Article
Orthopedics
Hongfen Chen, Chao Ding, Yongqiang Liu, Zhen Kong, Siling Chang, Feng Huang, Heng Li, Qingxiang Guo, Yuehua Yang, Hua Zhong, Shaozheng Yang
Summary: This study compared the clinical and biomechanical outcomes of INFIX plus single and double sacroiliac screw fixation for Type C unstable pelvic fractures. The biomechanical study showed that INFIX plus double sacroiliac screw fixation provided better stability. The clinical case series demonstrated that INFIX plus double sacroiliac screw fixation had better functional outcomes and higher radiographic satisfaction rate compared to INFIX plus single sacroiliac screw fixation.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Orthopedics
Chunpeng Zhao, Gang Zhu, Yu Wang, Xinbao Wu
Summary: TiRobot-assisted pelvic screw fixation has advantages in terms of reduced radiation exposure, lower intraoperative fluoroscopy frequency, fewer guide wire attempts, less intraoperative blood loss, higher screw accuracy, and improved Majeed score compared with conventional percutaneous sacroiliac screw fixation. However, there were no significant differences in terms of operative time, fracture healing time, and overall excellent and good rate of reduction accuracy between the two groups.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Orthopedics
Lin Liu, Shicai Fan, Donggui Zeng, Yuhui Chen, Hui Song, Letian Zeng, Dadi Jin
Summary: An anterior ring internal fixator system combined with sacroiliac screw fixation is an effective treatment for Tile C pelvic fractures, offering advantages such as minimal invasiveness, simple operation, short operative time, and good curative effects. The results of this study showed that this approach had significantly better outcomes compared to the plate-screw system, with lower complication rates and shorter hospital stays.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Orthopedics
Baoming Yuan, Guangkai Ren, Yutao Cui, Feng Gao, Weiwei Miao, Zhengwei Li, Shicheng Zhou, Qingyu Wang, Yanbing Wang, Jin Dai, Chuangang Peng, Dankai Wu
Summary: The covert-inferior pelvic approach combined with a subpubic plate effectively fixed Nakatani type-I, II, and III fractures. It offers rapid recovery post-surgery, safety, simplicity, short learning curve, no abdominal soft tissue damage, no effect on pubic symphysis micromotion, and esthetic benefits. This method may serve as an alternative option for anterior pelvic ring fractures and complement other approaches.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2022)
Article
Surgery
Peishuai Zhao, Renjie Li, Leyu Liu, Xiaopan Wang, Xiaotian Chen, Jianzhong Guan, Min Wu
Summary: This article compares the clinical outcomes of modified anterior subcutaneous internal fixation (M-INFIX) with conventional anterior subcutaneous internal fixation (C-INFIX) for anterior pelvic ring instability injuries. The study shows that M-INFIX has a lower incidence of postoperative complications compared to C-INFIX, but has higher operative time, intraoperative bleeding, and Matta score.
Article
Medicine, General & Internal
Florian Baumann, Stefano Pagano, Volker Alt, Viola Freigang
Summary: Pelvic ring injuries are rare but serious, and percutaneous sacro-iliac screw fixation (SSF) is the standard treatment. SSF may cause deformity of the sacrum and pelvic ring. This study evaluated sacral morphometry in SSF for posterior pelvic fractures. It found that the bony sacral volume and pelvic deformity depend on the treatment of the anterior pelvic ring.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Biology
Jixuan Liu, Yadong Yan, Ke Xu, Chunpeng Zhao, Yu Wang, Xinbao Wu, Wei Tian
Summary: Pelvic fracture is a severe injury with high mortality and disability rates. Surgical treatment of pelvic fracture is challenging due to the complex pelvic morphology and soft tissue anatomy. This study focuses on three commonly used pelvic holding pathways and identifies the most effective force direction for each pathway through finite element modeling. The use of a combined holding strategy can reduce reduction force, with the 3-pin combined strategy showing advantages in rotational reduction.
COMPUTERS IN BIOLOGY AND MEDICINE
(2023)
Review
Clinical Neurology
Ivan Lvov, Andrey Grin, Aleksandr Talypov, Ivan Godkov, Anton Kordonskiy, Ulugbek Khushnazarov, Vladimir Smirnov, Vladimir Krylov
Summary: The study aimed to conduct a systematic review and meta-analysis focusing on odontoid screw fixation (OSF) and screw-related complications. The findings showed that in elderly patients, double-screw OSF surgery increased the risk of post-operative screw cut-out, while single-screw fixation through the anterior lip of the C2 vertebra yielded comparable outcomes to other OSF techniques. Further studies are needed to determine the optimal OSF technique.
EUROPEAN SPINE JOURNAL
(2021)
Article
Orthopedics
Lin Liu, Donggui Zeng, Shicai Fan, Yongxing Peng, Hui Song, Dadi Jin, Letian Zeng
Summary: Minimally-invasive surgery for Tile C pelvic fractures is challenging and a hot topic in orthopedic trauma research. In this study, using an anterior internal fixator combined with sacroiliac screws effectively stabilized Tile C3 pelvic fractures, with stability increasing as the number of screws in the internal fixator increased.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Orthopedics
Chul-Ho Kim, Jung Jae Kim, Ji Wan Kim
Summary: This study compared the clinical outcomes and complications of two minimally invasive surgical techniques for treating C-type pelvic bone fractures. The results showed that both percutaneous transiliac plate fixation and iliosacral screw fixation had good treatment results, but there were differences in postoperative complications.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Shengyu Lu, Keqin Yang, Cailing Lu, Ping'ou Wei, Zhi Gan, Zhipeng Zhu, Haitao Tan
Summary: The study demonstrates that the O-arm navigation system is feasible and safe for treating posterior pelvic ring injuries and placing sacroiliac screws, improving accuracy and safety, shortening operation time, and aiding in rapid postoperative functional recovery.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Emergency Medicine
Raffael Cintean, Cornelius Fritzsche, Ivan Zderic, Boyko Gueorguiev-Rueegg, Florian Gebhard, Konrad Schuetze
Summary: This study compares the biomechanical stability of TITS screw osteosynthesis and sacroiliac screw osteosynthesis in the treatment of osteoporotic pelvic fractures in cadavers. The results suggest that TITS screws provide greater fracture stability and may be prioritized for the treatment of these fractures in elderly patients.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Orthopedics
Hua Chen, Qun Zhang, Yan Wu, Zuhao Chang, Zhengguo Zhu, Wei Zhang, Peifu Tang
Summary: The study successfully treated irreducible UVDPRD patients using UCRT assisted by improved PCRS, achieving excellent surgical outcomes with no need for revision surgery and excellent lower-extremity functionality postoperatively.
ORTHOPAEDIC SURGERY
(2021)
Article
Orthopedics
Yupeng Ma, Yong Zhao, Dexin Zou, Shengjie Dong, Xiujiang Sun, Gong Cheng, Wei Lian, Yuchi Zhao, Tao Sun, Dan Wang, Shudong Zhang
Summary: This study compares the breakage risk between lengthened sacroiliac screws and ordinary sacroiliac screws for treating unilateral vertical sacral fractures. The results show that the breakage risk is lower with lengthened screws and when screws are fixed in double segments.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Medicine, General & Internal
Rene Aigner, Jan Foehr, Julia Lenz, Tom Knauf, Martin Baeumlein, Steffen Ruchholtz, Ludwig Oberkircher, Juliana Hack
Summary: This study compared the outcomes of cemented sacroiliac screw fixation and conservative treatment in nondisplaced fragility fractures of the sacrum. Short-term results showed that sacroiliac screw fixation improved functional outcome, health-related quality of life, and mobility. However, after 12 months, the outcomes were similar between the two treatment groups.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Critical Care Medicine
Andrija Jurina, Valentina Delimar, Zlatko Giljevic, Tajana Filipec Kanizaj, Andro Matkovic, Dinko Vidovic, Nikolina Jurjevic, Vinko Vidjak, Zeljko Duic, Mario Cuk, Mladen Japjec, Tomislav Dujmovic, Andrea Radeljak, Mirjana Marjana Kardum Paro, Marijana Vucic-Lovrencic, Mario Staresinic
Summary: This study investigated the prevalence of fragility spinal fractures among liver transplant candidates with cirrhosis. The results showed the detrimental impact of chronic liver disease and hepatic osteodystrophy on bone strength, and the correlation between DXA measurement and lumbar fragility fractures. These findings highlight the importance of adequate bone evaluation in liver transplant candidates.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
M. Scrivano, A. Vadal, G. Fedeli, R. Di Niccolo, D. Topa, S. Porcino, F. Pallotta, A. De Carli
Summary: This study compares the outcomes and complications of Ilioinguinal versus modified Stoppa approach in Open Reduction and Internal Fixation (ORIF) of anterior column acetabulum fractures. The results show that the modified Stoppa approach has a shorter operative time, less intra-operative blood loss, and fewer complications. The ilioinguinal approach achieves better anatomic reduction. However, there were no significant differences in terms of vascular lesions, clinical and functional outcomes between the two groups.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Jacob Hartline, Christopher T. Cosgrove, Nathan N. O'Hara, Qasim M. Ghulam, Zachary D. Hannan, Robert V. O'Toole, Marcus F. Sciadini, Christopher G. Langhammer
Summary: In a young, healthy orthopedic trauma population with isolated extremity injury, traditional demographic factors and ballistic injury mechanism have a greater predictive value for long-term mortality after hospital discharge compared to popular markers of socioeconomic status.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Youngmin Kwon, Jihye Lim, Chunui Lee
Summary: This study aims to investigate dental traumatic injuries related to standing electric scooters and compare them with injuries caused by other factors. The results indicate that crown-root fractures and avulsions are more common in electric scooter accidents. Additionally, relatively minor dental injuries, such as concussions and subluxations, are more likely to occur as combined injuries in electric scooter accidents. The study suggests the need for strengthened policies and enforcement of laws to prevent severe dental and craniofacial trauma associated with electric scooter use.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Louise Kruse Jensen, Henrik Elvang Jensen, Hans Gottlieb
Summary: This study describes the histopathology of debrided bone tissue in chronic osteomyelitis (CO). The inflammatory response still exists after debridement, although it fades from the center. Sampling of debrided bone tissue must be performed initially during surgery to avoid underestimation of neutrophil infiltration.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Alejandro Alejandrez, Motasem Refaat, Yeng Vue
Summary: This study aims to assess the rate of operative fixation of sacral fractures in pelvises with dysmorphic and nondysmorphic sacrums, as well as whether a difference exists in fracture morphology between groups. The study found no statistical difference in operative fixation rates between pelvises with dysmorphic and nondysmorphic sacrums, but a difference in fracture patterns was observed.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Dong Wang, Shuo Diao, Xiaobin Zhou, Junlin Zhou, Yang Liu
Summary: This study discussed the role of fracture site tissue exosomes lncRNAs-mRNAs networks on post-injury adaptation (PIA) promoting bone mesenchymal stem cells (BMSCs) proliferation and migration. The results confirmed that PIA accelerated BMSCs proliferation and migration, and identified tissue exosomes as the key factor in this process. By analyzing the tissue exosomes lncRNAs-mRNAs networks, several hub genes, such as Akt1, Actb, and Uba52, were identified, and Kif11 was found to be a key gene in BMSCs regulated by tissue-derived exosomes of PIA treated rats.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Lisa Reider, Jason R. Falvey, Safiyyah M. Okoye, Jennifer L. Wolff, Joseph F. Levy
Summary: Falls are a leading cause of injury and hospital readmissions in older adults, with over 3 million seeking hospital care for fall injuries annually in the United States. The annual acute treatment costs for these injuries amount to $20 billion, indicating the urgent need for evidence-based fall prevention interventions and investments in geriatric emergency departments.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Mohamed Elbuzidi, Alyssa N. Wenzel, Andrew Harris, Majd Marrache, Julius K. Oni, Harpal S. Khanuja, Vishal Hegde
Summary: A retrospective propensity score matched cohort study was conducted using the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database to compare outcomes for patients with recently diagnosed COVID-19 infection and those without COVID-19 infection undergoing operative treatment of hip fractures. The results showed that COVID-19-positive patients had a higher risk of 30-day mortality, pneumonia, unplanned intubation, septic shock, longer length of hospital stay, and discharge to an acute care hospital. Active COVID-19 infection is an independent risk factor for complications and increased resource utilization in these patients.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Review
Critical Care Medicine
Jorge Mayor, Vera Birgel, Jan-Dierk Clausen, Goekmen Aktas, Stephan Sehmisch, Ann-Kathrin Einfeldt, Vasilis Giannoudis, Ahmed H. K. Abdelaal, Emmanouil Liodakis
Summary: This study provides a comprehensive overview of biomechanical research on the treatment of intertrochanteric fractures using cephalomedullary devices. Through a systematic literature search and synthesis analysis, the study highlights the need for standardization in biomechanical studies, and suggests strategies to enhance construct stability. The findings emphasize the importance of further research and meta-analyses to establish standardized protocols and enhance reliability.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Patricia Rodarte, Jamieson O'Marr, Billy Haonga, Deogratias Patrick, Kian Niknam, Mayur Urva, Abigail Cortez, Willem-Jan Metsemakers, David Shearer, Saam Morshed
Summary: This study evaluates the diagnostic performance of telephone questionnaires in identifying patients with fracture-related infections (FRIs) after open tibia fracture fixation in Tanzania. The study shows that telephone questionnaires have adequate diagnostic performance, with drainage being the main indicator for FRIs.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Review
Critical Care Medicine
Zhiyi Liu, Guodong Hou, Wencong Zhang, Junyan Lin, Jinrong Yin, Huan Chen, Guowei Huang, Aiguo Li
Summary: Calcaneal tuberosity avulsion fracture, an extra-articular injury, is a rare fracture caused internally by intense contraction of the gastrocnemius-soleus complex, and externally by low-energy (possibly high-energy). The risk of injuries to the skin and Achilles tendon around the calcaneal tuberosity is closely related to the Lee classification and Carnero-Martin de Soto Classification of this type of fracture. Diagnosis is typically confirmed through X-ray, digital imaging, and CT, but MRI should also be used to assess the soft tissue. Recent advances in understanding this fracture have led to the development of different internal fixation devices and surgical procedures that provide stable fracture reduction and resistance to Achilles tendon forces. This article reviews the new insights into the anatomy, classification, risk factors, and treatment modalities of calcaneal tuberosity avulsion fracture in recent years.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Win Wah, Janneke Berecki-Gisolf, Karen Walker-Bone
Summary: This study aimed to identify the incidence and factors associated with in-hospital complications of work-related musculoskeletal injuries. The results showed that age, gender, area-level disadvantage, hospital type, comorbidity, emergency admissions, anesthesia, and the type of injury were all associated with in-hospital complications. The most common complications were cardiovascular, gastrointestinal complications and adverse drug events.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Gareth Rooke, Paul Sharplin, Richard Buckley
Summary: A 31-year-old female suffered a right fibula fracture with deltoid ligament injury after falling while climbing on wet rocks. She had ORIF surgery and recovered well, but has developed vague pain and hardware sensation at the lateral ankle 6 months later. Her past medical history includes breast reduction surgery and vaginal delivery, and she has a social history of alcohol consumption and past recreational drug use.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Review
Critical Care Medicine
Yuwei Wen, Danjiang Zhu, Qiang Wang, Baojian Song, Wei Feng
Summary: This study compared the clinical outcomes of compression screw and non-weight-bearing techniques in treating pediatric Jones fractures. The results showed that compared to non-weight-bearing techniques, compression screw fixation can shorten the radiographic union time, immobilization time, and facilitate earlier return to full weight bearing and daily life. We recommend the use of compression screw fixation for widely displaced fractures and school-age active adolescents.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)