10,644 results match your criteria Fracture Pelvic


Military Service Members with Major Lower Extremity Fractures Return to Running with a Passive-dynamic Ankle-foot Orthosis: Comparison with a Normative Population.

Clin Orthop Relat Res 2021 Jun 24. Epub 2021 Jun 24.

Department of Orthopedic Surgery, Scripps Mercy Hospital, San Diego, CA, USA.

Background: Lower extremity fractures represent a high percentage of reported injuries in the United States military and can devastate a service member's career. A passive dynamic ankle-foot orthosis (PD-AFO) with a specialized rehabilitation program was initially designed to treat military service members after complex battlefield lower extremity injuries, returning a select group of motivated individuals back to running. For high-demand users of the PD-AFO, the spatiotemporal gait parameters, agility, and quality of life is not fully understood with respect to uninjured runners. Read More

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Utility of 3-Dimensional Intraoperative Imaging in Pelvic and Acetabular Fractures: A Network Meta-Analysis.

JBJS Rev 2021 Jun 24;9(6). Epub 2021 Jun 24.

Department of Orthopaedic Surgery & Rehabilitation, Texas Tech University Health Sciences Center El Paso, El Paso, Texas.

Background: Successful surgical management of pelvic ring and acetabular fractures requires technical expertise to achieve an accurate reduction and stable fixation. The use of 3-dimensional (3D) intraoperative imaging (3DIOI) as an assessment tool has led to improved reduction and placement of implants. The purpose of this study was to assess the utility of using 3DIOI in the management of acetabular and pelvic fractures on the basis of outcomes reported in the literature. Read More

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The Effect of Sacroiliac Fusion and Pelvic Fixation on Rod Strain in Thoracolumbar Fusion Constructs: A Biomechanical Investigation.

Spine (Phila Pa 1976) 2021 Jul;46(14):E769-E775

Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD.

Study Design: In vitro biomechanical study.

Objective: Investigate effects of sacroiliac joint (SIJ) fusion and iliac fixation on distal rod strain in thoracolumbar fusions.

Summary Of Background Data: Instrument failure is a multifactorial, challenging problem frequently encountered by spinal surgeons. Read More

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Sexual function following pelvic fracture urethral injury and posterior urethroplasty.

Transl Androl Urol 2021 May;10(5):2043-2050

University of Utah, Salt Lake City, UT, USA.

Background: To evaluate erectile and sexual function after pelvic fracture urethral injury (PFUI) by performing a retrospective review of a large multi-center database. We hypothesized that most men will have erectile dysfunction (ED) and poor sexual function following PFUI, which will remain after posterior urethroplasty.

Methods: Using the Trauma and Urologic Reconstructive Networks of Surgeons (TURNS) database, we identified PFUI patients undergoing posterior urethroplasty. Read More

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Relationships Between Spinal Alignment and Muscle Mass in Osteoporosis Patients Over 75 Years of Age Who Were Independent and Maintained Their Activities of Daily Living.

Cureus 2021 May 19;13(5):e15130. Epub 2021 May 19.

Orthopaedic Surgery, Kitasato University, Sagamihara, JPN.

Introduction Elderly patients with osteoporosis often complain of back pain associated with pathological vertebral fractures caused by abnormal spinal alignment. Few reports evaluate the relationships among muscle mass, bone mineral density (BMD), sagittal spinal alignment, and low back pain. We hypothesized that decreasing muscle mass in elderly patients with osteoporosis could cause spinal alignment abnormalities. Read More

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Does surgical treatment for unstable fragility fracture of the pelvis promote early mobilization and improve survival rate and postoperative clinical function?

Eur J Trauma Emerg Surg 2021 Jun 22. Epub 2021 Jun 22.

Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Purpose: This retrospective multicenter study aimed to compare rates of early mobilization and survival and functional outcome of surgical treatment (S) with that of conservative treatment (C) according to each unstable fragility fracture of the pelvis (FFP) classification type with displacement of the posterior component ≥ 5 mm.

Methods: We analyzed 64 patients with unstable type III and IV FFP who could move and transfer themselves before injury and had ≥ 5 mm displacement of the posterior component. We compared survival rate, early mobilization, walking ability at final follow-up, and complications at admission for each type of surgical and conservative treatment. Read More

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Evaluation of pelvic circular compression devices in severely injured trauma patients with pelvic fractures.

Prehosp Emerg Care 2021 Jun 21:1-12. Epub 2021 Jun 21.

Department of Trauma and Orthopedic Surgery, University Medical Center, Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.

The role of pelvic circumferential compression devices (PCCD) is to temporarily stabilize the pelvic ring, reduce its volume and to tamponade bleeding. The purpose of this study was to evaluate the effect of PCCDs on mortality and bleeding in severely injured trauma patients, using a large registry database. We performed a retrospective analysis of all patients registered in the Trauma Register DGU® between 2015 and 2016. Read More

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Stercoral colitis due to massive fecal impaction: a case report and literature review.

Radiol Case Rep 2021 Aug 8;16(8):1946-1950. Epub 2021 Jun 8.

Associate Professor of Radiology, Department of Radiology, Kabul University of Medical Sciences, Kabul, Afghanistan.

Stercoral colitis is a rare inflammatory condition involving the large bowel wall secondary to fecal impaction. Stercoral colitis has a clinical course ranging from non-complicated fecaloid impaction to colonic perforation. This case report aims to give a brief review of this condition and discuss its imaging findings. Read More

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Study of hemodynamic instability due to intrapelvic hemorrhage as a consequence of ilioischiopubian branch fractures in geriatric patients.

Rev Esp Cir Ortop Traumatol 2021 Jun 18. Epub 2021 Jun 18.

Hospital Universitario Central de Asturias, Oviedo, Asturias, España.

Introduction: Pelvic branch fractures are a common feature in old people which are usually treated conservatively. Massive hemorrhage is a strange complication that can compromise the patient's life. The objective of this study is to determine the incidence and possible risk factors of massive arterial injury in fractures of pelvic branches due to low energy trauma in patients over 65 years old. Read More

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Exploring partial intrinsic and extrinsic symmetry in 3D medical imaging.

Med Image Anal 2021 Jun 3;72:102127. Epub 2021 Jun 3.

Department of Computer Science, Johns Hopkins University, Baltimore, MD, USA; Laboratory for Computer Aided Medical Procedures, Technical University of Munich, Munich, Germany.

We present a novel methodology to detect imperfect bilateral symmetry in CT of human anatomy. In this paper, the structurally symmetric nature of the pelvic bone is explored and is used to provide interventional image augmentation for treatment of unilateral fractures in patients with traumatic injuries. The mathematical basis of our solution is based on the incorporation of attributes and characteristics that satisfy the properties of intrinsic and extrinsic symmetry and are robust to outliers. Read More

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A novel nomogram for the delayed transperineal anastomotic urethroplasty based on relative position between the proximal urethra and the pubic ramus in pelvic fracture injury patients: a retrospective analysis.

World J Urol 2021 Jun 19. Epub 2021 Jun 19.

Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan, People's Republic of China.

Purpose: Many reconstructive urologists have observed that higher urethra injuries lead to potentially less successful repairs. This article introduces a novel prognostic factor for pelvic fracture caused urethral injury (PFUI) to predict stricture recurrence after delayed transperineal anastomotic urethroplasty (TAU) patients with PFUI based on urethra injury locations.

Materials And Methods: Patients who underwent suprapubic cystostomy tube placement and delayed TAU for PFUI by a single surgeon between 2009 and 2018 were screened. Read More

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[Digital study of the ideal position of lag screw internal fixation in the anterior column of the acetabulum].

Authors:
Yazhi Bai Qiang Liu

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Jun;35(6):684-689

Department of Orthopedics, Shanxi Bethune Hospital, Taiyuan Shanxi, 030032, P.R.China.

Objective: To find the ideal position of lag screw internal fixation in the anterior column of acetabulum by digital technology, and measure its related parameters, so as to improve the accuracy of lag screw implantation.

Methods: The CT scan data of 266 semi-pelvic raw in 133 cases (78 males and 55 females, aged 18-65 years old with an average age of 42 years) were collected between January 2019 and January 2020 to compose three-dimensional models. According to the relationship between the peripheral bone cortex of the anatomical channel and the lag screw, a new standard for the ideal position of lag screw fixation in the anterior column of acetabulum was proposed to simulate the implantation of the screw. Read More

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Whole Body PMHS Response in Injurious Experimental Accelerative Loading Events.

Ann Biomed Eng 2021 Jun 17. Epub 2021 Jun 17.

Johns Hopkins Applied Physics Lab, Laurel, MD, USA.

Previous studies involving whole-body post-mortem human surrogates (PHMS) have generated biomechanical response specifications for physically simulated accelerative loading intended to reproduce seat and floor velocity histories occurring in under-body blast (UBB) events (e.g.,. Read More

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Old unreduced obturator dislocation of the hip: A case report.

World J Clin Cases 2021 Jun;9(16):3979-3987

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

Background: Obturator dislocation is a rare type of hip dislocation, accounting for about 2%-5% of all hip dislocations. The occurrence of old unreduced obturator dislocation is even more infrequent, with only 17 cases reported in nine studies, most of which were from the 1950s to 1980s in developing countries.

Case Summary: A 38-year-old woman from Hunan Province, China presented with stiffness of the left hip in abduction, flexion, and external rotation after falling from a 2-meter-tall tree onto her left knee 1. Read More

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Drug-induced Hyperprolactinemia Results in Atypical Atypical Fracture.

Hip Pelvis 2021 Jun 4;33(2):102-107. Epub 2021 Jun 4.

Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

We report a case of bilateral femur fracture which may have resulted in part from long-term administration of antipsychotic agents. A 43-year-old female patient with pain in both thighs visited our clinic. We conducted X-ray and magnetic resonance imaging (MRI) examinations which revealed bilateral femur fractures. Read More

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Relationships between Femoral Offset Change and Clinical Score following Bipolar Hip Arthroplasty in Femoral Neck Fractures.

Hip Pelvis 2021 Jun 4;33(2):78-86. Epub 2021 Jun 4.

Department of Orthopedic Surgery, College of Medicine, Dong-A University, Busan, Korea.

Purpose: This study aimed to investigate the relationship between femoral offset (FO) and clinical outcomes of patients with femoral neck fracture following bipolar hip arthroplasty (BHA).

Materials And Methods: Records for a total of 520 patients who underwent BHA for a femoral neck fracture between December 1, 2003, and September 30, 2018, were reviewed retrospectively. Patients with unclear medical records, a congenital deformity and preoperative trauma history of the hip, high-energy multiple trauma, or a history of neurodegenerative disease or cerebrovascular disease were excluded. Read More

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Outcomes of Wedge Wing in the Lag Screw for Unstable Intertrochanteric Fractures in Elderly Patients.

Hip Pelvis 2021 Jun 4;33(2):71-77. Epub 2021 Jun 4.

Department of Orthopedic Surgery, School of Medicine, Wonkwang University Hospital, Iksan, Korea.

Purpose: To evaluate clinical-functional and radiologic outcomes of elderly patients with an unstable intertrochanteric femur fracture treated with a wedge wing in the lag screw.

Materials And Methods: Forty-eight patients treated with the Dyna Locking Trochanteric nail (DLT nail) to resolve an unstable intertrochanteric femur fracture were reviewed retrospectively. Based on AO/OTA classification, Fracture 31-A2 (34 cases) and 31-A3 (14 cases) were included in the analysis. Read More

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Injury Mechanisms of Hip Fractures in India.

Hip Pelvis 2021 Jun 4;33(2):62-70. Epub 2021 Jun 4.

Department of Orthopedic Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India.

Purpose: Hip fractures are a major cause of morbidity and mortality in the elderly; however, the current literature on the injury patterns of hip fractures in India is lacking. Understanding the injury profile of these patients is important to develop targeted interventions to prevent hip fractures.

Materials And Methods: This was a prospective study of all hip fracture patients aged 50 years or older admitted from February 2019 to December 2019. Read More

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Factors Affecting Periprosthetic Bone Loss after Hip Arthroplasty.

Hip Pelvis 2021 Jun 4;33(2):53-61. Epub 2021 Jun 4.

Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea.

Periprosthetic bone loss may lead to major complications in hip arthroplasty, including aseptic loosening, implant migration, and even periprosthetic fracture. Such a complication leads to revision surgeries, which are expensive, technically demanding, and result in a low satisfaction rate. Therefore, a study was conducted of the factors affecting the periprosthetic bone loss around the stem that caused these complications. Read More

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The Effect of Teriparatide on the Hip: A Literature Review.

Hip Pelvis 2021 Jun 4;33(2):45-52. Epub 2021 Jun 4.

Department of Orthopaedic Surgery, Konyang University College of Medicine, Daejeon, Korea.

Teriparatide (TPTD) is a bone-forming agent used to treat postmenopausal osteoporosis. Since hip fractures are related to higher morbidity and mortality rates than other fractures, efficacious osteoporosis drugs for the hip are critical. We reviewed research articles reporting the efficacy of TPTD in terms of bone mineral density (BMD), fractures prevention, changes in the outer diameter, cortical thickness and porosity, post-operative periprosthetic BMD loss, and healing of typical and atypical fractures of the hip. Read More

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Pelvic Fracture Associated with Intrapelvic Dislocation of Testis.

J Orthop Case Rep 2021 Feb;11(2):90-94

Department of Orthopaedic Surgery, Bombay Hospital, Indore, Madhya Pradesh, India.

Introduction: Intrapelvic testicular dislocation is rare injury with the possibility of missed or delayed diagnosis. Timely diagnosis of intrapelvic testicular dislocation can prevent iatrogenic testicular injury during surgery and its long-term sequel.

Case Report: A 30-year-old male after motorbike accident presented with a pelvic injury with intrapelvic dislocation of testis. Read More

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February 2021

Higher altitude leads to increased risk of venous thromboembolism after acetabular and pelvic ring injury.

J Clin Orthop Trauma 2021 Aug 26;19:192-195. Epub 2021 May 26.

Emory University, Department of Orthopaedic Surgery, 59 Executive Park South, Suite 200, Atlanta, GA 30324, USA.

Introduction: There is a high post-operative incidence of venous thromboembolisms (VTEs), specifically deep vein thrombosis (DVT) and pulmonary embolism (PE), in pelvic ring and acetabular fractures, and identification of risk factors for VTEs is crucial to decrease this highly morbid complication. High altitudes have a known physiological effect on the body that may predispose patients to developing VTEs in the postoperative period. The purpose of this study was to investigate the relationship between pelvic ring and acetabular fractures occurring at high altitudes and the development of postoperative VTEs. Read More

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Pelvic Fractures and Associated Injuries in Patients Admitted to and Treated at Emergency Department of Tibebe Ghion Specialized Hospital, Bahir Dar University, Ethiopia.

Orthop Res Rev 2021 10;13:73-80. Epub 2021 Jun 10.

Department of Orthopedics and Traumatology, Bahir Dar University, College of Medicine and Health Science, Bahir Dar, Ethiopia.

Background: Pelvic fractures are high-risk injuries that require careful evaluation due to significant patient morbidity and mortality associated with damage to major blood vessels, nerves, and organs. Thus, the aim of this study was to assess pelvic fractures and associated injuries among patients presented at the emergency department of Tibebe Ghion Specialized Hospital, Bahir Dar, Ethiopia.

Methods: This is a cross-sectional study with a retrospective facility-based data collection technique. Read More

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Diagnosis and treatment of a closed and inverted metacarpal head fracture.

J Am Coll Emerg Physicians Open 2021 Jun 4;2(3):e12428. Epub 2021 Jun 4.

Department of Orthopaedic Surgery Cooper University Hospital Camden New Jersey USA.

This case report documents a rare inversion of a closed metacarpal head fracture in the setting of polytrauma. Although rare, hemispherical articular bones can fracture and rotate 180°. Because of the symmetry of the bone and the rarity of an inverted, metacarpal head fracture, a delay in diagnosis and subsequent treatment can occur, which can lead to a poor outcome. Read More

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Rates of Osteoporosis Management and Secondary Preventative Treatment After Primary Fragility Fractures.

JB JS Open Access 2021 Apr-Jun;6(2). Epub 2021 Jun 14.

Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana.

Fragility fractures are often sentinel events in documenting new cases of osteoporosis. Numerous analyses have demonstrated low rates of adequate osteoporosis evaluation and treatment following primary fragility fractures. The purpose of this study was to quantify the incidence of primary fragility fractures in America and the rates of osteoporosis screening and management before and after fracture. Read More

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Staged Total Hip Arthroplasty: A Novel Technique in Managing Native and Periprosthetic Acetabular Insufficiency.

Arthroplast Today 2021 Jun 31;9:78-82. Epub 2021 May 31.

Division of Orthopaedic Surgery, Southern Illinois University School of Medicine, Springfield, IL, USA.

Background: There is no consensus on how to best address acetabular insufficiency. Several described techniques have a high rate of loosening and most rely on fixation to intact innominate bones. They also require extensive exposure and expensive implants. Read More

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Medial Pelvic Migration of the Lag Screw after Intramedullary Nailing for Trochanteric Femoral Fracture.

Case Rep Orthop 2021 28;2021:5553835. Epub 2021 May 28.

Department of Orthopaedic Surgery, Kobe Rosai Hospital, 4-1-23 Kagoike-dori, Chuo-ku, Kobe, Hyogo 651-0053, Japan.

Internal fixation with intramedullary nails has gained popularity for the treatment of trochanteric femoral fractures, which are common injuries in older individuals. The most common complications are lag screws cut-out from the femoral head and femoral fracture at the distal tip of the nail. Herein, we report a rare complication of postoperative medial pelvic migration of the lag screw with no trauma. Read More

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The largest secure corridor of the infra-acetabular screw-a 3-D axial perspective analysis.

BMC Musculoskelet Disord 2021 Jun 16;22(1):551. Epub 2021 Jun 16.

Department of Traumatic Orthopaedics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.

Background: The infra-acetabular screw which is placed from the pubis to the ischium can be used as a special positional screw of the posterior column of the acetabulum. This study was performed to simulate the surgical procedure and obtain the ideal insertion point, diameter, length and angle of the screw through the method of axial perspective in Chinese patients.

Methods: We randomly collected the pelvic computed tomography (CT) scans of 200 adults. Read More

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Is Sacral Dysmorphism Protective Against Spinopelvic Dissociation? Multicenter Case Series.

J Orthop Trauma 2021 07;35(7):366-370

Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.

Objectives: Investigate the incidence of sacral dysmorphism (SD) in patients with spinopelvic dissociation (SPD).

Design: Retrospective case series.

Setting: Two academic level 1 trauma centers. Read More

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