Article
Orthopedics
Patrick Pflueger, Karl-Friedrich Braun, Olivia Mair, Chlodwig Kirchhoff, Peter Biberthaler, Moritz Croenlein
Summary: Trimalleolar ankle fractures are often treated with surgery, with computed tomography playing a crucial role in operative planning. Different treatment approaches may be needed for patients with osteoporosis or younger individuals with higher demands, and further research is necessary to identify who will benefit from surgical assistance in the future.
EFORT OPEN REVIEWS
(2021)
Article
Surgery
Hongming Zheng, Yan Xia, Xiaohui Ni, Jieshi Wu, Yankun Li, Pengpeng Zhang, Xinglin Wu, Kaihang Lu, Quanming Zhao
Summary: This study aimed to explore the clinical outcomes of a 3D printing-assisted posterolateral approach for ankle fractures involving the posterior malleolus. A total of 51 patients were selected and divided into a 3D printing group and a control group. 3D printing was used for preoperative planning and simulation, followed by open reduction and internal fixation. The results showed that the 3D printing group had significantly shorter operation time, less intraoperative blood loss, and fewer intraoperative fluoroscopy frequency compared to the control group. Good clinical effects were achieved in both groups of patients. The approach is effective in the treatment of ankle fractures and has good prospects for clinical application.
FRONTIERS IN SURGERY
(2023)
Review
Orthopedics
Rainer Christoph Miksch, Viktoria Herterich, Alexej Barg, Wolfgang Boecker, Hans Polzer, Sebastian Felix Baumbach
Summary: The aim of this systematic review was to compare the patient-rated outcome following ORIF for fractures of the PM to either CRIF or no treatment. The results showed that compared to CRIF or no treatment, ORIF had better outcomes in the treatment of PM fractures.
FOOT & ANKLE INTERNATIONAL
(2023)
Article
Emergency Medicine
Patrick Pflueger, Felix Harder, Karoline Mueller, Peter Biberthaler, Moritz Croenlein
Summary: This study compared different classification systems for ankle fractures in terms of reliability and treatment strategies, finding that while the AO/OTA classification system is reliable for characterizing fracture types, it lacks specific information about the posterior malleolus. The Bartonicek classification was identified as a reliable tool for guiding treatment decisions.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Article
Orthopedics
Kevin D. Martin, Courtney T. Tripp, Jeannie Huh
Summary: The study investigated the outcomes of posterior arthroscopic reduction and internal fixation (PARIF) in trimalleolar ankle fractures, showing good results in achieving anatomic intra-articular reduction, syndesmosis congruity, and removal of loose bodies. The findings suggest that PARIF technique is effective for displaced posterior malleolar fractures, with good to excellent patient-reported outcomes at a 2-year follow-up.
FOOT & ANKLE INTERNATIONAL
(2021)
Article
Orthopedics
Anne Kummer, Hugues Cadas, Xavier Crevoisier
Summary: The PAMELA surgical approach offers a new perspective in the optimal management of complex fractures of the ankle, allowing optimal exposure to address fractures of the posterior malleolus, lateral malleolus, and anterolateral portion of the ankle through a single incision. Further application in clinical practice is the subject of a future study at their institution.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2021)
Article
Orthopedics
Anne Kummer, Xavier Crevoisier
Summary: This study presents the clinical results of a novel approach called PAMELA for complex ankle fractures. PAMELA provides optimal exposure of the posterior and lateral malleoli through a single incision, resulting in anatomical reduction and good wound healing. The approach was found to be safe and effective in managing complex ankle fractures.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Medicine, General & Internal
Thor S. Stead, Lauren H. Pomerantz, Latha Ganti, Leoh Leon, Samyr Elbadri
Summary: Emergency department management of extremity trauma involves stabilizing fractures and assessing neurovascular status, with trimalleolar fractures almost always requiring surgical repair to prevent significant morbidity.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Medicine, General & Internal
Abraham Reyes-Valdes, Mirna Martinez-Ledezma, David Fernandez-Quezada, Jose Guzman-Esquivel, Martha Irazema Cardenas-Rojas
Summary: This study aimed to determine the number, characteristics, and associated factors of patients who underwent surgical reintervention for ankle fractures. The results showed that reintervention was more common in male patients and those who sustained the injury at home.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Orthopedics
Patrick Ziegler, Christian Bahrs, Christian Konrads, Philipp Hemmann, Marc-Daniel Ahrend
Summary: This narrative review summarizes the current concepts for the treatment of ankle fractures in elderly patients. Open reduction and internal fixation is considered as the gold standard for operative care, though individualized treatment decisions based on factors such as soft-tissue status, fracture pattern, mobility, and comorbidities are essential for optimal patient outcomes. Techniques like fibular nails or minimally invasive approaches should be considered to address the high complication rates post-surgery.
EFORT OPEN REVIEWS
(2023)
Article
Oncology
Florieke Eggermont, Yvette van der Linden, Nico Verdonschot, Edwin Dierselhuis, Steven Ligthert, Thom Bitter, Paulien Westhoff, Esther Tanck
Summary: Patients with femoral metastases are at risk of fractures, and preventing fractures is crucial for mobility and quality of life. The BOS score is an objective tool to assess fracture risk in femoral bone metastases and aids physicians and patients in making more informed treatment decisions.
Article
Orthopedics
Edward Joseph Fuzy, Nando Ferreira, Craig Brown, Daniel Hugo, Etienne Joubert, Marilize Burger
Summary: This study aims to analyze the pathology of posterior malleolar fractures (PMFs) in the South African population, assess the correlation between fracture patterns and international classification guidelines, and evaluate the interobserver reliability of current classifications. The results showed that PMFs in the South African population primarily occurred in younger female individuals due to high energy mechanisms of injury. Most injuries were managed with surgery, although there were significant variations in treatment patterns among observers.
EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY
(2023)
Article
Engineering, Biomedical
S. Schoenmakers, M. Houben, S. van Hoeve, P. Willems, K. Meijer, M. Poeze
Summary: Trimalleolar fractures reduce walking speed and range of motion in the talocrural joint. The size and comminution of the posterior malleolar fragment have an influence on gait. The size of the posterior malleolus is significantly correlated with gait and patient reported outcomes.
CLINICAL BIOMECHANICS
(2022)
Article
Orthopedics
Simran Mand, Scott Telfer, Shamele Battan, Christina L. Brunnquell, Ken F. Linnau, David Zamora, Conor P. Kleweno
Summary: This study used opportunistic quantitative computed tomography (QCT) to provide detailed maps of changes in sacral bone density across a series of patients. The results showed significant differences in local cortical and trabecular bone density associated with age and sex. The findings are clinically significant as they could assist orthopaedic surgeons in planning surgical approaches to sacral fracture fixation.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2023)
Article
Orthopedics
Thomas Barnavon, Alexandre Hardy, Tristan Duguay, Pierre-Alban Bouche, Ronny Lopes
Summary: This study validates the Simple Ankle Value (SAV) as an effective measure for ankle function and evaluates its correlation with other patient-reported outcome measures (PROMs). The results demonstrate strong correlation between SAV and existing ankle PROMs.
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE
(2023)
Article
Emergency Medicine
Suzan Dijkink, Erik W. van Zwet, Pieta Krijnen, Luke P. H. Leenen, Frank W. Bloemers, Michael J. R. Edwards, Dennis Den Hartog, Peter A. Leenhouts, Martijn Poeze, W. Richard Spanjersberg, Klaus W. Wendt, Ralph J. De Wit, Stefan W. A. M. Van Zuthpen, Inger B. Schipper
Summary: Since the implementation of a well-organized trauma system in the Netherlands, trauma care has become increasingly centralized, with more severely injured patients being directly presented to a trauma center. However, 30% of these patients are still initially brought to a non-trauma center. Future research should focus on improving pre-hospital triage to ensure swift transfer of the right patient to the right hospital.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Article
Emergency Medicine
Jorn Kalsbeek, Ariaan van Walsum, Herbert Roerdink, Inger Schipper
Summary: The study found that patients with Garden type I and II femoral neck fractures with a preoperative posterior tilt angle >= 20 degrees had a higher failure rate, with an odds ratio of 4.24, which should be considered a significant predictor for treatment failure.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Article
Orthopedics
C. A. T. van Leeuwen, R. W. J. J. van Dorst, P. Krijnen, I. B. Schipper, J. M. Hoogendoorn
Summary: This study aimed to evaluate the predictive value of fibular fracture displacement in predicting medial clear space widening, and found that fibular displacement is a poor predictor of instability in type B fibular fractures.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2022)
Article
Emergency Medicine
Erwin A. Gorter, Casper R. Reinders, Pieta Krijnen, Natasha M. Appelman-Dijkstra, Inger B. Schipper
Summary: Through the study of osteoporotic and non-osteoporotic fracture patients, it was found that osteoporotic fracture patients had lower levels of serum sclerostin. Future research should focus on the potential of sclerostin as a biomarker for osteoporosis.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Correction
Emergency Medicine
Inger B. Schipper
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Article
Emergency Medicine
F. S. Wurdemann, P. Krijnen, E. W. van Zwet, A. J. Arends, M. J. Heetveld, M. C. Trappenburg, J. H. Hegeman, I. B. Schipper
Summary: The Dutch Hip Fracture Audit (DHFA) has successfully implemented a nationwide hip fracture registry in the Netherlands and shown improvements in data quality over the past five years. However, there are still areas of concern, such as the low levels of assessment for osteoporosis and completeness of three-month follow-up.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Article
Emergency Medicine
Samuel Marinus Verhage, Jochem Maarten Hoogendoorn, Pieta Krijnen, Inger Birgitta Schipper
Summary: There is significant variation in the treatment of posterior malleolar fractures among orthopaedic and trauma surgeons in the Netherlands. The percutaneous approach and open posterolateral approach seem to be equally used, but there is no uniformity in the treatment, especially for certain types of fractures. Less than half of the surgeons consider reoperation in cases of persistent postoperative step-off of more than 1 mm.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Review
Emergency Medicine
Robert A. Timmer, Cassidy Q. B. Mostert, Pieta Krijnen, Sven A. G. Meylaerts, Inger B. Schipper
Summary: This study provides a comprehensive summary of the complications after pelvic ring and acetabular fracture surgery and their association with surgical approach. The results show that external fixation is associated with the highest complication rates, with surgical site infections and neurological complications being the most frequent. More research is needed to identify potential risk factors.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Emergency Medicine
Franka Wurdemann, Erik van Zwet, Pieta Krijnen, Johannes Hegeman, Inger Schipper
Summary: This study aimed to analyze the association between hospital volume and hip fracture care. The results showed no significant correlation between hospital volume and mortality or turnaround times. However, the provision of orthogeriatric co-treatment improved with higher volumes, but decreased above 367 patients per year. Further research on complications and functional outcomes is needed.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Review
Critical Care Medicine
J. H. Kalsbeek, M. F. van Donkelaar, P. Krijnen, W. H. Roerdink, R. de Groot, I. B. Schipper
Summary: This systematic review provides an overview of predictors for failure of treatment of displaced femoral neck fracture (dFNF) with internal fixation and quantifies their risk of fixation failure through meta-analysis. A total of 16 articles were included, identifying 24 predictors and analyzing 7 predictors in a meta-analysis. Female sex, smoking, age > 50 years, inadequate fracture reduction, and fixation with cannulated screws or pins compared to fixed angle devices were identified as significant predictors for fixation failure.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Emergency Medicine
Samantha Scharringa, Suzan Dijkink, Pieta Krijnen, Inger B. Schipper
Summary: This study assesses the maturity of trauma care systems in Europe and finds significant variations in their level of development. Prehospital care has the highest score, while quality assurance has the lowest. Improvements are needed in quality assurance and key infrastructure elements.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Critical Care Medicine
R. A. Timmer, P. Krijnen, P. van der Zwaal, I. B. Schipper, S. A. G. Meylaerts
Summary: The clinical relevance of combined anterior and posterior pelvic ring fractures (PRF) in elderly patients was investigated in this study. The majority of elderly patients with anterior PRF also had posterior PRF. Patients with combined anterior and posterior fractures were found to be more dependent on walking aids at 2-4 weeks compared to patients with isolated anterior fractures, but there were no significant differences in pain scores and Activities of Daily Living scores.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Critical Care Medicine
Jacobien H. F. Oosterhoff, Hidde Dijkstra, Aditya V. Karhade, Rudolf W. Poolman, Inger B. Schipper, Rob G. H. H. Nelissen, Daphne van Embden, Ruurd L. Jaarsma, Joseph H. Schwab, Job N. Doornberg, Marilyn Heng, Bhavin Jadav
Summary: This study aimed to compare the reoperation rates within 30 days after surgery for left-versus right-sided proximal femur fractures in patients undergoing cephalomedullary nailing. The results showed a higher risk of reoperation for left-sided fractures compared to right-sided fractures. This finding may support the hypothesis that clockwise rotation during implant insertion and weightbearing may lead to higher reoperation rates.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Orthopedics
C. Q. B. Mostert, R. A. Timmer, P. Krijnen, S. A. G. Meylearts, I. B. Schipper
Summary: This study aimed to identify the most common post-operative complications and their risk factors following pelvic fracture surgery. The results showed that surgical site infections were the most common complication, and duration of surgery and obesity were independent risk factors for the development of surgical site infections. It is recommended to reduce the risk of surgical site infections by using less invasive and less time-consuming surgical approaches and increasing awareness and post-operative screening for early signs of infections, especially in obese patients.
EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY
(2023)
Review
Orthopedics
R. A. Timmer, S. M. Verhage, P. Krijnen, S. A. G. Meylaerts, I. B. Schipper
Summary: This systematic review summarizes the current literature on the indications and methods for surgical fixation of fragility fractures of the pelvic ring in elderly patients after low-energy trauma. The results suggest that surgical treatment is commonly performed after a period of conservative treatment, with persistent pain being the most frequent indication for fixation. However, the timing and techniques for surgical fixation vary widely.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
