11,071 results match your criteria Fracture Knee


Adding a protective K-wire during opening high tibial osteotomy increases lateral hinge resistance to fracture.

Knee Surg Sports Traumatol Arthrosc 2019 Feb 19. Epub 2019 Feb 19.

Department of Orthopedics and Traumatology, Institute of movement and locomotion, St Marguerite Hospital, 270 Boulevard Sainte Marguerite, BP 29, 13274, Marseille, France.

Purpose: It was hypothesized in this in-vitro study that positioning a K-wire intersecting the cutting plane at the theoretical lateral hinge location would limit the cut depth and help preserve the lateral hinge during the opening of the osteotomy. Objectives were (1) to compare the mechanical resistance of the hinge and the protective effect of leaving the K-wire during the opening procedure (2) to check if the K-wire would limit the depth of the osteotomy.

Methods: An ex-vivo mechanical study, testing 5 pairs of fresh-frozen tibias, was designed. Read More

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http://dx.doi.org/10.1007/s00167-019-05404-7DOI Listing
February 2019

Clinical outcomes of ceramic femoral prosthesis in total knee arthroplasty: a systematic review.

J Orthop Surg Res 2019 Feb 19;14(1):57. Epub 2019 Feb 19.

Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, 100730, China.

Purpose: Ceramic bearings have been widely used in total hip arthroplasty (THA), which resulted in satisfactory clinical outcomes due to the excellent tribological characteristics of the implants. However, ceramic components are not commonly used in total knee arthroplasty (TKA) because of brittleness. This study aimed to gather and analyze information regarding the clinical outcomes (including survival without revision, causes of revision, functional outcome, and incidence of loosening) and reach a definitive conclusion about the use of ceramic femoral components in total knee arthroplasty. Read More

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http://dx.doi.org/10.1186/s13018-019-1090-4DOI Listing
February 2019

Comparison of Hand Drills for the Insertion of Skeletal Traction Pins.

J Surg Orthop Adv 2018 ;27(4):274-276

Cooper Bone & Joint Institute, Cooper University Hospital, Camden, New Jersey.

Skeletal traction pins are inserted as part of emergent stabilization of lower extremity fractures. The purpose of this study is to compare two drill options: a reusable store-bought drill and a single-use, sterilely packaged drill. The reusable drill and disposable drill were compared by having volunteers insert traction pins within a foam bone, fully encased, knee joint model using both systems. Read More

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January 2018

Mesenchymal stem cells isolated from both distal femurs of patients with unilateral trauma or osteoarthritis of the knee exhibit similar in-vitro ability of bone formation.

J Orthop Sci 2019 Feb 13. Epub 2019 Feb 13.

Department of Orthopedic Surgery and Sports Traumatology, Odense University Hospital, J. B. Winsløvsvej 4, Odense C, 5000, Denmark. Electronic address:

Background: Bone fractures are a common cause of hospital admission. Currently, treatment consists of conservative regimens or operation. However, regenerative medicine introduces a possible new addition to established treatments. Read More

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http://dx.doi.org/10.1016/j.jos.2019.01.008DOI Listing
February 2019

Ultrasound-guided percutaneous peripheral nerve stimulation: neuromodulation of the suprascapular nerve and brachial plexus for postoperative analgesia following ambulatory rotator cuff repair. A proof-of-concept study.

Reg Anesth Pain Med 2019 Feb 15. Epub 2019 Feb 15.

Departments of Orthopaedic Surgery, University of California San Diego, San Diego, California, USA.

Background And Objectives: Percutaneous peripheral nerve stimulation (PNS) is an analgesic modality involving the insertion of a lead through an introducing needle followed by the delivery of electric current. This modality has been reported to treat chronic pain as well as postoperative pain following knee and foot surgery. However, it remains unknown if this analgesic technique may be used in ambulatory patients following upper extremity surgery. Read More

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http://dx.doi.org/10.1136/rapm-2018-100121DOI Listing
February 2019
6 Reads

The impact of plate length, fibula integrity and plate placement on tibial shaft fixation stability: a finite element study.

J Orthop Surg Res 2019 Feb 15;14(1):52. Epub 2019 Feb 15.

The First Affiliated Hospital of Soochow University, 188, Shi Zi Road, Suzhou, 215006, China.

Background: Tibial shaft fractures account for approximately 15% of long bone fractures. Locked plates with minimally invasive plate osteosynthesis techniques are used widely by surgeons. The purpose of this study is to investigate the impact of factors meaning the plate length, fibula integrity, and placement of the plate on the stability of tibial shaft fracture fixation. Read More

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http://dx.doi.org/10.1186/s13018-019-1088-yDOI Listing
February 2019

Repair and augmentation of the lateral collateral ligament complex using internal bracing in dislocations and fracture dislocations of the elbow restores stability and allows early rehabilitation.

Knee Surg Sports Traumatol Arthrosc 2019 Feb 14. Epub 2019 Feb 14.

Sporthopaedicum, Straubing and Regensburg, Bahnhofplatz, 27, 94315, Straubing, Germany.

Purpose: Most elbow dislocations can be treated conservatively, with surgery indicated in special circumstances. Surgical options, apart from fracture fixation, range from repair or reconstruction of the damaged ligaments to static external fixation, usually entailing either a long period of immobilization followed by carefully monitored initiation of movement or dynamic external fixation. In general, no consensus regarding surgical treatment has been reached. Read More

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http://dx.doi.org/10.1007/s00167-019-05402-9DOI Listing
February 2019
1 Read

Patient-Reported Outcome Measures of Total Knee Arthroplasties for Post-Traumatic Arthritis versus Osteoarthritis: A Short-Term (5- to 10-year) Retrospective Matched Cohort Study.

J Arthroplasty 2019 Jan 18. Epub 2019 Jan 18.

Department of Orthopedic Surgery, Hospital for Special Surgery, Orthopedic Surgery-Adult Reconstruction Joint Replacement, New York, NY.

Background: The objective of the study was to compare the patient-reported outcome measures (PROM) of patients with post-traumatic arthritis (PTA) versus patients with osteoarthritis (OA) undergoing total knee arthroplasty (TKA) and compare the rates of revision among these two groups.

Methods: Using a prospectively held institutional registry, we retrospectively reviewed patients ≥60 years of age who underwent unilateral TKA between May 2007 and February 2012. Patients with previous or concomitant diagnosis of inflammatory arthropathy or an initial open fracture were excluded. Read More

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http://dx.doi.org/10.1016/j.arth.2019.01.022DOI Listing
January 2019

Outcome of surgical treatment of inter prosthetic fractures: A case series.

Orthop Traumatol Surg Res 2019 Feb 7. Epub 2019 Feb 7.

Plymouth Hospitals NHS Trust, Derriford Road, Crownhill, Plymouth, Devon PL6 8DH, United Kingdom.

Introduction: Interprosthetic fractures occur between a total knee replacement and a femoral stem of either a hemiarthroplasty or total hip replacement. The number of interprosthetic fractures will increase as the number of joint replacements rises. There is currently a paucity of literature looking at the outcomes of interprosthetic fractures. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.08.022DOI Listing
February 2019
1 Read

The Perception of the Scope of Practice of Podiatric Medicine in a Large Teaching Hospital Demonstrated by Internal Medicine Residents and Patients.

J Am Podiatr Med Assoc 2018 Nov;108(6):503-507

Background:: The scope of podiatric practice has changed significantly in the past couple of decades. Despite the increased quality of training, many people outside of podiatry may not realize what our scope of practice entails.

Methods:: We conducted a survey consisting of 10 items and asked internal medicine residents at Rush University Medical Center and patients whether they would feel comfortable consulting podiatrists, or being treated for each issue. Read More

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http://dx.doi.org/10.7547/17-128DOI Listing
November 2018
1 Read

[Fractures of the patella].

Chirurg 2019 Feb 11. Epub 2019 Feb 11.

Klinik und Poliklinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.

With 1% of all skeletal fractures patellar fractures are rare. The majority of cases are caused by a direct trauma to the flexed knee. The diagnosis is made via the injury mechanism as well as the physical and radiological findings. Read More

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http://dx.doi.org/10.1007/s00104-019-0797-4DOI Listing
February 2019
1 Read

Safety and Efficacy of Repeat Administration of Triamcinolone Acetonide Extended-release in Osteoarthritis of the Knee: A Phase 3b, Open-label Study.

Rheumatol Ther 2019 Feb 11. Epub 2019 Feb 11.

Flexion Therapeutics, Inc., Burlington, MA, USA.

Introduction: The aim of this work is to assess the safety and efficacy of repeat administration of triamcinolone acetonide extended-release (TA-ER) in patients with symptomatic knee osteoarthritis (OA), including those with advanced radiographic severity.

Methods: In this phase 3b, single-arm, open-label study, patients aged ≥ 40 years received the first intra-articular TA-ER injection on day 1. Patients received the second injection timed to the response to the first injection (at either week 12, 16, 20, or 24). Read More

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http://dx.doi.org/10.1007/s40744-019-0140-zDOI Listing
February 2019
2 Reads

Proximal Tibiofibular Dislocation Repaired with Syndesmotic Suture Buttons: A Case Report.

J Orthop Case Rep 2018 Sep-Oct;8(5):82-85

Department of Orthopaedic, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI 48202, United States.

Introduction: Dislocations of the proximal tibiofibular joint (PTFJ) are a relatively rare orthopedic injury. They are often repaired with open reduction internal fixation utilizing a transfixation screw. Limited data are available concerning alternative repair methods. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1224DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367288PMC
February 2019
3 Reads

Avulsion Fracture of the Anterior Intercondylar Eminence in an Eight-year-old Child: ACase Report.

J Orthop Case Rep 2018 Sep-Oct;8(5):32-35

Department of Orthopaedic and Trauma Surgery, AZ Delta Hospital, Campus Torhout, Belgium.

Introduction: Avulsion fractures of the tibial intercondylar eminence are rare and occur mostly in children. The purpose of this paper is to present a case of this rare pathology and to underline the importance of early diagnosis.

Case Report: A male 8-year-old child presented with pain in his left knee and difficulties to walk after a combined injury of falling and contact trauma. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1198DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367294PMC
February 2019
1 Read

Risk factors for complications and adverse outcomes in polytrauma patients with associated upper extremity injuries.

Patient Saf Surg 2019 4;13. Epub 2019 Feb 4.

1Department of Trauma, Universitaetsspital, University of Zurich, Raemistr.100, 8091 Zurich, Switzerland.

Background: In terms of upper extremity fractures by patients with multiple injuires, a lot of studies have assessed the functional outcome following trauma to have less favorable outcomes in regards to functional recovery. We tested the hypothesis that differences in clinical outcome occur between shaft and articular injuries of the upper extremity, when patients that sustained neurologic deficits (e.g. Read More

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https://pssjournal.biomedcentral.com/articles/10.1186/s13037
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http://dx.doi.org/10.1186/s13037-019-0187-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360674PMC
February 2019
2 Reads

Target site antibiotic concentrations in orthopedic/trauma extremity surgery: is prophylactic cefazolin adequately dosed? A systematic review and meta-analysis.

Acta Orthop 2019 Feb 11:1-17. Epub 2019 Feb 11.

a Trauma Unit, Department of Surgery, Amsterdam UMC , University of Amsterdam ;

Background and purpose - The incidence of surgical site infections (SSIs) in trauma/orthopedic surgery varies between different body parts. Antibiotic prophylaxis (e.g. Read More

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http://dx.doi.org/10.1080/17453674.2019.1577014DOI Listing
February 2019
1 Read

Angiotensin-Converting Enzyme Inhibitor Use and Incident Frailty: A Longitudinal Cohort Study.

Drugs Aging 2019 Feb 9. Epub 2019 Feb 9.

Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Barcelona, Spain.

Introduction: Angiotensin-converting enzyme inhibitors (ACEI) may have several pleiotropic effects, but the literature regarding a possible relationship between ACEI use and frailty is limited. We investigated whether ACEI use is associated with lower risk of frailty in a cohort of North American individuals.

Methods: Data from the Osteoarthritis Initiative, a cohort study with 8 years of follow-up including community-dwelling adults with knee osteoarthritis or at high risk for this condition, were analyzed. Read More

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http://dx.doi.org/10.1007/s40266-019-00642-3DOI Listing
February 2019
2 Reads
2.838 Impact Factor

Peroneal nerve location at the fibular head: an anatomic study using 3D imaging.

Arch Orthop Trauma Surg 2019 Feb 8. Epub 2019 Feb 8.

Center for Orthopedic and Trauma Surgery, University of Cologne, Faculty of Medicine and University Hospital, Kerpener Str. 62, 50937, Cologne, Germany.

Introduction: Injuries to the peroneal nerve are a common complication in operative treatment of proximal tibial or fibular fractures. To minimize the risk of iatrogenic injury to the nerve, detailed knowledge of the anatomy of the peroneal nerve is essential. Aim of this study was to present a detailed description of the position and branching of the peroneal nerve based on 3D-images to assist preparation for surgical approaches to the fibular head and the tibial plateau. Read More

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http://dx.doi.org/10.1007/s00402-019-03141-7DOI Listing
February 2019

Incidence and Predictors of Lateral Hinge Fractures Following Medial Opening-Wedge High Tibial Osteotomy Using Locking Plate System: Better Performance of Computed Tomography Scans.

J Arthroplasty 2019 Jan 17. Epub 2019 Jan 17.

Department of Orthopedic Surgery, Veterans Health Service Medical Center, Seoul, South Korea.

Background: This study compared the rates of plain radiographs and computed tomography (CT) for detecting lateral hinge fractures and to evaluate factors affecting lateral hinge fractures in patients following medial opening-wedge high tibial osteotomy (MOWHTO).

Methods: This prospective study included 59 patients (65 knees) undergoing MOWHTO for primary medial compartment osteoarthritis with a 2-year follow-up between 2013 and 2016. Clinical and radiographic evaluations were performed using Knee Society Score and Western Ontario and McMaster Universities Arthritis Index, and we calculated the hip-knee-ankle angle, weight-bearing line ratio, lateral distal femoral angle, medial proximal tibial angle, posterior tibial slope, osteotomy gap height, and osteotomy gap filling rate. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08835403193005
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http://dx.doi.org/10.1016/j.arth.2019.01.026DOI Listing
January 2019
6 Reads

Characteristics of adverse events of endocrine therapies among older patients with breast cancer.

Support Care Cancer 2019 Feb 7. Epub 2019 Feb 7.

Breast Oncology Center, Cancer Institute Hospital, Ariake 3-8-31, Koto-ku, Tokyo, 135-8550, Japan.

Purpose: To clarify the profile of adverse events from endocrine therapies in older patients.

Methods: We surveyed 15 subjective symptoms including hot flashes, sweating, knuckle stiffness, knee/shoulder joint pain, limb numbness, lethargy, forgetfulness, depressive state, irritated state, genital bleeding, leukorrhea increase, vaginal dryness, bone fracture, and weight gain by a questionnaire among 2044 patients over 55 years old (total number of answered sheets, 8875) and compared the results according to age (56-69 years old vs. ≥ 70 years old) and type of therapy (aromatase inhibitors (AIs) vs. Read More

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http://dx.doi.org/10.1007/s00520-019-04674-8DOI Listing
February 2019
1 Read

Fracture of the polyethylene tibial post in the posterior-stabilized total knee prosthesis: arthrographic and CT arthrographic diagnosis.

Skeletal Radiol 2019 Feb 7. Epub 2019 Feb 7.

Department of Medical Imaging, Chi Mei Medical Center, Yongkang, No. 901, Zhonghua Rd Yongkang District, Tainan City, 71004, Taiwan.

Fracture of the polyethylene tibial post in the posterior-stabilized total knee prosthesis is often delayed in diagnosis due to its nonspecific symptoms and the radiolucent characteristic of polyethylene on conventional radiography. Therefore, the diagnosis is always established by arthroscopy. Notwithstanding recent advances in imaging modalities, we are presently aware of only two related case reports on MRI and even no reports about arthrographic or CT-arthrographic diagnosis of fractured tibial post. Read More

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http://link.springer.com/10.1007/s00256-019-03173-5
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http://dx.doi.org/10.1007/s00256-019-03173-5DOI Listing
February 2019
2 Reads

Medium-Term Results after Surgical Treatment of High-Energy Tibial Plateau Fractures.

J Knee Surg 2019 Feb 6. Epub 2019 Feb 6.

5th Department of Orthopaedic, Geniko Nosokomeio Attikes KAT, Athens, Attike, Greece.

The aim of the article is T: o present the medium-term results of surgical treatment of Schatzker's IV, V, and VI tibial plateau fractures, in a retrospective study of 22 patients at a level-1 trauma center. Twenty-two of 34 patients with Schatzker's IV-VI fractures completed follow-up at a mean of 56 months (range: 7-103 months). Patients' mean age was 47. Read More

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http://dx.doi.org/10.1055/s-0039-1677822DOI Listing
February 2019

Simplified technique for passing the wire in a single time for the treatment of multifragmentary patella fractures.

Acta Ortop Mex 2018 Sep-Oct;32(5):269-273

Hospital of Traumatology, Medical Unit of High Speciality «Dr. Victorio de la Fuente Narváez», IMSS, Mexico City.

Objective: To compare the efficacy and safety of prescription pattern in treatment of multifragmentary patellar fractures in a trauma reference center.

Material And Methods: We conducted a cross-sectional study of patients record with multifragmentary patellar fractures from December 2010 to December 2013, comparing treatments that include tension band wire, simple cerclage, double cerclage to bone-tendon junction and conservative treatment.

Results: With a total of 92 patients, including 60 women (65. Read More

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February 2019

Functional outcomes and quality of life in adult ipsilateral femur and tibia fractures.

J Orthop Translat 2019 Jan 5;16:53-61. Epub 2018 Sep 5.

Department of Orthopedics and Traumatology, Malatya Training and Research Hospital, Malatya, Turkey.

Objective: The aim of our study is to evaluate the functional outcomes and quality of life in adult ipsilateral femur and tibia fractures.

Methods: 26 patients (21 male, 5 female; mean age 30 years, range: 18 to 66) treated for adult ipsilateral femur and tibia fractures were evaluated retrospectively. For femur fractures, intramedullary nails were used in 15 patients (12 antegrade, 3 retrograde), plate in 11 patients (10 locked-plate, and 1 blade-plate with a 95 degree angle). Read More

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http://dx.doi.org/10.1016/j.jot.2018.08.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350037PMC
January 2019
3 Reads

Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture: Treatment with Acute Deformity and External Fixation.

Case Rep Orthop 2019 6;2019:3185286. Epub 2019 Jan 6.

Orlando Health Orthopedic Institute Orthopedic and Sports Medicine Group, Orlando, FL, USA.

Case: A 31-year-old male was involved in a dirt bike accident and sustained an isolated type II open mid-distal tibia fracture. The patient underwent suprapatellar intramedullary nailing and subsequently developed knee sepsis.

Conclusion: This patient was managed with irrigation and debridements of the knee, fracture site, and intramedullary canal. Read More

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http://dx.doi.org/10.1155/2019/3185286DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339744PMC
January 2019

Clinical applications of allografts in foot and ankle surgery.

Knee Surg Sports Traumatol Arthrosc 2019 Feb 5. Epub 2019 Feb 5.

Orthopaedic Department, Centro Hospitalar Póvoa de Varzim, Vila do Conde, Portugal.

Purpose: The purpose of this review is to systematically analyse current literature on the use of allografts in the surgical treatment of foot and ankle disorders in adult patients. Based on this study, we propose evidence-based recommendations.

Methods: The database for PubMed was searched for all published articles. Read More

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http://link.springer.com/10.1007/s00167-019-05362-0
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http://dx.doi.org/10.1007/s00167-019-05362-0DOI Listing
February 2019
2 Reads

Locking plate fixation in pediatric femur fracture: evaluation of the outcomes in our experience.

Acta Biomed 2019 Jan 14;90(1-S):110-115. Epub 2019 Jan 14.

Università Cattolica del Sacro Cuore Roma.

Background And Aim: Femoral shaft fracture is a common traumatic musculoskeletal injures in pediatric population. The treatment of diaphyseal femoral fractures depends on age patient and pattern fracture. We present our record about the use of locking plate fixation and their outcomes. Read More

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http://dx.doi.org/10.23750/abm.v90i1-S.8109DOI Listing
January 2019
1 Read

Development and validation of a finite element model to simulate the opening of a medial opening wedge high tibial osteotomy.

Comput Methods Biomech Biomed Engin 2019 Feb 4:1-8. Epub 2019 Feb 4.

d Lawson Health Research Institute, Department of Mechanical and Materials Engineering , Western University , London , ON , Canada.

Medial opening wedge high tibial osteotomy (MOWHTO) is a surgical procedure intended to alter the coronal and sagittal plane alignment of the lower limb to primarily relieve the symptoms of osteoarthritis in the medial compartment of the knee. The purpose of this work was to develop and validate a finite element model to simulate the opening of a high tibial osteotomy and determine whether a pilot hole at the cortical hinge reduces the risk of lateral cortical fracture. Fifteen models were reconstructed from CT images of eight cadaveric specimens. Read More

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http://dx.doi.org/10.1080/10255842.2018.1563599DOI Listing
February 2019
1 Read

Editorial Commentary: The Anterolateral Ligament Really Exists, Now Show Me How to Find It.

Authors:
David A Pula

Arthroscopy 2019 Feb;35(2):528-529

The anterior lateral complex is commonly associated with anterior cruciate ligament (ACL) injury. This has been evident since the description of the Segond fracture and by the use of lateral extra-articular tenodesis for ACL injury. Although lateral extra-articular tenodesis has been mostly given up owing to a preference for anatomic ACL reconstructions, it is gaining interest as an adjunct to ACL reconstruction. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.11.004DOI Listing
February 2019
1 Read

Anterolateral Ligament of the Knee: Diagnosis, Indications, Technique, Outcomes.

Arthroscopy 2019 Feb;35(2):302-303

Centre Orthopédique Santy, Hôpital Privé Jean Mermoz, Groupe Ramsay Générale de Santé, FIFA Medical Center of Excellence, Lyon, France.

In the context of anterior cruciate ligament reconstruction surgery, anterolateral ligament reconstruction is now recognized as a reliable option to control rotatory instability and should be considered in the knee surgeon's modern armamentarium. By highlighting its daily practical application, this infographic presents the indications for this specific additional lateral augmentation, the anatomic and biomechanical principles that underline its rationale, and the clinical outcomes from recent large series. In 2013, Claes et al. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.08.019DOI Listing
February 2019
1 Read

Magnetic resonance imaging of subchondral insufficiency fractures of the lower limb.

Skeletal Radiol 2019 Jan 31. Epub 2019 Jan 31.

Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.

Subchondral insufficiency fracture (SIF) is a non-traumatic condition that has historically been associated with elderly, osteoporotic women and patients with systemic conditions. There has been much work done to determine the pathogenesis of SIF, which has previously been regarded as idiopathic, rapid-progressive osteoarthritis or osteonecrosis of the hip, spontaneous osteonecrosis of the knee (SONK), osteochondral defect (OCD) of the talus and adult-onset Freiberg infraction of the metatarsal head. Early diagnosis and management are crucial to prevent subchondral collapse, secondary osteonecrosis and early-onset osteoarthritis. Read More

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http://dx.doi.org/10.1007/s00256-019-3160-4DOI Listing
January 2019
1 Read

Primary hydatidosis of distal femur masquerading malignancy -A rare case.

J Clin Orthop Trauma 2019 Jan-Feb;10(1):213-220. Epub 2017 Dec 12.

Dir. Professor, Deptt. of Pathology, Vardhaman Mahavir Medical College And Safdarjung Hospital, New Delhi, India.

Hydatidosis is relatively uncommon entity and it rarely affects bone and joints. A rare case of primary hydatidosis (Echhinococcus granulosus infection) involving the distal femur and the knee joint in a 53 years old female is reported here. This presented as a pathological supracondylar fracture of femur. Read More

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http://dx.doi.org/10.1016/j.jcot.2017.12.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349635PMC
December 2017

CT based management of high energy tibial plateau fractures: A retrospective review of 53 cases.

J Clin Orthop Trauma 2019 Jan-Feb;10(1):201-208. Epub 2017 Nov 21.

JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.

Objectives: The management of high energy tibial plateau fractures is a surgical challenge. Recently described Luo's classification is based on CT scans and is more objective with a better inter-observer agreement as compare to Schatzker and AO/OTA classifications. We describe the functional results of a series of 53 cases classified and managed according to the Luo's column concept. Read More

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http://dx.doi.org/10.1016/j.jcot.2017.11.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349673PMC
November 2017

Unicondylar knee arthroplasty using cobalt-chromium implants in patients with self-reported cutaneous metal hypersensitivity.

Bone Joint J 2019 Feb;101-B(2):227-232

Center for Orthopaedic and Trauma Surgery, University of Heidelberg, Heidelberg, Germany.

Aims: The treatment of patients with allergies to metal in total joint arthroplasty is an ongoing debate. Possibilities include the use of hypoallergenic prostheses, as well as the use of standard cobalt-chromium (CoCr) alloy. This non-designer study was performed to evaluate the clinical outcome and survival rates of unicondylar knee arthroplasty (UKA) using a standard CoCr alloy in patients reporting signs of a hypersensitivity to metal. Read More

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http://dx.doi.org/10.1302/0301-620X.101B2.BJJ-2018-0778.R1DOI Listing
February 2019

Understanding the patellofemoral joint in total knee arthroplasty

Can J Surg 2019 02;62(1):57-65

From the Division of Orthopedic Surgery, London Health Sciences Centre, London, Ont. (Matz, Lanting, Howard).

Total knee arthroplasty (TKA) is one of the most successful procedures in orthopedic surgery. Nevertheless, postoperative patellofemoral complications remain a challenging problem, affecting a substantial proportion of patients. Complications involving the patellofemoral joint (PFJ) can occur in both resurfaced and nonresurfaced patellae. Read More

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http://dx.doi.org/10.1503/cjs.001617DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351265PMC
February 2019
7 Reads

High complication and revision rates after total femoral replacement: a retrospective single center analysis of indication, function, and complication.

Arch Orthop Trauma Surg 2019 Jan 28. Epub 2019 Jan 28.

Trauma Department, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.

Introduction: Total femoral replacement (TFR) is a limb salvage procedure performed for large bony defects. However, it is often associated with major complications and reduced function. Data on limb preservation rates and functional outcomes after TFR are limited. Read More

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http://dx.doi.org/10.1007/s00402-019-03130-wDOI Listing
January 2019
1 Read

A Case Report: Bilateral Patella Stress Fractures in a Collegiate Gymnast.

J Orthop Case Rep 2018 Jul-Aug;8(4):45-48

Department of Orthopaedic Surgery, University of Tennessee College of Medicine Chattanooga, Erlanger Health System, United States.

Introduction: The overuse and repetitive loading of a bone cause a stress fracture, commonly occurring in the weight-bearing structures of the lower extremities of athletes, but rarely the patella. Patella stress fractures are an extremely rare occurrence. Müller first described a patella stress fracture in 1943; however, we could find <15 reported cases in literature since that time. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1154DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343559PMC
January 2019
1 Read

Osteomyelitis of the Calcaneus With Pathologic Fracture.

J Foot Ankle Surg 2019 Jan 23. Epub 2019 Jan 23.

Attending Physician, Geisinger Health System, Danville, PA.

Pathologic fractures of the calcaneus secondary to osteomyelitis (OM) have rarely been reported in the literature. This case series describes 5 patients who were treated in our institution for chronic OM of the calcaneus and subsequently suffered a fracture of the involved calcaneus in the absence of trauma. All 5 patients had a history of insulin-dependent diabetes mellitus and were treated with a range of surgical treatments including open reduction and internal fixation, external fixation, and excision of the fracture fragment. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.016DOI Listing
January 2019
2 Reads

[Patellar tendon ruptures : Internal bracing and augmentation technique].

Oper Orthop Traumatol 2019 Feb 25;31(1):45-55. Epub 2019 Jan 25.

Abteilung für Sportorthopädie, Klinikum rechts der Isar, Ismaninger Str. 22, 81675, München, Deutschland.

Objective: To report a surgical technique for the treatment of patellar tendon ruptures augmented with an internal brace suture tape.

Indications: Acute patellar tendon ruptures, fractures of the distal patellar pole, chronic insufficiency of the patellar tendon or revision surgery for failed repairs.

Contraindications: Severe damage to the surrounding soft tissue. Read More

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http://dx.doi.org/10.1007/s00064-018-0585-1DOI Listing
February 2019

Comparison of intramedullary nailing and plate fixation in distal tibial fractures with metaphyseal damage: a meta-analysis of randomized controlled trials.

J Orthop Surg Res 2019 Jan 25;14(1):30. Epub 2019 Jan 25.

Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277, Jiefang Avenue, Wuhan, 430022, China.

Background: Distal metadiaphyseal tibial fractures are commonly seen lower limb fractures. Intramedullary nail fixation (IMN) and plate internal fixation (PL) are the two mainstay treatments for tibial fractures, but agreement on the best internal fixation for distal tibial fractures is still controversial. This meta-analysis was designed to compare the success of IMN and PL fixations in the treatment of distal metadiaphyseal tibial fractures, in terms of complications and functional recovery. Read More

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http://dx.doi.org/10.1186/s13018-018-1037-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347848PMC
January 2019
2 Reads
1.577 Impact Factor

VIS-IT: Visualizing the Injured Tibia-A Cadaveric Study of Limb Positioning for Posterolateral Tibial Plateau Fracture Visualization.

J Knee Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Surgery, Section of Orthopaedic Surgery, University of Calgary, Health Sciences Center, Northwest Calgary, Alberta, Canada.

Posterolateral tibial plateau (PLTP) fractures are often associated with anterior cruciate ligament (ACL) incompetence, such as tibial eminence fractures. Both occur from a pivot shift like mechanism. Malreductions of the tibial plateau most frequently occur in the posterolateral quadrant. Read More

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http://dx.doi.org/10.1055/s-0038-1676799DOI Listing
January 2019
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Hospital Length of Stay Reduction Over Time and Patient Readmission for Severe Adverse Events Following Surgery.

Ann Surg 2019 Jan 19. Epub 2019 Jan 19.

Health Data Center, Public Health Department, Lyon University Hospital, Lyon, France.

Objective: The aim of the study was to investigate whether patients who undergo surgery in hospitals experiencing significant length of stay (LOS) reductions over time are exposed to a higher risk of severe adverse events in the postoperative period.

Summary Background Data: Surgical care innovation has encouraged hospitals to shorten LOS under financial pressures with uncertain impact on patient outcomes.

Methods: We selected all patients who underwent elective colectomy or urgent hip fracture repair in French hospitals between 2013 and 2016. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003206DOI Listing
January 2019
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Limited value of the column concept in the operative management of posterior column tibial plateau fractures.

Eur J Trauma Emerg Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Trauma Surgery, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.

Introduction: The three-column concept has been proposed as tool in surgical decision-making for treating tibial plateau fractures. Recent studies have underscored the negative effect of posterior column tibial plateau fractures on clinical outcome. The purpose of this study was to assess the value of the three-column concept and posterior plating in posterior column fractures. Read More

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http://dx.doi.org/10.1007/s00068-019-01078-5DOI Listing
January 2019
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The effect of plate design, bridging span, and fracture healing on the performance of high tibial osteotomy plates: An experimental and finite element study.

Bone Joint Res 2018 Dec 4;7(12):639-649. Epub 2019 Jan 4.

Department of Mechanical Engineering, University of Bath, Bath, UK.

Objectives: Opening wedge high tibial osteotomy (HTO) is an established surgical procedure for the treatment of early-stage knee arthritis. Other than infection, the majority of complications are related to mechanical factors - in particular, stimulation of healing at the osteotomy site. This study used finite element (FE) analysis to investigate the effect of plate design and bridging span on interfragmentary movement (IFM) and the influence of fracture healing on plate stress and potential failure. Read More

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http://dx.doi.org/10.1302/2046-3758.712.BJR-2018-0035.R1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318751PMC
December 2018

Immediate arthroscopy following ORIF for tibial plateau fractures provide early diagnosis and treatment of the combined intra-articular pathologies.

Knee Surg Sports Traumatol Arthrosc 2019 Jan 18. Epub 2019 Jan 18.

Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 64, Daeheung-ro, Jung-gu, Daejeon, 34943, Republic of Korea.

Purpose: To evaluate the effectiveness of immediate arthroscopy and clinical outcomes following open reduction and internal fixation (ORIF) of tibial plateau fractures.

Methods: Sixty patients (36 men and 24 women, median age 56 (20-78) years) were divided into Group I (ORIF only: 26 patients, median age 58 (25-78) years) or Group II (ORIF with immediate arthroscopy: 34 patients, median age 55 (20-75) years) in tibial plateau fractures (Schatzker Type II-VI fractures). In the first part of this study, ORIF only was performed without arthroscopic treatment. Read More

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http://link.springer.com/10.1007/s00167-019-05345-1
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http://dx.doi.org/10.1007/s00167-019-05345-1DOI Listing
January 2019
5 Reads

Outcomes of posterior cruciate ligament tibial avulsion treated with staple fixation: stress TELOS X-ray evaluation.

Eur J Orthop Surg Traumatol 2019 Jan 17. Epub 2019 Jan 17.

Knee Unit, Department of Traumatology and Orthopaedic Surgery, University Hospital of Vall d'Hebron, Universitat Autónoma de Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.

Purpose: Tibial-side avulsion injuries of the posterior cruciate ligament are rare injuries. In displaced fracture, the reduction and fixation is the treatment of choice, although the optimal surgical management has not yet been determined. The aim of this study was to evaluate the clinical, functional, and radiological outcome after an open reduction and internal fixation with staples of a posterior cruciate ligament tibial avulsion. Read More

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http://dx.doi.org/10.1007/s00590-019-02371-0DOI Listing
January 2019
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"Multiligamentous" Injuries of the Skeletally Immature Knee: A Case Series and Literature Review.

J Am Acad Orthop Surg Glob Res Rev 2018 Oct 23;2(10):e079. Epub 2018 Oct 23.

Department of Orthopaedic Surgery, UCSD School of Medicine, San Diego, CA (Dr. Badrinath); and Department of Orthopaedic Surgery, NYU School of Medicine, New York, NY (Dr. Carter).

Multiligamentous knee injuries occur rarely in the pediatric population. Few reports are available in the existing literature; furthermore, no longitudinal studies regarding the choice of treatment and long-term outcomes for this unique population have been published. To fill this knowledge gap, the literature on multiligamentous injuries of the knee in the adult population is commonly used as a guideline in clinical decision making for children and adolescents. Read More

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http://dx.doi.org/10.5435/JAAOSGlobal-D-17-00079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324891PMC
October 2018

The role of ADAMTS genes in the end stage of hip osteoarthritis.

Acta Orthop Traumatol Turc 2019 Jan 14. Epub 2019 Jan 14.

Department of Medical Biology, Gazi University Faculty of Medicine, Ankara, Turkey.

Purpose: The aim of this study is to investigate which ADAMTS genes play a major role in the development of primary hip osteoarthritis, by comparing the tissue and blood samples in patients with hip osteoarthritis and a control group.

Material And Methods: Human articular cartilage was obtained from femoral heads of 15 patients with end stage osteoarthritis undergoing total hip replacement. As the control group, the cartilages was obtained from femoral heads of 15 patients, who did not have osteoarthritis or degenerative changes in hip joint, undergoing hip replacement following the fracture of the femoral neck. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1017995X183016
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http://dx.doi.org/10.1016/j.aott.2018.12.007DOI Listing
January 2019
7 Reads

Benign Bone Tumors When They Coexist with Common Orthopaedic Conditions.

J Knee Surg 2019 Jan 16. Epub 2019 Jan 16.

Department of Orthopaedics, University of Miami Hospital, Miami, Florida.

Benign and malignant bone tumors around the knee can be encountered with concomitant orthopaedic disease. As such, it is important to recognize these oncologic processes that may impact or alter the routine treatment of more common orthopaedic processes. Frequently, these rare oncologic conditions are discovered only through the evaluation of acute injuries as in the setting of fractures or sports injuries. Read More

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http://dx.doi.org/10.1055/s-0038-1676566DOI Listing
January 2019