9,933 results match your criteria Fracture Pelvic


Fragility Fractures of the Pelvic Ring - Does the Evidence of Oedema Lead us to More Surgeries?

Z Orthop Unfall 2020 Jul 13. Epub 2020 Jul 13.

Department for Trauma and Orthopaedic, Reconstructive and Septic Surgery, Sports Traumatology, German Military Hospital in Ulm.

Introduction: The choice of therapy for fragility fractures of the pelvis (FFP) is largely determined by the diagnosed fracture morphology. It is now unclear whether the change in diagnostic options - sensitive detection of fracture oedema in the sacrum using MRI and dual-energy computed tomography (DECT) - has an impact on the therapeutic consequences. The aim of this retrospective study was therefore to evaluate the change in the diagnostics used and the resulting therapy regimen in our patient population. Read More

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http://dx.doi.org/10.1055/a-1192-7583DOI Listing

Complication rate, functional outcomes, and risk factors associated with carbon ion radiotherapy for patients with unresectable pelvic bone sarcoma.

Cancer 2020 Jul 13. Epub 2020 Jul 13.

Research Center for Charged Particle Therapy, National Institute of Radiological Sciences, Chiba, Japan.

Background: To the authors' knowledge, carbon ion radiotherapy (CIRT) is one of the few curative treatments for unresectable pelvic bone sarcoma. The current study investigated the complications, functional outcomes, and risk factors of CIRT.

Methods: Of 112 patients who were treated with CIRT for unresectable pelvic bone sarcoma, the authors enrolled 29 patients who were without local disease recurrence or distant metastasis. Read More

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http://dx.doi.org/10.1002/cncr.33082DOI Listing

The Missing Piece: A Subtrochanteric Hip Fracture Presenting with Abdominal Pain: A Case Report.

JBJS Case Connect 2020 Jul-Sep;10(3):e1900192

1Department of Orthopaedic Surgery, Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel.

Case: A 33-year-old man presented with acute abdominal and left hip pain after being struck by a motor vehicle. Radiographs revealed a comminuted left subtrochanteric femoral fracture. Computed tomography demonstrated a large pelvic hematoma and a radiopaque mass in the abdomen. Read More

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http://dx.doi.org/10.2106/JBJS.CC.19.00192DOI Listing

Surgical management of acetabular fractures - A contemporary literature review.

Injury 2020 Jun 24. Epub 2020 Jun 24.

Royal Adelaide Hospital, Orthopaedic Trauma, Adelaide, Australia; The University of Adelaide, Trauma & Orthopaedics, Adelaide, Australia.

Surgical management of acetabular fractures is now commonplace for almost all displaced or unstable fractures. Over the last 20 years however, the patient population has aged, and there have been significant changes to safety in motor vehicles and the work-place, and people's activity types and levels have changed. The surgical specialty has also developed with time, and as a result acetabular fracture surgery today is different to 20 years ago. Read More

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http://dx.doi.org/10.1016/j.injury.2020.06.016DOI Listing

Plate versus sacroiliac screw fixation for treating posterior pelvic ring fracture: a Systematic review and meta-analysis.

Injury 2020 Jul 3. Epub 2020 Jul 3.

Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea. Electronic address:

Background: Whether plate fixation or sacroiliac (SI) screw fixation is the better treatment for posterior pelvic ring disruption is controversial. The aim of this systematic review and meta-analysis was to compare the two fixation methods.

Material And Methods: The MEDLINE, Embase, and Cochrane Library databases were systematically searched for studies comparing plate and SI screw fixations in posterior pelvic ring injuries. Read More

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http://dx.doi.org/10.1016/j.injury.2020.07.003DOI Listing

Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study.

J Orthop Surg Res 2020 Jul 9;15(1):249. Epub 2020 Jul 9.

Trauma & Vascular Surgery, Department of Surgery, Hamad General Hospital, Doha, Qatar.

Background: Traumatic pelvic fracture (TPF) is a significant injury that results from high energy impact and has a high morbidity and mortality.

Purpose: We aimed to describe the epidemiology, incidence, patterns, management, and outcomes of TPF in multinational level 1 trauma centers.

Methods: We conducted a retrospective analysis of all patients with TPF between 2010 and 2016 at two trauma centers in Qatar and Germany. Read More

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http://dx.doi.org/10.1186/s13018-020-01772-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7344030PMC

Resistance of a novel ceramic acetabular cup to critical impact loads.

Proc Inst Mech Eng H 2020 Jul 7:954411920941383. Epub 2020 Jul 7.

MatOrtho Limited, Leatherhead, UK.

A novel thin-walled direct-to-bone fixation ceramic cup was tested under critical impact loads simulating lateral fall and car crash scenarios. Three sizes of BIOLOX delta ceramic cups (total hip replacement cup with bearing diameter of 32 mm and two hip resurfacing cups with bearing diameters of 40 and 64mm) were implanted into reamed Sawbones blocks representing acetabulae. Three cups of each size were fully supported by the block and three were implanted with 15° of the cup's outer diameter unsupported by the block. Read More

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http://dx.doi.org/10.1177/0954411920941383DOI Listing

Predictors of Acute Mortality After Open Pelvic Fracture: Experience From 37 Patients From A Level I Trauma Center.

World J Surg 2020 Jul 6. Epub 2020 Jul 6.

Department of Orthopedic Surgery, Musculoskeletal Research Center, Chang Gung Memorial Hospital and Chang Gung University, 5, Fu-Hsin St. Kweish, 33302, Tao-Yuan, Taiwan.

Background: Open pelvic fractures are caused by high-energy traumas and are accompanied by organ injuries. Despite improvements in pre-hospital care, the acute mortality rate following open pelvic fractures remains high. This study aimed to report experiences in managing open pelvic fractures, identify potential independent predictors that contribute to acute mortality in such patients, and generate a scoring formula to predict mortality rate. Read More

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http://dx.doi.org/10.1007/s00268-020-05675-zDOI Listing

Spectrum of magnetic resonance imaging findings in transplanted multiple myeloma patients with hip/pelvic pain (according to MY-RADS): A single center experience.

Eur J Radiol 2020 Jun 24;130:109154. Epub 2020 Jun 24.

Department of Health Sciences (DISSAL), University of Genoa, Genova, Italy; Department of Radiology, IRCCS San Martino Hospital, Genova, Italy.

Purpose: The aim of our study is to evaluate the spectrum of MRI findings in transplanted Multiple Myeloma (MM) patients with hip/pelvic pain and to correlate these findings with standard prognostic clinical outcomes.

Methods: A retrospective interpretation of the MRI findings of 54 MM patients with hip/pelvic pain were done according to MY-RADS guidelines. MRI findings included: type of bone marrow involvement and incidental findings (osteonecrosis and fractures). Read More

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http://dx.doi.org/10.1016/j.ejrad.2020.109154DOI Listing

Iliosacral screwing under navigation control: Technical note.

Orthop Traumatol Surg Res 2020 Jul 2. Epub 2020 Jul 2.

Service de Chirurgie Orthopédique et Traumatologique, Groupe Hospitalier Paris Saint Joseph, 185, Rue Raymond Losserand, 75014 Paris, France. Electronic address:

Percutaneous iliosacral screw fixation is an essential osteosynthesis technique for pelvic fractures and requires precise imaging tools to assist correct screw placement. 3D imaging coupled to navigation has significantly improved this technique. Several possibilities exist, depending on the instrument set used, with varying degrees of difficulty and very variable risk of error. Read More

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http://dx.doi.org/10.1016/j.otsr.2020.03.024DOI Listing

Pelvic mobility before and after total hip arthroplasty.

Int Orthop 2020 Jul 4. Epub 2020 Jul 4.

Department of Orthopaedic Surgery, Juntendo University, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.

Background: Pre-operative evaluation of pelvic motion using the sacral slope (SS) has been proposed for risk assessment of dislocation after total hip arthroplasty (THA). The purposes of this study were to elucidate the statistical characteristics of pre-operative and post-operative pelvic mobility and investigate the relationship between pre-operative spinopelvic factors and post-operative pelvic mobility.

Methods: Eighty-six patients with osteoarthritis were assessed. Read More

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http://dx.doi.org/10.1007/s00264-020-04688-6DOI Listing

Deep learning evaluation of pelvic radiographs for position, hardware presence, and fracture detection.

Authors:
Gene Kitamura

Eur J Radiol 2020 Jun 21;130:109139. Epub 2020 Jun 21.

University of Pittsburgh. University of Pittsburgh Medical Center (UPMC)Department of Radiology, 200 Lothrop St., UPMC Montefiore, Room NE 538, Pittsburgh, PA 15213, United States. Electronic address:

Purpose: Recent papers have shown the utility of deep learning in detecting hip fractures with pelvic radiographs, but there is a paucity of research utilizing deep learning to detect pelvic and acetabular fractures. Creating deep learning models also requires appropriately labeling x-ray positions and hardware presence. Our purpose is to train and test deep learning models to detect pelvic radiograph position, hardware presence, and pelvic and acetabular fractures in addition to hip fractures. Read More

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http://dx.doi.org/10.1016/j.ejrad.2020.109139DOI Listing

Exercise for people with a fragility fracture of the pelvis or lower limb: a systematic review of interventions evaluated in clinical trials and reporting quality.

BMC Musculoskelet Disord 2020 Jul 4;21(1):435. Epub 2020 Jul 4.

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.

Background: To aid design of exercise trials for people with pelvic and lower limb fragility fractures a systematic review was conducted to identify what types of exercise interventions and mobility outcomes have been assessed, investigate intervention reporting quality, and evaluate risk of bias in published trials.

Methods: Systematic searches of electronic databases (CENTRAL, MEDLINE, EMBASE, PEDro) 1996-2019 were conducted to identify randomised controlled trials of exercise for pelvic or lower limb fragility fractures. Two reviewers independently screened titles and abstracts. Read More

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http://dx.doi.org/10.1186/s12891-020-03361-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7335435PMC

The effect of age and sex on pelvic bone density measured opportunistically in clinical CT scans.

J Orthop Res 2020 Jul 3. Epub 2020 Jul 3.

Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington.

Unstable pelvic ring fractures are severe and complex injuries, and surgical fixation is challenging and can be complicated by early failure due in part to difficulties with securely fixing screws in low-density bone. There is limited information in the literature about how the density distribution across the pelvic bones changes with age and sex. In this study, we used 60 sets of calibrated bone density measurements obtained opportunistically from clinical computed tomography scans of the pelvis. Read More

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http://dx.doi.org/10.1002/jor.24792DOI Listing

Presentation of multiple myeloma occurring in the humerus after strain: a case report.

Authors:
Ebru Yilmaz

Clin Rheumatol 2020 Jul 1. Epub 2020 Jul 1.

Department of Physical Medicine and Rehabilitation, Kocaeli Government Hospital, Gunes Street 41300, Kocaeli, Turkey.

Multiple myeloma (MM) is a malignant tumor originating from plasma cells that synthesize immunoglobulin in an abnormal amount and invade the bone marrow. The presenting symptoms have usually been severe bone pain, osteolytic bone damage and pathologic fractures, hypercalcemia, kidney damage, compromised immune function, and anemia. The patient age is typically over 40, with the majority of the cases diagnosed between ages 50 and 70. Read More

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http://dx.doi.org/10.1007/s10067-020-05256-4DOI Listing

Modified pararectus approach for treatment of atypical acetabular anterior wall fracture: A case report.

World J Clin Cases 2020 Jun;8(12):2634-2640

Department of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China.

Background: Acetabular anterior wall fracture with preservation of the pelvic brim is extremely rare. It is different from anterior wall fracture classified by Judet and Letournel. Few studies have reported cases treated by open reduction and internal fixation the Smith-Petersen or iliofemoral approach. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i12.2634DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322424PMC

Computer navigation-assisted minimally invasive percutaneous screw placement for pelvic fractures.

World J Clin Cases 2020 Jun;8(12):2464-2472

Department of Orthopedics, the Second Hospital of Jilin University, Changchun 130014, Jilin Province, China.

Pelvic fractures are often caused by high-energy injuries and accompanied by hemodynamic instability. Traditional open surgery has a large amount of bleeding, which is not suitable for patients with acute pelvic fracture. Navigation-guided, percutaneous puncture-screw implantation has gradually become a preferred procedure due to its advantages, which include less trauma, faster recovery times, and less bleeding. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i12.2464DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322419PMC

Individual Antidepressants and the Risk of Fractures in Older Adults: A New User Active Comparator Study.

Clin Epidemiol 2020 22;12:667-678. Epub 2020 Jun 22.

Department of Clinical Epidemiology, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.

Objective: To determine the risk of hip-pelvis and other non-vertebral fractures in older adults using antidepressants (ADs).

Methods: We conducted a case-control study nested in a cohort of new users of ADs aged ≥65 years without prior hip-pelvis or other non-vertebral fractures, identified in the German Pharmacoepidemiological Research Database (GePaRD) during 2005-2014. Cases were patients first hospitalized for hip-pelvis or other non-vertebral fractures. Read More

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http://dx.doi.org/10.2147/CLEP.S222888DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319507PMC

Triangular osteosynthesis using an S1 pedicle screw and S2 alar iliac screw for a unilateral vertically-displaced sacral fracture: A case report.

World Neurosurg 2020 Jun 26. Epub 2020 Jun 26.

Department of Orthopaedic Surgery, Ajou University School of Medicine, Suwon, Republic of Korea. Electronic address:

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http://dx.doi.org/10.1016/j.wneu.2020.06.161DOI Listing

Surgical Venous Thromboembolism Prophylaxis: Clinical Practice Update.

Hosp Pract (1995) 2020 Jun 26. Epub 2020 Jun 26.

Division of Hospital Medicine, Henry Ford Hospital , Detroit, Michigan.

Perioperative medicine continues to evolve as new literature emerges. This article provides an update on prevention of venous thromboembolism (VTE) in surgical patients.

Methods: We reviewed articles on VTE prevention in surgical patients published in peer reviewed journals since the publication of 2012 ACCP guidelines on VTE prevention in surgical patients. Read More

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http://dx.doi.org/10.1080/21548331.2020.1788893DOI Listing

Management and retrospective analysis of pelvic ramus tumors and tumor-like lesions: Evaluation with 31 cases.

Jt Dis Relat Surg 2020 26;31(2):184-192. Epub 2020 Mar 26.

Dr. Abdurrahman Yurtaslan Ankara Onkoloji Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, 06200 Yenimahalle, Ankara, Türkiye.

Objectives: This study aims to investigate the characterization, treatment approaches, and follow-up results of tumors and tumor-like lesions located in the pelvic ramus.

Patients And Methods: Thirty-one patients (9 males, 22 females; mean age 48.9 years; range, 7 to 79 years) with benign and malignant tumors or tumor-like lesions in the pelvic ramus region treated and followed-up in our clinic between January 2005 and January 2019 were evaluated retrospectively. Read More

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http://dx.doi.org/10.5606/ehc.2020.72762DOI Listing

Femoral neck fracture detection in X-ray images using deep learning and genetic algorithm approaches.

Jt Dis Relat Surg 2020 26;31(2):175-183. Epub 2020 Mar 26.

Başkent Üniversitesi Adana Turgut Noyan Eğitim ve Araştırma Merkezi Ortopedi ve Travmatoloji Kliniği, 01240 Yüreğir, Adana, Türkiye.

Objectives: This study aims to detect frontal pelvic radiograph femoral neck fracture using deep learning techniques.

Patients And Methods: This retrospective study was conducted between January 2013 and January 2018. A total of 234 frontal pelvic X-ray images collected from 65 patients (32 males, 33 females; mean age 74. Read More

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http://dx.doi.org/10.5606/ehc.2020.72163DOI Listing

Bone Tumors: Primary Bone Cancers.

Authors:
Lukas Keil

FP Essent 2020 Jun;493:22-26

UNC Orthopaedics, 130 Mason Farm Road CB# 7055, Chapel Hill, NC 27599-7055.

The three most common primary bone cancers are osteosarcoma, Ewing sarcoma, and chondrosarcoma. Osteosarcoma occurs most often in children and young adults, with a peak incidence at ages 10 to 14 years. It also can occur later in life due to malignant transformation of benign bone lesions. Read More

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The iliac pillar - Definition of an osseous fixation pathway for internal and external fixation.

Orthop Traumatol Surg Res 2020 Jun 19. Epub 2020 Jun 19.

Department of Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Germany.

Background: Increasing numbers of unstable pelvic ring fractures, due to the ongoing demographic change and improvements in the rescue of high-energy traumatic events, are challenging trauma and orthopedic surgeons. While initial installation of an external fixation device is often necessary, placement of iliac crest pins can be difficult due to the complex osteology of the ilium.

Hypothesis: We aim to analyze (1) the length, localization and angulation of the iliac pillar and (2) to define the dimensions of the surgical corridor for a better understanding of pin entry point and trajectory, thus preventing shortcomings in anterior external fixation of pelvic ring injuries. Read More

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http://dx.doi.org/10.1016/j.otsr.2020.04.009DOI Listing

Internal Fixation of Pauwels Type-3 Undisplaced-incomplete Insufficiency Femoral Neck Fractures with Cephalomedullary Nails.

Hip Pelvis 2020 Jun 15;32(2):105-111. Epub 2020 Jun 15.

Department of Orthopedic Surgery, The Catholic University of Korea, St. Vincent Hospital, Suwon, Korea.

Femoral neck stress fractures are rare and when treating are difficult to achieve favorable outcomes. This study characterizes outcomes associated with the use of cephalomedullary nails for fixation of Pauwels type-3 vertical femoral neck undisplaced-incomplete insufficiency fractures. Four consecutive patients with a Pauwels type-3 vertical femoral neck tensile insufficiency fracture from 2016 to 2018 were reviewed. Read More

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http://dx.doi.org/10.5371/hp.2020.32.2.105DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295618PMC

Sequential Bilateral Hip Fractures in Elderly Patients.

Hip Pelvis 2020 Jun 15;32(2):99-104. Epub 2020 Jun 15.

Department of Orthopedic Surgery, Center for Joint Disease, Chonnam National University Hwasun Hospital, Hwasun, Korea.

Purpose: To evaluate the incidence and presentation of osteoporotic sequential bilateral hip fractures (SBHF) in Center for Joint Disease, Chonnam National University Hwasun Hospital as there are limited studies with variable results reported in Korea.

Materials And Methods: Records of 507 patients aged >60 years old presenting with osteoporotic hip fractures between 2009 and 2015 were retrospectively reviewed to document the occurrence and presentation of sequential hip fractures; mean post-treatment follow-up was 48 months. Additionally, any correlations between sequential fractures and initial fracture and risk factors were assessed. Read More

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http://dx.doi.org/10.5371/hp.2020.32.2.99DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295611PMC

Sleep Disturbance Strongly Related to the Development of Postoperative Delirium in Proximal Femoral Fracture Patients Aged 60 or Older.

Hip Pelvis 2020 Jun 15;32(2):93-98. Epub 2020 Jun 15.

Department of Orthopedic Surgery, Daegu Catholic University Medical Center, Daegu, Korea.

Purpose: Post-fracture sleeping disorders can lead to a deterioration of mental and physical health and delay recovery to pre-fracture status. Here, an analysis was conducted to determine if sleep disturbance is a risk factor for delirium in patients older than 60 years of age with surgically treated proximal femoral fractures.

Materials And Methods: This retrospective study included 316 patients with surgically treated proximal femoral fractures between January 2014 and December 2016; 33 patients were removed from analysis due to exclusion criteria. Read More

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http://dx.doi.org/10.5371/hp.2020.32.2.93DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295614PMC

Early Experience of Direct Anterior Approach Total Hip Arthroplasty: Analysis of the First 53 Cases.

Hip Pelvis 2020 Jun 15;32(2):78-84. Epub 2020 Jun 15.

Department of Orthopaedic Surgery, Kwangju Christian Hospital, Gwangju, Korea.

Purpose: To determine if it is feasible and safe for a surgeon to transition from using the posterolateral approach to direct anterior approach (DAA) by evaluating the first 53 cases of total hip arthroplasty using a DAA.

Materials And Methods: A retrospective review of 52 patients who underwent THA using a DAA between July 2017 and December 2018. Reasons for THA were: femoral neck fracture (n=34), avascular necrosis (n=13), and arthritis (n=6). Read More

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http://dx.doi.org/10.5371/hp.2020.32.2.78DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295612PMC

Assessment of osseous corridor for transiliac-transsacral screws and clinical applications: Computational simulation study.

Orthop Traumatol Surg Res 2020 Jun 18. Epub 2020 Jun 18.

Department of Orthopaedic surgery, Gyeongsang National University, College of Medicine and Gyeongsang National University Changwon hospital, 11, Samjeongja-ro, Seongsan-gu, Changwon-si, Gyeongsangnam-do, 51472, Republic of Korea; Institute of Health Sciences (Medical ICT Convergence Research Centre), Gyeongsang National University, College of Medicine, 816, Beongil 15, Jinju-daero, Jinju-si, 52727, Republic of Korea. Electronic address:

Background: Transiliac-transsacral (TITS) screw fixation might be necessary in some cases involving the vertical shearing injuries with transforaminal fracture and bilateral posterior ring injuries. However, the possibility of S TITS screw should be preoperatively assessed because the pelvic ring injuries with sacral dysmorphism had the insufficient osseous corridors.

Hypothesis: AxW may predict the possibility of TITS screw fixation and be used as the new indicator to discriminate the sacral dysmorphism. Read More

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http://dx.doi.org/10.1016/j.otsr.2020.03.023DOI Listing

Magnetically controlled growing rods in early onset scoliosis: radiological results, outcome, and complications in a series of 22 patients.

Arch Orthop Trauma Surg 2020 Jun 18. Epub 2020 Jun 18.

Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China.

Introduction: Magnetically controlled growing rods (MCGR) for the surgical treatment of early onset scoliosis (EOS) allow non-invasive outpatient based distractions during spinal growth. The purpose of this study is to present the results of a single center case series of 22 patients, evaluate the effect of MCGR treatment on the development of spino-pelvic parameters during growth, and report initial outcomes after end of treatment.

Materials And Methods: Prospectively collected data of 22 EOS patients with MCGR treatment has been analyzed. Read More

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http://dx.doi.org/10.1007/s00402-020-03518-zDOI Listing

Modified Ludloff's medial approach for management of Pipkin's type I femoral head fracture.

Int Orthop 2020 Jun 18. Epub 2020 Jun 18.

Pelvic Trauma and Arthroplasty Unit, Department of Orthopaedics and Traumatology, Kasr-Alainy Hospital, Cairo University, Cairo, Egypt.

Introduction: Numerous approaches were described for the management of Pipkin's type I fracture with no consensus on the "standard of care". The strategic thinking of the ideal access is through the medial approach.

Material And Methods: Using Ferguson intermuscular interval, prospective study was done (January 2014-2019) to evaluate radiological and functional outcomes using HHS and Thompson-Epstein criteria. Read More

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http://dx.doi.org/10.1007/s00264-020-04667-xDOI Listing

High incidence of "in-out-in" posterosuperior screws after cannulated screw fixation of femoral neck fractures.

Eur J Orthop Surg Traumatol 2020 Jun 15. Epub 2020 Jun 15.

Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN, USA.

Introduction: Cadaveric models have demonstrated a high incidence of extraosseous "in-out-in" (IOI) posterosuperior screws after cannulated screw fixation of femoral neck fractures. The purpose of this study was to determine the incidence of IOI screws in vivo and to evaluate their association with osteonecrosis and revision surgery.

Methods: A total of 104 patients with 107 hips with a pelvis computed tomography (CT) scan after cannulated screw fixation of a femoral neck fractures were included. Read More

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http://dx.doi.org/10.1007/s00590-020-02717-zDOI Listing

Interdigitating percutaneous screw fixation for Rommens type IIIa fragility fractures of the pelvis: technical notes and preliminary clinical results.

Int Orthop 2020 Jun 16. Epub 2020 Jun 16.

Department of Orthopaedic Surgery, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8606, Japan.

Purpose: Fragility fractures of the pelvis (FFPs) type IIIa in the Rommens classification include unilateral iliac fractures as well as pubic rami fractures. We devised a new, less-invasive fixation technique to achieve increased stability for FFPs type IIIa. The aim of this study was to describe this procedure and report the preliminary clinical results. Read More

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http://dx.doi.org/10.1007/s00264-020-04664-0DOI Listing

Evaluation of factors affecting survival rate in primary bone sarcomas with extremity and pelvis involvement.

Acta Orthop Traumatol Turc 2020 May;54(3):234-244

Department of Orthopaedic Surgery and Traumatology, Marmara University, School of Medicine, İstanbul, Turkey.

Objective: This study is an evaluation of the overall survival rate and factors affecting survival in patients with osteosarcoma, chondrosarcoma, or Ewing's sarcoma. This study aimed to determine the effect of factors related to the preoperative period, patient, tumor, treatment, and postoperative period on survival.

Methods: A total of 114 patients (64 male and 50 female) with osteosarcoma, chondrosarcoma, or Ewing's sarcoma treated between 2005 and 2013 were included in this study. Read More

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http://dx.doi.org/10.5152/j.aott.2020.03.79DOI Listing

A patient with severe polytrauma with massive pulmonary contusion and hemorrhage successfully treated with multiple treatment modalities: a case report.

J Med Case Rep 2020 Jun 16;14(1):69. Epub 2020 Jun 16.

Department of Trauma Surgery and Surgical Critical Care, Saga University, Faculty of Medicine, 5-1-1 Nabeshima, Saga, 849-8501, Japan.

Background: The mortality rate is very high for patients with severe multiple trauma with massive pulmonary contusion containing intrapulmonary hemorrhage. Multiple treatment modalities are needed not only for a prevention of cardiac arrest and quick hemostasis against multiple injuries, but also for recovery of oxygenation to save the patient's life.

Case Presentation: A 48-year-old Japanese woman fell down stairs that had a height of approximately 4 m. Read More

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http://dx.doi.org/10.1186/s13256-020-02406-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295451PMC

Urethro vaginal injuries associated with pelvic fracture - A spectrum of clinical presentation and management.

J Pediatr Urol 2020 May 21. Epub 2020 May 21.

Department of Paediatric Surgery, Christian Medical College, Vellore, Tamilnadu, 632004, India. Electronic address:

Background: Blunt trauma to the paediatric pelvis is associated with urethral rupture, sometimes even without a bony fracture. While such rupture of the male urethra has received considerable mention, female urethral injury is both less common and has received less attention.

Objective: We describe 4 cases of urethro vaginal injury associated with pelvic fracture, its varied presentations and the modalities employed in its management. Read More

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http://dx.doi.org/10.1016/j.jpurol.2020.05.145DOI Listing

Consequences of spinal ankylosis on bone trabecular fragility assessed on CT scans in patients with ankylosing spondylitis. A retrospective study.

Joint Bone Spine 2020 Jun 10. Epub 2020 Jun 10.

Department of Rheumatology, Nancy University Hospital, 54511 Vandœuvre-lès-Nancy, France; Ingénierie Moléculaire et Physiopathologie Articulaire (IMoPA). UMR 7365 CNRS-University of Lorraine, Nancy, France.

Introduction: Ankylosing spondylitis (AS) patients seems to be at risk of osteoporosis but bone screening is not often performed. The objective was to evaluate the effect of vertebral ankylosis on scanographic bone attenuation coefficient (SBAC) on lumbar vertebrae in AS patients.

Methods: This study included AS patients fulfilling New York criteria who underwent both thoraco-abdomino-pelvic computed tomography and X-rays during routine follow-up. Read More

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http://dx.doi.org/10.1016/j.jbspin.2020.05.009DOI Listing

A new frontier in pelvic fracture pain control in the ED: Successful use of the pericapsular nerve group (PENG) block.

Am J Emerg Med 2020 May 28. Epub 2020 May 28.

Department of Emergency Medicine, Highland Hospital-Alameda Health System, Oakland, CA, United States of America; Department of Emergency Medicine, University of California, San Francisco, San Francisco, CA, United States of America.

The pericapsular nerve group (PENG) block is a novel ultrasound-guided regional anesthesia technique derived from recent anatomic studies detailing the sensory innervation of the hip. Targeting these terminal sensory branches, the PENG block was originally developed as a potentially more effective block for perioperative hip fracture anesthesia, with the added benefit of preserving motor function. Subsequent research with higher volumes of local anesthetic demonstrated the successful utilization of PENG block for perioperative acetabular fractures. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.05.085DOI Listing

Lethal recreational activities involving horses - A Forensic study.

Authors:
Roger W Byard

Leg Med (Tokyo) 2020 Sep 6;46:101728. Epub 2020 Jun 6.

School of Medicine, The University of Adelaide, Frome Road, Adelaide, South Australia, 5005, Australia. Electronic address:

A search was undertaken of the Forensic Science South Australia, Australia, autopsy database over a 25-year period from 1995 to 2019 with the aim of understanding more about the role that recreational horse use not involving racing may have in mortality. Eight cases were found with an age range of 8-73 years (mean 47 years) and a male:female ratio of 5:3. The major category was a fall while riding (N = 7) with the remaining case (N = 1) sustaining a lethal kicking. Read More

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http://dx.doi.org/10.1016/j.legalmed.2020.101728DOI Listing
September 2020

A comparative epidemiologic study of fractures among people in rural and urban areas.

Injury 2020 May 29. Epub 2020 May 29.

Eighth Department, State Key Laboratory of Trauma, Burns and Combined Injuries, Research Institute of Surgery, Daping Hospital, Army Medical University, Chongqing 400042, P.R. China. Electronic address:

Purpose: This study aimed to comparatively analyse the epidemiologic characteristics of fractures among inpatients from rural and urban areas.

Methods: This study retrospectively analysed patients with traumatic fractures of the limbs, pelvis and spine treated in our hospital from January 2017 to December 2017. Patients from rural and urban areas were classified into Group A and Group B, respectively. Read More

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http://dx.doi.org/10.1016/j.injury.2020.05.018DOI Listing
May 2020
2.137 Impact Factor

Risk Factor Analysis of Proximal Junctional Kyphosis after Surgical Treatment of Adult Spinal Deformity with Oblique Lateral Interbody Fusion.

Asian Spine J 2020 Jun 12. Epub 2020 Jun 12.

Department of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

Study Design: A single-center retrospective study.

Purpose: To investigate the prevalence of proximal junctional kyphosis (PJK) and its risk factors after surgical treatment of adult spinal deformity (ASD) with oblique lateral interbody fusion (OLIF).

Overview Of Literature: Correction of ASD using OLIF has been developed because it is less invasive, and enables correction of severe deformities. Read More

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http://dx.doi.org/10.31616/asj.2019.0341DOI Listing

Association of Bariatric Surgery With Risk of Fracture in Patients With Severe Obesity.

JAMA Netw Open 2020 Jun 1;3(6):e207419. Epub 2020 Jun 1.

Department of Surgery, Rush University Medical Center, Chicago, Illinois.

Importance: Given the complex relationship between body mass index, body composition, and bone density and the correlative nature of the studies that have established the prevailing notion that higher body mass indices may be protective against osteopenia and osteoporosis and, therefore, fracture, the absolute risk of fracture in patients with severe obesity who undergo either Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) compared with those who do not undergo bariatric surgery is unknown.

Objective: To assess the rates of fractures associated with obesity and compare rates between those who do not undergo bariatric surgery, those who undergo RYGB, and those who undergo SG.

Design, Setting, And Participants: In this retrospective multicenter cohort study of Medicare Standard Analytic Files derived from Medicare parts A and B records from January 2004 to December 2014, patients classified as eligible for bariatric surgery using the US Centers of Medicare & Medicaid criteria who either did not undergo bariatric surgery or underwent RYGB or SG were exactly matched in a 1:1 fashion based on their age, sex, Elixhauser Comorbidity Index, hypertension, smoking status, nonalcoholic fatty liver disease, hyperlipidemia, type 2 diabetes, osteoporosis, osteoarthritis, and obstructive sleep apnea status. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2020.7419DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287567PMC

Diagnostic accuracy of pubic symphysis ultrasound in the detection of unstable pelvis in polytrauma patients during e-FAST: the value of FAST-PLUS protocol. A preliminary experience.

J Ultrasound 2020 Jun 9. Epub 2020 Jun 9.

Department of Emergency Radiology, S. Camillo Hospital, C.ne Gianicolense, 87, 00152, Rome, Italy.

Background: Extended focused abdominal sonography for trauma (e-FAST) is part of the primary survey in patients with high-energy trauma. However, it does not identify patients with retroperitoneal haemorrhage associated with significant pelvic trauma. A traumatic diastasis of pubic symphysis, as well as an 'open book' (OB) pelvic injury, is a diagnostic clue to recognize unstable pelvis with higher risk of bleeding. Read More

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http://dx.doi.org/10.1007/s40477-020-00483-6DOI Listing

Pelvic Trauma: factors predicting arterial hemorrhage and the role of Angiography and preperitoneal pelvic packing.

Eur Radiol 2020 Jun 9. Epub 2020 Jun 9.

Department of Interventional Radiology, Jackson Memorial Hospital/University of Miami Miller School of Medicine, Miami, FL, USA.

Objectives: (1) To identify the factors predicting arterial extravasation in pelvic trauma and (2) to assess the efficacy of preperitoneal pelvic packing (PPP) in controlling arterial hemorrhage.

Methods: Institutional review board approved the retrospective study of 139 consecutive pelvic trauma patients who underwent angiographic intervention with or without prior PPP between January 2011 and December 2016. Patient demographics and presenting characteristics were recorded. Read More

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http://dx.doi.org/10.1007/s00330-020-06965-9DOI Listing

A Case Series That Supports the Application of the S2AI Technique for Fractures and Failures After Lumbosacral Fusion.

HSS J 2020 Jul 29;16(2):117-125. Epub 2019 Jul 29.

Washington Spine and Scoliosis Institute, Virginia Hospital Center, Arlington, VA USA.

Background: Sacral fractures and failures are uncommon after lumbosacral fusion but have received increasing attention in the surgical literature. They can be difficult to diagnose, making timely treatment difficult. No consensus has been reached on the characteristics of these complications or on optimal treatment. Read More

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http://dx.doi.org/10.1007/s11420-019-09706-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253560PMC

Direct Anterior Approach in Crowe Type III-IV Developmental Dysplasia of the Hip: Surgical Technique and 2 years Follow-up from Southwest China.

Orthop Surg 2020 Jun 8. Epub 2020 Jun 8.

Joint Disease & Sport Medicine Center, Department of Orthopaedics, Xinqiao Hospital, Army Medical University, Chongqing, China.

Objectives: To summarize our pioneering surgical practice and clinical outcome of Crowe type III-IV developmental dysplasia of the hip (DDH) with a direct anterior approach total hip arthroplasty in a single teaching hospital in Southwest China.

Methods: Fourteen patients (15 hips) diagnosed with Crowe type III-IV developmental dysplasia of the hip were involved in this single-center retrospective study between 2016 and 2018. A comprehensive surgical procedure, including preoperative planning and algorithms for leg length equalization, intraoperative stepwise soft tissue release, bone defect reconstruction, and an innovative subtrochanteric osteotomy, was described. Read More

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http://dx.doi.org/10.1111/os.12713DOI Listing

Sacral fractures: issues, challenges, solutions.

EFORT Open Rev 2020 May 5;5(5):299-311. Epub 2020 May 5.

Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK.

Sacral fractures are a heterogeneous group of fractures occurring in young people following road traffic accidents and falls from height, or in the elderly with osteoporosis following trivial trauma.This heterogeneity, combined with the low incidence of sacral fractures, determines a lack of experience amongst physicians, often leading to misdiagnosis, underestimation and inadequate treatment. The diagnosis should be made by assessing specific features during the clinical presentation, while computed tomography (CT) scan continues to be the choice of investigation. Read More

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http://dx.doi.org/10.1302/2058-5241.5.190064DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265089PMC

Pelvic and acetabular fracture management in intravenous drug users.

Arch Orthop Trauma Surg 2020 Jun 7. Epub 2020 Jun 7.

Trauma and Orthopaedics, University Hospitals of North Midlands NHS Trust, Royal Stoke Hospital, Newcastle Road, Stoke-on-Trent, ST4 6QG, UK.

Introduction: Pelvic and acetabular fractures are significant injuries associated with high morbidity or mortality. Intravenous drug users (IVDU) represent a challenging group of patients, with an increased risk of complications and infection. To our knowledge there has not been any published literature concerning IVDU and this type of injuries. Read More

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http://dx.doi.org/10.1007/s00402-020-03499-zDOI Listing

Relationship of the character of rod fractures on outcomes following long thoracolumbar fusion to the sacrum for adult spinal deformity.

Spine J 2020 Jun 2. Epub 2020 Jun 2.

Department of Orthopaedic Surgery, Barnes-Jewish Institute of Health, Washington University in St. Louis, 660 S. Euclid Ave, Campus Box 8233, St. Louis, MO 63110, USA. Electronic address:

Background Context: Rod fractures (RF) and pseudarthrosis are a frequent occurrence after adult spinal deformity (ASD) surgery and may be problematic. However, not all RF signal nonunion and cause clinical concern. An improved understanding of the sequelae after RF occurrence is valuable for further management. Read More

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http://dx.doi.org/10.1016/j.spinee.2020.05.553DOI Listing