19,522 results match your criteria Nail Surgery


Extramedullary Motorized Lengthening of the Femur in Young Children.

J Pediatr Orthop 2020 Jun 26. Epub 2020 Jun 26.

Department of Orthopaedic Surgery, Gillette Children's Specialty Healthcare, St. Paul.

Background: Limb lengthening by distraction osteogenesis is now achievable via motorized intramedullary devices, mitigating many complications of lengthening by external fixation. In young patients, antegrade intramedullary nailing of the femur risks avascular necrosis of the femoral head. A method of extramedullary placement of a motorized expandable intramedullary nail has been employed by the senior author to safely achieve femoral lengthening without the use of an external fixator in young patients. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001593DOI Listing

Fingertip Injuries and Amputations: A Review of the Literature.

Cureus 2020 May 26;12(5):e8291. Epub 2020 May 26.

Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, USA.

The fingertip is defined as the part of the digit distal to the insertion of the extensor and flexor tendons on the distal phalanx. Devastating injuries to the hand occur every year that lead fingertip amputations in thousands of people. The highest incidence rates are usually seen in children less than five years old and in adults over the age of 65. Read More

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http://dx.doi.org/10.7759/cureus.8291DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317129PMC

TREATMENT OF HUMERAL SHAFT FRACTURES: ANTEGRADE INTERLOCKING INTRAMEDULLARY NAILING WITH ADDITIONAL INTERLOCKING NEUTRALIZATION SCREWS THROUGH FRACTURE SITE.

Acta Clin Croat 2019 Dec;58(4):632-638

1Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 3School of Dental Medicine, University of Zagreb, Zagreb, Croatia; 4School of Medicine, University of Zagreb, Zagreb, Croatia; 5School of Medicine, University of Split, Split, Croatia; 6University of Applied Health Sciences, Zagreb, Croatia; 7Orthopedic and Traumatology Department, Dubrovnik General Hospital, Dubrovnik, Croatia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia.

The aim of this study was to compare union time between two different nail designs for the treatment of humeral shaft fracture, i.e. antegrade interlocking intramedullary nail with and without additional interlocking neutralization screws. Read More

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http://dx.doi.org/10.20471/acc.2019.58.04.10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314309PMC
December 2019

Extensor pollicis longus tendon rupture from Dorsal Nail Plate distal radius fixation with concomitant myostatic atrophy.

BMJ Case Rep 2020 Jun 28;13(6). Epub 2020 Jun 28.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA

Distal radius fractures are one of the most common upper extremity injuries seen by hand surgeons each year. Many of these fractures require reduction and surgical fixation because of displacement, comminution or inherent fracture instability. New hardware is designed and introduced each year to help surgeons manage these injuries. Read More

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http://dx.doi.org/10.1136/bcr-2019-232659DOI Listing

Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?

Ulus Travma Acil Cerrahi Derg 2020 Jun;26(4):607-612

Department of Orthopedics and Traumatology, Yozgat City Hospital, Yozgat-Turkey.

Background: Hip fractures in the orthogeriatric population are a health problem that causes mortality and morbidity, with an increasing frequency. The present study aims to investigate whether the preoperative neutrophil-to-lymphocyte ratio (NLR) is a predictive value for the postoperative mortality risk in patients who underwent only proximal femoral nail (PFN) surgery due to pertrochanteric fractures (PTF). To our knowledge, there is not any study conducted with a similar population in the litertaure. Read More

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http://dx.doi.org/10.14744/tjtes.2020.57375DOI Listing

Use of a locking intramedullary nail for the treatment of initial varus proximal humeral fracture: a prospective pilot study.

J Int Med Res 2020 Jun;48(6):300060520935286

Department of Orthopaedic Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.

Objective: To evaluate the feasibility of locked intramedullary nailing, rather than locking plate fixation combined with fibular allograft augmentation, for initial varus proximal humeral fractures.

Methods: This prospective pilot study enrolled patients with initial varus proximal humeral fractures that were treated with a locking intramedullary nail. Radiography was performed to evaluate fracture healing. Read More

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http://dx.doi.org/10.1177/0300060520935286DOI Listing

Ultrasound features of the subungual glomus tumor and squamous cell carcinomas.

Skin Res Technol 2020 Jun 25. Epub 2020 Jun 25.

Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.

Background: Nail tumors often pose a significant challenge for the clinician, as they are burdened by a high delay in diagnosis and paucity of clinical signs in the early stage. In most cases, the onset of pain or nail plate dystrophy leads to imaging investigations such as plain radiography, magnetic resonance imaging, and ultrasonography (US) when surgery is pending.

Material And Methods: A 2-year monocentric study evaluated the histologically confirmed cases of subungual glomus tumor (GT) and squamous cell carcinoma (SCC) with a pre-surgical US assessment, and reviewed their sonography features. Read More

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http://dx.doi.org/10.1111/srt.12888DOI Listing

Arthroscopically-assisted reduction and pinning of a radial neck fracture in a child: a case report and review of the literature.

J Med Case Rep 2020 Jun 25;14(1):78. Epub 2020 Jun 25.

Department of Orthopaedic and Traumatology Surgery, Azienda Ospedaliero-Universitaria S. Anna Cona, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.

Background: Displaced radial neck fractures in children are challenging to treat. The age of the patient and the degree of angulation are the main criteria to consider when managing these fractures in children. Various surgical techniques have been described in the literature for both indirect and direct reduction and for fixation. Read More

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http://dx.doi.org/10.1186/s13256-020-02390-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315511PMC

Prevalence of Preoperative Anxiety and Its Relationship with Postoperative Pain in Foot Nail Surgery: A Cross-Sectional Study.

Int J Environ Res Public Health 2020 Jun 22;17(12). Epub 2020 Jun 22.

Department of Podiatry, University of Seville, 41009 Seville, Spain.

Preoperative anxiety has been studied in different medical disciplines, but it is unknown in minor surgical procedures such as foot nail surgery. This study aimed to determine the prevalence of preoperative anxiety and postoperative pain in foot nail surgery. The validated Amsterdam preoperative anxiety and information scale (APAIS) was used to evaluate preoperative anxiety and the need for information in 155 patients undergoing foot nail surgery. Read More

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http://dx.doi.org/10.3390/ijerph17124481DOI Listing

Management of unstable pertrochanteric fractures, evaluation of forgotten treatment options.

SICOT J 2020 24;6:21. Epub 2020 Jun 24.

Department of Orthopaedic and Trauma Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt.

Introduction: Unstable trochanteric fractures are challenging with a high rate of implant failure and re-operation. Cephalomedullary nails proved to be a rational management choice for these injuries, yet other management options have not been well assessed. The aim of this study was to compare the use of DHS with trochanteric stabilizing plate (TSP) and proximal femoral locked plate (PFLP) in unstable pertrochanteric fractures. Read More

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http://dx.doi.org/10.1051/sicotj/2020020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313392PMC

Penetrating nail-gun injury of the thoracic descending aorta.

Acute Med Surg 2020 Jan-Dec;7(1):e530. Epub 2020 Jun 19.

Mie General Medical Center, Emergency and Critical Care Center Yokkaichi Mie Japan.

Penetrating injury of the descending aorta due to accidental discharge of a nail gun. Read More

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http://dx.doi.org/10.1002/ams2.530DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305459PMC

Does Preparation of the Subtalar Joint for Primary Union Affect Clinical Outcome in Patients Undergoing Intramedullary Nail for Rheumatoid Arthritis of the Hindfoot and Ankle?

J Foot Ankle Surg 2020 Jun 20. Epub 2020 Jun 20.

Professor, Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

This study aimed to evaluate whether preparation of the subtalar joint affects the clinical outcomes after tibiotalocalcaneal arthrodesis using an intramedullary nail with fins for rheumatoid ankle/hindfoot deformity. Fifty-three joints in 51 patients who underwent tibiotalocalcaneal arthrodesis using an intramedullary nail with fins for rheumatoid arthritis at 2 institutions were included. Ten patients were male and 41 were female, with a mean age at surgery and follow-up period of 61. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.08.038DOI Listing

The optimal management of Seymour fractures in children and adolescents: a systematic review protocol.

Syst Rev 2020 Jun 23;9(1):150. Epub 2020 Jun 23.

St Thomas' Hospital, London, UK.

Background: Seymour fractures are open, displaced juxta-epiphyseal fractures of the distal phalanx, with an overlying nail bed laceration that occur in children and adolescents with an open physis. This fracture occurs rarely, but its potential consequences are clinically significant. Due to anatomical particulars and proximity to the growth plate, this open fracture may result in soft tissue infection and osteomyelitis, leading to growth arrest and persistent mallet deformity. Read More

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http://dx.doi.org/10.1186/s13643-020-01407-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313162PMC

Is Full-Length Intramedullary Nail Necessary for Atypical Subtrochanteric Femoral Fracture Associated with Bisphosphonate?

J Bone Metab 2020 May 31;27(2):133-142. Epub 2020 May 31.

Department of Orthopaedic Surgery, Konyang University Hospital, Daejeon, Korea.

Background: American Society for Bone and Mineral Research recommend the use of intramedullary reconstruction of full length-nail for atypical subtrochanteric femoral fracture (ASFF). However, there is no study on the incidence of the ipsilateral femoral fracture after index operation of ASFF, and full-length nail has disadvantage as iatrogenic fracture and leg length discrepancy (LLD). The aim of this study was to investigate the incidence of ipsilateral secondary fracture after using partial-length nail, and to compare the outcomes on surgery of ASFF between partial length-nails and full length-nails. Read More

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http://dx.doi.org/10.11005/jbm.2020.27.2.133DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297621PMC

Functional outcomes and complications of intramedullary fixation devices for Midshaft clavicle fractures: a systematic review and meta-analysis.

BMC Musculoskelet Disord 2020 Jun 22;21(1):395. Epub 2020 Jun 22.

Department of Operating Rooms, Radboud University Medical Center Nijmegen, Enschede, The Netherlands.

Background: An alternative to the current gold standard in operative treatment of displaced midshaft clavicle fractures (DMCF) using plate osteosynthesis, is internal fixation by means of intramedullary fixation devices. These devices differ considerably in their specifications and characteristics and an evaluation of their clinical results is warranted. The aim of this systematic review is to generate an overview of functional outcomes and complications in the management of DMCF per available intramedullary device. Read More

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http://dx.doi.org/10.1186/s12891-020-03256-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310279PMC

The optimal choice for length unstable femoral shaft fracture in school-aged children: A comparative study of elastic stable intramedullary nail and submuscular plate.

Medicine (Baltimore) 2020 Jun;99(25):e20796

Department of Orthopaedic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

The utilization of elastic stable intramedullary nail (ESIN) in length unstable femoral shaft fractures in children remains controversial, and the results in different studies vary a lot. This study aims to investigate the clinical outcomes of ESINs versus submuscular plate (SMP) in length unstable femoral shaft fractures.Patients aged 5 to 11 years old with length unstable femoral shaft fractures treated at our institute from January 2008 to January 2018 were included and categorized into ESIN and SMP group. Read More

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http://dx.doi.org/10.1097/MD.0000000000020796DOI Listing
June 2020
5.723 Impact Factor

Ultrasound-guided "hourglass-pattern" fascia iliac block combined with sacral plexus and gluteal epithelial nerve block for an elderly hip fracture patient with organ failure.

Medicine (Baltimore) 2020 Jun;99(25):e19732

Department of Anesthesiology, The Second Affiliated Hospital of Suzhou University, Suzhou, Jiangsu Province, P.R. China.

Introduction: Anesthesia management for high-risk elderly patients with hip fracture is challenging, it is significant to choose a more minimally invasive anesthesia technique for them than using conventional methods, like general anesthesia and neuraxial anesthesia.

Patients Concerns: Herein the patient suffered from the right intertrochanteric fracture, combined with heart failure, renal failure at the stage of uremia and pneumonia in her upper left lung DIAGNOSIS:: Because of right intertrochanteric fracture, internal fixation with proximal femoral intramedullary nail was scheduled for this patient INTERVENTIONS:: Ultrasound-guided "hourglass-pattern" fascia iliac block combined with sacral plexus and gluteal epithelial nerve block were performed to a high-risk elderly patient OUTCOMES:: The surgery in our report was successfully completed with our effective anesthesia technique and no perioperative complication occurred CONCLUSION:: Ultrasound-guided "hourglass-pattern" fascia iliac block combined with gluteal epithelial nerve block and sacral plexus block not only satisfied the anesthesia and provided effective postoperative analgesia of hip operation, but also has minimal invasion to high-risk elderly patients, and contributed to enhancing recovery after surgery. Read More

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http://dx.doi.org/10.1097/MD.0000000000019732DOI Listing

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

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

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

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

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

Nail Salon a Potential Source of a Rare Mycobacterium Fortuitum Infection In Proximal Tibia Megaprosthesis? A Case Report.

J Bone Jt Infect 2020 27;5(3):133-136. Epub 2020 Apr 27.

Department of Orthopedic Surgery, Morristown Medical Center, Morristown, NJ.

Mycobacterium Fortuitum (M. Fortuitum) is a type of opportunistic pathogen commonly found in water/soil and belongs to the nontuberculosis mycobacteria (NTM) family. Prosthetic joint infection due to M. Read More

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http://dx.doi.org/10.7150/jbji.43023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295650PMC

Reconstruction of Wassel IV-D radial polydactyly with a boot-shaped neurovascular island flap: A Consecutive series of 91 thumbs.

J Plast Reconstr Aesthet Surg 2020 May 26. Epub 2020 May 26.

Department of Hand Surgery, Wuxi 9th People's Hospital, Wuxi, China. Electronic address:

Introduction: Reconstruction of Wassel IV-D radial polydactyly is challenging and requires a custom strategy dependent on the relative size and shape of the radial and ulnar duplicates. Herein, we describe a technique using a boot-shaped neurovascular island flap and review our outcomes.

Methods: Ninety-one consecutive patients had reconstruction with a boot-shaped neurovascular island flap. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.05.071DOI Listing

A simultaneous bilateral asymmetric hip fracture in an elderly patient: A case report and review of the literature.

Int J Surg Case Rep 2020 Jun 12;72:377-380. Epub 2020 Jun 12.

Department of Orthopaedic Surgery, University of Tor Vergata, Viale Oxford 81, 00133 Rome, Italy. Electronic address:

Introduction: Simultaneous bilateral hip fractures are usually associated with high energy trauma, seizures, metabolic diseases and bisphosphonates use. They are observed rarely in the elderly population after simple trauma and usually have the same fracture pattern (symmetric). We report a rare case of asymmetric fracture and discuss mechanism of injury and treatment, analyzing the literature. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306533PMC

Complications, outcomes, and management strategies of non-missile penetrating head injuries.

J Neurosurg 2020 Jun 19:1-9. Epub 2020 Jun 19.

1Division of Neurosurgery, University of Stellenbosch; and.

Objective: While high-velocity missile injury (gunshot) is associated with kinetic and thermal injuries, non-missile penetrating head injury (NMPHI) results in primary damage along the tract of the piercing object that can be associated with significant secondary complications. Despite the unique physical properties of NMPHI, factors associated with complications, expected outcomes, and optimal management have not been defined. In this study, the authors attempted to define those factors. Read More

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http://dx.doi.org/10.3171/2020.4.JNS20122DOI Listing

Subungual Glomangiomyoma.

J Am Podiatr Med Assoc 2020 Mar;110(2)

Ankara University, Faculty of Medicine, Department of Pathology, Ankara, Turkey.

Glomus tumors are relatively rare benign tumors originated from normal glomus bodies. These tumors make up approximately 2% of all hand tumors and are most commonly found in the nail matrix and proximal nail bed of the hands. Histopathologically, they are classified into solid glomus tumor, glomangioma, and the least common type glomangiomyoma. Read More

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http://dx.doi.org/10.7547/19-051DOI Listing

Antegrade intramedullary nailing in proximal humeral fractures: results of 23 cases.

Acta Biomed 2020 May 30;91(4-S):209-216. Epub 2020 May 30.

Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy.

Introduction: the metaepiphyseal fractures of the proximal humerus represent 5% of all fractures and mainly affect elderly patients. The type of treatment remain controversial. This retrospective study aimed to evaluate the clinic and radiographic results of 23 patients affected by two or three fragments fractures of the proximal humerus with or without metaphyseal extension treated with antegrade intramedullary nailing. Read More

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http://dx.doi.org/10.23750/abm.v91i4-S.9650DOI Listing

A preliminary experience with a new intramedullary nail for trochanteric fractures.

Acta Biomed 2020 05 30;91(4-S):122-127. Epub 2020 May 30.

Orthopedics and Traumatology Department, University of Catania, Italy.

Background And Aim Of The Work: The worldwide incidence of fractures of the proximal end of the femur is increasing as the average age of the population rises. The current surgical gold treatment standard is intramedullary nail fixation. The Authors present their experience with the D-Nail system for intertrochanteric femur fractures. Read More

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http://dx.doi.org/10.23750/abm.v91i4-S.9726DOI Listing

[Surgical treatment of complex fractures of the upper end of the humerus: a retrospective study of 25 cases].

Pan Afr Med J 2020 6;36. Epub 2020 May 6.

Service de Chirurgie Orthopédique et Traumatologie, CHU Habib Bourguiba Sfax, Sfax, Tunisie.

Fractures of the upper end of the humerus raise a therapeutic problem in particular for three-fragment and 3 and 4-fragment complex fractures. The purpose of our study is to determine the epidemio-clinic features of complex fractures of the upper end of the humerus in adults and to assess the functional and radiological results in our case series. The study involved 25 patients whose data were collected in the Department of Orthopaedics at the Habib Bourguiba University Hospital between 2012 and 2017. Read More

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http://dx.doi.org/10.11604/pamj.2020.36.5.22729DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282609PMC

Nail Surgery Myths and Truths.

J Drugs Dermatol 2020 Mar;19(3):230-234

Introduction: There is a paucity of randomized trials on nail surgery. Since there are no established guidelines, dermatologists may have false beliefs about best practices in performing nail surgery and post-procedural care.

Methods: We identified five common myths concerning nail surgery. Read More

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Trifocal Femoral Fracture Treated With an Intramedullary Nail Accompanied With Compression Bolts and Lag Screws: Case Presentation and Literature Review.

Cureus 2020 May 17;12(5):e8173. Epub 2020 May 17.

Orthopedics and Traumatology and Spine Surgery, General Hospital of Patras "Agios Andreas", Patras, GRC.

Ipsilateral combined fractures of the proximal femur, femoral shaft, and distal femur occur rarely with few published cases in the literature. These injures are classified as type 4 combined femoral fractures according to the classification of Lambiris et al. We present a rare case of a combined injury including an ipsilateral intertrochanteric fracture, a mid-shaft transverse femoral fracture, and a Y-shaped intra-articular fracture of distal femur in a 36-year-old man following a traffic accident. Read More

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http://dx.doi.org/10.7759/cureus.8173DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296881PMC

Bone Crushing in Infected Pseudarthrosis - An Extraordinary Way to Treat Osteomyelitis Caused by Resistant Bacteria.

J Orthop Case Rep 2020 ;9(6):74-77

Department of Orthopaedic, SpitalUster, Brunnenstrasse 42, 8610 Uster, Switzerland.

Introduction: Osteomyelitis with multiresistant bacteria in non-union following fracture treated with osteosynthesis requires complete removal of infected sequestrum and dead bone. For consecutive bone defects, it is frequently necessary to bridge with a fixator external. The treatment is not only challenging due to reduced bone stock but also characterized by decreased bioavailability of antibiotics. Read More

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http://dx.doi.org/10.13107/jocr.2019.v09.i06.1596DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276597PMC
January 2020

Surgical Fixation of Subtrochanteric Fracture in Patient with Cancellous Screw Fixation for Neck of Femur Fracture: Surgical Decision-Making and Outcome.

J Orthop Case Rep 2020 ;9(6):44-49

Department of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, Academia, Level 4 169865, Singapore.

Introduction: Cannulated screw fixation is a common technique employed for the closed reduction and fixation of minimally or non-displaced neck of femur (NOF) fractures. A rare but potentially devastating complication is a peri-implant subtrochanteric fracture. Given the possibility of dealing with two potentially unstable fractures in close proximity from an incomplete union of the femoral neck, surgical fixation must be carefully planned with the option of retaining the existing cancellous screws to maintain femoral neck stability. Read More

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http://dx.doi.org/10.13107/jocr.2019.v09.i06.1582DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276603PMC
January 2020

Injury to the Superior Gluteal Artery during Intramedullary Fixation of a Proximal Femoral Fracture - A Case Report.

J Orthop Case Rep 2020 ;9(6):27-31

Department of Orthopaedic Surgery, Hospital de São Francisco Xavier, Centro Hospitalar de Lisboa Ocidental, Estrada do Forte do Alto do Duque, 1495-005 Lisbon, Portugal.

Introduction: Proximal femoral fractures represent a health problem of global proportions. Iatrogenic vascular lesion in the treatment of these fractures is an unusual potentially lethal complication, reported in only 0.2% of trochanteric fractures treated with intramedullary implants. Read More

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http://dx.doi.org/10.13107/jocr.2019.v09.i06.1574DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276602PMC
January 2020

The relationship of the Phantom® Lapidus Intramedullary Nail System to neurologic and tendinous structures in the foot: An anatomic study.

Foot Ankle Surg 2020 May 20. Epub 2020 May 20.

Graduate Medical Education Department, Wellstar Atlanta Medical Center, United States.

Background: The purpose of our cadaveric study was to determine the proximity of nail insertion and interlocking mechanisms in the Phantom® Lapidus Intramedullary Nail System to neurologic and tendinous structures in the foot.

Methods: We used 10 fresh-frozen human lower-extremity specimen cadavers. For each specimen, the Nail System was inserted as described in the published technique guide. Read More

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http://dx.doi.org/10.1016/j.fas.2020.04.007DOI Listing

Clinical evaluation of tibiocalcaneal arthrodesis with retrograde intramedullary nail fixation in diabetic patients.

Acta Orthop Traumatol Turc 2020 May;54(3):255-261

Department of Orthopedic Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Roma, Italy.

Objective: The aim of this study was to evaluate clinical and functional outcomes in diabetic patients undergoing tibiocalcaneal arthrodesis using a retrograde nail.

Methods: A total of 12 diabetic patients [8 men and 4 women; mean age at intervention: 56.8 years (range: 27-76 years)] who underwent tibiocalcaneal arthrodesis by a retrograde nail were enrolled in this study. Read More

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http://dx.doi.org/10.5152/j.aott.2020.03.334DOI Listing

Bone defect reconstruction with autologous bone inactivated with liquid nitrogen after resection of primary limb malignant tumors: An observational study.

Medicine (Baltimore) 2020 Jun;99(24):e20442

Department of Orthopedic Oncology Surgery, Beijing Ji Shui Tan Hospital, Peking University, Beijing, People's Republic of China.

Surgical treatment of malignant bone tumors comprises tumor resection and reconstruction. The most commonly used reconstruction method is prosthesis replacement, which achieves good early function, but has a high long-term incidence of complications. Another reconstruction option is autologous bone replantation, which has the advantages of anatomical matching and no need for large bone bank support. Read More

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http://dx.doi.org/10.1097/MD.0000000000020442DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302590PMC

Comparing the usefulness of a fluoroscopic navigation system in femoral trochanteric fracture for orthopaedic residents with the conventional method.

Injury 2020 Jun 7. Epub 2020 Jun 7.

Department of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Japan.

Introduction: Lag screw insertion into the ideal position is essential to obtain good results in open reduction and internal fixation for femoral trochanteric fracture. Tip-apex distance (TAD) is a widely adopted method for evaluating the risk of lag screw cut-out. Adaptive positioning technology (ADAPT) is a fluoroscopic computer-assisted surgery system that enables orthopaedic surgeons to guide the screw into a proper position intraoperatively. Read More

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http://dx.doi.org/10.1016/j.injury.2020.06.001DOI Listing

Noninvasive Assessment of Mycotic Nail Tissue Using an Ultraviolet Fluorescence Excitation Imaging System.

Lasers Surg Med 2020 Jun 15. Epub 2020 Jun 15.

Department of Dermatology and Wound Healing Centre, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen NV, 2400, Denmark.

Background And Objectives: Mycological diagnosis of onychomycosis is based on direct microscopy using external fluorophores to visualize fungal tissue in nail samples and agar culture. Ultraviolet fluorescence excitation imaging (u-FEI) has shown potential in monitoring biological processes by exploiting variations in autofluorescence. This study aimed at assessing the potential of a handheld u-FEI system as a practical screening tool for fungal nail infections. Read More

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http://dx.doi.org/10.1002/lsm.23285DOI Listing

Current surgical management of metastatic pathological fractures of the femur: A multicentre snapshot audit.

Eur J Surg Oncol 2020 Feb 22. Epub 2020 Feb 22.

Consultant University Hospitals Leicester, UK.

Aims: We aimed to find out: the typical workload for metastatic bone disease, the conventional treatment for femoral metastases and whether there is a trend for arthroplasty and endoprosthetic reconstruction.

Materials And Methods: All sequential patients undergoing surgery for femoral metastatic lesions (both pathological fracture and impending pathological fracture) of any age patient were included in the multicenter snapshot audit. Data on demographics, institutions and operative procedures were recorded. Read More

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http://dx.doi.org/10.1016/j.ejso.2020.02.026DOI Listing
February 2020

Complications of Limb Lengthening With Motorized Intramedullary Nails.

J Am Acad Orthop Surg 2020 Jun 8. Epub 2020 Jun 8.

From the The Royal Children's Hospital (Dr. Morrison), Parkville, Victoria, Australia, the Department of Orthopaedic Surgery (Dr. Georgiadis, Dr. Huser, and Dr. Dahl), Gillette Children's Specialty Healthcare, St. Paul, MN, and Department of Orthopedic Surgery (Dr. Georgiadis and Dr. Dahl), University of Minnesota, Minneapolis, MN.

Intramedullary limb lengthening (LL) is now achievable through motorized intramedullary devices. While this technology mitigates some complications of external-fixation-based lengthening, many complications common to all lengthening procedures persist. New challenges and complications exclusive to this newer technology are also presented. Read More

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http://dx.doi.org/10.5435/JAAOS-D-20-00064DOI Listing

Intramedullary Headless Screw Fixation for Metacarpal Fractures.

Tech Hand Up Extrem Surg 2020 Jun 9. Epub 2020 Jun 9.

Florida Orthopaedic Institute.

Multiple techniques have been proposed for metacarpal fracture fixation, including percutaneous Kirschner-wires, interfragmentary screws, plate and screw constructs, intramedullary (IM) nails, and cannulated IM headless screws. Each of these treatment options has its proposed advantages and disadvantages, and there remains no consensus on the optimal mode of treatment. We describe a technique of retrograde IM headless screw fixation for extra-articular metacarpal fractures. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000302DOI Listing

Impact of Onychomycosis and Treatment on Patient Reported Quality of Life Outcomes: A Systematic Review.

J Am Acad Dermatol 2020 Jun 2. Epub 2020 Jun 2.

Department of Dermatology, Weill Cornell Medicine, New York, New York. Electronic address:

Background: Onychomycosis is the most common nail disorder, often causing physical, emotional, and aesthetic consequences. The impact of both the condition itself and treatment on quality of life has not been well studied.

Objective: The objectives of this study were to systematically review the available literature describing the impact of onychomycosis and treatment on quality of life. Read More

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http://dx.doi.org/10.1016/j.jaad.2020.05.143DOI Listing

Injectable calcium sulfate vs mixed bone graft of autologous iliac bone and allogeneic bone: Which is the better bone graft material for unicameral bone cyst in humerus?

Medicine (Baltimore) 2020 Jun;99(23):e20563

Department of Orthopaedic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Unicameral bone cyst (UBC) is a benign fluid-filled lesion, mainly located in the metaphyses of long bones in children and adolescents. Elastic stable intramedullary nail (ESIN) is adopted in our institute for UBCs since 2010, and bone grafting was performed simultaneously. This study aims to evaluate the efficacy of ESIN decompression combined with different bone graft materials. Read More

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http://dx.doi.org/10.1097/MD.0000000000020563DOI Listing
June 2020
5.723 Impact Factor

Lengthening of the Humerus Using a Motorized Lengthening Nail: A Retrospective Comparative Series.

J Pediatr Orthop 2020 Jul;40(6):e479-e486

Department of Orthopaedic Surgery, University of Minnesota, Minneapolis.

Background: Lengthening of the humerus has traditionally been accomplished by the use of external fixation. Intramedullary motorized lengthening nails are now frequently used for lower limb lengthening, and this technology is slowly being adopted for use in the humerus.

Methods: A retrospective, single-surgeon experience of pediatric humeral lengthenings was performed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001453DOI Listing

Limb lengthening for deformities in Ollier's disease: a systematic review.

Eur J Orthop Surg Traumatol 2020 Jun 4. Epub 2020 Jun 4.

Department of Orthopaedics, Division of Surgery, Oncology and Gastroenterology DiSCOG, University of Padua, Padova, Italy.

Background: The management of limb deformity, shortening, and bone defects in treatment of Ollier's disease is a major challenge. This study aims to summarize and compare the different surgical treatments, and to evaluate the outcome and possible prognostic factors of leg lengthening in these patients.

Materials And Methods: A systematic review of the literature from 1993 to 2017 was performed. Read More

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http://dx.doi.org/10.1007/s00590-020-02692-5DOI Listing

Onychomatricoma Presenting as a Dystrophic Right Great Toenail: Case Report and Review.

Cureus 2020 May 3;12(5):e7946. Epub 2020 May 3.

Dermatology, San Diego Family Dermatology, National City, USA.

Onychomatricoma is a rare, benign nail matrix tumor. It most frequently occurs on one of the first three fingers of the dominant hand or the big toe in middle-aged women. Our patient presented with a 10-year history of a progressive thickening of her right great toenail; it bled easily and was intermittently painful. Read More

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http://dx.doi.org/10.7759/cureus.7946DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268579PMC

Does Computer-assisted Surgery Improve Lag Screw Placement During Cephalomedullary Nailing of Intertrochanteric Hip Fractures?

Clin Orthop Relat Res 2020 Jun 1. Epub 2020 Jun 1.

M. Kuhl, St. Cloud Orthopedics, Sartell, MN, USA C. Beimel, Stryker Trauma GmbH, Kiel, Germany.

Background: Computer-assisted surgery (CAS) techniques have been shown to improve implant placement and reduce the radiation time during cephalomedullary nailing in cadaveric and pilot clinical studies of intertrochanteric hip fractures. However, clinical comparisons of CAS and conventional techniques are lacking. It is unclear whether CAS offers clear advantages in terms of radiation time, operative time, and accuracy of lag-screw placement in patients undergoing surgery for intertrochanteric hip fractures and whether any potential difference in accuracy is associated with a change in the risk of lag-screw cut-out postoperatively. Read More

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http://dx.doi.org/10.1097/CORR.0000000000001306DOI Listing

Secondary Intention Healing After Functional Surgery for in Situ or Minimally Invasive Nail Melanoma.

Acta Derm Venereol 2020 Jun 11;100(13):adv00179. Epub 2020 Jun 11.

Department of Dermatology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, 03080 Seoul, Chongno-gu 03080 Seoul, Korea. E-mail:

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http://dx.doi.org/10.2340/00015555-3541DOI Listing

An evaluation of treatment options for medial, midshaft, and distal clavicle fractures: a systematic review and meta-analysis.

JSES Int 2020 Jun 4;4(2):256-271. Epub 2020 May 4.

Department of Orthopaedic Surgery, University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.

Background: The majority of clavicle fractures are midshaft injuries, although fractures of the distal or medial fragment also occur. The aim of this study was to review the current evidence on these injuries to help inform future treatment plans.

Methods: We searched for studies comparing interventions for medial, midshaft, or distal clavicle fractures; however, we did not identify any comparative studies on medial fractures and performed a secondary search on this topic. Read More

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http://dx.doi.org/10.1016/j.jseint.2020.01.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256900PMC

Clinical Outcomes of Intramedullary and Extramedullary Fixation in Unstable Intertrochanteric Fractures: A Randomized Clinical Trial.

Arch Bone Jt Surg 2020 Mar;8(2):190-197

Department of Orthopedics, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: The best method for repairing intertrochanteric fractures is still controversial. The fixation methods include extramedullary (EM) and intramedullary (IM). Studies that compare IM and EM fixations for unstable hip fractures are rare. Read More

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http://dx.doi.org/10.22038/abjs.2019.34942.1919DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191988PMC

National Comprehensive Analysis of Characteristics of Acral Lentiginous Melanoma.

Anticancer Res 2020 Jun;40(6):3411-3415

Division of Plastic Surgery, Mayo Clinic, Jacksonville, FL, U.S.A.

Background/aim: Acral lentiginous melanoma (ALM) is the least common subtype of cutaneous melanoma and typically occurs on the palms, soles, and nails. Tumor characteristics and disease severity in the US population are not well understood. Our aim was to analyze the characteristics of ALM of the extremities. Read More

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http://dx.doi.org/10.21873/anticanres.14325DOI Listing

Nail Wound and Cellulitis Following Typhoon Hagibis in Fukushima, Japan.

Disaster Med Public Health Prep 2020 Jun 3:1-3. Epub 2020 Jun 3.

Department of Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima, Japan.

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http://dx.doi.org/10.1017/dmp.2020.78DOI Listing