Article
Orthopedics
Patrick Pflueger, Michael Zyskowski, Anne Weber, Katharina Gleisenberg, Chlodwig Kirchhoff, Peter Biberthaler, Moritz Croenlein
Summary: The management of talar fractures is a challenging aspect in trauma surgery, with evidence mainly based on retrospective case series. This study aimed to analyze patient-reported outcomes following operative treatment of talar fractures and found that the majority of patients had fair to poor long-term functional outcomes. Concomitant injuries of the lower extremity were associated with lower functional outcomes.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Orthopedics
Samuel Hailu, Amanuel Leulseged, Shikuria Lemma
Summary: This study evaluated the outcomes of operative management of acetabular fractures without the use of C-arm in a low-resource setting. The results showed that good functional outcomes were achieved in this limited-resource environment, and the anatomical reduction of the femoral head was more important than the residual gap in determining the clinical outcomes.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2022)
Article
Medicine, General & Internal
Rikke Thorninger, Daniel Waever, Michael Tjornild, Martin Lind, Jan Duedal Rolfing
Summary: This study compared the complications, PROMs, grip strength, and range of motion (ROM) between non-operatively treated displaced distal radius fractures (DRFs) and minimally or non-displaced DRFs in patients above 65 years of age. The results showed that after 5 weeks of dorsal plaster casting, there were similar complication rates and functional outcomes after 1 year regardless of whether the initial fracture was displaced or non-displaced/minimally displaced.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
M. E. Tibbo, A. K. Limberg, E. B. Gausden, P. Huang, K. Perry, B. J. Yuan, D. J. Berry, M. P. Abdel
Summary: Interprosthetic femur fractures are challenging cases, but individualized approaches to internal fixation versus revision arthroplasty resulted in an 81% survivorship at two years with 95% of patients ambulatory. Continued improvements in management are needed.
BONE & JOINT JOURNAL
(2021)
Article
Orthopedics
Ville Happonen, Heikki Kroger, Markku Kuismin, Reijo Sund
Summary: This study analyzed the inpatient data of operatively treated ankle fractures over a 33-year period in Finland and found that the number of operatively treated ankle fractures has leveled off, but now more difficult surgeries are being performed in elderly patients.
Article
Critical Care Medicine
Choon Chiet Hong, Joel Xue Yi Lim, Jun Hao Tan, Christopher Jon Pearce
Summary: Calcaneal tuberosity avulsion fractures often involve soft tissue compromise and require prompt attention. Treatment should focus on fracture reduction, stable fixation, and soft tissue recovery.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Orthopedics
Diogo Vieira Cardoso, Joris Paccaud, Victor Dubois-Ferriere, Christophe Barea, Didier Hannouche, Andrea Veljkovic, Anne Luebbeke
Summary: This study aimed to assess long-term patient-reported outcomes in patients with operatively treated ankle fractures and the effect of BMI on these results. The results showed that obese patients had worse long-term outcomes, including increased pain, poorer function, and greater impairment in everyday life after operatively treated ankle fractures. The study also found that pain and function linearly declined with increasing BMI.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Willem-Jan Metsemakers, Kirsten Kortram, Nando Ferreira, Mario Morgenstern, Alexander Joeris, Hans-Christoph Pape, Christian Kammerlander, Sanjit Konda, Jong-Keon Oh, Peter V. Giannoudis, Kenneth A. Egol, William T. Obremskey, Michael H. J. Verhofstad, Michael Raschke
Summary: The management of tibial shaft fractures remains a challenge despite advances in modern fracture care. The F.R.O.S.T. registry aims to create a global database to support future clinical decisions by evaluating the association between different treatment strategies and patient outcomes. This prospective, international, multicenter registry seeks to address knowledge gaps and optimize strategies to prevent severe musculoskeletal complications.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Critical Care Medicine
M. Graafland, B. J. M. van de Wall, N. M. van Veelen, R. van Leeuwen, R. J. Hoepelman, M. Knobe, B. C. Link, R. Babst, F. J. P. Beeres
Summary: This retrospective cohort study compared and described long-term patient-reported outcomes of patients with displaced scapula fractures treated surgically and conservatively. The study found that functional outcomes were similar between surgical and conservative treatment. Osteosynthesis of both intra- and extra-articular scapula fractures is safe and new minimally invasive techniques may lead to faster bone healing and return to work and sports.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Critical Care Medicine
Aissam Elmhiregh, Abdulaziz F. Ahmed, Abdul Majid Dabboussi, Ghalib Ahmed, Husham Abdelrahman, Talal Ibrahim
Summary: This study aimed to evaluate the effect of obesity on outcomes following operative treatment of fractures in obese polytrauma patients. The results showed that obesity was associated with increased hospital and ICU length of stay, as well as higher rates of ICU admission and mechanical ventilation. This highlights the importance of optimizing trauma care for obese polytrauma patients.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Orthopedics
Yangxing Luo, Li He, Yue Li, Jie Xie, Song Gong, Qian Zhang, Enzhi Yin, Meiqi Gu, Chengla Yi
Summary: Sacral osteotomy combined with triangular osteosynthesis is an effective method for the treatment of malunion and nonunion of vertically displaced pelvic fractures. It can significantly correct the vertical displacement of the pelvis, prolong limb length, and reconstruct the stability of the pelvic ring, achieving good clinical results.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Orthopedics
Simo S. A. Miettinen, Samuli Torma, Janne M. Lappalainen, Reijo Sund, Heikki Kroger
Summary: The study found a growing trend in the incidence of operatively treated periprosthetic femoral fractures, with B1 type fracture being the most common type. A high number of complications were associated with PFFs, and 7.4% of patients died within 1 year after surgery.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Ali Lari, Ahmad Alenezi, Jarrah Abughaith, Haitham AlShehawy, Wael Hammady, Saleh AlSaifi
Summary: This study evaluates the utility of intraoperative arthrography and plain radiography in managing pediatric lateral humeral condyle fractures (LHCF) with a displacement of 1-5 mm. It finds that the degree of displacement measured on plain radiography is insufficient in predicting articular integrity for fractures in this range. Arthrography guides reduction method and adequacy, avoiding unnecessary open reduction and insufficient closed reduction. Furthermore, a significant number of patients have intact articular hinges above 4 mm displacement and disrupted hinges below 2 mm displacement. Favorable outcomes were achieved with early operative treatment.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Pediatrics
Yanhui Jing, Bo Ning, Yueqiang Mo, Dahui Wang
Summary: This study retrospectively reviewed the clinical and radiographic outcomes of 22 children aged 4-10 years with displaced supracondylar femoral fractures treated with Kirschner wires (K-wires) and hip spica casts. All fractures showed clinical and radiographic evidence of union 4-8 weeks after surgery. At the most recent check-up, all patients reported being pain-free and had returned to normal activities. The study concludes that satisfactory clinical and radiographic results can be achieved in children aged 4-10 years using a combination of K-wires and hip spica cast fixation.
FRONTIERS IN PEDIATRICS
(2023)
Article
Orthopedics
Brian H. Mullis, Julie Agel, Clifford Jones, Jason Lowe, Heather Vallier, David Teague, Laurence Kempton, Andrew Schmidt, Darin Friess, Saam Morshed, Anna N. Miller, Ross Leighton, Paul Tornetta
Summary: This study observed the functional outcomes of unilateral sacral fractures and found that all groups reported the worst function at 3 months after injury, but gradually recovered within 2 years. No functional benefit was observed with operative intervention for either displaced or nondisplaced fractures.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
