Article
Orthopedics
Andreas Meunier, Lars Palm, Per Aspenberg, Jorg Schilcher
Summary: The study did not find any effect of antiresorptive therapy on the rate of talar collapse, post-traumatic osteoarthritis, and patient-reported outcomes in patients with displaced fractures of the talar neck.
Article
Orthopedics
Charles A. Mechas, Arun Aneja, Mark R. Nazal, Richard W. Pectol, Chandler R. Sneed, Jeffrey A. Foster, Daria L. Kinchelow, Matthew W. Kavolus, David C. Landy, Arjun Srinath, Eric S. Moghadamian
Summary: This study aimed to determine if talar neck fractures with proximal extension are associated with higher rates of avascular necrosis compared to isolated talar neck fractures. A retrospective review of patients with talar neck fractures from 2008 to 2016 was conducted, and data on AVN, nonunion, and collapse were collected. The study found that talar neck fractures with proximal extension had a higher incidence of AVN, collapse, and nonunion compared to isolated talar neck fractures.
FOOT & ANKLE INTERNATIONAL
(2023)
Article
Orthopedics
J. Thompson McMurtrie, David A. Patch, Mason B. Frazier, Bradley W. Wills, John C. Prather, Gean C. Viner, Margie J. Hill, Michael D. Johnson
Summary: This study evaluated the union rate of talar neck fractures with substantial bone defects treated acutely with autologous tibial bone graft during primary osteosynthesis. The results showed excellent union rates and low malunion rates with this treatment approach. However, common secondary outcomes such as AVN with or without collapse, ankle and subtalar PTA, and relatively low PROs were observed despite high union rates.
FOOT & ANKLE INTERNATIONAL
(2022)
Article
Medicine, General & Internal
Naresh Kumar Saini, Vijay Kumar Jain, Karthikeyan P. Iyengar
Summary: This paper reports the experience in managing a Hawkins type III talar neck fracture dislocation with neurovascular and tendon entrapment in a 3-year-old boy, summarizing the emergency presentation, radiological findings, orthopaedic management, and clinical and functional outcomes.
Article
Multidisciplinary Sciences
Yang Li, Dong Sun, Kelai Wang, Jingwei Liu, Zhe Wang, Yu Liu
Summary: This study aimed to evaluate the relevant factors of postoperative avascular necrosis of the femoral head (AVN) in children with femoral neck fracture. The study found that there were significant differences in displacement degree and reduction quality in relation to the occurrence of AVN, while sex, age distribution, fracture classification, surgery timing, and mechanism of injury did not significantly differ. Logistic regression analysis showed that displacement degree was a relevant risk factor for AVN occurrence.
Review
Environmental Sciences
Babak Saravi, Gernot Lang, Robert Ruff, Hagen Schmal, Norbert Suedkamp, Sara Uelkuemen, Joern Zwingmann
Summary: This study aimed to summarize the clinical outcomes and complications of conservative and surgical treatment for talar fractures. The success and complication rates were found to be associated with fracture severity, with avascular bone necrosis and posttraumatic osteoarthritis being common complications. Prospective studies are needed to improve treatment outcomes for patients with talar fractures.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Oncology
Chunguang Sun, Xiaoqiang Peng, Zhengguo Fei, Cheng Li, Qijia Zhou, Wei Xu, Qirong Dong
Summary: This study retrospectively analyzed 46 adult patients with PMF and talus subluxations to propose a modified classification system. The results showed that based on this classification, PMF with talar subluxation can be divided into single-fragment and double-fragment types, with different fixation methods suitable for each type. Postoperative outcomes in terms of pain levels and functional scores were similar between the two types.
AMERICAN JOURNAL OF TRANSLATIONAL RESEARCH
(2021)
Review
Orthopedics
Qilong Jiang, Yu Deng, Yang Liu, Zhi Zhao, Yu Chen, Xinwen Bai, Hao Hong
Summary: This meta-analysis shows that hardware removal is associated with an increased incidence of HR-ONFH in fracture-healed patients who underwent internal fixation for FNFs.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Orthopedics
Zhe-Yu Jin, Chao Gu, Hui-Lin Yang, Ming Xu
Summary: Percutaneous compression plate (PCCP) provides superior anti-rotational abilities and mechanical strength in femoral neck fractures (FNFs). This study evaluated the long-term functional outcomes and complications after fixation using PCCP in FNFs. The results showed that closed reduction and internal fixation using PCCP in FNFs resulted in satisfactory outcomes with low complication rates.
INTERNATIONAL ORTHOPAEDICS
(2022)
Article
Orthopedics
Jiong Mei, Shuqing Wang, Ming Ni, Fangfang Zhang, Jianfei Tang, Gang Bi, Yi Zhu, Xiaozhong Zhu, Ye Lu
Summary: This study aimed to investigate the association between femoral head necrosis (FHN) and injury to the retinaculum of Weitbrecht in patients with femoral neck fractures. The results showed that patients treated initially with closed reduction had higher total scores of Weitbrect retinaculum injury, and severe injury to the retinaculum was significantly associated with FHN.
ORTHOPAEDIC SURGERY
(2022)
Article
Emergency Medicine
Sebastian F. Baumbach, Wolfgang Boecker, Hans Polzer
Summary: Fractures to the talar neck and talar body are rare but can have devastating outcomes. Early diagnosis, based on CT imaging, and appropriate surgical planning are crucial for optimal treatment. Anatomic reduction and fixation should be aimed for with dislocated fractures, and multiple approach routes may be necessary to achieve adequate reduction.
Article
Critical Care Medicine
Olivier Wijers, Hafize Demirci, Fay R. K. Sanders, Jens A. Halm, Tim Schepers
Summary: This retrospective cohort study aimed to investigate the impact of surgical treatment and postoperative complications on functional outcome and quality of life in patients with talar neck and body fractures. The study found that patients who underwent implant removal and/or secondary arthrodesis had poorer functional outcomes compared to those who did not undergo additional procedures. Careful consideration of re-intervention is necessary, and future research should focus on reducing the rate of complications and evaluating the effects of secondary interventions using validated questionnaires.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Orthopedics
Justin Kong, Laura Lewallen, Marilyn Elliott, ChanHee Jo, Amy L. McIntosh, Christine A. Ho
Summary: The study found that all attempted closed reductions in the emergency department failed, with Judet classification 4, greater fracture angulation, and delayed treatment over 24 hours from injury being significant risk factors for failure. Additionally, patients with fracture angulation over 60 degrees and those who presented to the ED after 24 hours had a very low success rate in closed reduction.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2021)
Article
Orthopedics
Jonas Sundkvist, Michael Moller, Cecilia Rogmark, Olof Wolf, Sebastian Mukka
Summary: Stress fractures of the femoral neck (sFNFs) are rare injuries and studies on this subject are limited. This study examined a cohort of 146 sFNF patients registered in the Swedish Fracture Register (SFR) between 2011 and 2020. The analysis included demographic information, fracture classification, treatment methods, reoperation rates, and mortality. The findings revealed that sFNF occurs more frequently in women with a mean age of 58 years. Nonoperative treatment, internal fixation, and arthroplasty were the main treatment approaches. Late surgery was often necessary for patients with undisplaced sFNF. The overall reoperation rate was low and the mortality rate was relatively low at 90 days and 1 year.
Article
Endocrinology & Metabolism
Yinuo Fan, Xuejie Liu, Yuan Zhong, Jiahao Zhang, Yuhao Liu, Hanjun Fang, Wei He, Chi Zhou, Zhenqiu Chen
Summary: This study aimed to evaluate the accuracy of femoral head collapse as a predictor and propose the necrotic lesion boundary as a reliable measure for osteonecrosis of the femoral head (ONFH) prognosis. It was found that femoral head collapse does not necessarily indicate a poor prognosis, while the necrotic lesion boundary has a high value in predicting ONFH prognosis and informing clinical treatment strategies.
FRONTIERS IN ENDOCRINOLOGY
(2023)
Article
Orthopedics
Natasha M. Simske, Noah M. Joseph, Alexander Rascoe, Mark Kalina, Megen Simpson, Sarah B. Hendrickson, Heather A. Vallier
Summary: This study found that patients who reported fear of death at the time of injury were 13 times more likely to develop PTSD, requiring more acute interventions. In regression analysis, patients who thought that they would die from their trauma had higher odds of developing PTSD, and besides positive psychiatric history, no other factors were predictive of positive PTSD scores.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Review
Critical Care Medicine
Margaret A. Sinkler, Ryan J. Furdock, Heather A. Vallier
Summary: Traumatic events are a leading cause of life-altering disability in working-age adults, but specialized trauma recovery services still remain underdeveloped. Studies show that patients with traumatic injury often experience reduced quality of life, mental health issues, and difficulties in recovery. Implementation of trauma recovery programs can enhance patients' self-efficacy, improve mental health, and reduce recidivism rates.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Editorial Material
Orthopedics
Yelena Bogdan, Heather A. Vallier
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2022)
Article
Orthopedics
Margaret A. Sinkler, Caroline A. Pennacchio, Halle M. Kotchman, Heather A. Vallier
Summary: Chronic kidney disease (CKD) has an impact on the outcomes of torsional ankle fractures, increasing the likelihood of complications and unplanned arthrodesis. Open fractures and dislocation are also associated with complications.
FOOT & ANKLE INTERNATIONAL
(2022)
Article
Critical Care Medicine
Isabella M. Heimke, Madison Connelly, Amelia Clarke, Belinda DeMario, Ryan Furdock, Timothy A. Moore, Heather A. Vallier
Summary: This study aims to determine the rates of subsequent, unrelated injury among orthopedic trauma patients and evaluate the patient and injury features associated with greater rates of trauma recidivism. The results show that new injuries are associated with factors such as assault, substance use, and mental illness. Awareness of these risk factors can help mitigate the burden of trauma recidivism.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Emergency Medicine
Isabella M. Heimke, Madison Connelly, Amelia Clarke, Belinda De Mario, Mary A. Breslin, Ryan Furdock, Timothy A. Moore, Heather A. Vallier
Summary: The purpose of this study was to analyze two periods of trauma patients and assess predictors of recidivism. Prior and recent orthopaedic trauma patients were compared, and factors associated with recidivism were identified. The results showed a decrease in recidivism rates, with a higher prevalence of gunshot wounds and mental illness among recent recidivists. Underinsurance was a common characteristic among recidivists. These changes in the profile of recidivists may be attributed to socioeconomic trends and new programs for improving trauma outcomes.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Orthopedics
Margaret A. Sinkler, Alex Benedick, Michael Kavanagh, Heather A. Vallier
Summary: This study aimed to explore the functional outcomes following operative treatment of high-energy Lisfranc injury. A retrospective cohort of 46 adults with tarsometatarsal fractures and dislocations were reviewed, and their demographic, medical, social, and injury features were recorded. The results showed that patients with Lisfranc injury reported worse functional outcomes, and tobacco smoking, female sex, and preexisting chronic renal disease were predictive factors of worse outcomes. Evaluation: 8/10.
FOOT & ANKLE INTERNATIONAL
(2023)
Editorial Material
Orthopedics
Heather A. A. Vallier
FOOT & ANKLE INTERNATIONAL
(2023)
Article
Critical Care Medicine
Ryan J. Furdock, Andrew Alejo, Joanne Fraifogl, Matthew T. Hoffa, Heather A. Vallier
Summary: This study investigated the recall of orthopedic trauma patients regarding injury and treatment information, as well as their adherence to postoperative instructions and satisfaction with care. The results showed that patients correctly answered 64% of recall-oriented questions. 82% and 83% of patients reported adherence to weightbearing and DVT recommendations, while 66% reported adherence to both. Non-adherent patients had difficulty remembering their weightbearing restrictions (42%) and DVT prophylaxis regimen (78%). On average, patient satisfaction was 4.3 out of 5, with 15% expressing neutral or dissatisfied sentiment. It is concluded that poor patient recall may reduce postoperative adherence and impact patient satisfaction, suggesting the need for a postoperative educational protocol to improve recall.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Editorial Material
Orthopedics
Christopher D. Flanagan, Heather A. Vallier
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2023)
Article
Orthopedics
Margaret A. Sinkler, Andrew Alejo, Julie Agel, Sarah Hendrickson, Mary A. Breslin, Heather A. Vallier
Summary: Resiliency is composed of three core components: the presence of adversity, protective factors to overcome adversity, and positive outcomes or growth. This paper describes the development of the Trauma Resiliency Scale (tRS) to measure the resiliency of trauma patients. The tRS-18 is a brief, self-administered measure that demonstrates sound psychometric properties including face validity, construct validity, and reliability. It may be used to quantify resiliency at any time point and potentially predict progress during recovery.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2023)
Article
Surgery
Sophia L. Friedl, Tarun K. Jella, Thomas B. Cwalina, Heather A. Vallier
Summary: The Veterans Health Administration had shorter wait times compared to the Veterans Health Administration's Community Care Program, and there were variations in wait times among different surgical specialties.
Article
Orthopedics
Natasha M. Simske, Trenton Rivera, Bryan O. Ren, Mary A. Breslin, Ryan Furdock, Heather A. Vallier
Summary: This study reports on the complications, readmissions, and recidivism among crime victims who used or did not use victim services. The results showed that patients who used victim services had a lower risk of complications, but no difference in unplanned operations. Patients with gunshot wounds had the highest rates of complications, readmissions, and unplanned secondary procedures, highlighting the need for future attention.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Surgery
Kristie J. Sun, Kevin Y. Zhu, Tyler J. Moon, Mary A. Breslin, Vanessa P. Ho, Heather A. Vallier
Summary: This study describes the utilization and outcomes of Trauma Recovery Services (TRS) for interpersonal violence (IPV) patients. The study found that patients who used TRS had longer hospital stays, more emergency department visits, and frequent outpatient visits. Utilization of food and housing services was associated with hospital stay, emergency department visits, and outpatient visits.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Critical Care Medicine
Natasha Simske, Ryan Furdock, Isabella Heimke, Heather A. Vallier
Summary: Acetabular fractures in the elderly are associated with high rates of in-hospital complications. Advanced age, more medical comorbidities, and longer lengths of stay predicted higher risk of developing complications. Operative management was associated with lower risk of complications.
TRAUMA SURGERY & ACUTE CARE OPEN
(2023)