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    Outcome of anatomic locking plate in extraarticular distal humeral shaft fractures.
    Indian J Orthop 2017 Jan-Feb;51(1):86-92
    Department of Orthopaedics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
    Background: Extraarticular fractures of distal humerus are challenging injuries to treat because of complex anatomy and fracture patterns. Functional bracing may not provide adequate stability in these injuries and operative treatment with intramedullary nails or conventional plates also has the limitation of inadequate fixation in the short distal fragment. The 3. Read More

    Functional Outcomes of Antegrade Homodigital Neurovascular Island Flaps for Fingertip Amputation.
    J Hand Surg Asian Pac Vol 2017 Mar;22(1):39-45
    1 Department of Hand Surgery, Orthopaedics and Traumatology, United Christian Hospital, Hong Kong, China.
    Background: Fingertip amputations can be debilitating and challenging to treat, due to the need for both function and cosmesis. We studied the functional outcomes of patients receiving an antegrade homodigital neurovascular island flap for fingertip amputations.

    Methods: From 2004 to 2013, we performed 13 cases of antegrade homodigital neurovascular island flaps. Read More

    To evaluate the role of platelet-rich plasma in healing of acute diaphyseal fractures of the femur.
    Chin J Traumatol 2017 Jan 20. Epub 2017 Jan 20.
    Department of Blood Transfusion, Pt. B.D. Sharma PGIMS, Rohtak 124001, Haryana, India.
    Purpose: New research is focusing on the use of autologous growth factors to increase the effect of bone fracture healing while decreasing the amount of healing time for the patient. Platelets have been demonstrated to be the natural storage vessel for several growth factors and cytokines that promote blood coagulation, tissue repair, and the process of bone mineralization. The present study aims to evaluate the role of platelet-rich plasma (PRP) in healing of acute femoral shaft fractures radiologically. Read More

    Proximity and Risks of the Anterior Neurovascular and Tendinous Anatomy of the Distal Leg Relative to Anteriorly Applied Distal Locking Screws for Tibia Nailing: A PLEA FOR OPEN INSERTION.
    J Orthop Trauma 2017 Feb 14. Epub 2017 Feb 14.
    Department of Orthopedic Surgery Vanderbilt University MCE- South Tower, Suite 4200 Nashville.
    Purpose: To determine the proximity and potential risks to distal leg anatomy from anterior to posteriorly (A-P) applied distal tibia locking screws for tibial nailing.

    Design: Retrospective.

    Setting: ACS level I trauma center. Read More

    Self-inflicted Cardiac Injury with Nail Gun Without Hemodynamic Compromise: A Case Report.
    Cureus 2017 Jan 10;9(1):e971. Epub 2017 Jan 10.
    College of Medicine, University of Central Florida ; Florida Hospital-Orlando.
    Pneumatically powered nail guns have been used in construction since 1959. Penetrating injuries to the heart with nail guns have a wide range of presentations from asymptomatic to cardiac tamponade and exsanguination. Mortality related to cardiac nail gun injuries is similar to knife injuries, estimated at 25%. Read More

    Nonrandomized assessment of ingrown toenails treated with excision of skinfold rather than toenail (NAILTEST): An observational study of the Vandenbos procedure.
    J Pediatr Surg 2017 Jan 29. Epub 2017 Jan 29.
    Division of Pediatric Surgery, Western University, London, Ontario, Canada. Electronic address:
    Background: The Vandenbos procedure for ingrown toenails consists of excising the surrounding skinfold and allowing the wound to heal by secondary intention. Previous studies have documented low rates of recurrence, but patient-reported outcomes remain uncertain.

    Methods: This study was a prospective, observational assessment of children and adolescents who underwent the Vandenbos procedure for one or more ingrown toenails. Read More

    Enhancement of fracture healing in the rat, modulated by compounds that stimulate inducible nitric oxide synthase: Acceleration of fracture healing via inducible nitric oxide synthase.
    Bone Joint Res 2017 Feb;6(2):90-97
    Department of Orthopaedic Surgery, The J. Vernon Luck, Sr., M.D. Orthopaedic Research Center, Orthopaedic Institute for Children, University of California, Los Angeles, California, USA
    Objectives: We investigated the effects on fracture healing of two up-regulators of inducible nitric oxide synthase (iNOS) in a rat model of an open femoral osteotomy: tadalafil, a phosphodiesterase inhibitor, and the recently reported nutraceutical, COMB-4 (consisting of L-citrulline, Paullinia cupana, ginger and muira puama), given orally for either 14 or 42 days.

    Materials And Methods: Unilateral femoral osteotomies were created in 58 male rats and fixed with an intramedullary compression nail. Rats were treated daily either with vehicle, tadalafil or COMB-4. Read More

    3D Optical investigation of 2 Nail Systems Used in Tibiotalocalcaneal Arthrodesis.
    Foot Ankle Int 2017 Feb 1:1071100717690805. Epub 2017 Feb 1.
    1 Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Münster, Münster, Germany.
    Background: Although retrograde intramedullary nails for tibiotalocalcaneal arthrodesis (TTCA) are an established fixation method, few studies have evaluated the stability of the available nail systems. The purpose of this study was to compare biomechanically the primary stability of 2 nail-systems, A3 (Small Bone Innovations) and HAN (Synthes), in human cadavers and analyze the exact point of instability in TTCA by means of optical measurement.

    Methods: In 6 pairs of lower legs (n = 12) of fresh-frozen human cadavers with osteoporotic bone structure, bone mineral density (BMD) was determined. Read More

    Management and treatment of nail melanoma.
    G Ital Dermatol Venereol 2017 Feb 8. Epub 2017 Feb 8.
    Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.
    Background: An early and prompt NAM diagnosis is associated with less invasive surgical procedures and a better patient's prognosis. The diagnostic delay may be related both to the clinical misinterpretations and to errors in the diagnosing process. Biopsy techniques have been adequately describe by nail experts, but the two main problems in the correct choice of the biopsy are probably related to the difficulty in performing surgery in the nail unit and the risk of permanent nail dystrophy. Read More

    Spontaneous Hemarthrosis of the Knee - Late Complication of Flexible Femur Nailing: A Case Report.
    Trauma Mon 2016 Sep 27;21(4):e23063. Epub 2016 Mar 27.
    Division of Orthopaedic Surgery and Sports Medicine, Children's National Medical Center, Washington DC, USA.
    We present a case report of acute spontaneous knee hemarthosis due to erosion of the nail through the knee joint capsule in a boy, seven months following retrograde flexible nailing for fractured femur. Careful positioning of the location of the insertion site of flexible nails and proper nail tip management are important to avoid this rare late complication. Read More

    Imaging Evaluation of the Safe Region for Distal Locking Screw of Proximal Femoral Nail Anti-Rotation in Patients with Proximal Femoral Fracture.
    Med Sci Monit 2017 Feb 8;23:719-724. Epub 2017 Feb 8.
    Department of Orthopaedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China (mainland).
    BACKGROUND Proximal femoral nail anti-rotation (PFNA) is a standard femoral intertrochanteric fracture operation. Iatrogenic vascular injury, although uncommon, is a reported complication of PFNA surgery as well as a complication of hip fracture surgery. This study aimed to compare the safety and best use of the distal locking screw in 170 mm PFNA and 240 mm PFNA devices, and to determine the safe region for placement of the distal locking screw in PFNA surgery. Read More

    Reconstruction of large area defect of the nail bed by cross finger fascial flap combined with split-thickness toe nail bed graft: A new surgical method.
    Medicine (Baltimore) 2017 Feb;96(6):e6048
    Department of Hand Surgery, Key Laboratory of Hand Reconstruction, Huashan Hospital, Fudan University, Ministry of Health, Shanghai, China.
    Fingertip injury commonly results in avulsion of the nail bed. For large area defects of the nail bed with distal phalanx exposure, methods for reconstruction of soft tissue defects are scarcely mentioned in the literature.From May 2014 to January 2016, 6 patients with large area defects of the nail bed with distal phalanx exposure were enrolled. Read More

    The risk of iatrogenic injury to anterior tibial artery variations during tibial nail distal interlocking.
    J Orthop Surg (Hong Kong) 2017 Jan;25(1):2309499016684471
    3 Department of Orthopaedic Surgery, St Vincent Mercy Medical Center, Toledo, OH, USA.
    Introduction: Tibial intramedullary nailing remains a common tibial fracture fixation method. Tibial nailing indications continue to expand. Neurovascular complications from tibial nailing have been described; however, the proximity of distal tibial locking bolts to the anterior tibial artery (ATA) variants has not. Read More

    Precise Measurement of the Outer Diameters of Antibiotic-Laden Cement Nails Produced by Various Sized Thoracostomy Catheter Molds.
    J Orthop Trauma 2017 Jan 24. Epub 2017 Jan 24.
    1Department of Orthopaedic Surgery University of Texas at Houston Houston, TX 2Fondren Orthopedic Group, LLP 7401 Main Street Houston, TX 77030.
    Objectives: At our institution, custom made antibiotic-laden cement nails fabricated during surgery using a thoracostomy catheter as a mold is commonly employed to treat long bone infection. As the outer diameter of the nails produced has not previously been described, we designed a study to measure the outer diameter of antibiotic-laden cement nails fashioned using commercially available and commonly utilized thoracostomy catheters of various sizes.

    Methods: Six thoracostomy catheters from two different manufactures (Argyle™ PVC Thoracic Catheters, Covidien Ltd. Read More

    Outcomes of Distal Femur Nonunions Treated with a Combined Nail/Plate Construct and Autogenous Bone Grafting.
    J Orthop Trauma 2016 Dec 26. Epub 2016 Dec 26.
    1 The Vanderbilt Orthopaedic Institute Center for Health Policy, Nashville, TN 2 Vanderbilt University School of Medicine, Nashville, TN 3 University of Wisconsin Hospital and Clinics, Madison, WI.
    SummaryIn this study, we sought to retrospectively evaluate union and infection rates after treatment of distal femur nonunions using a combined nail/plate construct with autogenous bone grafting. 10 patients treated at a Level I Trauma Center for nonunion of a femoral fracture using a combined nail/plate construct from 2004 to 2014 were included in the study. Union rate and postoperative infection rate were recorded. Read More

    A Case Report of Bisphosphonate-induced Bilateral Osteoporotic Subtrochanteric Fracture Femurii: Review of Literature.
    J Orthop Case Rep 2016 Sep-Oct;6(4):31-34
    Department of Orthopaedics, J.N. Medical College, KLE University, Belgaum, Karnataka, India.
    Introduction: Osteoporosis is a significant health-care problem characterized by excessive skeletal fragility, susceptibility to low-trauma fractures in men as well as women. Any abnormality of the bone that reduces the strength of the bone predisposes it to mechanical failure during normal activity or with minimum trauma. The mechanical failure manifests itself as a fracture, and this fracture must be recognized as a pathological fracture if the patient is to be treated properly. Read More

    Treatment of Displaced Intra-articular Calcaneal Fractures by Intramedullary Nail. Preliminary Report.
    Ortop Traumatol Rehabil 2016 Mar;18(2):141-147
    Department of Traumatology and Orthopedic Surgery ZZOZ Ostrów Wielkopolski, Poland.
    Background: Open reduction and plate stabilisation is a recognised method of treatment of intra-articular calcaneal fractures. The surgical approach to the calcaneal bone used in these procedures is associated with a high risk of complications. The aim of this paper is to present the author's experience with a new surgical method and analyse early outcomes of the treatment of calcaneal fractures by Calcanail intramedullary nailing. Read More

    Computer hexapod-assisted orthopaedic surgery provides a predictable and safe method of femoral deformity correction.
    Bone Joint J 2017 Feb;99-B(2):283-288
    University Hospitals Bristol NHS Trust, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol, UK.
    Aims: Computer hexapod assisted orthopaedic surgery (CHAOS), is a method to achieve the intra-operative correction of long bone deformities using a hexapod external fixator before definitive internal fixation with minimally invasive stabilisation techniques. The aims of this study were to determine the reliability of this method in a consecutive case series of patients undergoing femoral deformity correction, with a minimum six-month follow-up, to assess the complications and to define the ideal group of patients for whom this treatment is appropriate.

    Patients And Methods: The medical records and radiographs of all patients who underwent CHAOS for femoral deformity at our institution between 2005 and 2011 were retrospectively reviewed. Read More

    Limb Lengthening Using the PRECICE(TM) Nail System: Complications and Results.
    Arch Trauma Res 2016 Dec 23;5(4):e36273. Epub 2016 Aug 23.
    Department of Trauma, Medical School Hannover, Hannover, Germany.
    Background: Three types of telescopic nails are mainly used for intramedullary limb lengthening nowadays. Despite some important advantages of this new technology (e.g. Read More

    Biomechanical Analysis of Retrograde Flexible Intramedullary Nail Constructs in a Simulated Pediatric Femur Fracture Model.
    J Pediatr Orthop 2017 Jan 30. Epub 2017 Jan 30.
    *Department of Orthopaedic Surgery, University of Texas Southwestern †Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children, Dallas, TX.
    Background: Various flexible intramedullary nail (FIMN) constructs for pediatric femur fractures are described; however, no biomechanical study has compared stability of medial-lateral entry versus all-lateral entry retrograde nailing. Our purpose is to compare the rotational and bending stiffness of 2 different FIMN constructs and 2 different materials in a simulated pediatric femur fracture model.

    Methods: Eighty adolescent-sized composite femurs were used to simulate transverse (40 femurs) and oblique (40 femurs) mid-diaphyseal fractures. Read More

    Fatigue Failure in Extra-Articular Proximal Tibia Fractures: Locking Intramedullary Nail Versus Double Locking Plates-A Biomechanical Study.
    J Orthop Trauma 2017 Feb;31(2):e49-e54
    Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA.
    Objectives: The goal of this study is to compare the fatigue strength of a locking intramedullary nail (LN) construct with a double locking plate (DLP) construct in comminuted proximal extra-articular tibia fractures.

    Methods: Eight pairs of fresh frozen cadaveric tibias with low bone mineral density [age: 80 ± 7 (SD) years, T-score: -2.3 ± 1. Read More

    Does weight-bearing assignment after intramedullary nail placement alter healing of tibial shaft fractures?
    Orthop Traumatol Surg Res 2017 Feb 23;103(1):111-114. Epub 2017 Jan 23.
    Department of orthopaedic surgery and sports medicine, Temple university hospital, 3401N, Broad street, 19140 Philadelphia, USA.
    Introduction: There is no consensus regarding postoperative weight-bearing (WB) assignment after treatment of tibial shaft fractures with an intramedullary nail. This study aims to determine if the postoperative WB assignment after tibia intramedullary nail placement alters healing.

    Methods: Closed AO type 42A fractures treated with a reamed statically-locked intramedullary nail over a 10-year period were retrospectively reviewed from injury at 2, 3, 6, 9 and 12 month intervals until union or revision. Read More

    [Treatment of femoral shaft fractures in children and adolescents ≥50 kg : A retrospective multicenter trial].
    Unfallchirurg 2017 Jan 23. Epub 2017 Jan 23.
    Klinik für Kinderchirurgie, Campus Lübeck, Universitätsklinikum Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
    Background: Operative treatment of diaphyseal fractures of the femur in older children and adolescents remains controversial due to multiple surgical options and higher complication rates in single-center studies compared to younger children. This retrospective multicenter study aimed to register early and late complications in day-by-day treatment.

    Material And Methods: Sixteen hospitals with particular expertise in pediatric orthopedic trauma participated in this study. Read More

    Recurrent GCT of Distal Femur Treated with Resection Arthrodesis with Non-Vascularized Bilateral Fibular Graft and A Custom-Made Interlock Nail.
    J Orthop Case Rep 2016 Jul-Aug;6(3):16-18
    Department of Orthopaedics, D.Y Patil University School of Medicine and Hospital, Navi Mumbai, India.
    Introduction: Giant Cell Tumors commonly occur around the knee joint in the age group of 20-30 years. They are treated with intra-lesional curettage or local resection and limb reconstruction. Management of large bone defects after resection is a challenge and is of ten complicated with non-union of grafts, infection and delayed weight bearing. Read More

    A Technical Note for Extracting an Incarcerated Femoral Kuntscher Nail.
    J Orthop Case Rep 2016 Jul-Aug;6(3):10-12
    Department of Orthopaedic Surgery, Parc de Salut Mar, Hospital de l'Esperança, Sant Josep de la Muntanya 12. 08024 Barcelona, Spain.
    Introduction: The use of the Kuntscher nail has been the most important advancement in trauma surgery. One of the problems is the difficulty to remove it. A new extraction technique is described in the present case report. Read More

    Computed tomography-based prediction of the straight antegrade humeral nail's entry point and exposure of "critical types": truth or fiction?
    J Shoulder Elbow Surg 2017 Jan 19. Epub 2017 Jan 19.
    The Steadman Clinic, Vail, CO, USA; Steadman Philippon Research Institute, Vail, CO, USA; Department of Trauma Surgery, Hannover Medical School, Hannover, Germany.
    Background: Straight antegrade intramedullary nailing of proximal humerus fractures has shown promising clinical results. However, up to 36% of all humeri seem to be "critical types" in terms of the potential violation of the supraspinatus (SSP) tendon footprint by the nail's insertion zone. The aims of this study were to evaluate if a computed tomography (CT) scan could reliably predict the nail's entry point on the humeral head and if it would be possible to preoperatively estimate the individual risk of iatrogenic violation of the SSP tendon footprint by evaluating the uninjured contralateral humerus. Read More

    Effectiveness of Hindfoot Arthrodesis by Stable Internal Fixation in Various Eichenholtz Stages of Neuropathic Ankle Arthropathy.
    J Foot Ankle Surg 2017 Mar - Apr;56(2):282-286. Epub 2017 Jan 16.
    Chief, Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India.
    The optimal time to treat neuropathic (Charcot) arthropathy of the ankle and peritalar joint is controversial because of the various treatment options available and the variable results reported in published studies. We sought to determine the outcome of hind foot arthrodesis with stable internal fixation in patients with different Eichenholtz stages of arthropathy. We prospectively studied patients with substantial disabilities caused by neuropathic arthropathy in deformed, unstable ankle and peritalar joints, with or without ulcerations, who had undergone treatment from July 2007 to December 2012. Read More

    The current status of prophylactic femoral intramedullary nailing for metastatic cancer.
    Ecancermedicalscience 2016 1;10:698. Epub 2016 Dec 1.
    University of Liverpool, L3 5TR, UK.
    The most common site for cancer to spread is bone. At post-mortem, bony metastases have been found in 70% of patients dying from breast and prostate cancer. Due to the prevalence of cancer, bone metastasis and the associated management represents a huge burden on NHS resources. Read More

    Reduction Techniques for Trochantericand Subtrochanteric Fractures of the Femur: a Practical Guide.
    Acta Chir Orthop Traumatol Cech 2016 ;83(5):300-310
    Department of Surgery, Kantonsspital, Winterthur, Switzerland.
    Trochanteric intramedullary nailing has gained widespread acceptance and popularity among orthopedic trauma surgeons. Whereas some simple fracture patterns are easily reduced and nailed, others may present a major challenge for the surgeon. Anatomical reduction and optimal placement of the intramedullary implants are the most important factors for fracture healing and good functional outcome. Read More

    Clinical and Functional Outcomes of Treatment for Type A1 Intertrochanteric Femoral Fracture in Elderly Patients: Comparison of Dynamic Hip Screw and Proximal Femoral Nail Antirotation.
    Hip Pelvis 2016 Dec 28;28(4):232-242. Epub 2016 Dec 28.
    Department of Orthopedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea.
    Purpose: We aimed to evaluate and compare the clinical and functional outcomes of dynamic hip screw (DHS) and proximal femoral nail antirotation (PFNA) treatment of AO type 1 intertrochanteric fractures in elderly patients.

    Materials And Methods: We retrospectively reviewed 194 consecutive patients with type A1 intertrochanteric femoral fractures who were treated with DHS (n=113) or PFNA (n=81). We evaluated operation time, intraoperative blood loss, and functional outcomes, walking ability, and the Barthel activities index. Read More

    Surgical Results of the Cephalomedullary Nail for the Femoral Intertrochanteric Fracture: Comparison between Non-experienced Surgeons and Experienced Surgeon.
    Hip Pelvis 2016 Dec 28;28(4):225-231. Epub 2016 Dec 28.
    Department of Orthopedic Surgery, Seoul Medical Center, Seoul, Korea.
    Purpose: Cephalomedullary nail (CM nail) in the treatment of femoral intertrochanteric fractures is in the lime light in recent years. The purpose of this study is to compare surgical outcomes between experienced surgeon and non-experienced surgeons in respect of CM nail for femoral intertrochanteric fractures.

    Materials And Methods: The 129 patients underwent CM nail for femoral intertrochanteric fracture more than six months of follow-up from April 2011 to March 2014 in Seoul Medical Center (Seoul, Korea) were participated in this study. Read More

    Bone Wax Is Effective in Reducing Blood Loss After Total Knee Arthroplasty.
    J Arthroplasty 2016 Dec 24. Epub 2016 Dec 24.
    Department of Orthopaedics Surgery, Changi General Hospital, Singapore.
    Background: Total knee arthroplasty (TKA) is associated with major blood loss and blood transfusion is often required. This study aimed to evaluate the efficacy of bone wax in reducing blood loss and transfusion rates after TKA.

    Methods: A prospective randomized controlled study that included 100 patients undergoing primary unilateral TKA with cement was conducted in a tertiary center between March 2014 and June 2014. Read More

    Antimicrobial coated implants in trauma and orthopaedics-A clinical review and risk-benefit analysis.
    Injury 2016 Dec 21. Epub 2016 Dec 21.
    Department of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen-Marburg, Campus Giessen, Rudolf-Buchheim-Str. 7, Germany. Electronic address:
    Implant-associated infections remain a major issue in orthopaedics and antimicrobial functionalization of the implant surface by antibiotics or other anti-infective agents have gained interest. The goal of this article is to identify antimicrobial coatings, for which clinical data are available and to review their clinical need, safety profile, and their efficacy to reduce infection rates. PubMed database of the National Library of Medicine was searched for clinical studies on antimicrobial coated implants for internal fracture fixation devices and endoprostheses for bone surgery, for which study design, level of evidence, biocompatibility, development of resistance, and effectiveness to reduce infection rates were analyzed. Read More

    Treatment options and outcome after bony avulsion of the flexor digitorum profundus tendon: a review of 29 cases.
    Arch Orthop Trauma Surg 2017 Feb 10;137(2):285-292. Epub 2017 Jan 10.
    University Clinic for Trauma Surgery, Medical University Vienna, Währinger Gürtel, 18-20, 1090, Vienna, Austria.
    Introduction: The objective of this retrospective review was to evaluate the functional and esthetic outcomes in patients with non- or minimally (<2 mm), and severely (>2 mm) displaced bony avulsions of the flexor digitorum profundus (FDP) tendon.

    Materials And Methods: Between 1996 and 2010, 29 patients with a bony avulsion of the FDP tendon were treated. The displacement magnitude of the avulsed fragment determined, whether conservative or surgical treatment was performed. Read More

    The role of lesser trochanter fragment in unstable pertrochanteric A2 proximal femur fractures - is refixation of the lesser trochanter worth the effort?
    Clin Biomech (Bristol, Avon) 2017 Feb 30;42:31-37. Epub 2016 Dec 30.
    Institute of Orthopaedic Research and Biomechanics, Center for Trauma Research Ulm, Ulm University, Helmholtzstraße 14, 89081 Ulm, Germany.
    Background: Instability of osteoporotic pertrochanteric fractures is defined by loss of medial/lateral cortical integrity with the posteromedial fragment including the lesser trochanter being pivotal for load distribution. Literature addressing the importance of lesser trochanter refixation is scarce. To clarify the effect of lesser trochanter refixation on primary stability in these fractures, following study was performed. Read More

    A Surgical Opinion in a 36-Week Pregnant with Tibia Fracture: Intramedullary Nailing.
    Case Rep Orthop 2016 13;2016:1454835. Epub 2016 Dec 13.
    Department of Orthopaedics and Traumatology, Faculty of Medicine, Harran University, Sanliurfa, Turkey.
    The operative treatment of tibial fractures in late pregnancy is a controversial issue that is rarely discussed in the literature. Here we present a case of a tibial diaphyseal fracture in a woman that was 36 weeks pregnant, which was treated with intramedullary nails under noninvasive foetal monitoring with cardiotocography. The patient underwent a successful surgery, and no harm or adverse events to either the mother or the foetus were reported during or after the procedure. Read More

    H3F3 mutation status of giant cell tumors of the bone, chondroblastomas and their mimics: a combined high resolution melting and pyrosequencing approach.
    Mod Pathol 2017 Jan 6. Epub 2017 Jan 6.
    Department of Pathology, University Hospital of Tours, Avenue de la République, Chambray-les-tours, France.
    Behjati et al recently described recurrent mutations of H3F3 genes in giant cell tumors of the bone and chondroblastomas. Both these entities belong to the spectrum of giant cell-rich bone lesions, often presenting a diagnostic challenge for the pathologist. Our aim was to investigate the value of searching for H3F3 mutations in the diagnosis of giant cell tumors of the bone and giant cell-rich chondroblastomas. Read More

    Implant options for the treatment of intertrochanteric fractures of the hip: rationale, evidence, and recommendations.
    Bone Joint J 2017 Jan;99-B(1):128-133
    Yale University School of Medicine, Department of Orthopaedics and Rehabilitation, 800 Howard Ave, New Haven, CT 06520, USA.
    Aims: The aim of this paper is to review the evidence relating to the anatomy of the proximal femur, the geometry of the fracture and the characteristics of implants and methods of fixation of intertrochanteric fractures of the hip.

    Materials And Methods: Relevant papers were identified from appropriate clinical databases and a narrative review was undertaken.

    Results: Stable, unstable, and subtrochanteric intertrochanteric fractures vary widely in their anatomical and biomechanical characteristics, as do the implants used for their fixation. Read More

    Nail Bed Reconstruction Using Single-Layer Bovine Acellular Dermal Matrix.
    J Hand Surg Am 2017 Jan;42(1):e67-e74
    Hand and Upper Extremity Center of Georgia, Atlanta, GA.
    Traumatic nail bed injuries to the hand are a common problem for hand surgeons. Whereas the majority of those are treated with primary repair, the remainder present significant surgical challenges to address residual soft tissue defects. In this article, we present our approach to treating injuries to the fingertips utilizing single-layer bovine acellular dermal matrix grafts. Read More

    The treatment of olecranon fractures in adults.
    Musculoskelet Surg 2017 Jan 3. Epub 2017 Jan 3.
    Department of Trauma and Orthopaedic Surgery, Royal Alexandra Hospital, Corsebar Rd, Paisley, PA2 9PN, UK.
    Olecranon fractures are common. They are usually managed surgically with open reduction and either tension band wiring or plate fixation. Currently, there are few studies comparing fracture treatments. Read More

    Post-Traumatic Ectopic Nail: A Case Report and Review of Literature.
    J Clin Diagn Res 2016 Nov 1;10(11):PD01-PD02. Epub 2016 Nov 1.
    Senior Resident, Department of Surgery, AIIMS , Bhubaneswar, Odisha, India .
    Ectopic nail or Onychoheterotopia is an uncommon clinical entity. They are usually congenital; the acquired variety is very rare. The exact pathogenesis of the disease is not clear. Read More

    Results of geriatric distal radius fractures treated by intramedullary fixation.
    Injury 2016 Dec;47 Suppl 7:S31-S35
    Department of Trauma, Orthopedic and Reconstructive Surgery, Munich Municipal Hospital Group, Harlaching Clinic, Munich, Germany.
    Introduction: Distal radius fracture are common injuries but no gold standard for their therapy exists. The aim of this study was to evaluate the quality of fracture care in distal radius fractures using an intramedullary implant (Targon DR interlocking nail). The nail had been developed to minimize the surgical exposure, increase fixation strength, to prevent tendon irritations and to allow for a fast return to activity. Read More

    The art of trochanteric fracture reduction.
    Injury 2016 Dec;47 Suppl 7:S3-S6
    Department of Trauma and Orthopaedic Surgery, Paracelsus Medical University, Klinikum Nürnberg, Breslauer Strasse 201, 90471 Nürnberg, Germany.
    The name of Ender is primarily associated with the Ender nails, which were popular for trochanteric fracture fixation more than thirty years ago. However, Ender's concepts were not limited to the implant. Ender developed a unique classification system for trochanteric and subtrochanteric fractures, which provided the theory for closed reduction maneuvers that made the method so successful in his hands. Read More

    Fixation of intra-articular fractures of the distal radius using intramedullary nailing: a randomized trial versus palmar locking plates.
    Injury 2016 Dec;47 Suppl 7:S25-S30
    Clinic for Trauma Surgery, Orthopedic Surgery and Reconstructive Surgery, Munich Municipal Hospital Group, Sanatoriumsplatz 2, 81545 München, Germany. Electronic address:
    Background: Proposed benefits of intramedullary techniques include limited soft tissue dissection while affording sufficient stability to allow early wrist motion. The primary null hypothesis of this randomized trial was that there is no significant difference with respect to functional outcome, pain and disability between patients treated with either 2.4-mm volar locking plate fixation or intramedullary nail fixation of intra-articular fractures of the distal radius. Read More

    Biomechanical testing to evaluate the cut-through resistance of intramedullary nails for the proximal humerus.
    Injury 2016 Dec;47 Suppl 7:S20-S24
    Department of Orthopaedic Sports Surgery, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
    Intramedullary nailing for stabilization of proximal humeral fractures is well-established. Complications as part of a cut-through, such as backing out of locking screws, loss of reduction, and perforation of the screws into the glenoid, are equally well-known. The test bench presented in this study enables testing of the cut-through behavior of multiple intramedullary implants on a simulated osteoporotic three-part fracture configuration with three different loading circumstances (A, B and C). Read More

    Proximal humeral fractures: non-operative treatment versus intramedullary nailing in 2-, 3- and 4-part fractures.
    Injury 2016 Dec;47 Suppl 7:S14-S19
    Department of Trauma, Orthopedic and Reconstructive Surgery, Munich Municipal Hospital Group, Clinic Harlaching, Germany. Electronic address:
    Background: Little is known about non-operative treatment of proximal humerus 4-part and severe displaced fractures as those are normally treated operatively. In this study, we present a historical collective of two level I trauma centers, where all humeral head fractures, despite displaced fractures, received non-operative treatment within a 10 years period. Functional and clinical results of 2-, 3- and 4-part fractures were compared to those after fixed angle intramedullary nailing by matched pair analysis. Read More

    Humeral head necrosis after proximal humeral nailing: what are the reasons for bad outcomes?
    Injury 2016 Dec;47 Suppl 7:S10-S13
    Department of Trauma and Orthopaedic Surgery, Paracelsus Medical University, Nuernberg General Hospital, Breslauer Str. 201, 90471 Nuernberg, Germany.
    Introduction: Humeral head necrosis (HHN) remains a major problem in fracture care. Neither its occurrence, its extend, nor its impact on clinical outcomes is predictable on the long term. This study was designed to evaluate clinical and radiological outcomes in patients depending on the influence of HHN. Read More

    Anterior tibial artery pseudoaneurysm due to interlocking bolt of tibial nail: A case report and review.
    Acta Orthop Traumatol Turc 2017 Jan 26;51(1):77-83. Epub 2016 Dec 26.
    Post Graduate Institute of Medical Education and Research (PGIMER), Department of Orthopaedics, Chandigarh, India.
    Vascular injuries associated with the tibial nailing have been reported in few case reports. We here report a unique case of anterior tibial artery (ATA) pseudoaneurysm caused by the second proximal coronal interlocking bolt. We found that the position of interlocking bolts on the nail brings them very close to the anatomical positions of arteries in leg. Read More

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