More

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http://dx.doi.org/10.2106/JBJS.ST.18.00001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143309PMC
June 2018
1 Read

Management of cervical spine trauma in children.

Eur J Trauma Emerg Surg 2018 Aug 24. Epub 2018 Aug 24.

Department of Neurosurgery, Western General Hospital, University of Edinburgh, Crewe Road South, Edinburgh, EH4 2XU, UK.

Purpose: Paediatric cervical spine injuries are fortunately a rare entity. However, they do have the potential for devastating neurological sequelae with lifelong impact on the patient and their family. Thus, management ought to be exceptional from the initial evaluation at the scene of the injury, through to definitive management and rehabilitation. Read More

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http://dx.doi.org/10.1007/s00068-018-0992-xDOI Listing
August 2018
1 Read

Prediction of readmissions in the first post-operative year following hip fracture surgery.

Eur J Trauma Emerg Surg 2018 Aug 23. Epub 2018 Aug 23.

Orthopedic Department, Rabin Medical Center, Beilinson Hospital, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, 39 Jabotinsky St., Petah Tikva, 49100, Tel Aviv, Israel.

Purpose: To define risk factors for rehospitalization following fragility hip fractures and to create a predictive model.

Methods: A retrospective cohort study of patients 65 years and older, who were treated operatively following fragility hip fractures between 01.2011 and 06. Read More

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http://dx.doi.org/10.1007/s00068-018-0997-5DOI Listing
August 2018
5 Reads

A prospective study of screening for musculoskeletal pathology in the child with a limp or pseudoparalysis using erythrocyte sedimentation rate, C-reactive protein and MRI.

J Child Orthop 2018 Aug;12(4):398-405

Department of Orthopaedic Surgery, Peterborough City Hospital, Bretton Gate, Peterborough, UK.

Purpose: To determine if the detection of musculoskeletal pathology in children with a limp or acute limb disuse can be optimized by screening with blood tests for raised inflammatory markers, followed by MRI.

Methods: This was a prospective observational study. Entry criteria were children (0 to 16 years of age) presenting to our emergency department with a non-traumatic limp or pseudoparalysis of a limb, and no abnormality on plain radiographs. Read More

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http://dx.doi.org/10.1302/1863-2548.12.180004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090194PMC
August 2018
1 Read

Management and Outcome of Transepiphyseal Femoral Neck Fracture-Dislocation with a Transverse Posterior Wall Acetabular Fracture: A Case Report.

JBJS Case Connect 2018 Jul-Sep;8(3):e64

Department of Orthopaedic Surgery, Division of Orthopaedic Trauma, Rutgers New Jersey Medical School, Newark, New Jersey.

Case: We present the case of a 10-year-old girl who sustained a transepiphyseal femoral neck fracture with posterior dislocation of the femoral epiphysis and an associated transverse posterior wall acetabular fracture, leading to complete separation of the capital femoral epiphysis. She underwent urgent operative intervention; she was followed for 13 years and achieved an excellent outcome.

Conclusion: Pediatric hip fracture-dislocations are complex injuries that should be managed by a competent pelvic reconstructive surgeon in a well-resuscitated patient. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00043DOI Listing

[A retrospective study on the application of cemented polyethylene liner technique in hip revision].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(9):1157-1161

Department of Orthopedics, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Guangdong, 510120, P.R.China.

Objective: To evaluate the effectiveness of cemented polyethylene liner technique in hip revision.

Methods: Based on inclusion criteria, the clinical data of 26 patients who were undergone hip revision between January 2011 and December 2013, were retrospectively reviewed. Among them, 14 cases were treated with isolated liner exchange (group A) and 12 cases were treated with cemented polyethylene liner technique (group B). Read More

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http://dx.doi.org/10.7507/1002-1892.201803071DOI Listing
September 2018

Management of the Pediatric Pulseless Supracondylar Humeral Fracture: A Systematic Review and Comparison Study of "Watchful Expectancy Strategy" Versus Surgical Exploration of the Brachial Artery.

Ann Vasc Surg 2018 Aug 4. Epub 2018 Aug 4.

Department of Vascular Surgery, AXEPA University Hospital, Aristotle University of Thessaloniki, Greece.

Background: Pulseless hand after a supracondylar humeral fracture (SHF) in children is well known in the bibliography. Although things are clearer in the management of a "pale pulseless hand," controversy still exists about the "pink pulseless hand" (PPH).

Methods: We reviewed the literature from the electronic database PubMed for studies with main object the vascular injuries after SHF in children and especially the pulseless hand. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.05.045DOI Listing
August 2018
1 Read

Factors associated with dental fractures in Brazilian individuals.

J Investig Clin Dent 2018 Nov 13;9(4):e12348. Epub 2018 Jul 13.

Postgraduate Program in Dentistry, Faculty of Dentistry, Estácio de Sá University, Rio de Janeiro, Brazil.

Aim: The aim of the present study was to assess the association of sex, age, group of teeth, and type of accident (exposure) with dental fractures (outcome: enamel-dentine fracture without [EDF] or with pulp exposure [EDPF] and root fracture RF]).

Methods: In total, 1046 patients were selected. Logistic binary regression was used. Read More

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http://dx.doi.org/10.1111/jicd.12348DOI Listing
November 2018
9 Reads

PROFILE OF PATIENTS WITH OSTEOPOROTIC FRACTURES AT A TERTIARY ORTHOPEDIC TRAUMA CENTER.

Acta Ortop Bras 2018 Mar-Apr;26(2):117-122

. Osteometabolic Diseases Group, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, SP, Brazil.

Objective: To evaluate the profile of patients with osteoporotic fractures treated at a tertiary orthopedic hospital.

Methods: Using questionnaires, 70 patients with osteoporotic fractures (OF) were compared with 50 outpatients with multiple osteoarthritis (OA) followed through an outpatient clinic.

Results: The OF group was older (p <0. Read More

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http://dx.doi.org/10.1590/1413-785220182602185325DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6032616PMC
July 2018
8 Reads

The effect of indirect admission via hospital transfer on hip fracture patients in Ireland.

Ir J Med Sci 2018 Jul 4. Epub 2018 Jul 4.

Department of Orthopaedic Surgery, St. Vincent's University Hospital, Dublin, Ireland.

Background And Aims: Current best practice states that hip fracture patients should undergo surgery within 48 hours to minimise perioperative complications. There are 10 emergency departments (EDs) in Ireland that receive hip fracture patients without a trauma and orthopaedic surgery unit on site. Idle periods and duplicated preoperative investigations can lead to a prolonged time to surgery. Read More

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http://dx.doi.org/10.1007/s11845-018-1854-6DOI Listing
July 2018
1 Read
0.570 Impact Factor

Effects of Geriatric Team Rehabilitation After Hip Fracture: Meta-Analysis of Randomized Controlled Trials.

J Am Med Dir Assoc 2018 Oct 27;19(10):840-845. Epub 2018 Jun 27.

Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden.

Objective: Systematic rehabilitation by geriatric interdisciplinary teams has been associated with favorable outcomes in frail older patients. The aim of the present meta-analysis was to evaluate the effects of interdisciplinary geriatric team rehabilitation in older patients with hip fracture.

Design, Setting, And Participants: Randomized controlled trials involving participants sustaining hip fractures at the age of 65 years or older were included. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15258610183026
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http://dx.doi.org/10.1016/j.jamda.2018.05.008DOI Listing
October 2018
15 Reads

Intriguing Periprosthetic Fracture of Hip Stem and Proximal Femoral Replacement.

Cureus 2018 Apr 17;10(4):e2496. Epub 2018 Apr 17.

Department of Trauma and Orthopaedic Surgery, Galway University Hospital, Galway, IRL.

Lateral femoral prosthesis perforation is an uncommon periprosthetic fracture. Periprosthetic fractures may be fixed with open reduction and internal fixation, or with revision arthroplasty, depending on the type of fracture, the condition of the host bone in the proximal femur, the stability of the implant, and occasionally the medical co-morbidities of the patient. Proximal femoral replacement is a complex and challenging procedure but provides a better chance of early mobilisation. Read More

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http://dx.doi.org/10.7759/cureus.2496DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6003799PMC

Association between multiple comorbidities and self-rated health status in middle-aged and elderly Chinese: the China Kadoorie Biobank study.

BMC Public Health 2018 Jun 15;18(1):744. Epub 2018 Jun 15.

Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, 38 Xueyuan Rd, Beijing, 100191, China.

Background: Understanding the correlates of self-rated health (SRH) can help public health professionals prioritize health-promotion and disease-prevention interventions. This study aimed to investigate the association between multiple comorbidities and global SRH and age-comparative SRH.

Methods: A total of 512,891 participants aged 30-79 years old were recruited into the China Kadoorie Biobank study from ten regions between 2004 and 2008. Read More

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http://dx.doi.org/10.1186/s12889-018-5632-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6003165PMC
June 2018
4 Reads
2.260 Impact Factor

The Adjustable Locking Suspension Sling Technique for Fixation of the Tibial Eminence Fracture in Adolescents.

Arthrosc Tech 2018 May 16;7(5):e491-e497. Epub 2018 Apr 16.

Department of Orthopaedic Surgery, Mansoura University Hospital, Faculty of Medicine, Mansoura University, Mansoura, Dakahlia, Egypt.

Avulsion fractures of the tibial eminence, although generally a rare injury pattern, are more common in children and adolescents than in adults. Many open and arthroscopic techniques are available with variable degrees of satisfying results and incidence of complications and adverse effects. Arthroscopic fixation appeared to improve the functional outcomes with fewer complications than the open fixation. Read More

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http://dx.doi.org/10.1016/j.eats.2017.12.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984354PMC
May 2018
14 Reads

Management of a Complex Lower Limb Open Fracture in a Teenage Patient: A Case Report.

Ostomy Wound Manage 2018 05;64(5):47-52

The challenges of managing Gustilo IIIB tibial fractures (ie, high energy trauma with a contaminated wound >10 cm in length, severe comminution ["crumbling"] or segmental fractures, and periosteal stripping) in children are unique in part because no clear guidelines exist and the injuries may cause short-term and long-term complications. Repeated wound debridement and secondary reconstruction are required in approximately 20% of these cases in both adults and children. A 13-year-old girl presented with severe polytrauma including an open Gustilo type IIIB fracture of the left lower leg. Read More

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May 2018
3 Reads

Effect of blood transfusion on survival after hip fracture surgery.

Eur J Orthop Surg Traumatol 2018 May 11. Epub 2018 May 11.

Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.

Background: Our primary goal was to audit the incidence of erythrocyte blood transfusion (EBT) after hip fracture surgery and study the effects on perioperative complications and early and late mortality.

Methods: In a retrospective cohort study all patients 65 years old and above treated operatively for an acute hip fracture were included over a 48-month period with a 2-year follow-up period. Postoperative hemoglobin levels were used to investigate at what threshold EBT was used. Read More

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http://dx.doi.org/10.1007/s00590-018-2205-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132935PMC

Lower Extremity Fractures in Hospitalized Pediatric Patients Following Road Traffic Accidents.

Pediatr Emerg Care 2018 May 5. Epub 2018 May 5.

Lower extremity fractures (LEFs) caused by road traffic accidents (RTAs) can result in significant morbidity and account for a substantial part of nonfatal injuries requiring hospitalization. This study investigated the epidemiology of RTA-associated LEFs in the pediatric population. Based on the National Trauma Registry, data of 28,924 RTA hospitalized pediatric patients were reviewed. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001504DOI Listing
May 2018
7 Reads

Management of aortic injury during minimally invasive lateral lumbar interbody fusion.

Eur Spine J 2018 May 7. Epub 2018 May 7.

Department of Neurological Surgery, University of California, San Francisco, 505 Parnassus Ave. Room M779, San Francisco, CA, 94143, USA.

Purpose: Minimally invasive lateral approaches to the lumbar spine allow for interbody fusion with good visualization of the disk space, minimal blood loss, and decreased length of stay. Major neurologic, vascular, and visceral complications are rare with this approach; however, the steps in management for severe vascular injuries are not well defined. We present a case report of aortic injury during lateral interbody fusion and discuss the use of endovascular repair. Read More

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http://dx.doi.org/10.1007/s00586-018-5620-2DOI Listing
May 2018
2 Reads

Management of complex and redo cases of pelvic fracture urethral injuries.

Asian J Urol 2018 Apr 2;5(2):107-117. Epub 2018 Mar 2.

Department of Reconstructive Urology, Kulkarni Reconstructive Urology Centre, Pune, India.

Objectives: Pelvic fracture urethral injuries (PFUI) result from traumatic disruption of the urethra. A significant proportion of cases are complex rendering their management challenging. We described management strategies for eight different complex PFUI scenarios. Read More

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http://dx.doi.org/10.1016/j.ajur.2018.02.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5934510PMC
April 2018
1 Read

Recurrent Penile Fracture-Case Report and Alternative Surgical Approach.

Sex Med 2018 Sep 3;6(3):263-266. Epub 2018 May 3.

Sexual Medicine Group, Division of Urology, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil.

Introduction: Penile refracture is an exceedingly rare event, with very few published studies. To the best of our knowledge, this is the first documented case in the literature of penile fracture with 3 same-site recurrences.

Aims: To describe the case of a 25-year-old Caucasian man with recurrent penile fracture ultimately treated with resuture and patch reinforcement. Read More

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http://dx.doi.org/10.1016/j.esxm.2018.01.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6085271PMC
September 2018
6 Reads

Clinico-radiologic Profile of Pediatric Traumatic Brain Injury in Western Rajasthan.

J Neurosci Rural Pract 2018 Apr-Jun;9(2):226-231

Department of Medicine, AIIMS, Jodhpur, Rajasthan, India.

Objective: The aim of this study was to evaluate clinico-radiological profile and outcome of pediatric traumatic brain injury (TBI).

Design: Prospective observational study.

Setting: Intensive Care Unit, ward and OPD of Pediatrics, Dr. Read More

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http://dx.doi.org/10.4103/jnrp.jnrp_269_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5912029PMC
May 2018
3 Reads

Nonoperative management of C-2 dens fractures: Single center experience and review of the literature.

Clin Neurol Neurosurg 2018 Jun 22;169:166-173. Epub 2018 Apr 22.

Department of Neurosurgery, University Hospital Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45122, Essen, Germany.

Objective: The demographic change in the population leads to a rising number of patients presenting with fractures of the cervical spine, especially C-2, due to falls. With an increase of co-morbidities in these elder patients, the risk for intra- and postoperative complications is increased likewise. Thus, an alternative strategy instead of operative management of these fractures should be taken into account whenever possible. Read More

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http://dx.doi.org/10.1016/j.clineuro.2018.04.021DOI Listing
June 2018
2 Reads

Should interventions to reduce variation in care quality target doctors or hospitals?

Health Policy 2018 06 13;122(6):660-666. Epub 2018 Apr 13.

Alliance Manchester Business School, University of Manchester, United Kingdom. Electronic address:

Interventions to reduce variation in care quality are increasingly targeted at both individual doctors and the organisations in which they work. Concerns remain about the scope and consequences for such performance management, the relative contribution of individuals and organisations to observed variation, and whether performance can be measured reliably. This study explores these issues in the context of the English National Health Service by analysing comprehensive administrative data for all patients treated for four clinical conditions (acute myocardial infarction, hip fracture, pneumonia, ischemic stroke) and two surgical procedures (coronary artery bypass, hip replacement) during April 2010-February 2013. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.04.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022214PMC

Reducing complications and overall healthcare costs of hip fracture management: a retrospective study on the application of a Diagnostic Therapeutic Pathway in the Cosenza General Hospital.

Ann Ig 2018 May-Jun;30(3):191-199

Operative Orthopaedics Unit, Cosenza General Hospital, Cosenza, Italy.

Background: Diagnostic Therapeutic Pathways (DTPs) are multidisciplinary plans designed by each healthcare organization for a specific category of patients to reduce the variability of professional behaviors and to ensure greater safety and better overall healthcare outcomes. Hip fractures are a frequent traumatic injury, particularly in the elderly, and DTPs recommend early surgical intervention, often not done due to organizational challenges and bureaucracy. Medical conditions suggesting a delay are not frequent, however long waiting times not only increase the risk of complications and mortality, but also increase the number of diagnostic test and physician consultations. Read More

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http://dx.doi.org/10.7416/ai.2018.2210DOI Listing

Management of Proximal Interphalangeal Joint Fracture Dislocations.

Hand Clin 2018 05;34(2):149-165

Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue-Stoneman 10, Boston, MA 02215, USA. Electronic address:

Fracture dislocations of the proximal interphalangeal (PIP) joint of the finger are often caused by axial load applied to a flexed joint. The most common injury pattern is a dorsal fracture dislocation with a volar lip fracture of the middle phalanx. Damage to the soft-tissue stabilizers of the PIP joint contributes to the deformity seen with these fracture patterns. Read More

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http://dx.doi.org/10.1016/j.hcl.2017.12.005DOI Listing
May 2018
6 Reads

Complex Tibial Plateau Fractures Treated by Hybrid External Fixation System: A correlation of followup computed tomography derived quality of reduction with clinical results.

Indian J Orthop 2018 Mar-Apr;52(2):161-169

Fourth Department of Orthopaedics and Traumatology, KAT Hospital, Kifissia, 2 Nikis Street, 145 61, Athens, Greece.

Background: Tibial plateau fractures are common due to high energy injuries. The principles of treatment include respect for the soft tissues, restoring the congruity of the articular surface and reduction of the anatomic alignment of the lower limb to enable early movement of the knee joint. There are various surgical fixation methods that can achieve these principles of treatment. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_300_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858210PMC
March 2018
7 Reads

Negative pressure wound therapy versus conventional wound dressings in treatment of open fractures: A systematic review and meta-analysis.

Int J Surg 2018 May 16;53:72-79. Epub 2018 Mar 16.

The Department of Orthopaedic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China. Electronic address:

Background: Though several systematic reviews concerned have been published, controversy still exists. The current systematic review was designed to clarify the detailed advantages and disadvantages of the negative pressure wound therapy (NPWT) in treatment of open fractures in comparison with the conventional wound dressings.

Methods: A systematic search was performed in Pubmed, Cochrane Library, Embase, and Google Scholar for the published relevant clinical studies. Read More

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http://dx.doi.org/10.1016/j.ijsu.2018.02.064DOI Listing
May 2018
3 Reads

Can a Facial Injury Severity Scale Be Used to Predict the Need for Surgical Intervention and Time of Hospitalization?

J Oral Maxillofac Surg 2018 Jun 20;76(6):1280.e1-1280.e8. Epub 2018 Feb 20.

Professor, Department of Dental Medicine, State University of Londrina, Londrina, Brazil.

Purpose: We aimed to evaluate whether the Facial Injury Severity Scale (FISS), proposed by Bagheri et al in 2006, can predict intervention needs in the operating room (OR), length of hospital stay, and need for support by other specialties.

Patients And Methods: Data were collected from the medical records of trauma patients from a public tertiary hospital between January 2009 and December 2015, related to age, gender, comorbidities, habits, history of maxillofacial trauma, etiology, and presence and location of fractures and lacerations, in addition to type of treatment performed and period of hospitalization. A score was applied to each patient according to the FISS. Read More

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http://dx.doi.org/10.1016/j.joms.2018.02.002DOI Listing
June 2018
5 Reads

A new osteotomy for the prevention of prominent lateral condyle after cubitus varus correctional surgery-made possible by a 3D printed patient specific osteotomy guide: A case report.

Int J Surg Case Rep 2017 7;41:438-442. Epub 2017 Nov 7.

Mehmet Ali Aydınlar Acıbadem University School of Medicine, Kerem Aydinlar Kampusu Kayisdagi Cad. 32 Atasehir, Istanbul, Turkey. Electronic address:

Introduction: Skeletal deformity correction is a procedure of high aesthetic and functional demand. Therefore, meticulous surgical planning has always been mandatory. However, it is known that during the surgery things may often get slippery, leaving the surgeon no chance but improvisation. Read More

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http://dx.doi.org/10.1016/j.ijscr.2017.10.048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702871PMC
November 2017
15 Reads

Complications of Radial Column Plating of the Distal Radius.

Hand (N Y) 2018 Feb 1:1558944718760861. Epub 2018 Feb 1.

2 Kaiser Permanente, Anaheim, CA, USA.

Background: Distal radius fractures treated with open reduction and internal fixation are commonly stabilized with a volar locking plate; however, more complex fracture patterns may require supplemental fixation with fragment-specific implants. The objective of this study was to evaluate the outcomes of distal radius fractures treated with radial column plates.

Methods: A consecutive series of 61 patients who sustained distal radius fractures underwent radial column plating alone or in conjunction with other implants between August 2006 and January 2014. Read More

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http://dx.doi.org/10.1177/1558944718760861DOI Listing
February 2018

Primary Arthrodesis in Severely Comminuted Fractures.

Clin Podiatr Med Surg 2018 Apr 4;35(2):233-257. Epub 2018 Jan 4.

University Orthopaedic Associates, 2 World's Fair Drive, Somerset, NJ 08873, USA.

At present there is controversy regarding the appropriate treatment of severely comminuted fractures of the lower extremity. Even with near-perfect anatomic reduction of severely comminuted fractures, development of posttraumatic arthritis is still present at an increased rate. Primary fusion of comminuted fractures of the foot and ankle creates successful and predictable outcomes, which dismisses the chance of developing posttraumatic arthritis and decreases complications and the need for revisional procedures. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.12.006DOI Listing
April 2018
6 Reads

What Is Important Besides Getting the Bone to Heal? Impact on Tissue Injury Other Than the Fracture.

J Orthop Trauma 2018 Mar;32 Suppl 1:S21-S24

University of Missouri, Columbia, MO.

Fracture surgeons do a great job of managing bone issues, but they may overlook the associated soft tissue injuries that play a significant role in the final outcome after musculoskeletal injury. The soft tissue reconstruction ladder can help guide reconstructive procedures based on the least complex procedure that allows the best chance of fracture healing. Muscle injury, volume loss, and deconditioning occur with traumatic injury and during the recovery phase. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001125DOI Listing
March 2018
3 Reads

Surgical management of C-type subaxial cervical fractures using cervical traction followed by anterior cervical discectomy and fusion within 12 h after the trauma.

J Craniovertebr Junction Spine 2017 Oct-Dec;8(4):338-341

Department of Neurosurgery, Ospedali Riuniti, Foggia, Italy.

Study Design: This was a retrospective cohort study.

Objective: To report our 10-year experience of closed reduction using Crutchfield traction followed by anterior cervical discectomy and fusion within 12 h from injury for C-type subaxial cervical fractures (according to the AOSpine classification system).

Methods: Clinical records and neuroimaging were retrospectively reviewed. Read More

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http://dx.doi.org/10.4103/jcvjs.JCVJS_99_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5763591PMC
February 2018
12 Reads

What Is the Ideal Starting Point for an Olecranon Screw? An Anatomic Cadaveric Study.

J Orthop Trauma 2018 Jun;32(6):313-319

R Adams Cowley Shock Trauma Center, Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD.

Objective: To assess whether "center-center" position is ideal starting point for minimum fracture displacement when placing an intramedullary (IM) screw in the ulna.

Methods: Thirty-six arms (average age, 82 years) underwent a posterior approach to the olecranon and were randomized into 3 groups: center-center (center in sagittal plane, center in coronal plane), posterior-lateral (posterior in sagittal plane, lateral in coronal plane), and posterior-medial (posterior in sagittal plane, medial in coronal plane). Groups were matched into 18 pairs, and fixation was performed with an IM screw. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001139DOI Listing
June 2018
1 Read

Improved Interobserver Reliability of the Sanders Classification in Calcaneal Fractures Using Segmented Three-Dimensional Prints.

J Foot Ankle Surg 2018 May - Jun;57(3):440-444. Epub 2018 Feb 15.

Surgeon, Trauma Unit, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

We examined the added value of 3-dimensional (3D) prints in improving the interobserver reliability of the Sanders classification of displaced intraarticular calcaneal fractures. Twenty-four observers (radiologists, trainees, and foot surgeons) were asked to rate 2-dimensional (2D) computed tomography images and 3D prints of a series of 11 fractures, selected from cases treatment at our level I trauma center between 2014 and 2016. The interobserver reliability for the Sanders classification was assessed using kappa coefficients. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.10.014DOI Listing
October 2018
7 Reads
0.980 Impact Factor

Glenoid neck Hounsfield units on computed tomography can accurately identify patients with low bone mineral density.

J Shoulder Elbow Surg 2018 Jul 1;27(7):1268-1274. Epub 2018 Feb 1.

Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, MD, USA. Electronic address:

Background: Osteoporosis is a costly and morbid disease with the first presentation often with a fragility fracture. The purpose of this study was to assess whether Hounsfield unit (HU) measurements on shoulder computed tomography could identify patients at risk of osteoporosis and aid in its diagnosis.

Methods: We identified patients who had both a computed tomography scan of the glenoid and a dual-energy x-ray absorptiometry scan. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746173075
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http://dx.doi.org/10.1016/j.jse.2017.11.008DOI Listing
July 2018
16 Reads

Update on open reduction and internal fixation of unstable pelvic fractures during pregnancy: case reports.

Rev Bras Ortop 2018 Jan-Feb;53(1):118-124. Epub 2017 Mar 12.

Departamento de Ortopedia e Traumatologia, Hospital Mater Dei, Belo Horizonte, MG, Brazil.

This article aims to report four cases of unstable pelvic fractures in pregnant women treated by open reduction and internal fixation.

Cases Report: The study included four cases of pregnant women with unstable pelvic fractures; their outcomes were analyzed and discussed. Data were obtained from two University Hospitals. Read More

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http://dx.doi.org/10.1016/j.rboe.2017.03.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771786PMC
March 2017
4 Reads

Spinal Motocross Injuries in the United Kingdom.

Orthop J Sports Med 2018 Jan 10;6(1):2325967117748644. Epub 2018 Jan 10.

Royal Shrewsbury Hospital / Robert Jones and Agnes Hunt Orthopaedic Hospital, Shropshire, UK.

Background: Motocross is a form of motorcycle racing held on established off-road circuits and has been a recreational and competitive sport across the world for >100 years. In the United Kingdom alone, motocross has grown into a phenomenally ambitious and popular franchise. There are >200 motocross clubs across the country, permitting >900 events annually. Read More

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http://dx.doi.org/10.1177/2325967117748644DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5768286PMC
January 2018
2 Reads

Clinical Features and Outcomes of Post-Traumatic Silent Sinus Syndrome.

Ophthalmic Plast Reconstr Surg 2018 Jul/Aug;34(4):378-380

Kaiser Permanente Medical Group, Department of Ophthalmology, Union City, California, U.S.A.

Purpose: To identify demographic features and clinical outcomes associated with post-traumatic silent sinus syndrome.

Methods: A retrospective review was carried out at 3 academic medical centers to identify all cases of post-traumatic silent sinus syndrome. Clinical features and management strategies were recorded. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001025DOI Listing
August 2018
3 Reads