1,914 results match your criteria Fracture Tibia and Fibula


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
February 2019

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://dx.doi.org/10.1097/BPB.0000000000000595DOI Listing
February 2019

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
3 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

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
1 Read

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
6 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 Oct;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
1 Read

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

Foot Ankle Int 2018 Dec 21:1071100718816680. 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
December 2018
1 Read

Pathoanatomy of Maisonneuve fracture based on radiologic and CT examination.

Arch Orthop Trauma Surg 2018 Dec 14. 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
December 2018
3 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
1 Read

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
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http://dx.doi.org/10.1186/s12957-018-1525-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260747PMC
November 2018
9 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
1 Read

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
7 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
8 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
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http://dx.doi.org/10.1111/bcp.13779DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303239PMC
January 2019
8 Reads

[Ankle dislocation without osseous lesions].

Unfallchirurg 2018 Nov 12. Epub 2018 Nov 12.

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
November 2018
3 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
2 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
5 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
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000012761DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203552PMC
October 2018
20 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
11 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
4 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

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
25 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
16 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
October 2018
13 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
13 Reads

Intraoperative tap test for coronal syndesmotic instability: A cadaveric study.

Injury 2018 Oct 7;49(10):1758-1762. Epub 2018 Aug 7.

University of Alabama at Birmingham (UAB), Department of Orthopedics, Birmingham, AL, United States.

Introduction: Precise diagnosis of distal tibiofibular syndesmotic injury is challenging, and a gold standard diagnostic test has still not been established. Tibiofibular clear space identified on radiographic imaging is considered the most reliable indicator of the injury. The Cotton test is the most widely used intraoperative technique to evaluate the syndesmotic integrity although it has its limitations. Read More

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http://dx.doi.org/10.1016/j.injury.2018.08.005DOI Listing
October 2018
14 Reads

Bone density correlates with clinical outcomes after ankle fracture fixation.

Arch Orthop Trauma Surg 2018 Dec 9;138(12):1653-1657. Epub 2018 Aug 9.

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

Introduction: Osteoporosis and decreased bone density are known to increase fracture incidence and severity. Although much is known regarding the effects of bone density on fracture risk and the treatment options for prevention of fragility fractures, whether bone quality alters clinical outcomes after fracture fixation is unknown. The purpose of this study was to determine whether bone quality correlates with clinical outcomes after fracture fixation. Read More

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http://dx.doi.org/10.1007/s00402-018-3017-7DOI Listing
December 2018
2 Reads

Contribution of antirotational pins and an intact fibula to the ex vivo compressive strength of four tibial plateau leveling osteotomy constructs.

Am J Vet Res 2018 Jun;79(6):621-627

OBJECTIVE To assess the contribution of antirotational pins (ARPs) and an intact fibula to the compressive strength of 4 tibial plateau leveling osteotomy (TPLO) constructs (bone and implants). SAMPLE 20 hind limbs from 10 canine cadavers. PROCEDURES Each hind limb was assigned to 1 of 4 TPLO constructs (construct in which the ARP was removed, constructs in which 1 or 2 ARPs were left in place, and construct in which the ARP was removed and the fibula was cut). Read More

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http://dx.doi.org/10.2460/ajvr.79.6.621DOI Listing
June 2018
14 Reads

Risk factors for nonunion of bone fracture in pediatric patients: An inception cohort study of 237,033 fractures.

Medicine (Baltimore) 2018 Aug;97(31):e11691

Department of Orthopedic Surgery, Louisiana State University Health Science Center, New Orleans.

Adult fracture nonunion risk is related to injury severity and surgical technique, yet nonunion is not fully explained by these risk factors alone; biological risk factors are also important. We test a hypothesis that risk factors associated with pediatric fracture nonunion are similar to adult nonunion risk factors.Inception cohort study in a large payer database of pediatric fracture patients (0-17 years) in the United States in calendar year 2011. Read More

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http://dx.doi.org/10.1097/MD.0000000000011691DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081185PMC
August 2018
6 Reads

Detecting stress injury (fatigue fracture) in fibular cortical bone using quantitative ultrashort echo time-magnetization transfer (UTE-MT): An ex vivo study.

NMR Biomed 2018 11 30;31(11):e3994. Epub 2018 Jul 30.

Department of Radiology, University of California, San Diego, California.

Bone stress injury (BSI) incidents have been increasing amongst athletes in recent years as a result of more intense sporting activities. Cortical bone in the tibia and fibula is one of the most common BSI sites. Nowadays, clinical magnetic resonance imaging (MRI) is the recommended technique for BSI diagnosis at an early stage. Read More

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http://dx.doi.org/10.1002/nbm.3994DOI Listing
November 2018
3 Reads

Decreased National Rate of below the Knee Amputation in Patients with Popliteal Artery Injury.

Ann Vasc Surg 2018 Jul 25. Epub 2018 Jul 25.

Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, Orange, CA.

Background: Popliteal arterial injury (PAI) is the second most common infrainguinal arterial injury after femoral artery injury with an incidence < 0.2%. A 2003 analysis of the National Trauma Data Bank (NTDB) reported a below the knee amputation (BKA) rate of 7. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.07.002DOI Listing

Leg Fracture Associated with Synostosis of Interosseous Membrane During Running in A Soccer Player.

Transl Med UniSa 2017 Jul 31;17:1-5. Epub 2018 Mar 31.

Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Rome, Italy.

Introduction: Leg fractures may occur frequently in sport injuries but it is very rare to find this kind of injury associated with interosseous membrane synostosis. This case report describes a unique case of 42 B1.2 fracture of the leg associated with an interosseous membrane synostosis and literature review on Pubmed, Google scholar and Medscape. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6056250PMC
July 2017
2 Reads

Comparison of Pediatric Intercalary Allograft Reconstructions with and without a Free Vascularized Fibula.

Plast Reconstr Surg 2018 10;142(4):1065-1071

Rochester, Minn. From the Department of Orthopedic Surgery and the Division of Plastic and Reconstructive Surgery, Mayo Clinic.

Background: Lower extremity intercalary allograft reconstruction has traditionally been used to facilitate limb salvage. Combining the allograft with a free vascularized fibula graft has been described; however, there is a paucity of data comparing the outcome of these reconstructions.

Methods: Twenty-nine pediatric patients (15 boys and 14 girls) underwent lower extremity limb salvage with the use of intercalary cadaveric allograft at a mean age of 12 years. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004794DOI Listing
October 2018
9 Reads

A Prospective Evaluation of Patient-Reported Opioid Utilization After Nonoperative Treatment of Fractures and Dislocations.

J Bone Joint Surg Am 2018 Jul;100(14):1177-1183

Department of Orthopaedic Surgery, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, People's Republic of China.

Background: Prescription of opioid analgesics is currently a common practice to relieve pain for musculoskeletal injuries in many regions of the world, especially in the United States and Canada. However, overprescription may underlie opioid misuse. Details on the utilization of prescribed opioids after nonoperative treatment of fractures and dislocations and whether consumption is related to injury location are unknown. Read More

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http://dx.doi.org/10.2106/JBJS.17.01475DOI Listing
July 2018
4 Reads

Hypersensitivity to orthopaedic implant manifested as erythroderma: Timing of implant removal.

Int J Surg Case Rep 2018 23;49:110-114. Epub 2018 Jun 23.

Rumah Sakit Orthopaedi Purwokerto, Purwokerto, Indonesia. Electronic address:

Introduction: Incidence of hypersensitivity to orthopaedic implant, once estimated in less than 1% of population, recently has increased to 10%. Controversies about the timing of implant removal remain, especially due to the fact that implant hypersensitivity may be a contributing factor to implant failure. We present a case report and literature reviews to establish the decision making for the timing of implant removal in the presence of implant hypersensitivity. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.06.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6037004PMC
June 2018
4 Reads

What's New in Pediatric Orthopaedic Trauma: The Lower Extremity.

J Pediatr Orthop 2018 Sep;38(8):e434-e439

Pediatric Orthopedics and Scoliosis Center, Rady Children's Hospital.

Background: Skeletal trauma is a primary tenet of pediatric orthopaedics. Many high-quality studies have been published over the last few years with substantial relevance to the clinical practice of pediatric orthopaedic trauma. Because of the volume of literature on the subject, this review excludes upper extremity trauma and focuses on the publications affecting the lower extremity. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001209DOI Listing
September 2018
4 Reads

Malalignment in plate osteosynthesis.

Injury 2018 Jun;49 Suppl 1:S66-S71

Aarhus University Hospital, Department of Orthopedic Surgery, Aarhus N, Denmark.

The aim for this review is to present general considerations in relation to malalignment after osteosynthesis with plate fixation and its consequences after fractures in adults in each of the following anatomical locations: humerus, forearm, femur, tibia. Recommendations for accepted malalignment in humerus diaphyseal fracture is varus <20 degrees, valgus <15 degrees, sagittal deformity <5 degrees and rotation <30 degrees. Recommendations when treating fractures of the forearm is anatomical reduction. Read More

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http://dx.doi.org/10.1016/S0020-1383(18)30307-3DOI Listing
June 2018
2 Reads

Number, Location, and Time Since Prior Fracture as Predictors of Future Fracture in the Elderly From the General Population.

J Bone Miner Res 2018 Nov 29;33(11):1956-1966. Epub 2018 Jun 29.

Centre de recherche du CHU de Québec (CHUL), Québec, Canada.

Prognostic tools are available to identify individuals at high risk of osteoporotic fracture and to assist physicians in management decisions. Some authors have suggested improving the predictive ability of these tools by integrating characteristics of prior fractures (number, location, and time since prior fracture). The objectives of this study were: (1) to evaluate the sex- and age-specific associations between characteristics of prior fractures and the occurrence of a future osteoporotic fracture; and (2) to assess whether the characteristics of prior fractures could increase the discriminative ability of fracture risk prediction tools. Read More

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http://dx.doi.org/10.1002/jbmr.3526DOI Listing
November 2018
3 Reads