Article
Orthopedics
Navid Ziran, Colin P. McCarty, Nathan C. Ho, Neda F. Gilmartin, Edward Ebramzadeh, Sang-Hyun Park, Sophia N. Sangiorgio
Summary: This study found that a novel intramedullary nail capable of controlled axial motion can enhance motion between fracture fragments in a variety of common tibial diaphyseal fracture patterns, promoting fracture healing.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2022)
Article
Orthopedics
Lauren M. Tatman, Vamshi Gajari, William T. Obremskey
Summary: The video shows the process of creating and inserting an antibiotic cement spacer in the form of an intramedullary nail for treating infected nonunion of the tibia.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Medicine, General & Internal
Stefan Foerch, Sabrina Sandriesser, Christian von Rueden, Edgar Mayr, Peter Augat
Summary: This study investigated the stabilizing benefits of adding cerclage wiring to intramedullary nailing in the treatment of distal tibia fractures. Biomechanical testing showed that the addition of cerclage wiring significantly reduced shear and torsional movements, allowing for immediate weight-bearing.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Chemistry, Multidisciplinary
Binxiang Xu, Liming An, Seong Young Ko
Summary: The study introduces a novel device for fracture reduction surgery, which has been evaluated through experiments to be simple, cost-effective, and accurate, meeting the practical needs in clinical settings.
APPLIED SCIENCES-BASEL
(2021)
Article
Multidisciplinary Sciences
Mohammadreza Maleki, Alireza Fadaei Tehrani, Ayda Aray, Mehdi Ranjbar
Summary: Interlocking of intramedullary nails is a challenging procedure in orthopedic trauma surgery. A new method using a safe visible light to guide the drilling process has been proposed, showing promising results in improving procedure time and simplifying the process. Animal and human experiments have confirmed the effectiveness of this technique, indicating its potential for clinical applications.
SCIENTIFIC REPORTS
(2021)
Article
Critical Care Medicine
Michael J. Steflik, B. Gage Griswold, Dhara V. Patel, James A. Blair, Jana M. Davis
Summary: This study evaluates the cost-effectiveness of antibiotic cement-coated intramedullary nails in the initial management of GAIII open tibia fractures. The break-even analysis suggests that the use of antibiotic-coated IMN is cost-effective in reducing infection rates.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Orthopedics
Haicheng Wang, Weijie Yang, Kai Ding, Yanbin Zhu, Yifan Zhang, Chuan Ren, Kuo Zhao, Qi Zhang, Wei Chen, Yingze Zhang
Summary: The study demonstrated that the TSIN exhibited better stability and stress conduction compared to PFNA. TSIN enhanced stability in intertrochanteric fractures, particularly in superior fracture fragments, improved stress conduction, reduced stress in the anterior and medial femur, and restored the biomechanical properties of the femur.
INTERNATIONAL ORTHOPAEDICS
(2022)
Article
Biotechnology & Applied Microbiology
Jinchuan Tan, Yang Yang, Mian Wang, Xuecheng Huang, Hanbin Ouyang, Dongliang Zhao, Gang Huang, Yuping Deng, Wenhua Huang
Summary: The biomechanical effects of Poller screws (PS) combined with small-diameter intramedullary nails in the treatment of distal tibial fractures were evaluated. Placing the PS in the proximal fracture block can obtain better biomechanical performance. The IMN fixation system can obtain higher structural stiffness and reduce the interfragmentary motion of the fracture end by adding PS.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2023)
Article
Critical Care Medicine
Sandip Singh Saggi, Siaw Meng Chou, Hoi Pong Nicholas Wong, Merng Koon Wong, Hamid Rahmatullah Bin Abd Razak
Summary: This study aimed to evaluate the biomechanical effects of distal-locked and unlocked long cephalomedullary nails on peri-implant fracture patterns in the treatment of healed intertrochanteric fractures. The results showed that unlocked specimens had significantly lower compressive stress at the point of failure and exhibited basi-cervical type peri-implant fractures, while locked specimens showed complex compound fractures. Therefore, locked nails are more reliable in withstanding higher compressive stress, but may result in more complex peri-implant fractures.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Medicine, General & Internal
Seungcheol Kwon, Minjae Lee, Heeyeon Lee, Jihyo Hwang
Summary: This study compares the GS hip nail with the Affixus hip fracture nail for the treatment of intertrochanteric fractures. The results show that the GS group had a shorter operation time and comparable radiologic and clinical outcomes to the Affixus group at 6 months post-operation. Despite a slightly higher implant cost, the GS group had a lower total hospital cost.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Roxana Maria Pinzaru, Silviu Dumitru Paval, Mihaela Pertea, Ovidiu Alexa, Paul Dan Sirbu, Alexandru Filip, Adrian Claudiu Carp, Liliana Savin, Norin Forna, Bogdan Veliceasa
Summary: This study evaluated the biomechanical performance of the C-Nail(R) system compared to conventional plate fixation for treating displaced intra-articular calcaneal fractures. The results showed that the C-Nail(R) system had lower maximum stress and lower stress at the bone level compared to the plate, suggesting that it is a viable option for treating such fractures.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Biotechnology & Applied Microbiology
Xiaolong Liu, Jin Li, Kuan Luan
Summary: By using centerline adaptive registration, a suitable intramedullary nail with an optimal entry point can be determined for specific patients. This method allows for the position of the intramedullary nail to be determined within the medullary cavity while avoiding deformation and minimizing damage to the intramedullary tissue. This proposed method provides valuable preparation aid for internal fixation with intramedullary nails.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2023)
Article
Orthopedics
Jenna K. Jones, Daniel Ngo, Morgan Cardon, Brian H. Mullis, Bree A. Weaver, James E. Slaven, Meghan McCaskey, Hassan R. Mir, Stephen J. Warner, Timothy S. Achor, Roman M. Natoli
Summary: This study compared the effectiveness of debridement, antibiotics, and implant retention (DAIR) and intramedullary nail (IMN) removal with subsequent strategy for fracture stabilization in the treatment of tibia fracture-related infections (FRIs). The results showed that both methods resulted in a high rate of persistent nonunion or amputation, with no significant difference in improving bone healing outcomes.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2023)
Article
Orthopedics
Nicholas J. Tucker, Michael M. Hadeed, Cyril Mauffrey, Joshua A. Parry
Summary: The study found that native tibia valga may affect the fixation effect of intramedullary nail in tibial shaft fractures. Varus malreduction is more common in patients with tibia valga, and optimizing nail fit or using a medial starting point should be considered.
INTERNATIONAL ORTHOPAEDICS
(2022)
Article
Orthopedics
Panagiotis Tilaveridis, Efthymios Iliopoulos, Paraskevas Georgoulas, Georgios Drosos, Athanasios Ververidis, Konstantinos Tilkeridis
Summary: Fragility fractures in the proximal end of the femur have increased due to an aging population, resulting in added pressure on national healthcare systems. This study assessed the effects of using an additional screw on the quality of reduction, post-operative mobilization, and complications.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Orthopedics
M. Lauren Shapiro, N. Robin Kamal
Summary: In 2020, the American Academy of Orthopaedic Surgeons and the American Society for Surgery of the Hand released updated Clinical Practice Guidelines for the evaluation and treatment of acute distal radius fractures. These guidelines, based on rigorous methodology, provide evidence-based recommendations to assist surgeons and physicians in managing patients with distal radius fractures.
JOURNAL OF HAND SURGERY-AMERICAN VOLUME
(2021)
Article
Orthopedics
L. Henry Goodnough, Harsh Wadhwa, Seth S. Tigchelaar, Kayla Pfaff, Michael Heffner, Noelle van Rysselberghe, Malcolm R. DeBaun, Michael J. Gardner, Julius A. Bishop
Summary: Surgeons can countersink lag screws or helical blades when treating intertrochanteric proximal femur fractures with a cephalomedullary nail without increasing failure rates, and this technique may result in less prominent lateral implants and decreased collapse.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Meeting Abstract
Clinical Neurology
Prasanthi Govindarajan, Tong Meng, Amber Trickey, Loretta Matheson, Siobhan Gilchrist, Sarah Rosenthal, Alex Sox-Harris, Todd Wagner
Article
Orthopedics
Malcolm R. DeBaun, L. Henry Goodnough, Krystin A. Hidden, Sean E. Nork, Conor P. Kleweno, Jonah Hebert-Davies
Summary: The study aimed to determine whether immediate intramedullary nailing (IMN) and primary closure can reduce the risk of flap coverage in type III open high-energy tibia fractures. Data from a 10-year follow-up of patients with high-energy type IIIA open tibia fractures treated with IMN showed that single-stage reamed IMN and acute primary skin closure could effectively decrease the risk of treatment failure and the need for soft tissue coverage procedures.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2023)
Article
Cell & Tissue Engineering
N. Walter, D. Szymski, S. M. Kurtz, D. W. Lowenberg, V. Alt, E. Lau, M. Rupp
Summary: This study investigated the incidence and mortality rates of proximal humerus fractures (PHFs) in the elderly population in the USA, as well as the factors influencing mortality rate. The results showed a decrease in incidence rate from 2009 to 2019, although not statistically significant. The one-year mortality rate was higher for nonoperative treatment compared to surgical treatment and shoulder arthroplasty. Significant mortality risk factors after operative treatment included age, sex, COPD, cerebrovascular disease, chronic kidney disease, concomitant fracture, congestive heart failure, and osteoporotic fracture.
BONE & JOINT RESEARCH
(2023)
Article
Surgery
David Cholok, Ean Saberski, David W. Lowenberg
Summary: This article presents an algorithm for lower-extremity reconstructive management, emphasizing the importance of establishing a clean and living wound as the basis for reconstruction. It also discusses the preference for microvascular free-tissue for definitive soft-tissue coverage.
SEMINARS IN PLASTIC SURGERY
(2022)
Article
Medicine, General & Internal
Nike Walter, David W. Lowenberg, Steven M. Kurtz, Volker Alt, Edmund C. Lau, Markus Rupp
Summary: This study compares revision rates after shoulder arthroplasty for fractures, osteoarthritis, and rotator cuff-related conditions, and identifies risk factors for revision surgery. The findings reveal that patients who receive a rotator cuff-related arthroplasty are more likely to require revision compared to those treated for osteoarthritis. Age ≤75 years, male sex, and osteoporosis are significant risk factors for revision surgery after shoulder arthroplasty.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Orthopedics
Ian Hollyer, David Ivanov, Shanthi Kappagoda, David W. Lowenberg, Stuart B. Goodman, Derek F. Amanatullah
Summary: Prosthetic joint infection (PJI) after total knee arthroplasty (TKA) is a common and challenging problem. Treatment for PJI depends on patient goals, characteristics, and infection timeline. Two-stage surgery with implant removal, debridement, and antibiotic spacer placement is the most common treatment. Static spacers are used for older, less healthy patients, while mobile spacers are used for younger, healthier patients. Customizable spacers with different antibiotics, cement, and designs are available. Understanding these options is important for optimizing treatment.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2023)
Article
Orthopedics
Nicholas J. Morriss, David L. Kerr, Daniel J. Cunningham, Billy I. Kim, Elle M. MacAlpine, Micaela A. LaRose, Colleen M. Wixted, Kwabena Adu-Kwarteng, Malcolm R. DeBaun, Mark J. Gage
Summary: This study compared the effects of peripheral nerve blocks (PNB), epidural anesthesia, and general anesthesia on postoperative mobility and length of stay in patients with geriatric hip fracture. The results showed that PNB was associated with delayed ambulation and increased length of stay, while epidural anesthesia was associated with quicker recovery and shorter hospital stays.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2023)
Article
Medicine, General & Internal
Nike Walter, Dominik Szymski, Moritz Riedl, Steven M. Kurtz, Volker Alt, David W. Lowenberg, Edmund C. Lau, Markus Rupp
Summary: This study analyzed the trends in proximal humerus fracture treatments and compared the complication rates of joint replacement, surgical repair, and non-surgical treatment. Surgical treatment had higher failure rates, joint replacement had an increased risk of infection, and joint replacement had more mechanical complications. The choice of treatment should take into consideration the different complication rates associated with each treatment modality.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Critical Care Medicine
Nike Walter, Dominik Szymski, Steven M. Kurtz, Volker Alt, David W. Lowenberg, Edmund C. Lau, Markus Rupp
Summary: This study investigated the incidence of femoral shaft fractures in the geriatric population in the U.S. and examined the associated outcomes and risk factors. The incidence of femoral shaft fractures decreased by 12.07% from 2009 to 2019. The 5-year mortality risk was 58.5% and significant risk factors included male sex, age over 75 years, and various comorbidities.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Orthopedics
Eoghan T. Hurley, John Wickman, Bryan S. Crook, Grant Cabell, Kaitlyn Rodriguez, Prince Boadi, Malcolm R. Debaun, Christian Pean, Christopher Klifto
Summary: This study compared the outcomes of intramedullary nailing (IMN) and open reduction-internal fixation (ORIF) for humeral shaft fractures. The results showed no significant difference in union rates, reoperation rates, or radial nerve palsy between the two procedures. However, IMN had a lower infection rate, shorter operative time, and slightly quicker time to union. The optimal treatment strategy should take into consideration the fracture pattern and surgeon preference.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2023)
Article
Orthopedics
Malcolm R. DeBaun, David P. Barei, William M. Ricci, Sean T. Campbell
Summary: Modern blocking techniques are effective in achieving anatomical alignment and stable fixation during end-segment nailing. Blocking implants, such as screws or drill bits, can correct both angular and translational deformities. Understanding the biomechanics of blocking implants allows surgeons to plan their placement based on principles rather than blindly following established practices. Case examples are used to demonstrate the updated techniques in blocking during acute surgical fixation and chronic deformity correction.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2023)
Article
Multidisciplinary Sciences
Nike Walter, Dominik Szymski, Steven M. Kurtz, David W. Lowenberg, Volker Alt, Edmund C. Lau, Markus Rupp
Summary: This study aimed to answer two questions: (1) What are the incidence rates of proximal femoral fractures in the elderly U.S. population? (2) What is the preferred treatment procedure for these fractures? The results showed that the incidence of proximal femoral fractures in elderly patients in the U.S. has decreased over the past decade. Arthroplasty was the main treatment for head/neck fractures, while intertrochanteric and subtrochanteric fractures were predominantly treated with intramedullary nailing.
SCIENTIFIC REPORTS
(2023)
Article
Orthopedics
Nike Walter, Dominik Szymski, Steve Kurtz, Volker Alt, David W. Lowenberg, Edmund Lau, Markus Rupp
Summary: Proximal femoral fractures are a serious complication for elderly patients, and risk factors such as age, gender, and chronic diseases are associated with increased mortality. Early assessment of individual risk factors plays a crucial role in reducing mortality rates among the elderly in the US.
JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY
(2023)
