13,709 results match your criteria Fracture Knee

Knee Arthrodesis Using a Compression Clamp and a Single-Plane External Fixator to Treat Infection.

Orthop Traumatol Surg Res 2022 May 18:103330. Epub 2022 May 18.

Service de chirurgie orthopédique, hôpital Trousseau, CHRU de Tours, avenue de la République, Chambray-lès-Tours, 37044 Tours cedex 9, France; Faculté de Médecine, Université de Tours, France.

Background: In patients with knee infection, arthrodesis by external fixation is a limb-salvage procedure appropriate in highly selected patients. No hardware that might lead to infection is left in situ. However, the fusion rate is limited. Read More

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Preoperative and perioperative risk factors, and risk score development for prosthetic joint infection due to Staphylococcus aureus: A multinational matched case-control study.

Clin Microbiol Infect 2022 May 18. Epub 2022 May 18.

Unidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Sevilla, Spain; Departamento de Medicina, Universidad de Sevilla / Instituto de Biomedicina de Sevilla, Sevilla, Spain; Centro de Investigación Biomédica en Red en Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain. Electronic address:

Objectives: We aim to identify the preoperative and perioperative risk factors associated with post-surgical Staphylococcus aureus prosthetic joint infections (PJI), and to develop and validate risk-scoring systems, to allow a better identification of high-risk patients for more efficient targeted interventions.

Methods: We performed a multicenter matched case-control study of patients who underwent a primary hip and knee arthroplasty from 2014 to 2016. Two multivariable models by logistic regression were performed, one for the preoperative and one for perioperative variables; also, predictive scores were developed and validated in an external cohort. Read More

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Improved arthroscopic high-strength suture fixation for the treatment of posterior cruciate ligament avulsion fracture.

J Orthop Surg (Hong Kong) 2022 May-Aug;30(2):10225536221101701

Department of Orthopedics, the First Affiliated Hospital of Anhui Medical University, Hefei, People's Republic of China.

To investigate the curative effects of improved non-absorbable high-strength fixation under arthroscopy on posterior cruciate ligament (PCL) avulsion fracture. A retrospective analysis was performed on 16 cases of PCL avulsion fracture in 15 patients who underwent high-strength suture fixation under arthroscopy from December 2017 to November 2019. According to the Meyers-McKeever classification, there were 2 cases of type II and 14 cases of type III. Read More

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The majority of community-dwelling hip fracture patients return to independent living with minor increase in care needs: a prospective cohort study.

Arch Orthop Trauma Surg 2022 May 20. Epub 2022 May 20.

Department of Orthopaedics, University Clinic for Hand, Hip and Knee Surgery, Gødstrup Hospital, Gødstrupvej 43, 7400, Herning, Denmark.

Introduction: Hip fracture patients are fragile, and the majority fail to fully recover to their pre-fracture functional level, resulting in an increase in institutionalization. We aimed to investigate risk factors for being dependent at discharge and for failure to return to independent living 12 months after a hip fracture.

Materials And Methods: From 2011 to 2017, all surgically treated hip fracture patients admitted from their own homes were included in this prospective cohort study. Read More

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Suprapatellar tibial nailing, why have we changed?

Rev Esp Cir Ortop Traumatol 2022 May-Jun;66(3):159-169. Epub 2021 Nov 19.

Departamento de Cirugía Ortopédica y Traumatología, Hospital Clínico San Carlos, Madrid, España; Departamento de Cirugía, Universidad Complutense de Madrid, España.

Introduction: Endomedullary nailing using the infrapatellar approach (IP) is considered the gold standard for the treatment of tibial diaphyseal fractures, however, it has been associated with greater difficulty in reduction and complications such as malalignment in procurvatum and anterior knee pain. The suprapatellar approach (SP) arises as an alternative to solve these aspects, also being associated with a shorter intraoperative time and a lower dose and fluoroscopy time.

Material And Methods: Retrospective comparative study between a group of 22 fractures treated by SP approach and another of 30 fractures intervened by IP transtendinous approach. Read More

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November 2021

The diagnostic performance of ultra-low-dose 320-row detector CT with different reconstruction algorithms on limb joint fractures in the emergency department.

Jpn J Radiol 2022 May 19. Epub 2022 May 19.

Department of Radiology, Zhuhai Hospital, Guangdong Provincial Hospital of Traditional Chinese Medicine, 53 Jingle Road, Zhuhai, Guangdong, China.

Background: The aim of the study was to evaluate whether ultra-low-dose computed tomography (ULD-CT) could replace conventional-dose CT (CD-CT) for diagnosis of acute wrist, ankle, knee, and shoulder fractures in emergency departments (ED).

Methods: We developed CD-CT and ULD-CT scanning schemes for the various joints of the four limbs and scanned emergency patients prospectively. When performing CD-CT, a conventional bone reconstruction algorithm was used, while ULD-CT used both soft tissue and bone algorithms. Read More

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Poor compliance documenting informed consent in trauma patients with distal radius fractures compared to elective total knee arthroplasty.

ANZ J Surg 2022 May 19. Epub 2022 May 19.

Department of Orthopaedic Surgery, Auckland City Hospital, Auckland, New Zealand.

Background: The purpose of this study was (1) to evaluate the adequacy of informed consent documentation in the trauma setting for distal radius fracture surgery compared with the elective setting for total knee arthroplasty (TKA) at a large public hospital and (2) to explore the relevant guidelines in New Zealand relating to consent documentation.

Methods: Consecutive adult patients (≥16 years) undergoing operations for distal radius fractures and elective TKA over a 12-month period in a single-centre were retrospectively identified. All medical records were reviewed for the risks and complications recorded. Read More

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Tibia Tuberosity Fracture and Patellar Tendon Rupture Combination in a Pediatric Patient: Case Report and Narrative Review.

Cureus 2022 Apr 16;14(4):e24182. Epub 2022 Apr 16.

Orthopedics and Traumatology, General Hospital of Patras "Agios Andreas", Patras, GRC.

A combination of tibial tuberosity (TT) fracture (TTF) along with patellar tendon (PT) rupture (PTR) is rare. We report a 15-year-old male who presented to our ED with acute knee pain and an inability to actively extend the knee after jumping during a basketball game. Diagnosis of simultaneous PTR is crucial as it changes clinical management. Read More

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Effects of Surgical Treatment Guided by the Three-Column Classification Method on Knee Joint Function and Postoperative Complications in Patients with Tibial Plateau Fractures.

Comput Intell Neurosci 2022 9;2022:5935102. Epub 2022 May 9.

Luoyang Orthopedic Hospital of Henan Province (Orthopedic Hospital of Henan Province), Luoyang 471002, Henan, China.

Many patients with tibial plateau fractures present with various degrees of soft tissue contusion and severely damaged articular surface, ligament, and vascular nerves, and thus how to treat this kind of patient has become one of the great difficulties in clinical practice. Therefore, we aim to investigate the effects of surgical treatment guided by the three-column classification method on knee joint function and postoperative complications in patients with tibial plateau fractures. A total of 120 patients with three-column tibial plateau fractures admitted to our hospital from January 2018 to January 2019 were selected and divided into group A ( = 60) and group B ( = 60). Read More

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Primary fibular grafting combined with double plating in distal femur fractures in elderly patients.

Int Orthop 2022 May 17. Epub 2022 May 17.

Department of Orthopedic Surgery, Faculty of Medicine, Ain Shams University, 38 Abbassia Square, Next to Al-Nour Mosque, Cairo, Egypt.

Purpose: To report functional and radiological outcomes of using primary fibular graft together with double plating in distal femoral fractures in the elderly.

Methods: A retrospective study on 30 elderly patients with comminuted distal femoral fractures managed by primary fibular grafting and double plating through an anterior midline approach has been conducted. Only isolated distal femoral fractures type 33-A3, 33-C2, and 33-C3 were included. Read More

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Combined Gluteal and Posterior Thigh Compartment Syndrome Without Associated Fracture: A Case Report.

J Clin Med Res 2022 Apr 30;14(4):170-173. Epub 2022 Apr 30.

Department of General Medicine, Saint Helena General Hospital, Jamestown, STHL 1ZZ Saint Helena, South Atlantic Ocean, UK.

Compartment syndrome usually occurs after trauma, fracture, or compression injuries. To the authors' best knowledge, this is the first reported case in the medical literature of a combined gluteal and posterior thigh compartment syndrome after an accidental fall without an associated fracture. A 65-year-old man attended the emergency department of the general hospital in a remote island complaining of a swollen painful thigh. Read More

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Arthroplasty of a Charcot Knee in a Patient With Congenital Insensitivity to Pain.

Cureus 2022 Apr 13;14(4):e24116. Epub 2022 Apr 13.

Orthopedic Surgery, Alnoor Hospital, Makkah, SAU.

Hereditary sensory and autonomic neuropathies (HSANs) include hereditary disorders that cause congenital insensitivity to pain. Moreover, patients diagnosed with such disorders are known to have genetic mutations that alter their deep pain sensation, making them more prone to developing bone and joint complications such as repetitive fractures, joint swelling, and Charcot arthropathy. Neuropathic arthropathy (Charcot joint) is a rare and relatively poorly understood condition; it is suggested to be caused by autonomic dysfunction and repetitive microtrauma and characterized by instability and joint destruction. Read More

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Is the Association between Knee Injury and Knee Osteoarthritis Modified by the Presence of General Joint Hypermobility.

Osteoarthr Cartil Open 2020 Jun 19;2(2). Epub 2020 Feb 19.

Department of Epidemiology, University of North Carolina, Chapel Hill, NC, USA.

Objective: To evaluate whether joint hypermobility modifies the association between knee joint injury and knee osteoarthritis (OA) among adults.

Methods: Data were from three studies: Genetics of Generalized Osteoarthritis (GOGO; N=2,341), Genetics of Osteoarthritis (GO; N=1,872), and the population-based Johnston County Osteoarthritis Project (JoCoOA; N=1,937). Knee injury was defined as a self-report of prior fracture or severe injury to either knee. Read More

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[Treatment of Gustilo-Anderson B type injury of distal femur complicated with bone defect by membrane induction technique].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 May;36(5):609-613

Department of Bone Microsurgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an Shaanxi, 710054, P. R. China.

Objective: To evaluate the effectiveness of membrane induction technique in the treatment of Gustilo-Anderson ⅢB type injury of distal femur complicated with bone defect.

Methods: The clinical data of 20 patients with Gustilo-Anderson ⅢB type injury of distal femur complicated with bone defects admitted between January 2019 and December 2020 were retrospectively analyzed, including 15 males and 5 females, with an average age of 35 years (range, 19-70 years). Causes of injuries included 15 cases of traffic accidents and 5 cases of falling from height. Read More

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Outcomes for a custom-made anchor-like plate combined with cerclage in the treatment of inferior pole patellar fracture.

BMC Musculoskelet Disord 2022 May 14;23(1):452. Epub 2022 May 14.

Department of Orthopaedics and Trauma, Hong Hui Hospital, Xi'an Jiaotong, University College of Medicine, No. 555, East Youyi Road, Xi'an, 710000, Shaanxi, China.

Objective: An inferior pole fracture of the patella requires surgical treatment to restore the knee extension mechanism of the knee joint. Different from other types of patellar fractures, inferior pole fractures are usually comminuted, and other traditional fixation methods, such as tension band wiring, may not meet the fixation needs. We propose fixing inferior pole fractures of the patella with a custom-made anchor-like plate combined with cerclage and report the surgical outcomes. Read More

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Two-level fixation with headless compression screws for tibial plateau fractures.

Eur J Trauma Emerg Surg 2022 May 14. Epub 2022 May 14.

Department of Orthopaedic Surgery, Amsterdam UMC Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.

Purpose: Reduction and fixation of tibial plateau fractures associated with small, "floating" intra-articular fragments proposes a challenge. We use fully threaded headless compression screws for (interfragmentary) fixation of such fragments before final plate fixation when standard fixation of intra-articular fragments with k-wires or lag screws is deemed insufficient. Our aim is to describe our technique and clinical experience of this two-level fixation. Read More

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An Abnormal Presentation of Pediatric Genu Varum, Managed by Bilateral Tibial and Fibular Osteotomies With External Spatial Frame Placement: A Case Report.

Cureus 2022 Apr 8;14(4):e23953. Epub 2022 Apr 8.

Education, Franklin Hospital, Floral Park, USA.

Genu varum is a common finding in the pediatric population with a large differential, including but not limited to Blount's disease, rickets, and physiologic bowing of the legs. Here we report a case of a 12-year-old Caucasian male who presented for an atraumatic stress fracture of the fifth metatarsal after an athletic event. Further evaluation showed significant genu varum with a Q angle of 9 degrees and medial knee joint space narrowing. Read More

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Terminology for osteochondral lesions of the ankle: proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

J ISAKOS 2022 Apr 14;7(2):62-66. Epub 2022 Jan 14.

Department of Orthopaedics, Sahlgrenska University Hospital, Sahlgrenska Academy, Gothenburg University, Göteborg, Sweden.

Background: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle is based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions based on the best available evidence on key topics within cartilage repair of the ankle. The purpose of this article is to report the consensus statements on "terminology for osteochondral lesions of the ankle" developed at the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. Read More

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Outcome of monolateral rail fixator in infected nonunion of femur diaphysis developing after intramedullary fixation.

Eur J Orthop Surg Traumatol 2022 May 11. Epub 2022 May 11.

Homestead High School, 21370 Homestead Rd, Cupertino, CA, 95014, USA.

Introduction: Consensus is lacking regarding management of posttraumatic infected diaphyseal nonunions of femur following intramedullary nailing. Present study reports outcomes of single stage standardised treatment protocol using monolateral rail external fixator/limb reconstruction system in this type of infected diaphyseal femoral nonunions.

Methods: This retrospective study included 26 patients with mean age of 31. Read More

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Open knee dislocation, triple intra-articular fractures and patellar tendon rupture: case report of a knee disaster treated with aggressive irrigation/debridement, early anatomic reduction and internal fixation.

BMC Musculoskelet Disord 2022 May 9;23(1):431. Epub 2022 May 9.

Department of Orthopedic and Trauma Surgery, Joint Reconstruction Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Background: Open knee fracture-dislocation is a rare orthopedic injury. However, the importance of its correct management could not be overstated. To the best of our knowledge, this is the fifth study reporting a case with simultaneous Hoffa fracture and knee dislocation and the 1 study describing a patient with open plateau fracture-dislocation accompanied with Hoffa fracture, patella fracture, and patellar tendon tear. Read More

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Clinical efficacy and safety of surgery combined with 3D printing for tibial plateau fractures: systematic review and meta-analysis.

Ann Transl Med 2022 Apr;10(7):403

Department of Rheumatology and Immunology, The Affiliated Hospital of Southwest Medical University, Luzhou, China.

Background: The aim of the present study was to systematically evaluate the application value and complications of 3D printing technology on Schatzker tibial platform fracture surgery.

Methods: By searching the Cochrane Library, PubMed, Web of Science, Embase, Chinese Biomedical Literature Database (CBM), screening randomized controlled trials (RCTs), and two researchers included the study according to PICOS criteria and performed bias risk assessments. Quality evaluation and data extraction were performed for the included literatures, and meta-analysis was performed for RCTs included at using Review Manager 5. Read More

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Three-dimensional computed tomography mapping and analysis of distal femur fractures (AO/OTA types 33A, 33B, and 33C).

Ann Transl Med 2022 Apr;10(7):398

Department of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Background: Distal femur fractures are complex injuries with a high rate of fracture healing problems. Since the widespread of computed tomographic imaging in the diagnosis of distal femur fractures, many fracture characteristics have been discovered. This study aimed to depict the location and frequency of distal femur fracture lines and further analyze the morphological characteristics using the 3-dimensional computed tomography (CT) mapping technique, thus providing more information to solve this challenging clinical problem. Read More

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The Functional and Radiological Outcome of Hoffa's Fracture Treated With Cannulated Cancellous Screws.

Cureus 2022 Apr 4;14(4):e23829. Epub 2022 Apr 4.

Department of Orthopaedics, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND.

Introduction: Distal femur AO type 33 B fractures consist of partial articular fractures subdivided into three types namely sagittal lateral condyle fracture, medial condyle fracture, and coronal split fracture. Coronal plane fractures of the distal femur are less frequent compared to sagittal plane fractures and are known as Hoffa fractures. The mechanism of injury is usually a direct anteroposterior force to the flexed and abducted knee for lateral condylar fractures and a direct impact on the medial side of the knee in flexion for a medial condylar fracture. Read More

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Use of Traction Table for Reducing Complex Distal Femur Fractures: A Technical Trick.

Cureus 2022 Apr 6;14(4):e23889. Epub 2022 Apr 6.

Trauma and Orthopaedics, Royal Free Hospital, London, GBR.

Complex intra-articular distal femur fractures (AO 3.3.C) present many challenges, especially with regard to patient preparation and approach. Read More

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Clinical outcomes of extended intralesional curettage with cementation without implant augmentation in non-fracture giant cell tumor of bone around the knee.

J Surg Case Rep 2022 Apr 30;2022(4):rjac197. Epub 2022 Apr 30.

Department of Orthopaedics, Khon Kaen Hospital, Khon Kaen, Thailand.

There remains a lack of consensus regarding the necessity of implant augmentation or fixation after intralesional curettage in giant cell tumor of bone (GCTB) around the knee. This study assessed whether cementation alone is effective and safe in GCTB with a non-fracture around the knee. We retrospectively examined clinical data from 14 GCTB patients treated from 2012 to 2022. Read More

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Salter Harris Fracture Type II.

Orthop Rev (Pavia) 2022 6;14(1):32319. Epub 2022 Mar 6.

Emergency Medicine, Lakeland Regional Health Medical Center.

A 14-year-old boy presented to the emergency department with pain and inability to move the right knee after a fall while playing basketball. X-ray findings identified a Salter-Harris type II fracture of the tibial metaphysis with anterior subluxation of the proximal tibia. The case was then transferred to a pediatric orthopedic subspecialist for operative treatment. Read More

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Long-term follow-up of a patient with autosomal dominant lower extremity-predominant spinal muscular atrophy-2 due to a BICD2 variant.

Brain Dev 2022 May 5. Epub 2022 May 5.

Department of Pediatrics and Neonatology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

Introduction: Bicaudal D homolog 2 (BICD2) is a causative gene of autosomal-dominant lower extremity-predominant spinal muscular atrophy-2 (SMA-LED2). The severity of SMA-LED2 varies widely, ranging from cases in which patients are able to walk to cases in which severe joint contractures lead to respiratory failure. In this study, we report the long-term course of a case of SMA-LED2 in comparison with previous reports. Read More

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Comminuted periprosthetic distal femoral fractures have greater postoperative extension malalignment.

Knee 2022 May 5;36:65-71. Epub 2022 May 5.

VCU Health Department of Orthopaedic Surgery, PO Box 980153, Richmond, VA 23298, United States. Electronic address:

Introduction: Comminution is a significant aspect of periprosthetic distal femoral fracture characterization and may influence post-surgical outcomes. Existing classification systems that guide treatment decisions do not take into account comminution and current literature is unclear on which surgical approach is optimal. We hypothesize that fractures with comminution will have poorer quality post-reduction alignment, especially with a lateral approach. Read More

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Automated detection of acute appendicular skeletal fractures in pediatric patients using deep learning.

Skeletal Radiol 2022 May 6. Epub 2022 May 6.

Department of Radiology, Boston University School of Medicine, 820 Harrison Avenue, FGH Building, 3rd Floor, Boston, MA, 02118, USA.

Objective: We aimed to perform an external validation of an existing commercial AI software program (BoneView™) for the detection of acute appendicular fractures in pediatric patients.

Materials And Methods: In our retrospective study, anonymized radiographic exams of extremities, with or without fractures, from pediatric patients (aged 2-21) were included. Three hundred exams (150 with fractures and 150 without fractures) were included, comprising 60 exams per body part (hand/wrist, elbow/upper arm, shoulder/clavicle, foot/ankle, leg/knee). Read More

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The Outcome of Fixing Distal Femur Periprosthetic Fracture around Total Knee Replacement using a Locking Plate Non-Contact Bridging (NCB).

Malays Orthop J 2022 Mar;16(1):46-50

Department of Trauma and Orthopaedics, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.

Introduction: Surgical fixation of peri-prosthetic distal femur fractures around knee replacements poses a challenge, especially in frail patients, with variable outcomes reported in the literature. This study looks at the outcomes of a consecutive series of patients presenting with such fractures and treated by using a locking plate fixation.

Materials And Methods: A total of 21 consecutive patients who were admitted to our trauma unit over 31 months and underwent fixation with the Non-Contact Polyaxial Locking plate system were retrospectively identified and their acute treatment with follow-up outcomes were analysed. Read More

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