Review
Orthopedics
Babar Shafiq, Jacques Hacquebord, David J. Wright, Ranjan Gupta
Summary: The standard care for managing open distal tibial fractures often involves a staged approach, with external fixation and debridement during the initial procedure, followed by definitive fixation and wound closure later on. Treatment plans and expected outcomes should be directed by the mechanism of injury, neurovascular status, size and location of soft-tissue injury, and other factors.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2021)
Article
Surgery
Estelle M. D'Cunha, Jowan G. Penn-Barwell, John McMaster, Charles A. Fries
Summary: Performance against the British Orthopaedic Association Standards for Orthopaedics and Trauma 4 (BOAST 4) has shown further improvements in outcomes and changes in service delivery. Compliance with BOAST 4 guidelines and the introduction of the fix and flap technique have resulted in improved management of open lower-limb fractures.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Multidisciplinary Sciences
Shu Cao, Zhong-Gen Dong, Li-Hong Liu, Jian-Wei Wei, Zhao-Biao Luo, Ping Peng
Summary: Missed Monteggia fractures in children can lead to various complications, but can be successfully treated through open reduction of the radial head and corrective osteotomy of the ulna. Preoperative MRI evaluation is crucial, and the interval time from injury to operation is an important factor affecting the outcomes.
SCIENTIFIC REPORTS
(2022)
Article
Orthopedics
Ida Leah Gitajn, Paul M. Werth, Sheila Sprague, Sofia Bzovsky, Brad A. Petrisor, Kyle J. Jeray, Nathan N. O'Hara, Mohit Bhandari, Gerard Slobogean
Summary: The results of this study indicate that the use of tourniquet during surgical treatment of open lower-extremity fractures does not increase the risk of complications, but in cases of severe open fractures, tourniquet use is associated with a higher chance of unplanned reoperation. Surgeons should exercise caution when considering tourniquet use in these scenarios.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2021)
Article
Multidisciplinary Sciences
Shuai Li, Jinpeng Du, Yunfei Huang, Dingjun Hao, Zhigang Zhao, Zhen Chang, Jingwen Zhu, Xiaodong Wang, Yongchao Duan, BaoRong He
Summary: The clinical efficacy of percutaneous pedicle screw internal fixation with the aid of the TINAVI orthopaedic surgery robot in treating Levine-Edward type IIA hangman fractures was compared with traditional open surgery. The study found that the robot-assisted surgery resulted in higher accuracy of screw placement, lower blood loss and invasion of adjacent facet joints, and shorter recovery time.
SCIENTIFIC REPORTS
(2023)
Article
Medicine, General & Internal
Angelo Gabriele Aulisa, Martina Marsiolo, Luca Basiglini, Cristian Aletto, Marco Giordano, Francesco Falciglia
Summary: This study proposes an evidence-based algorithm for managing open fractures in children, aiming to standardize clinical practice and improve the care of these patients.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Topi Laaksonen, Jussi Kosola, Nicolas Nietosvaara, Jani Puhakka, Yrjana Nietosvaara, Antti Stenroos
Summary: The incidence and optimal treatment of completely displaced overriding distal metaphyseal radial fractures in children are still uncertain. This study observed 112 patients and found that casting these fractures in an overriding position in the emergency department can avoid the use of opioids, anesthesia, hospital admission, and secondary interventions, and has a high treatment satisfaction rate.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2022)
Article
Critical Care Medicine
Ryan Higgin, Michael Dean, Amir Qureshi, Nicholas Hancock
Summary: This study investigated the outcomes of open tibial fractures managed beyond the recommended timeline, due to limitations in orthoplastic services. The results showed that delays in initial debridement and definitive soft-tissue cover may result in higher rates of infection and amputation. It highlights the importance of timely management and the need for resources to achieve better outcomes in major trauma patients.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Orthopedics
Abigail Cortez, Mayur Urva, Aditya Subramanian, Nicholas J. Jackson, Lewis Zirkle, Saam Morshed, David W. Shearer
Summary: Prompt and expeditious debridement is crucial for reducing infection risk in open femoral and tibial fractures. The findings of this study are highly applicable to various settings where such fractures are treated.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2023)
Article
Medicine, General & Internal
Michael-Tobias Neuhaus, Nils-Claudius Gellrich, Anna Katharina Sander, Bernd Lethaus, Dirk Halama, Ruediger M. Zimmerer
Summary: This retrospective cohort study assessed bone resorption, remodeling, and patient function after open treatment of condylar head fractures (CHF). The results showed that open reduction of CHF leads to good clinical outcomes and low rates of medium-term complications.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Critical Care Medicine
Meng Mi, Nikolaos K. Kanakaris, Xinbao Wu, Peter Giannoudis
Summary: This narrative review evaluated 646 cases of open pelvic fractures published between 2005 and 2019, reporting a high mortality rate despite advances in trauma management. Strategies such as sufficient blood transfusion, bleeding control, treatment of associated injuries, fracture fixation, and soft tissue management are crucial for reducing mortality and improving outcomes.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Multidisciplinary Sciences
Wojciech Stelmach, Jacek Beczkowski, Piotr Zajac, Krzysztof Malecki, Marcin Sibinski, Kryspin Niedzielski
Summary: This study evaluated the effectiveness of open reduction and internal fixation (ORIF) using Kirschner wires for medial epicondyle fractures of the humerus, and investigated the impact of elbow dislocation on the treatment outcome. The study included 112 patients treated between 2005-2016, of which 81 had isolated medial epicondyle fractures (mean age 11.6 years) and 31 had elbow dislocation (mean age 11.9 years). The majority of patients (98 out of 112) achieved excellent treatment results, with no significant differences observed between the dislocated and non-dislocated elbow groups according to the Mayo Elbow Performance Score (MEPS). However, the dislocation group demonstrated significantly greater extension and flexion deficits compared to the non-dislocation group.
SCIENTIFIC REPORTS
(2023)
Article
Orthopedics
Tzu-Hao Wang, Hao-Chun Chuang, Fa-Chuan Kuan, Chih-Kai Hong, Ming-Long Yeh, Wei-Ren Su, Kai-Lan Hsu
Summary: The study showed that open cerclage wiring significantly improved the reduction of femoral shaft fractures, without affecting the union rate.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Surgery
Bryant W. Oliphant, Jill L. Jakubus, Judy N. Mikhail, Anna N. Miller, Naveen Sangji, John W. Scott, Mark R. Hemmila
Summary: The study analyzed data from 34 American College of Surgeons Committee on Trauma verified level 1 and level 2 trauma centers over a four-year period and found a significant improvement in the timeliness of antibiotic administration after implementing a collaborative quality initiative. The initiative successfully achieved the target time for patients to receive antibiotics and identified areas for further improvement.
Review
Medicine, Research & Experimental
H. Fischer, T. Maleitzke, C. Eder, S. Ahmad, U. Stoeckle, K. F. Braun
Summary: Proximal femur fractures are a leading cause of hospitalization in elderly patients and require careful perioperative management to reduce complications. Special attention should be given to the unique needs and comorbidities of elderly patients for optimal treatment outcomes.
EUROPEAN JOURNAL OF MEDICAL RESEARCH
(2021)
