1,932 results match your criteria Fracture Tibia and Fibula


Predictors of fragility fracture and low bone mineral density in patients with a history of parental fracture.

Osteoporos Sarcopenia 2019 Mar 15;5(1):6-10. Epub 2019 Mar 15.

University Hospitals of Morecambe Bay NHS Foundation Trust, Royal Lancaster Infirmary, Rheumatology, Ashton Road, Lancaster, Lancashire, UK.

Objectives: Bone mineral density (BMD) and fragility fracture (FF) have high heritability, but few data exist on impact of other factors on families with fracture history. We aimed to evaluate predictors of FF and low BMD, in patients with family history of FF.

Methods: This was a retrospective study on patients undergoing dual energy X-ray absorptiometry at a district general hospital (DGH), 2004-2016. Read More

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http://dx.doi.org/10.1016/j.afos.2019.03.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452922PMC

Treatment outcomes of the posterolateral approach of plate fixation for posterior pilon fractures.

Exp Ther Med 2019 May 1;17(5):4267-4272. Epub 2019 Apr 1.

Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215000, P.R. China.

Posterior pilon fracture is a common type of intraarticular fracture encountered in clinical practice. The treatment of this fracture pattern has been increasingly reported. However, methods for minimizing the associated surgical trauma and achieve effective fixation still require to be established. Read More

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http://dx.doi.org/10.3892/etm.2019.7458DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468327PMC

Congenital pseudarthrosis of the tibia: biological and biomechanical considerations to achieve union and prevent refracture.

Authors:
D Paley

J Child Orthop 2019 Apr;13(2):120-133

Paley Orthopedic and Spine Institute, West Palm Beach, Florida, United States.

Congenital pseudarthrosis of the tibia (CPT) is likely to be a primary periosteal disease and secondary bone disease. The primary goal of treatment is to obtain union, correct the diaphyseal deformity, correct any proximal fibular migration and prevent refracture. The pathobiology demonstrates increased osteoclasis by the surrounding fibrous hamartoma and reduced osteogenesis and bone morphogenic protein production by the bone. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/1863-2548.13.
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http://dx.doi.org/10.1302/1863-2548.13.180147DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442511PMC
April 2019
1 Read

Locked intramedullary nailing using the sign nailing device.

Authors:
I C Nwagbara

Niger J Clin Pract 2019 Apr;22(4):485-491

Orthopaedic Surgery Unit, Imo State University Teaching Hospital, Orlu, Imo State, Nigeria.

Objective: Locked intramedullary nailing is the treatment of choice not only in diaphyseal fractures of long bone but also in most metaphyseal and periarticular fractures. In this study, we set out to present our experience with the Surgical Implant Generation Network (SIGN)] technique of locked intramedullary nailing in long bones that do not require the use of image intensifier, fracture table, and power reamers.

Patients And Methods: This was a hospital-based prospective descriptive study involving 54 consecutive patients seen over a 2-year period. Read More

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http://dx.doi.org/10.4103/njcp.njcp_245_18DOI Listing

Malpractice Litigation Following Traumatic Fracture.

J Bone Joint Surg Am 2019 Apr;101(7):e27

Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.

Background: Poor clinical outcomes and adverse events following orthopaedic trauma are common, which may lead to litigation. To our knowledge, factors associated with litigation following fracture care have not previously been evaluated.

Methods: A retrospective review of fracture-related malpractice lawsuits from 1988 to 2015 was completed utilizing VerdictSearch (ALM Media Properties), a medicolegal database. Read More

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http://dx.doi.org/10.2106/JBJS.18.00853DOI Listing
April 2019
4 Reads

Ultrasound findings in classic metaphyseal lesions: emphasis on the metaphyseal bone collar and zone of provisional calcification.

Pediatr Radiol 2019 Mar 28. Epub 2019 Mar 28.

Department of Radiology and Imaging Sciences, Riley Hospital for Children, Indiana University School of Medicine, 705 Riley Hospital Drive, Room 1053, Indianapolis, IN, 46202, USA.

Background: The classic metaphyseal lesion (CML) is highly specific for non-accidental trauma in infants. While the radiographic findings are well documented, there is little literature on the ultrasound (US) appearance.

Objective: To evaluate US findings in CMLs identified on radiographs. Read More

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http://dx.doi.org/10.1007/s00247-019-04373-wDOI Listing

Forensic morphological signs characterizing stability of the femur, tibia and fibula during effect of external destructive load.

Authors:
Ivan G Savka

Wiad Lek 2019 ;72(2):198-200

Higher State Educational Establishment «Bukovinian State Medical University», Chernivtsi, Ukraine.

Objective: Introduction: Fractures of the lower limb bones very often become the subject of forensic expertise when experts have to determine the mechanisms of fracture formation, make retrospective restoration of conditions of their occurrence, solve the issues concerning the possibility of their formation under certain conditions. The aim of study is directed to investigation of morphological signs facilitating solidity of the osseous tissue of the lower limb long tubular bones, and therefore, promoting biochemical processes of their destruction in case of external traumatic impact.

Patients And Methods: Materials and methods: Expert investigations included 128 injuries of the long tubular bones of the lower limb: femoral bone - 40 cases, tibia - 46, fibula - 42. Read More

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January 2019
1 Read

Prominent Injury Types in Vehicle Underbody Blast.

Mil Med 2019 03;184(Suppl 1):261-264

Army Research Laboratory, Weapons and Materials Research Directorate, Armor Mechanisms Branch, Aberdeen Proving Ground, APG, MD.

Background: To fully understand the injury mechanisms during an underbody blast (UBB) event with military vehicles and develop new testing standards specific to military vehicles, one must understand the injuries sustained by the occupants.

Methods: Injury data from Service Members (SM) involved in UBB theater events that occurred from 2010 to 2014 were analyzed. Analysis included the investigation of prominent skeletal and visceral torso injuries. Read More

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http://dx.doi.org/10.1093/milmed/usy322DOI Listing
March 2019
3 Reads

Risk of institutionalization following fragility fractures in older people.

Osteoporos Int 2019 Mar 15. Epub 2019 Mar 15.

Department of Clinical Gerontology, Robert Bosch Krankenhaus Stuttgart, Auerbachstraße 110, 70376, Stuttgart, Germany.

Previously independent living older people suffering fractures of the hip have a high risk of new admission to a nursing home during the subsequent months. This study shows that older people admitted to hospital for fractures of the pelvis and spine have a similar risk of admission to a nursing home.

Introduction: Fall-related fractures are a serious threat to the health and well-being of older persons. Read More

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http://dx.doi.org/10.1007/s00198-019-04922-xDOI Listing
March 2019
1 Read

The Use of Fibular Allograft in Complex Periarticular Fractures Around the Knee.

Oper Tech Orthop 2018 Sep 29;28(3):141-151. Epub 2018 Jul 29.

Associate Director, Orthopaedic Trauma Service, Hospital for Special Surgery and Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY, USA.

Although the use of fibular strut allografts in proximal humerus fractures has gained popularity, their use in other types of fractures is less well described. Fibular allografts have recently been used in the repair of complex periarticular fractures of the proximal tibia and distal femur. Fibular allografts can be inserted in a variety of manners to achieve goals specific to each individual fracture pattern. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10486666183004
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http://dx.doi.org/10.1053/j.oto.2018.07.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405238PMC
September 2018
2 Reads

Assessment of the Efficacy of Platelet-Rich Plasma in the Treatment of Traumatic Canine Fractures.

Int J Mol Sci 2019 Mar 1;20(5). Epub 2019 Mar 1.

Bioregenerative Medicine and Applied Surgery Research Group, Animal Medicine and Surgery Department, Veterinary Faculty, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, Spain.

The role of platelet-rich plasma (PRP) in promoting the healing of bone fractures has not yet been clearly stated. The aim of this prospective clinical study was to evaluate the effectiveness of plasma rich in growth factors (PRGF, a PRP derivate) in the treatment of naturally-occurring bone fractures in dogs. With this objective, sixty-five dogs with radius/ulna or tibia/fibula bone fractures were randomly divided into two groups (PRGF and saline solution (SS) groups) and checked at days 0, 7, 14, 21, 28, 35, 42, 49, 56, 60, 63, 70, 120, and 180. Read More

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http://dx.doi.org/10.3390/ijms20051075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429238PMC
March 2019
2 Reads

Mesenchymal stem cell transplantation in polytrauma: Evaluation of bone and liver healing response in an experimental rat model.

Eur J Trauma Emerg Surg 2019 Feb 28. Epub 2019 Feb 28.

Tissue Engineering, Biomaterials and Nanobiotechnology Laboratory, Ankara University Faculty of Science, Ankara, Turkey.

Purpose: Trauma is the most common cause of death of young people in the world. As known, mesenchymal stem cells (MSCs) accelerate tissue regeneration mechanisms. In our study, we aimed to investigate the effects of MSCs transplantation on the healing of liver and bone tissue by considering trauma secondary inflammatory responses. Read More

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http://dx.doi.org/10.1007/s00068-019-01101-9DOI Listing
February 2019

Prevalence of Cozen's Phenomenon of the Proximal Tibia.

J Pediatr Orthop 2019 Feb 25. Epub 2019 Feb 25.

Department of Orthopedic Surgery, Harvard Medical School.

Background: There has been little investigation into the epidemiology of Cozen's phenomenon, genu valgum as a complication of proximal tibial metaphysis fractures. In this study, we present a large case series of proximal tibia fractures in children to describe the prevalence, epidemiology, and characteristics associated with Cozen's phenomenon following proximal tibial fracture in children.

Methods: We searched the orthopedic database at our institution for all patients aged 1 to 8 years old with proximal tibia fractures presenting for initial fracture management between January 1, 2014 and December 31, 2017. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001354DOI Listing
February 2019
1 Read

Incidence of Lower-Extremity Fractures in US Nursing Homes.

J Am Geriatr Soc 2019 Feb 27. Epub 2019 Feb 27.

Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts.

Background/objectives: Limited studies suggest lower-extremity (LE) fractures are morbid events for nursing home (NH) residents. Our objective was to conduct a nationwide study comparing the incidence and resident characteristics associated with hip (proximal femur) vs nonhip LE (femoral shaft and tibia-fibula) fractures in the NH.

Design: Retrospective cohort study. Read More

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http://dx.doi.org/10.1111/jgs.15825DOI 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
March 2019
1 Read

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

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

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

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

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http://dx.doi.org/10.1186/s13018-019-1088-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376681PMC
February 2019
1 Read

Incidence and risk factors for iatrogenic distal tibia/fibula fracture during Ponseti technique of clubfoot treatment.

J Pediatr Orthop B 2019 Feb 6. Epub 2019 Feb 6.

Lady Hardinge Medical College, New Delhi.

The incidence and risk factors of distal tibia/fibula fracture, an uncommon complication during Ponseti manipulation, are unknown. We evaluated 222 virgin clubfeet of patients aged less than 3 years for fractures of distal tibia/fibula. Incidence rate was found to be 1. Read More

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http://Insights.ovid.com/crossref?an=01202412-900000000-9894
Publisher Site
http://dx.doi.org/10.1097/BPB.0000000000000595DOI Listing
February 2019
7 Reads
0.656 Impact Factor

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

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

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

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

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

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

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

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

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

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

Predictors of Peripheral Vascular Injury in Patients with Blunt Lower Extremity Fractures.

Ann Vasc Surg 2019 Jan 23. Epub 2019 Jan 23.

David Geffen School of Medicine at UCLA, Los Angeles, CA; Harbor-UCLA Medical Center, Department of Surgery, Torrance, CA. Electronic address:

Background: Early identification of peripheral vascular injuries is crucial to prevent acute limb ischemia and amputation. We sought to identify predictors of vascular injury in patients with blunt lower extremity fractures.

Methods: A single institutional retrospective analysis of patients with blunt lower extremity fractures at a university-affiliated, county hospital over a 2-year period was performed. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.056DOI Listing
January 2019

Fewer Hospitals Provide Operative Fracture Care to Medicaid Patients Than Otherwise-Insured Patients in Four Large States.

J Orthop Trauma 2019 Jan 8. Epub 2019 Jan 8.

Department of Orthopaedic Surgery, University of California, San Francisco.

Objective: To determine whether Medicaid patients receive operative fracture care at an equal number of hospitals as otherwise-insured patients and to compare travel distances between Medicaid and otherwise-insured patients.

Design: Retrospective, population-based cohort study of administrative health data.

Setting: One thousand seventy-five hospitals in California, Florida, New York, and Texas. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001439DOI Listing
January 2019
1 Read

Bilateral Proximal Tibia Stress Fractures through Persistent Physes.

Case Rep Orthop 2018 6;2018:8181547. Epub 2018 Dec 6.

Department of Orthopaedic Surgery, Brooke Army Medical Center, Ft. Sam Houston, TX 78234, USA.

Introduction: Fatigue fractures are stress fractures resulting from repetitive trauma in areas of stress concentration. Prior case reports and studies have described stress fractures through persistent physes about the olecranon and distal fibula, as evidenced by hyaline cartilage on histologic analysis. However, there have been no documented proximal tibia stress fractures through persistent physes. Read More

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http://dx.doi.org/10.1155/2018/8181547DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304870PMC
December 2018
12 Reads

Ankle torque-related fractures and its echo-fast diagnosis protocol.

Eur J Trauma Emerg Surg 2019 Jan 7. Epub 2019 Jan 7.

Orthopedic Surgery and Traumatology Department, La Fe Hospital, Valencia, Spain.

Ankle torque is the most frequent injury mechanism encountered in traumatology. It usually develops as an ankle sprain, and often produces an ankle fracture. Signs and symptoms are very unspecific on the differential diagnosis, and conventional radiographs must be obtained to confirm it. Read More

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http://dx.doi.org/10.1007/s00068-018-01069-yDOI Listing
January 2019
3 Reads

Analysis of the Frequency and Mechanism of Injury to Warfighters in the Under-body Blast Environment.

Stapp Car Crash J 2018 Nov;62:489-513

Survivability/Lethality Analysis Directorate (SLAD).

During Operation Iraqi Freedom and Operation Enduring Freedom, improvised explosive devices were used strategically and with increasing frequency. To effectively design countermeasures for this environment, the Department of Defense identified the need for an under-body blast-specific Warrior Injury Assessment Manikin (WIAMan). To help with this design, information on Warfighter injuries in mounted under-body blast attacks was obtained from the Joint Trauma Analysis and Prevention of Injury in Combat program through their Request for Information interface. Read More

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November 2018
14 Reads

[Limited orthopaedic surgery combined with external fixation for the treatment of lower extremity sequelae of middle and old aged post-poliomyelitis].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1249-1254

Department of Orthopaedics, Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R.China.

Objective: To summarize the effectiveness of limited orthopedic surgery combined with external fixation for the treatment of lower extremity sequelae of middle and old aged post-poliomyelitis, and then to explore the strategy of surgical correction and functional reconstruction method.

Methods: From the database of 23 310 cases of poliomyelitis sequelae treated by QIN Sihe Orthopaedic Surgical team between September 1982 and December 2017, 629 patients over 41 years old were retrieved and the epidemiological characteristics of the patients were analyzed. Between March 2011 and June 2015, 57 patients with poliomyelitis sequelae treated with limited operation and external fixation were followed up 2-6 years, and the history of poliomyelitis sequelae was 41-67 years (mean, 47. Read More

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http://dx.doi.org/10.7507/1002-1892.201806022DOI Listing
October 2018
2 Reads

Supination External Rotational Ankle Fracture Injury Pattern Correlation With Regional Bone Density.

Foot Ankle Int 2019 Apr 21;40(4):384-389. Epub 2018 Dec 21.

3 Orthopaedic Trauma Service, Hospital for Special Surgery and Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY, USA.

Background:: Rotational ankle fractures can present with an array of possible osseous and ligamentous injury combinations in reliable anatomic locations. What accounts for these different injury patterns and whether specific patient and injury factors underlie the different injury patterns is unclear. The purpose of this study was to determine whether causative factors exist that could account for the various injury patterns seen with rotational ankle fractures. Read More

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http://dx.doi.org/10.1177/1071100718816680DOI Listing
April 2019
1 Read

Pathoanatomy of Maisonneuve fracture based on radiologic and CT examination.

Arch Orthop Trauma Surg 2019 Apr 14;139(4):497-506. Epub 2018 Dec 14.

Department of Orthopaedics, First Faculty of Medicine, Charles University and Military University Hospital Prague, U Vojenské Nemocnice 1200, 169 02, Prague 6, Czech Republic.

Introduction: Although Maisonneuve fracture (MF) is a well-known type of ankle fracture-dislocation, there is still a lack of information about the epidemiology and the extent of all associated injuries. The aim of study is to describe MF pathoanatomy on the basis of radiographs, CT scans and intraoperative findings.

Materials And Methods: The study comprised 54 adult patients. Read More

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http://dx.doi.org/10.1007/s00402-018-3099-2DOI Listing
April 2019
7 Reads

Microsurgical reconstruction with vascularized fibula and massive bone allograft for bone tumors.

Eur J Orthop Surg Traumatol 2019 Feb 5;29(2):307-311. Epub 2018 Dec 5.

Department of Orthopaedic Surgery, IRCCS Istituto Ortopedico Rizzoli, via Pupilli n1, 40136, Bologna, Italy.

Introduction: Combining massive bone allograft and vascularized fibula in intercalary reconstruction following resection of bone tumors represents a complex reconstructive procedure that requires specialists in microvascular surgery as well as orthopedic surgery. The purpose of our study was to examine the outcomes using this surgical technique in patients with bone tumors in terms of oncologic results, complications related to surgery, Musculoskeletal Tumor Society (MSTS) scores and duration of surgery.

Materials And Methods: We analyzed 81 patients with femoral or tibial sarcomas who underwent intercalary resection and microsurgical reconstruction with massive bone allograft and vascularized fibula. Read More

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http://dx.doi.org/10.1007/s00590-018-2360-2DOI Listing
February 2019
2 Reads

Residual bone fragments in tibiofibular joint and postoperative local recurrence: an analysis of 21 cases of proximal fibular giant cell tumour.

World J Surg Oncol 2018 Nov 27;16(1):228. Epub 2018 Nov 27.

Department of Spine and Osteopathic Surgery, First Affiliated Hospital of Guangxi Medical University, Nanning, People's Republic of China.

Background: Currently, there are no known reports on the aetiology of local giant cell tumour (GCT) recurrence in the proximal fibula following en bloc resection. We analysed 21 cases of proximal fibular GCT, focusing on the presence of residual bone in the tibiofibular joint, its causes and its impact on postoperative recurrence.

Methods: We retrospectively analysed 21 cases with proximal fibular GCT occurring between 2000 and 2017. Read More

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https://wjso.biomedcentral.com/articles/10.1186/s12957-018-1
Publisher Site
http://dx.doi.org/10.1186/s12957-018-1525-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260747PMC
November 2018
13 Reads
1.200 Impact Factor

Deltoid Ligament Rupture in Ankle Fracture: Diagnosis and Management.

J Am Acad Orthop Surg 2018 Nov 20. Epub 2018 Nov 20.

From the Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

The last stage of a supination-external rotation ankle fracture involves either transverse fracture of the medial malleolus or rupture of the deltoid ligament. When the deltoid ligament ruptures, a "bimalleolar equivalent" ankle fracture occurs, and the surgeon is presented with several diagnostic and therapeutic challenges. In the native ankle, the deltoid ligament provides restraint to eversion and external rotation of the talus on the tibia. Read More

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http://dx.doi.org/10.5435/JAAOS-D-18-00198DOI Listing
November 2018
2 Reads

All-endoscopic management of benign bone lesions; a case series of 26 cases with minimum of 2 years follow-up.

SICOT J 2018 22;4:50. Epub 2018 Nov 22.

Orthopedics & Trauma Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt.

Purpose: Assessment of the functional and oncologic outcomes regarding endoscopic curettage of different benign bone tumor types within variable anatomic locations.

Patients And Methods: During the period between February 2012 and December 2016, 26 patients with symptomatic intra-osseous benign bony lesions were included. The age ranged from 3 up to 49 years (mean 20), of 14 females and 12 males. Read More

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http://dx.doi.org/10.1051/sicotj/2018041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250076PMC
November 2018
16 Reads

Risk of subsequent fracture after prior fracture among older women.

Osteoporos Int 2019 Jan 19;30(1):79-92. Epub 2018 Nov 19.

University of Alabama at Birmingham, 510 20th Street South, Birmingham, AL, 35294, USA.

Among 377,561 female Medicare beneficiaries who sustained a fracture, 10% had another fracture within 1 year, 18% within 2 years, and 31% within 5 years. Timely management to reduce risk of subsequent fracture is warranted following all nontraumatic fractures, including nonhip nonvertebral fractures, in older women.

Introduction: Prior fracture is a strong predictor of subsequent fracture; however, postfracture treatment rates are low. Read More

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http://dx.doi.org/10.1007/s00198-018-4732-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332293PMC
January 2019
14 Reads

Prolonged central apnoea after intravenous morphine administration in a 12-year-old male with a UGT1A1 loss-of-function polymorphism.

Br J Clin Pharmacol 2019 Jan 12;85(1):258-262. Epub 2018 Nov 12.

Division of Emergency Medicine, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School, Boston, MA, USA.

Adverse Event: Repeated and prolonged episodes of central apnoea and hypoxia after receiving intravenous morphine for analgesia and ketamine for sedation.

Drug Implicated: Intravenous morphine sulfate.

The Patient: Previously healthy 12-year-old male with no history of sleep apnoea who presented with distal tibia and fibula fracture. Read More

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http://doi.wiley.com/10.1111/bcp.13779
Publisher Site
http://dx.doi.org/10.1111/bcp.13779DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303239PMC
January 2019
9 Reads

[Ankle dislocation without osseous lesions].

Unfallchirurg 2019 Mar;122(3):238-242

Bürgerspital Solothurn, Schöngrünstrasse 38, 4500, Solothurn, Schweiz.

Approximately 7-10% of all emergency department patients are diagnosed with distortion of the upper ankle joint. A dislocation of the upper ankle joint without fracture is described in the literature as being very rare. In 33-50% the ankle dislocations are at least first-degree open and associated with a fracture of the tibia, the fibula or the talus. Read More

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http://dx.doi.org/10.1007/s00113-018-0581-9DOI Listing
March 2019
4 Reads

[Preliminary finite element analysis of anterior inferior tibiofibular syndesmosis injuries treated with screw and tight-rope fixation].

Zhongguo Gu Shang 2018 Oct;31(10):937-943

Department of Orthopaedic Trauma, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning, China;

Objective: To establish finite element models of anterior inferior tibiofibular syndesmosis injuries (AITSI), screw fixation and Tight-rope(TR) fixation, and to compare its force and displacement, so as provide evidence for clinical diagnosis and treatment.

Methods: A three-dimensional model of a healthy ankle complex was developed by computed tomography (CT) images, and anterior inferior tibiofibular syndesmosis injuries(AITSI) model also established, then a screw was inserted into AITSI model to obtain a screw fixation model, and a Tight-rope system was put into AITSI model to obtain a TR model. Simulated loads were applied under three conditions:neutral position with single-foot standing, internal and external rotation of the ankle. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.10.012DOI Listing
October 2018
3 Reads

Association of Specific Lower Extremity Injuries With Delayed Amputation.

Mil Med 2018 Oct 27. Epub 2018 Oct 27.

Operational Readiness Directorate, Naval Health Research Center, 140 Sylvester Road, San Diego, CA.

Introduction: Despite medical interventions to preserve viability and functionality of injured limb(s) among combat-injured service members, delayed amputations may occur. The goal of this study was to determine whether specific lower extremity (LE) injuries were associated with delayed amputations.

Methods: The Expeditionary Medical Encounter Database was queried for combat-related LE injuries between 2003 and 2015. Read More

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http://dx.doi.org/10.1093/milmed/usy271DOI Listing
October 2018
3 Reads

[The application of computer-assisted design in the reduction of long bone fractures with Taylor spatial frame].

Zhonghua Wai Ke Za Zhi 2018 Oct;56(10):786-792

Department of Orthopedic Trauma, Tianjin Hospital, Tianjin 300211, China.

To evaluate the effect of computer-assisted design based on three-dimensional reconstruction technique on the reduction accuracy of tibial and fibular fractures with Taylor external fixation. A retrospective review was conducted on the clinical data of 69 patients who had tibia and fibula fractures treated with Taylor external fixation in department of orthopedic trauma of Tianjin Hospital from January 2016 to January 2018 to compare the residual deformity after fracture reduction between computer-assisted design method (experimental group) and the standard measurement method (control group). The frontal and lateral tibia and fibula X-ray of all the affected limbs were taken. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2018.10.017DOI Listing
October 2018
6 Reads

A Morel-Lavallée lesion of the proximal calf in a young trauma patient: A case report.

Medicine (Baltimore) 2018 Oct;97(41):e12761

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, Dongnam-gu, Cheonan.

Rationale: The Morel-Lavallée lesion (MLL) is a closed degloving injury developing when shear force acts between the muscle fascia and the subcutaneous layer. MLLs develop principally in the trochanteric area or the pelvis; lesions in the proximal calf are rare. Acute lesions can be treated conservatively, but chronic lesions are best treated surgically because of a high rate of recurrence. Read More

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http://Insights.ovid.com/crossref?an=00005792-201810120-0006
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http://dx.doi.org/10.1097/MD.0000000000012761DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203552PMC
October 2018
24 Reads

Fracture Healing in Two Adult Patients With Hypophosphatasia After Asfotase Alfa Therapy.

JBMR Plus 2018 Sep 17;2(5):304-307. Epub 2018 May 17.

Division of Endocrinology, Diabetes, and Metabolism The Ohio State University Wexner Medical Center Columbus OH USA.

Infants and children with hypophosphatasia (HPP) treated with asfotase alfa show improvement in bone mineralization and motor function, but it is unclear whether the medication can affect fracture healing in adult HPP patients. We present the course of fracture healing in two adults with HPP on enzyme replacement. Case 1 is a 41-year-old female with infantile-onset HPP who was wheelchair-bound due to a nonhealing tibial fragility fracture sustained 3 years before and also had nonhealing femoral pseudofracture sustained 17 years before starting asfotase alfa therapy in December 2015. Read More

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http://dx.doi.org/10.1002/jbm4.10052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139700PMC
September 2018
12 Reads

Classification of tibia plateau fracture according to the "four-column and nine-segment".

Injury 2018 Dec 20;49(12):2275-2283. Epub 2018 Sep 20.

Department of Orthopedics, The Affiliated People's Hospital with Jiangsu University, Zhenjiang, Jiangsu Province, China. Electronic address:

Purpose: The existing classification systems of tibial plateau fracture (TPF) are suboptimal for clinical use and academic communication. A more comprehensive and universal classification system with the capability to analyze all patterns of TPF is urgently required to guide the clinical practice. This study aimed to analyze the incidence and fracture characteristics of TPF using a computed tomography-based "four-column and nine-segment" classification. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183052
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http://dx.doi.org/10.1016/j.injury.2018.09.031DOI Listing
December 2018
2 Reads

Management of calcific myonecrosis with a sinus tract: A case report.

Medicine (Baltimore) 2018 Sep;97(38):e12517

Department of Orthopaedic Surgery, Kyung Hee University Hospital, College of medicine, Kyung Hee University, Seoul, Korea.

Rationale: Calcific myonecrosis is a very rare late sequela that occurs in patients who have had trauma accompanied by vascular compromise, in which a single muscle or entire muscles in a compartment undergoes necrosis and form a calcified mass. It is mostly a benign entity, but some cases cause bone destruction and form non-healing chronic sinuses. In such cases, wound management becomes difficult and there is a potential risk of secondary infection. Read More

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http://dx.doi.org/10.1097/MD.0000000000012517DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6160044PMC
September 2018
5 Reads

Posterior Malleolar Open Reduction and Internal Fixation Through a Posterolateral Approach for Trimalleolar Fractures.

JBJS Essent Surg Tech 2017 Dec 25;7(4):e31. Epub 2017 Oct 25.

Haaglanden Medical Center, The Hague, the Netherlands.

Fixation of the posterior fragment in trimalleolar fractures remains a matter of debate. Recent studies have shown that a persistent step-off in the tibiotalar joint is the most important factor in the development of osteoarthritis and therefore the functional outcome. The disadvantages of the regularly performed indirect reduction by ligamentotaxis or percutaneous reduction followed by percutaneous screw fixation of the posterior fragment in an anterior-to-posterior direction are that an anatomical reduction is more difficult to achieve because of the interposition of soft tissue or loose osseous fragments, it is hard to assess reduction satisfactorily using an image intensifier, and fixation of small or comminuted fragments is technically difficult. Read More

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http://dx.doi.org/10.2106/JBJS.ST.17.00016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132997PMC
December 2017
1 Read

Determinants of fracture in adults with type 1 diabetes in the USA: Results from the T1D Exchange Clinic Registry.

J Diabetes Complications 2018 Nov 6;32(11):1006-1011. Epub 2018 Sep 6.

Indiana University School of Medicine, Indianapolis, IN, United States of America.

Aims: To examine the prevalence/determinants of fracture in the T1D Exchange Clinic Registry.

Research Design/methods: Adults (≥18 years) with T1D duration ≥5 years, diagnosed before age 45 years completed a fracture questionnaire. Additional characteristics were collected from registry data. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10568727183070
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http://dx.doi.org/10.1016/j.jdiacomp.2018.08.016DOI Listing
November 2018
26 Reads

Ankle joint dislocation treating dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis.

Medicine (Baltimore) 2018 Sep;97(37):e12079

Department of Orthopaedics, Hebei Medical University Third Affiliated Hospital.

To explore the therapy of ankle joint dislocation treating dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis and improve surgical results.Patients who had dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis were retrospectively analyzed and 30 patients were enrolled the study. They were all treated by ankle joint dislocation and the surgical results were evaluated by the Baird-Jackson ankle scoring system. Read More

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http://dx.doi.org/10.1097/MD.0000000000012079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6156007PMC
September 2018
20 Reads

Minimally Invasive Treatment for Tibial Malrotation after Locked Intramedullary Nailing.

Case Rep Orthop 2018 23;2018:4190670. Epub 2018 Aug 23.

Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan.

Rotational malreduction is a potential complication of intramedullary nailing for tibial shaft fractures. We experienced a symptomatic case of a 24° externally rotated malunion that we treated with minimally invasive corrective osteotomy. A 49-year-old man sustained a tibial shaft spiral fracture with a fibula fracture. Read More

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http://dx.doi.org/10.1155/2018/4190670DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126075PMC

Novel Surgical Approach to Segmental Bone Transport Using a Magnetic Intramedullary Limb Lengthening System.

J Am Acad Orthop Surg 2018 Nov;26(22):e477-e482

From the Division of Orthopaedic Surgery, Southern Illinois University School of Medicine, Springfield, IL (Dr. Barinaga, Dr. Beason, and Dr. Gardner), and The Springfield Clinic Orthopedic Group, Springfield, IL (Dr. Gardner), and Memorial Medical Center, Springfield, IL (Dr. Beason).

Posttraumatic bone defects (BDs) remain a difficult complication for orthopaedic surgeons. Surgical goals in these reconstructive cases are to create stable limb fixation, maintain limb length, and provide adequate soft-tissue coverage. Historically, surgical approaches in these cases have required the use of an external fixator, which is associated with several postoperative complications. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00487DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221376PMC
November 2018
8 Reads

High Risk of Venous Thromboembolism After Surgery for Long Bone Metastases: A Retrospective Study of 682 Patients.

Clin Orthop Relat Res 2018 Oct;476(10):2052-2061

Department of Orthopaedic Surgery, Orthopaedic Oncology Service, Massachusetts General Hospital, Boston, MA, USA.

Background: Previous studies have shown that venous thromboembolism (VTE) is a complication associated with neoplastic disease and major orthopaedic surgery. However, many potential risk factors remain undefined.

Questions/purposes: (1) What proportion of patients develop symptomatic VTE after surgery for long bone metastases? (2) What factors are associated with the development of symptomatic VTE among patients receiving surgery for long bone metastases? (3) Is there an association between the development of symptomatic VTE and 1-year survival among patients undergoing surgery for long bone metastases? (4) Does chemoprophylaxis increase the risk of wound complications among patients undergoing surgery for long bone metastases?

Methods: A retrospective study identified 682 patients undergoing surgical treatment of long bone metastases between 2002 and 2013 at the Massachusetts General Hospital and Brigham and Women's Hospital. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000463DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259821PMC
October 2018
19 Reads

[Complications of 2 133 cases of pediatric long bone fracture undergoing elastic stable intramedullary nailing in a single medical center].

Zhonghua Wai Ke Za Zhi 2018 Sep;56(9):670-676

Department of Orthopedics, Children's Hospital of Nanjing Medical University, Nanjing 210008, China.

To summarize the clinical data of elastic stable intramedullary nailing(ESIN) in the treatment of long bone fracture of children in a single medical center, and to analyze the problems occurred after the ESIN surgery and corresponding solutions. A retrospective analysis was conducted regarding the clinical data of 2 133 pediatric long bone fractures conforming to inclusion and exclusion criteria from June, 2005 to December, 2017 in Department of Orthopedics, Children's Hospital of Nanjing Medical University.There were 1 191 boys and 942 girls, aged from 23 months to 14 years with mean age of (5. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2018.09.007DOI Listing
September 2018

[Effectiveness of one-stage total knee arthroplasty with tibial stem extender for knee arthritis complicated with tibial stress fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(9):1177-1180

Department of Bone and Joint Surgery, Xi'an Honghui Hospital, Affiliated to Medical College of Xi'an Jiaotong University, Xi'an Shaanxi, 710054, P.R.China.

Abstract: To evaluate the early effectiveness of one-stage total knee arthroplasty (TKA) with tibial stem extender for knee arthritis complicated with tibial stress fractures.

Methods: Between January 2014 and November 2016, 12 patients (12 knees) with knee arthritis and tibial stress fractures underwent one-stage TKA with tibial stem extender. There were 5 males and 7 females with an average age of 71. Read More

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http://dx.doi.org/10.7507/1002-1892.201802047DOI Listing
September 2018
17 Reads