Article
Geriatrics & Gerontology
Marc Schmid, Caroline Gurschler-Pavotbawan, Patrick Fries, Method Kabelitz, Michael Dietrich
Summary: This study aimed to analyze the feasibility and outcomes of using a contralateral reversed anatomic distal femoral LISS (R) locking plate for operative intervention in a geriatric cohort. The results showed that this method had a small complication rate and achieved a successful healing rate in older, polymorbid patients.
Article
Multidisciplinary Sciences
Wei-Qiang Zhao, Xu-Song Li, Meng-Qiang Fan, Zhi-Yuan Yao, Zhou-Feng Song, Pei-Jian Tong, Jie-Feng Huang
Summary: This study investigated the clinical effects of specific UCS B2 fractures and found that they mostly occur with non-cemented stems. LSRIF with cables was the main treatment, while ORIF was an option for elderly patients in poor condition.
SCIENTIFIC REPORTS
(2023)
Review
Orthopedics
Kyle E. Bundschuh, Bryan M. Grommersch, Shane C. Tipton, Samir Chihab, Jacob M. Wilson, George N. Guild
Summary: This study showed that ORIF and DFR have similar rates of surgical complications and reoperations, but DFR had a higher rate of medical complications.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Elizabeth B. Gausden, Meagan E. Tibbo, Kevin Perry, Daniel J. Berry, Brandon J. Yuan, Matthew P. Abdel
Summary: In a study of 42 patients with Vancouver C periprosthetic femur fractures, it was found that these patients had a high mortality rate of 31% and a reoperation rate of 13%, with infection and nonunion being common causes for reoperation.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Critical Care Medicine
Tibor Gunther, Miklos Farkashazi, Gusztav Mihalik, Zoltan Nyoger, Tunde Kovacs
Summary: This study investigated the functional outcomes of patients with lower limb periprosthetic fractures treated in the institution, finding that fixation treatment led to good results and radiographic union was eventually observed in all cases during follow-up. Further larger studies with subgroup analysis of different fracture patterns are desirable to provide deeper insights into this complex patient group.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Orthopedics
Alex Upfill-Brown, Armin Arshi, Troy Sekimura, Christopher Lee, Alexandra Stavrakis, Adam Sassoon
Summary: This study is the first large registry study comparing periprosthetic distal femur fractures (pDFFx) and native distal femur fractures (nDFFx). The results show similar outcomes between these two groups in the first 30 days after surgery, but higher rates of surgical site complications were observed in pDFFx patients.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Orthopedics
Ameen Barghi, Philip Hanna, Nelson Merchan, Aron Lechtig, Christopher Haggerty, Michael J. Weaver, Arvind von Keudell, John Wixted, Paul Appleton, Edward Rodriguez
Summary: In geriatric patients with Vancouver B2 and B3 periprosthetic fractures, open reduction and internal fixation (ORIF) may offer a similarly safe method of treatment than revision arthroplasty (RA). There were no significant differences in mortality, time to weight bear, and surgical complication rates between the two groups, but the ORIF group had a shorter time to surgery.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Multidisciplinary Sciences
Tomonori Baba, Masataka Uchino, Hironori Ochi, Takuya Ikuta, Yoshitomo Saita, Hiroshi Hagino, Hiroaki Nonomiya, Seiya Jingushi, Takayuki Nakajima, Yasuhisa Ueda, Kaneko Kazuo
Summary: This study conducted a nationwide survey to investigate the characteristics of atypical periprosthetic femoral fracture (APFF) and compare clinical outcomes with typical periprosthetic femoral fracture (typical PFF). The use of bisphosphonates and cemented stems were significantly higher in the APFF group compared to the typical PFF group. APFF was identified as an independent risk factor for complications following initial management in patients undergoing hip arthroplasty for fracture.
SCIENTIFIC REPORTS
(2021)
Article
Multidisciplinary Sciences
Lukas A. Holzer, Lisa Borotschnig, Gerold Holzer
Summary: This study evaluated the value of the fracture risk assessment tool (FRAX) in estimating the risk of postoperative periprosthetic fractures in patients following total hip and knee arthroplasty. The results suggest that FRAX has the potential to estimate the risk of periprosthetic fractures and should be used to assess and counsel patients before and after surgery.
SCIENTIFIC REPORTS
(2023)
Article
Orthopedics
Paul Baker
Summary: This study aims to describe the demographic details, epidemiology, characteristics, and predictors of femoral periprosthetic fractures (PPFs) in the UK population. The study found that PPF patients in the UK are typically elderly and frail, with factors such as gender and mobility affecting the fracture type. These findings have implications for future service planning and clinical trials.
BONE & JOINT JOURNAL
(2022)
Article
Orthopedics
Nikolaos Patsiogiannis, Nikolaos K. Kanakaris, Peter V. Giannoudis
Summary: The Vancouver classification is a useful tool for communicating and stratifying periprosthetic fractures, but clinicians should consider additional factors when assessing these injuries. Departments managing complex injuries should have combined advanced trauma and arthroplasty skills. Successful fixation and fracture healing require less invasive osteosynthesis, balanced plate-bone constructs, appropriate limb axis, rotation, and length, as well as intraoperative assessment.
EFORT OPEN REVIEWS
(2021)
Article
Orthopedics
Elizabeth B. Gausden, Zodina A. Beiene, Jason L. Blevins, Alexander B. Christ, Brian P. Chalmers, David L. Helfet, Peter K. Sculco, David J. Mayman
Summary: The 2-year cumulative probability of any reoperation after surgical treatment of periprosthetic femur fractures was 19%. The most common indication for reoperation in cases with a stable femoral component was nonunion, while in cases with an unstable femoral component it was infection. Fractures originating at the distal aspect of the femoral component were associated with a high risk of nonunion and reoperation.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Multidisciplinary Sciences
M. Ghanem, A. Kalb, C. -E. Heyde, A. Roth
Summary: This study discusses the diagnosis and management strategies for complications following the use of mega-implants in treating fractures of the lower extremities. The study found that mega-endoprostheses provide versatile options for managing such fractures and the rate of complications is within an acceptable range.
SCIENTIFIC REPORTS
(2023)
Article
Orthopedics
Ali Sattar, Johan Karrholm, Michael Moller, Georgios Chatziagorou
Summary: This study aimed to investigate the radiographic morphology of periprosthetic femoral fractures close to a Lubinus SP2 stem and analyze the correlation between reoperation rate and the chosen revision method or the characteristics of the fracture and bone.
Article
Health Care Sciences & Services
Mirjam V. Neumann-Langen, Verena Sontheimer, Gudrun H. Borchert, Kaywan Izadpanah, Hagen Schmal, Eva J. Kubosch
Summary: This study retrospectively reviewed all distal femur fractures treated in a level I trauma center over a decade. The results showed that screw fixation had fewer postoperative complications than plate fixation and was favored for certain types of fractures. Plate fixation remained the superior method for complex fractures, but was associated with higher rates of non-union and leg axis deviation.
JOURNAL OF PERSONALIZED 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)