9,070 results match your criteria Fracture Pelvic


Does Extracorporeal Irradiation and Reimplantation After Acetabular Resections Result in Adequate Hip Function? A Preliminary Report.

Clin Orthop Relat Res 2018 Sep;476(9):1738-1748

M. G. Agarwal, M. K. Gundavda, R. Reddy Orthopedic Oncology, P. D. Hinduja Hospital and Medical Research Center, Mumbai, India R. Gupta Orthopedic Oncology, Fortis Hospital, Mohali, India.

Background: Pelvic resections are challenging, and reconstruction of the resected acetabulum to restore mobility and stability is even more difficult. Extracorporeal radiation therapy (ECRT or extracorporeal irradiation) of autograft bone and reimplantation allows for a perfect size match and has been used with some success in the extremities. Although the risk of wound complications in pelvic surgery has discouraged surgeons from using ECRT of autografts in that anatomic site, we believe it may be a reasonable option. Read More

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http://dx.doi.org/10.1007/s11999.0000000000000103DOI Listing
September 2018

Are Pasteurized Autografts Durable for Reconstructions After Bone Tumor Resections?

Clin Orthop Relat Res 2018 Sep;476(9):1728-1737

Seung Yong Lee MD, Dae-Geun Jeon MD, Wan Hyeong Cho MD, Won Seok Song MD, Bum Suk Kim MD, Department of Orthopedic Surgery, Korea Cancer Center Hospital, Seoul, Korea.

Background: Pasteurized autograft is regarded as a biologic reconstructive option for managing bone defects after tumor resection; however, reports on long-term outcomes from large patient series are scarce. Contrary to previous favorable reports, we have observed many patients with failures, in particular as the duration of followup increased. Because pasteurized autografts are used in many countries as a reconstruction option, we wished to formally evaluate patients who underwent this approach at one specialty center. Read More

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http://dx.doi.org/10.1007/s11999.0000000000000100DOI Listing
September 2018

Weight Loss-Induced Reduction of Bone Mineral Density in Older Adults with Obesity.

J Nutr Gerontol Geriatr 2019 Feb 22:1-15. Epub 2019 Feb 22.

a Center for Translational Research in Inflammatory Diseases (CTRID) , Michael E DeBakey VA Medical Center , Houston , TX , USA.

Obesity in older adults is a growing public health problem, yet the appropriate treatment remains controversial partly due to evidence that weight loss reduces bone mass and may increase fracture risk. The purpose of this review is to summarize the research to date on the effects of diet-induced weight loss on bone health in obese (body mass index 30 kg/m and above) older (aged 65 years or older) adults. Observational studies have shown that weight loss in this population decreases total hip bone mineral density and increases the risk of frailty fractures (composite of proximal femur, pelvis, and proximal humerus fractures). Read More

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http://dx.doi.org/10.1080/21551197.2018.1564721DOI Listing
February 2019

Analysis of anastomotic urethroplasty for pelvic fracture urethral distraction defect: Decadal experience from a high-volume tertiary care center.

Urol Ann 2019 Jan-Mar;11(1):77-82

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Context: Pelvic fracture urethral distraction defect (PFUDD) may be challenging for the treating urologist. Anastomotic urethroplasty is the established surgical procedure for the treatment of PFUDD. Few studies in literature focus purely on PFUDD, and majority of the studies include anterior urethral stricture as well. Read More

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http://dx.doi.org/10.4103/UA.UA_48_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362775PMC
February 2019

A cost minimization analysis comparing minimally-invasive with open reduction surgical techniques for pelvic ring fracture.

Exp Ther Med 2019 Mar 4;17(3):1802-1812. Epub 2019 Jan 4.

Department of Scientific Research Management, Shanghai General Hospital, Shanghai 200080, P.R. China.

The aim of the present study was to compare the in-hospital direct medical costs of patients with pelvic fracture treated with minimally invasive surgery (MIS) or open reduction and internal fixation (ORIF). A retrospective, single-center, cohort, and comparative study was performed. Administrative information and clinical results, in addition to cost data, were collected and analyzed. Read More

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http://dx.doi.org/10.3892/etm.2019.7151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364252PMC

Osseous cystic echinococcosis. A case series study at a referral unit in Spain.

PLoS Negl Trop Dis 2019 Feb 19;13(2):e0007006. Epub 2019 Feb 19.

National Referral Unit of Tropical Diseases, Infectious Diseases Department, Ramón y Cajal University Hospital, IRICYS, Madrid, Spain.

Background: Cystic echinococcosis (CE) is present in all continents, except for the Antarctica. Characteristically, CE lesions are found in the liver and the lungs, but virtually any part of the body may be affected (the spleen, kidneys, heart, central nervous system, bones, among others). It is estimated that the incidence of bone involvement in CE is 0. Read More

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http://dx.doi.org/10.1371/journal.pntd.0007006DOI Listing
February 2019

Simultaneous fluoroscopic-guided tibial plateau leveling and fracture reduction for the concurrent treatment of chronic cranial cruciate ligament tear and comminuted diaphyseal fracture of the tibia and fibula in a dog.

J Am Vet Med Assoc 2019 Mar;254(5):613-618

CASE DESCRIPTION A 12-year-old obese spayed female American Staffordshire Terrier was admitted for evaluation of acute non-weight-bearing lameness of the right pelvic limb attributed to motor vehicle-related trauma that occurred 2 hours previously. The owners reported a chronic, progressive weight-bearing lameness of the right pelvic limb secondary to a complete cranial cruciate ligament (CrCL) rupture that was diagnosed 6 months previously. They had declined surgery for CrCL repair because of the advanced age of the dog. Read More

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http://dx.doi.org/10.2460/javma.254.5.613DOI Listing

Multi-compartment mesenchymal tissue segmentation in pelvic MRI examinations of women: Anthropomorphic and clinical correlations.

Eur J Radiol 2019 Mar 3;112:37-43. Epub 2019 Jan 3.

Radiology, UT Southwestern Medical Center, Dallas, TX, USA. Electronic address:

Aim: To investigate the reliability of multicompartmental volumetric mesenchymal segmentations on MRI and their correlations with anthropomorphic and clinical parameters.

Materials And Methods: A consecutive series of middle-age (35-50 year old) female volunteers with variable body mass index (BMI) and MRI scans performed as a part of the Dallas Heart Study were included. A semi-automatic segmentation tool was used to partition different mesenchymal tissues- fat, muscle, and bone on MRI of pelvis. Read More

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http://dx.doi.org/10.1016/j.ejrad.2019.01.001DOI Listing

Minimally invasive spinopelvic "crab-shaped fixation" for unstable pelvic ring fractures: technical note and 16 case series.

J Orthop Surg Res 2019 Feb 15;14(1):51. Epub 2019 Feb 15.

Department of Orthopedic Surgery, Nara Medical University, Kashihara, Nara, Japan.

Background: Unstable sacral fractures are high-energy injuries and comprise polytrauma. Internal fixation to enable withstanding vertical loads is required to get up early from the bed after an unstable sacral fracture. We developed a new minimally invasive surgical (MIS) procedure for unstable pelvic ring fractures and reported it in Japanese in 2010. Read More

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http://dx.doi.org/10.1186/s13018-019-1093-1DOI Listing
February 2019

A novel computer navigation method for accurate percutaneous sacroiliac screw implantation: A technical note and literature review.

Medicine (Baltimore) 2019 Feb;98(7):e14548

Department of Orthopedics.

The purpose of this study was to assess the accuracy of percutaneous sacroiliac screw (PSS) placement assisted by screw view model of navigation system for treatment of sacroiliac fractures.Data pertaining to 18 consecutive patients with posterior pelvic ring fracture who received sacroiliac screw fixation between January 2015 and July 2018 at the Second Hospital of Jilin University were retrospectively analyzed. Kirschner wires were placed under the guidance of navigation's screw view mode. Read More

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http://Insights.ovid.com/crossref?an=00005792-201902150-0007
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http://dx.doi.org/10.1097/MD.0000000000014548DOI Listing
February 2019
2 Reads

External fixation of unstable pelvic fractures: a systematic review and meta-analysis.

ANZ J Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Orthopaedic Surgery and MSM, University of Otago, Christchurch, New Zealand.

Background: Unstable pelvic fractures are typically caused by high-impact trauma. Early stabilization is required to prevent further neurological or visceral injury, haemorrhage, reduce pain, infection and long-term deformity and disability. The aim was to review the optimal external fixation techniques and management for unstable pelvic fractures. Read More

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http://dx.doi.org/10.1111/ans.15027DOI Listing
February 2019

MRI findings, metal ion levels and clinical outcome of a complete series of large metal on metal THA: what's really going on?

Hip Int 2018 Nov;28(2_suppl):48-53

2 IRCCS Istituto Ortopedico Galeazzi, Hip Department, Milan, Italy.

Introduction:: Metal-on-metal (MoM) large head total hip arthroplasties (THAs) were discontinued early after their introduction because of the high number of failures due to adverse reaction to metal debris (ARMD). Aim of this study is to report the clinical outcome at a mid-term follow-up (FU) of a series of large-head MoM THA.

Methods:: In this prospective study, 25 hips (24 patients, 3 males, 21 females, mean age 62. Read More

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http://dx.doi.org/10.1177/1120700018813223DOI Listing
November 2018
1 Read

Survivorship and Radiographic Analysis of Highly Porous Acetabular Cups Designed for Improved Osseointegration Potential.

Surg Technol Int 2019 Feb 11;34. Epub 2019 Feb 11.

Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York.

Introduction: A variety of highly porous materials have been used to obtain biological acetabular fixation after total hip arthroplasty (THA). Due to their improved surface-coated properties, new highly porous titanium metal implants have shown potential to promote prosthesis osseointegration. Therefore, the purpose of this multicenter study was to evaluate: 1) overall acetabular cup survivorship; 2) postoperative complications; and 3) radiographic signs of loosening and radiolucencies in patients who received a new highly porous titanium metal cup. Read More

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February 2019
1 Read

Fracture patterns in patients with multiple fractures: the probability of multiple fractures and the most frequently associated regions.

Eur J Trauma Emerg Surg 2019 Feb 12. Epub 2019 Feb 12.

St. Vincent Hospital-Metabolic Bone Diseases Unit, The VINFORCE Study Group, Vienna, Austria.

Introduction: Multiple fractures are of high clinical relevance, as a significant increase in mortality rate has been described. The purpose of this study was to evaluate differences in age and gender distribution in multiple fractures dependent on severity of trauma. Furthermore, affected anatomic regions and frequently associated fracture regions were investigated. Read More

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http://dx.doi.org/10.1007/s00068-019-01087-4DOI Listing
February 2019

The clinical presentation, diagnosis and pathogenesis of symptomatic sports-related femoroacetabular impingement (SRFAI) in a consecutive series of 1021 athletic hips.

Hip Int 2019 Feb 11:1120700018825430. Epub 2019 Feb 11.

1 The Hip and Groin Clinic, UPMC Whitfield, Waterford, Ireland.

Aim:: To examine the pathogenesis and clinical presentation of sports-related femoroacetabular impingement (SRFAI) in a large consecutive series of symptomatic athletes.

Methods:: Between January 2009 and February 2017 prospectively collected data from competitive athletes within the Gaelic Athletic Association (GAA), and who subsequently underwent arthroscopic treatment for symptomatic FAI, were analysed. Data was collected using internationally validated health questionnaires (Harris Hip Score, UCLA, SF-36, WOMAC) and recognised clinical (ROM, symptom presentation, provocation tests) and radiological (AP pelvis, Dunn, False profile) indicators/measures of FAI. Read More

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http://dx.doi.org/10.1177/1120700018825430DOI Listing
February 2019
1 Read

Optimising pelvic fracture stabilisation in obese victims.

J R Army Med Corps 2019 Feb 7. Epub 2019 Feb 7.

School of Population Health, University of Toledo College of Health and Human Services, Toledo, Ohio, USA.

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2019-001178
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http://dx.doi.org/10.1136/jramc-2019-001178DOI Listing
February 2019
4 Reads

Is pelvis x-ray essential in stable trauma patients? Step towards lowering the treatment cost.

J Pak Med Assoc 2019 Mar;69(Suppl 1)(1):S33-S36

Department of Surgery, Aga Khan University, Karachi, Pakistan .

Objective: To determine the diagnostic accuracy of clinical examination in detecting pelvic fractures in patients with blunt trauma..

Methods: The cross-sectional prospective study was conducted at Aga Khan University Hospital, Karachi, from January to June 2015, and comprised alert, awake blunt-trauma patients. Read More

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Adults with cerebral palsy have higher prevalence of fracture compared to adults without cerebral palsy independent of osteoporosis and cardiometabolic diseases.

J Bone Miner Res 2019 Feb 7. Epub 2019 Feb 7.

Department of Physical Medicine and Rehabilitation, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.

Individuals with cerebral palsy (CP) have increased risk of fracture throughout their lifespan due to an underdeveloped musculoskeletal system, excess body fat, diminished mechanical loading, and early development of noncommunicable diseases. However, the epidemiology of fracture among adults with CP is unknown. The purpose of this cross-sectional study was to determine the prevalence of fracture among a large sample of privately-insured adults with CP, as compared to adults without CP. Read More

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http://dx.doi.org/10.1002/jbmr.3694DOI Listing
February 2019
2 Reads

Minimally Invasive Percutaneous Spinopelvic Fixation for Unstable Pelvic Ring Fracture Performed With the Patient in a Lateral Position.

Clin Spine Surg 2019 Feb 5. Epub 2019 Feb 5.

Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.

Spinopelvic fixation provides a strong fixation for unstable pelvic ring fractures. However, the technique is usually performed with the patient in the prone position, with the applied weight on the anterior superior iliac crests aggravating fracture displacement. We developed a novel approach for minimally invasive percutaneous spinopelvic fixation that is performed with the patient in a lateral (side lying) position. Read More

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http://dx.doi.org/10.1097/BSD.0000000000000798DOI Listing
February 2019
1 Read

[The influence of certain factors on the specific features of the injuries inflicted to the children involved in the motor vehicle traffic accidents].

Sud Med Ekspert 2019 ;62(1):4-7

M.I. Raiskiy Department of Forensic Medicine, V.I. Razumovsky Saratov State Medical University, Saratov, Russia, 410012.

The objective of the present study was to elucidate the influence of the age of the child, its location in the passenger compartment of the vehicle, and the application of the safety seat belts on the frequency of the injuries inflicted to the children involved in the motor vehicle traffic accidents. The analysis of the relevant clinical materials has demonstrated the non-uniform influence of the factors being evaluated on the specific features of the injuries to the different parts of the children's body. The age of the child was found to have the most pronounced effect on the character of the injuries. Read More

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http://dx.doi.org/10.17116/sudmed2019620114DOI Listing
January 2019
3 Reads

Incident Fragility Fractures Have a Long-Term Negative Impact on Health-Related Quality of Life of Older People: The Canadian Multicentre Osteoporosis Study.

J Bone Miner Res 2019 Feb 5:e3666. Epub 2019 Feb 5.

Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada.

Although the short-term impact of incident fragility fractures on health-related quality of life (HRQL) of older people has been confirmed, we lack long-term evidence. We explored the impact of incident fragility fractures on HRQL, among people aged 50 years and older, using 10-year prospective data from the Canadian Multicentre Osteoporosis Study (CaMos). This study was based on data from 7753 (2187 men and 5566 women) participants of CaMos. Read More

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http://dx.doi.org/10.1002/jbmr.3666DOI Listing
February 2019
2 Reads

Biomechanical evaluation of location and mode of failure in three screw fixations for a comminuted transforaminal sacral fracture model.

J Orthop Translat 2019 Jan 10;16:102-111. Epub 2018 Jul 10.

Thompson Laboratory for Regenerative Orthopaedics, University of Missouri, Columbia, 1100 Virginia Ave., Columbia, MO 65212, USA.

Background: Pelvic ring-comminuted transforaminal sacral fracture injuries are rotationally and vertically unstable and have a high rate of failure.

Objective: Our study purpose was to use three-dimensional (3D) optical tracking to detect onset location of bone-implant interface failure and measure the distances and angles between screws and line of applied force for correlation to strength of pelvic fracture fixation techniques.

Methods: 3D relative motion across sacral-rami fractures and screws relative to bone was measured with an optical tracking system. Read More

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http://dx.doi.org/10.1016/j.jot.2018.06.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350021PMC
January 2019
1 Read

Hypoalbuminemia is an Independent Risk Factor for 30-Day Mortality, Postoperative Complications, Readmission, and Reoperation in the Operative Lower Extremity Orthopedic Trauma Patient.

J Orthop Trauma 2019 Jan 29. Epub 2019 Jan 29.

Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.

Introduction: Malnutrition, as indicated by hypoalbuminemia, is known to have detrimental effects on outcomes following arthroplasty, geriatric hip fractures, and multiple general surgeries. Hypoalbuminemia has been examined in the critically ill but has largely been ignored in the orthopedic trauma literature. We hypothesized that admission albumin levels would correlate with postoperative course in the non-geriatric lower extremity trauma patient. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001448DOI Listing
January 2019
1 Read

Low rates of complications after spinopelvic fixation with iliac screws in 260 adult patients with a minimum 2-year follow-up.

J Neurosurg Spine 2019 Feb 1:1-9. Epub 2019 Feb 1.

OBJECTIVERecent literature describing complications associated with spinopelvic fixation with iliac screws in adult patients has been limited but has suggested high complication rates. The authors' objective was to report their experience with iliac screw fixation in a large series of patients with a 2-year minimum follow-up.METHODSOf 327 adult patients undergoing spinopelvic fixation with iliac screws at the authors' institution between 2010 and 2015, 260 met the study inclusion criteria (age ≥ 18 years, first-time iliac screw placement, and 2-year minimum follow-up). Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18239DOI Listing
February 2019
1 Read

The intra- and interobserver reliability of the Tile AO, the Young and Burgess, and FFP classifications in pelvic trauma.

Arch Orthop Trauma Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Trauma-, Hand-, and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.

Introduction: Several different systems of classification have been developed to understand the complexity of pelvic ring fractures, to facilitate communication between physicians and to support the selection of appropriate therapeutic measures. The purpose of this study was to measure the inter- and intraobserver reliability of Tile AO, Young and Burgess, and FFP classification in pelvic ring fractures. The Rommens classification system (FFP) is analyzed for the first time. Read More

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http://dx.doi.org/10.1007/s00402-019-03123-9DOI Listing
February 2019

Two-stage management of a spontaneous fracture of the greater trochanter through osteolytic lesions induced by polyethylene wear of a total hip arthroplasty. A case report.

Acta Biomed 2019 Jan 10;90(1-S):177-182. Epub 2019 Jan 10.

Department of Orthopaedic and Trauma Surgery, Integrated University Hospital, Verona.

Pelvic osteolysis induced by particulate debris derived from bearing surfaces is a well-known complication following total hip arthroplasty (THA). Atraumatic fractures of the greater trochanter (GT) associated with osteolytic lesions have been occasionally described. We present a case of a 71-year-old male patient who sustained an undisplaced fracture of the GT nine years following cementless metal-on-polyethylene THA. Read More

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http://dx.doi.org/10.23750/abm.v90i1-S.8086DOI Listing
January 2019
1 Read

Comparative Fracture Risks among US Medicaid Enrollees with and without Systemic Lupus Erythematosus.

Arthritis Rheumatol 2019 Feb 4. Epub 2019 Feb 4.

Division of Rheumatology, Immunology and Allergy, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.

Objective: Poor bone health is common in SLE patients. We evaluated fracture risks among low-income SLE and lupus nephritis patients compared to those without SLE.

Methods: We performed a cohort study within Medicaid 2007-2010, among SLE patients and age- and sex-matched non-SLE comparators. Read More

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http://dx.doi.org/10.1002/art.40818DOI Listing
February 2019
1 Read

Robot-assisted Minimally-invasive Internal Fixation of Pelvic Ring Injuries: A Single-center Experience.

Orthop Surg 2019 Feb 3. Epub 2019 Feb 3.

Department of Traumatic Orthopedics, Affiliated Jinan Third Hospital of Jining Medical University, Jinan, China.

Objective: To investigate the indications, surgical strategy and techniques, safety, and efficacy of robot-assisted minimally-invasive internal fixation of pelvic ring injuries.

Methods: The clinical data of 86 patients with anterior and posterior pelvic ring injuries who underwent robot-assisted minimally-invasive internal fixation were retrospectively analyzed. The patients included 57 men and 29 women aged between 22 and 75 years, with an average age of (40. Read More

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http://dx.doi.org/10.1111/os.12423DOI Listing
February 2019
2 Reads

Effect of initial emergency room imaging choice on time to hip reduction and repeat imaging.

Injury 2019 Jan 23. Epub 2019 Jan 23.

Baylor College of Medicine, Department of Orthopedic Surgery, Houston, TX, United States.

Objectives: Hip dislocations are highly morbid injuries necessitating prompt reduction and post-reduction assessment for fracture and incarcerated fragments. Recent literature has questioned the need for initial pelvic radiographs for acute trauma patients, resulting in computed tomography (CT) scans as the initial evaluation. This study investigates the relationship between choice of pre-reduction imaging and treatment of acute hip dislocations. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.032DOI Listing
January 2019
1 Read

Cementoplasty of pelvic bone metastases: systematic assessment of lesion filling and other factors that could affect the clinical outcomes.

Skeletal Radiol 2019 Feb 2. Epub 2019 Feb 2.

Department of Radiology, Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, Quebec, Canada.

Objectives: To evaluate lesion filling and other factors that could affect the clinical outcomes of cementoplasty for pelvic bone metastases.

Methods: We retrospectively reviewed the files of 40 patients treated for 44 pelvic bone metastases, collected the parameters related to patients (pain relief evaluated on a visual analog scale, subsequent fractures, and need for surgery), lesions (size, cortical breach score, fracture, soft-tissue extension), and cementoplasty procedures (number of needles, volume of cement, percentage of lesion filling, cement leaks, residual acetabular roof defect), and performed a statistical analysis.

Results: The lesions were on average 43. Read More

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http://dx.doi.org/10.1007/s00256-019-3156-0DOI Listing
February 2019
1.743 Impact Factor

Damage control orthopaedics: State of the art.

World J Orthop 2019 Jan 18;10(1):1-13. Epub 2019 Jan 18.

Department of Orthopaedic Surgery and Traumatology, Hospital Costa del Sol, University of Malaga, Marbella 29603, Malaga, Spain.

Damage control orthopaedics (DCO) originally consisted of the provisional immobilisation of long bone - mainly femur - fractures in order to achieve the advantages of early treatment and to minimise the risk of complications, such as major pain, fat embolism, clotting, pathological inflammatory response, severe haemorrhage triggering the lethal triad, and the traumatic effects of major surgery on a patient who is already traumatised (the "second hit" effect). In recent years, new locations have been added to the DCO concept, such as injuries to the pelvis, spine and upper limbs. Nonetheless, this concept has not yet been validated in well-designed prospective studies, and much controversy remains. Read More

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https://www.wjgnet.com/2218-5836/full/v10/i1/1.htm
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http://dx.doi.org/10.5312/wjo.v10.i1.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354106PMC
January 2019
6 Reads

The 'John Thomas' sign and pelvic fractures-Fact or humorous myth?: A systematic review and meta-analysis.

J Clin Orthop Trauma 2019 Jan-Feb;10(1):161-166. Epub 2017 Oct 24.

The Division of Urology, Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Objectives: An incidental and sometimes humorous finding on an Antero-Posterior (AP) pelvis X-ray view is that of the John Thomas Sign (JTS), which is defined as positive, when the penile shadow points towards the side of a hip or pelvic fracture in male patients. Despite previous research reports and studies performed on the JTS sign, uncertainty with regards to its clinical relevance still remains. The objective of this review was to assess the clinical validity and accuracy of this sign by performing a systematic review and meta-analysis. Read More

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http://dx.doi.org/10.1016/j.jcot.2017.10.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349582PMC
October 2017
3 Reads

Exercise for preventing falls in older people living in the community.

Cochrane Database Syst Rev 2019 Jan 31;1:CD012424. Epub 2019 Jan 31.

Institute for Musculoskeletal Health, School of Public Health, Faculty of Medicine and Health, The University of Sydney, PO Box 179, Missenden Road, Sydney, NSW, Australia, 2050.

Background: At least one-third of community-dwelling people over 65 years of age fall each year. Exercises that target balance, gait and muscle strength have been found to prevent falls in these people. An up-to-date synthesis of the evidence is important given the major long-term consequences associated with falls and fall-related injuries OBJECTIVES: To assess the effects (benefits and harms) of exercise interventions for preventing falls in older people living in the community. Read More

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http://dx.doi.org/10.1002/14651858.CD012424.pub2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360922PMC
January 2019
2 Reads

Is pelvis x-ray essential in stable trauma patients? Step towards lowering the treatment cost.

J Pak Med Assoc 2019 Mar;69(Suppl 1)(1):S33-S36

Department of Surgery, Aga Khan University, Karachi, Pakistan .

Objective: To determine the diagnostic accuracy of clinical examination in detecting pelvic fractures in patients with blunt trauma..

Methods: The cross-sectional prospective study was conducted at Aga Khan University Hospital, Karachi, from January to June 2015, and comprised alert, awake blunt-trauma patients. Read More

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Controlled Pedicle Subtraction Osteotomy Site Closure Using Flexible Hinge-Powered Operating Table.

Oper Neurosurg (Hagerstown) 2019 Jan 23. Epub 2019 Jan 23.

Department of Neurosurgery, University of Minnesota, Minneapolis, Minnesota.

Background And Importance: Pedicle subtraction osteotomy (PSO) is a 3-column osteotomy used to correct rigid, large magnitude sagittal spinal deformity. PSO is an inherently destabilizing procedure intraoperatively, with high risk of neurological deficits from vertebral body subluxation or translation during osteotomy closure. Traditionally, PSO closure has been performed utilizing compression or cantilevering forces across adjacent level instrumentation. Read More

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http://dx.doi.org/10.1093/ons/opy397DOI Listing
January 2019
2 Reads

Combined Pelvic Ring Disruption and Acetabular Fracture: Outcomes Using a Sequential Reduction Protocol and an Anterior Subcutaneous Pelvic Fixator (INFIX).

J Orthop Trauma 2019 Feb;33 Suppl 2:S66-S71

Detroit Medical Center, Michigan State University, Detroit, MI.

Objective: The purposes of this article were to (1) compare our combined pelvic ring and acetabular fracture patients' rate of mortality and Injury Severity Score (ISS) to those of patients with isolated injuries at our center and to those with combined injuries as reported in the literature, (2) describe our treatment algorithm using the INFIX for these combination injuries, and (3) report our patients' radiographic and functional outcomes.

Design: Retrospective IRB-approved case series and literature review.

Setting: US Level 1 Trauma Center. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001416DOI Listing
February 2019
1 Read

Current Trends in the Surgical Treatment of Open-Book Pelvic Ring Injuries: An International Survey Among Experienced Trauma Surgeons.

J Orthop Trauma 2019 Feb;33 Suppl 2:S61-S65

AO Clinical Investigation and Documentation, AO Foundation, Duebendorf, Switzerland.

Introduction: In the open-book, rotationally unstable (OTA/AO type 61-B1.1) pelvic ring injury, the posterior sacroiliac complex is believed to remain intact. Therefore, anterior ring stabilization alone has been the standard treatment recommendation. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001411DOI Listing
February 2019

Do We Need a Separate Classification for Fragility Fractures of the Pelvis?

J Orthop Trauma 2019 Feb;33 Suppl 2:S55-S60

Department for Traumatology and Orthopaedics, Westpfalz-Clinic Kaiserslautern, Kaiserslautern, Germany.

Fragility fractures of the pelvis are occurring with increasing frequency. These fractures, occurring in the geriatric patient population, are low-energy injuries and are dissimilar in many ways from those caused by high-energy trauma. For example, the mechanism of injury is different and emergency treatment is usually not necessary. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001402DOI Listing
February 2019

Improved Intraoperative Fluoroscopy for Pelvic and Acetabular Surgery.

J Orthop Trauma 2019 Feb;33 Suppl 2:S37-S42

Department of Orthopaedic Surgery, UT Health McGovern Medical School, Houston, TX.

Over the past 3 decades, the evolution of pelvic and acetabular surgery has been supported by the advances in intraoperative pelvic fluoroscopic imaging technology. The new Ziehm RFD 3D C-arm unit provides routine fluoroscopic pelvic imaging but also offers rapid and high-quality real-time axial, sagittal, and coronal intraoperative imaging. This technology allows the surgeon to accurately assess fracture reduction, loose body removal, and implant locations while the patient is still under anesthesia. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001403DOI Listing
February 2019

The Role of the Computed Tomographic Scan in the Diagnosis of Acetabular Fracture in the Immature Pelvis.

J Orthop Trauma 2019 Feb;33 Suppl 2:S32-S36

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

Objectives: We present a series of skeletally immature patients sustaining acetabular fractures. We hypothesized that if the secondary ossification centers of the acetabulum are not completely ossified, fractures often will not be identified on plain radiography. Our objective was to determine the efficacy of diagnostic plain radiography in these patients. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001414DOI Listing
February 2019
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Geriatric Acetabular Surgery: Letournel's Contraindications Then and Now-Data From the German Pelvic Registry.

J Orthop Trauma 2019 Feb;33 Suppl 2:S8-S13

Department of Trauma, Hand and Reconstructive Surgery, Saarland University, Homburg, Germany.

Objective: In his original series of 129 surgically treated acetabular fractures, Letournel did not operate on patients older than 60 years. Almost 30 years later, he still emphasized that no patients with reduced bone quality should be operated on. The aim of the study was to analyze epidemiologic characteristics and treatment modes for today's cohort of elderly patients with acetabular fractures. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001406DOI Listing
February 2019
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Long-Term Patient-Reported Functional Outcome of Polytraumatized Patients With Operatively Treated Pelvic Fractures.

J Orthop Trauma 2019 Feb;33(2):64-70

Department of Pelvic and Acetabular Surgery, Southmead Hospital, North Bristol NHS Trust, Bristol, United Kingdom.

Objectives: To report the long-term functional outcome of a cohort of patients with operatively treated unstable pelvic fractures using validated patient-reported outcome measures.

Design: Long-term observational study using prospective and retrospective data.

Setting: Tertiary referral pelvic trauma center, Bristol, United Kingdom. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001355DOI Listing
February 2019

An Unusual Presentation of Hip Pain in a Patient with Known Hyper-IgE Syndrome and Multiple Calcified Pelvic Apophyses.

J Orthop Case Rep 2018 Jul-Aug;8(4):89-92

Department of Trauma and Orthopaedics, Heart of England NHS Trust, UK.

Introduction: Hyper-IgE syndrome (HIES) is a relatively rare condition which, from childhood, renders patients susceptible to infection. Typically patients with HIES can develop various orthopaedic manifestations of this disease, namely scoliosis, pathological fractures, osteoporosis, and potentially septic arthritis.

Case Report: We present the case of WJ, a 44-year old patient with known HIES(since the age of 11) and a 7-week history of left hip pain. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1176DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343551PMC
January 2019
1 Read

Development and validation of a new simplified anatomic trauma mortality score.

Injury 2019 Jan 17. Epub 2019 Jan 17.

Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, Malaysia. Electronic address:

Background: Most trauma mortality prediction scores are complex in nature. GAP (Glasgow Coma Scale, Age, Systolic blood pressure) and mGAP (mechanism, Glasgow Coma Scale, Age, Systolic blood pressure) scores are relatively simple scoring tools. However, these scores were not validated in low and middle income countries including Malaysia and its accuracies are influenced by the fluctuating physiologic parameters. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.027DOI Listing
January 2019

Strategies for the management of hemodynamically unstable pelvic fractures: From preperitoneal pelvic packing to definitive internal fixation.

Asian J Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Orthopedic Surgery, Ajou University School of Medicine, Suwon, South Korea. Electronic address:

Background/objective: Preperitoneal pelvic packing is useful, and favorable treatment outcomes have been reported. However, the timing of subsequent internal fixation of the pelvis is still debatable. We report the outcomes of a study on patients that underwent internal fixation after preperitoneal packing. Read More

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http://dx.doi.org/10.1016/j.asjsur.2019.01.004DOI Listing
January 2019
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Possible role for glucagon in the control of Paget's disease of bone.

Authors:
John Rhys Condon

Postgrad Med J 2019 Jan 25. Epub 2019 Jan 25.

Department of Medicine, Greenwich University Hospital, London SE19 3PS, UK

Paget's disease of bone is characterised by overactive osteoclasts that resorb bone at a higher rate than normal. Osteoblasts attempt to repair the damage by laying down new bone which in turn is resorbed leaving a chaotic pattern of lytic and dense sclerotic bone behind. Deformed bone enlarges, becomes vascularised, bends and fractures. Read More

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http://dx.doi.org/10.1136/postgradmedj-2018-136193DOI Listing
January 2019
6 Reads

Using the Starr Frame and Da Vinci surgery system for pelvic fracture and sacral nerve injury.

J Orthop Surg Res 2019 Jan 25;14(1):29. Epub 2019 Jan 25.

Department of Orthopaedic Surgery, General Hospital of Chinese People's Liberation Army, 28 Fu-Xing Road, Beijing, 100853, People's Republic of China.

Background: Sacral fracture and sacral nerve injury remain problems in orthopedics, especially in a sacral fracture combined with an anterior sacral nerve injury. Treating a sacral nerve injury with open reduction neurolysis or more conservative treatment cannot meet the clinical needs. Open reduction sacral nerve neurolysis will increase the number of severe, life-threatening injuries, regardless of whether the anterior or posterior approach is used. Read More

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http://dx.doi.org/10.1186/s13018-018-1040-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347760PMC
January 2019
1 Read
1.577 Impact Factor

Screw fixation of ACPHT acetabular fractures offers sufficient biomechanical stability when compared to standard buttress plate fixation.

BMC Musculoskelet Disord 2019 Jan 24;20(1):39. Epub 2019 Jan 24.

Department of Trauma, University Hospital Zurich, Zurich, Switzerland.

Background: Geriatric acetabular fractures require fixation with sufficient primary stability to allow for immediate full-weight bearing. Minimally-invasive procedures would be desirable in order to keep perioperative morbidity low. The purpose of this study was to compare the biomechanical strength of lag screw-only fixation of anterior column posterior hemi-transverse (ACPHT) acetabular fractures to standard anatomical plate fixation. Read More

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http://dx.doi.org/10.1186/s12891-019-2422-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346571PMC
January 2019
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Variability in pelvic packing practices for hemodynamically unstable pelvic fractures at US level 1 trauma centers.

Patient Saf Surg 2019 16;13. Epub 2019 Jan 16.

4Swedish Medical Center, 501 E Hampden Ave, Englewood, CO 80113 USA.

Background: Mortality from hemodynamically unstable pelvic fractures remains high. Guidelines offer varying care approaches including the use of pelvic packing (PP), which was recently adopted for potential control of bleeding for this condition. However, the implementation of PP is uncertain as the debate on the optimal resuscitation strategy, angioembolization or PP continues. Read More

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https://pssjournal.biomedcentral.com/articles/10.1186/s13037
Publisher Site
http://dx.doi.org/10.1186/s13037-019-0183-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334446PMC
January 2019
2 Reads

[3D image enhancer-adjusted percutaneous triangular stabilization of geriatric pelvic ring fractures : Operation technique and indications].

Unfallchirurg 2019 Jan 23. Epub 2019 Jan 23.

Klinik für Wirbelsäulenchirurgie, Helios Park-Klinikum Leipzig, Akademisches Lehrkrankenhaus der Universität Leipzig, Strümpellstr. 41, 04289, Leipzig, Deutschland.

The 3D image enhancer-adjusted percutaneous triangular stabilization of geriatric pelvic ring fractures avoids implant-associated perioperative complications. Displaced fractures of the posterior pelvic ring require stable instrumentation to enable solid bony fusion in a balanced alignment and to control the risk of neurological and vascular damage. This is mandatory in high-energy injuries in young patients and especially in low-energy injuries of geriatric patients. Read More

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http://dx.doi.org/10.1007/s00113-019-0606-zDOI Listing
January 2019
3 Reads