Article
Pediatrics
Giuseppe Mastantuoni, Angelo Gabriele Aulisa, Marco Giordano, Pietro Savignoni, Renato Maria Toniolo, Francesco Falciglia
Summary: This case report describes a child with a congenital curvature of the tibia, which was successfully treated with surgery.
FRONTIERS IN PEDIATRICS
(2023)
Review
Orthopedics
Matthew J. Siebert, Christopher A. Makarewich
Summary: This article reviews the clinical presentation, etiology, classification, and treatment options for congenital pseudarthrosis of the tibia (CPT). Current treatment protocols focus on combining intramedullary and external or internal fixation, with cross-union techniques showing promising results. Vascularized fibular grafting and induced membrane technique are successful but require multiple surgeries. Growth modulation is a new approach that shows potential in preventing fracture.
CURRENT REVIEWS IN MUSCULOSKELETAL MEDICINE
(2022)
Article
Surgery
Bin Peng, Teng Wan, Wenfu Tan, Weiming Guo, Min He
Summary: This retrospective study evaluated the fracture healing time and functional recovery in patients with distal tibial fractures treated with retrograde intramedullary nailing. The results showed that the new retrograde tibial intramedullary nail treatment achieved good efficacy in fracture healing and functional outcomes.
FRONTIERS IN SURGERY
(2022)
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)
Review
Orthopedics
Chen-Yuan Yang, Soon-Tzeh Tay, Liang-Tseng Kuo
Summary: This review compares the efficacy of suprapatellar and infrapatellar approaches for treating distal tibial fractures with intramedullary nailing. The results show that compared to the infrapatellar group, the suprapatellar group may have little difference in pain and slightly better knee and ankle function 12 months after surgery. Furthermore, the suprapatellar group has a lower risk of malalignment, open reduction, and shorter surgical time.
JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY
(2023)
Article
Medicine, Research & Experimental
Celil Alemdar, Sait Anil Ulus, Ramazan Atic, Sebahattin Demir, Ilknur Topal, Safak Sayar
Summary: This study describes 8 patients with non-union of distal tibial fractures treated with distal tibial nail and screw fixation. The use of nails with DSBLS system facilitates union and allows early weight-bearing, enabling a quicker return to normal activities.
MEDICAL SCIENCE MONITOR
(2023)
Article
Orthopedics
Jun-Hong Liu, Qiang Zhang, Guo-Hua Wei, Liang Liu, Xin Mu, Mao-Lin Li, Zong-De Wu
Summary: This study compared the capture effect of two different fixation plates on fracture fragments in the treatment of ankle fractures. The results showed that the APLUS fixation plate performed better in capturing the fracture fragments compared to the ZIMMER fixation plate.
ORTHOPAEDIC SURGERY
(2023)
Article
Rheumatology
T. Mark Campbell, Katherine Reilly, Odette Laneuville, Hans K. Uhthoff, Guy Trudel
Summary: This study examined the association between knee extension range and articular cartilage thickness using MRI data. The results showed a statistically significant correlation between limited knee extension and percentage of denuded bone in the anterolateral tibia.
Review
Biochemistry & Molecular Biology
Konstantinos Sidiropoulos, Andreas Panagopoulos, Konstantinos Tsikopoulos, Alkis Saridis, Stelios F. Assimakopoulos, Antonis Kouzelis, Ioannis N. Vrachnis, Panagiotis Givissis
Summary: Infected nonunion of the tibia is a challenging complication with significant financial burden. This study aimed to determine the available treatment options, success rates, and functional results. Staphylococcus aureus was the most commonly isolated microorganism. Majority of authors used Ilizarov external fixation device with treatment duration over one year, resulting in over 80% good bone and functional outcomes. However, there is limited literature and potential loss of follow-up data.
Article
Orthopedics
Stefan Rammelt, Jan Bartonicek, Livia Kroker
Summary: This study analyzed the pathoanatomy of anterior malleolus (AM) fractures and associated ankle injuries. It found a negative correlation between the size of AM fractures and posterior malleolar fractures. AM fractures occurred more frequently in pronation-type injuries and elderly patients. CT imaging diagnosis of AM fractures can assist in surgical decision-making and planning.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2022)
Article
Medicine, General & Internal
Dinesh Kumar, Ankit Mittal, Jasveer Singh, Harish Kumar, Prashant P. Singh, Akash Kumar, Ashish Singhania, Ravi Kant
Summary: This study compared the functional outcomes of anterolateral and medial distal tibial locking plates for the treatment of distal tibial fractures. The results showed that the anterolateral plate group had longer surgery duration and greater intraoperative blood loss than the medial plate group, but the difference was not statistically significant. Patients in the anterolateral plate group had higher rates of complications and satisfaction, and shorter time to fracture union. Therefore, anterolateral plates can be a better alternative for the management of these fractures.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2023)
Article
Emergency Medicine
Peter Behrendt, Markus T. Berninger, Gregoire Thurig, Julius Dehoust, Jan H. Christensen, Karl-Heinz Frosch, Matthias Krause, Maximilian J. Hartel
Summary: This study compared the reduction quality of the anterolateral (AL) and modified posterolateral approach (PL) in lateral tibial plateau fractures involving the posterior column and central segments. The results showed that the modified posterolateral approach achieved significantly better fracture reduction results of the posterior column compared to the anterolateral approach. The anterolateral approach is indicated in fractures with minor displacement of the posterolateral rim but fracture extension in the latero-central segments.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Surgery
Gu-Hee Jung, HoeJeong Chung, Seung-Hoon Baek, Hoon-Sang Sohn
Summary: The study demonstrates that using percutaneous bridge plating for distal fibular fractures is an effective alternative to conventional treatment methods and can minimize soft tissue problems caused by high-energy trauma.
ASIAN JOURNAL OF SURGERY
(2021)
Article
Emergency Medicine
Julia Greenfield, Philipp Appelmann, Felix Wunderlich, Dorothea Mehler, Pol Maria Rommens, Sebastian Kuhn
Summary: The study assessed the feasibility of using retrograde tibial nailing with double rather than triple-distal locking for far distal tibia fractures. It was found that the use of double locking preserved a significant amount of stiffness while maintaining stability in the fracture site.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Article
Orthopedics
Tilman Hees, Jasmin Zielke, Wolf Petersen
Summary: This study investigated the influence of anterior tibial bowing angle on posterior slope measurement. The findings suggest that the posterior tibial slope is underestimated on short knee radiographs compared to measurements on the lateral mechanic axis, particularly in cases with increased anterior bowing of the tibia.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Orthopedics
Caroline H. Hu, Eliza R. Thompson, Julie Agel, Andrea S. Bauer, Amy T. Moeller, Susan A. Novotny, Ann E. Van Heest, Deborah C. Bohn
Summary: The study compared the reliability of the Wassel-Flatt, Rotterdam, and Chung classifications for thumb polydactyly, revealing that the Wassel-Flatt and Rotterdam classifications have excellent inter- and intrarater reliability for radial polydactyly, while the Chung classification is less reliable.
JOURNAL OF HAND SURGERY-AMERICAN VOLUME
(2021)
Article
Orthopedics
Jennifer C. Laine, Susan A. Novotny, John E. Tis, Wudbhav N. Sankar, Benjamin D. Martin, Derek M. Kelly, Shawn R. Gilbert, Hitesh Shah, Benjamin Joseph, Harry K. W. Kim
Summary: This study provides new insights into the demographic and clinical features of children with early-stage LCPD in an international, multicenter setting. Pain frequency, school absenteeism, overweight/obesity rates, and household smoking are highlighted as significant issues in this population.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2021)
Article
Endocrinology & Metabolism
Christine A. Cabelka, Cory W. Baumann, Angus Lindsay, Andrew Norton, Nick C. Blixt, Gengyun Le, Gordon L. Warren, Kim C. Mansky, Susan A. Novotny, Dawn A. Lowe
Summary: The tissue-selective effects of Bazedoxifene (BZA) on musculoskeletal system in Ovariectomized (OVX) female mice indicate that BZA may act as an estrogen receptor agonist in skeletal muscle, as it has been seen in bone, providing minor benefits to the musculoskeletal system.
JOURNAL OF ENDOCRINOLOGY
(2021)
Article
Orthopedics
Andrew G. Georgiadis, Trever M. Koester, William G. Mackenzie, Nickolas J. Nahm, Susan A. Novotny, Kenneth J. Rogers, Breana R. Siljander, Ted C. Sousa, Klane K. White, Kevin R. Walker
Summary: The use of IONM during lower extremity surgeries in MPS patients can reduce the risk of SCI, especially in cases with prolonged operative time or significant blood loss. Measures such as serial repositioning, aggressive blood pressure management, and abortion of procedures during surgery can help improve the postoperative incidence of SCI.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2021)
Article
Clinical Neurology
Elizabeth R. Boyer, Madeline Palmer, Kathryn Walt, Andrew G. Georgiadis, Jean L. Stout
Summary: The study validated the GOAL questionnaire for individuals with cerebral palsy and identified fatigue as the top priority for caregivers, with common free text goals focusing on independence and improved motor skills. Priorities varied by GMFCS level, highlighting the importance of personalized goal setting in care planning.
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY
(2022)
Editorial Material
Orthopedics
Stewart G. Morrison, Andrew G. Georgiadis, Mark T. Dahl
FOOT & ANKLE INTERNATIONAL
(2022)
Editorial Material
Orthopedics
Andrew G. Georgiadis, Stewart G. Morrison, Mark T. Dahl
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2021)
Article
Multidisciplinary Sciences
Michael H. Schwartz, Andrew J. Ries, Andrew G. Georgiadis
Summary: Current orthopedic and neurological treatments have moderate effects on body structures but minimal effects on gait and functional mobility in children and young adults with cerebral palsy.
SCIENTIFIC REPORTS
(2022)
Article
Orthopedics
Susan A. Novotny, Yasmin D. Hailer, Jennifer C. Laine, Martha Wetzel, Scott E. Gillespie, Shawn R. Gilbert, Rachel Y. Goldstein, Harry K. W. Kim, Tim Schrader
Summary: This study examines the relationship between weight bearing restrictions and BMI Z-score changes in children with Legg-Calve-Perthes Disease (LCPD). The results show that weight bearing restrictions did not lead to significant increases in BMI Z-scores during the follow-up period.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2023)
Article
Orthopedics
Andrew G. Georgiadis, Nicholas P. Gannon, Mark T. Dahl
Summary: This study demonstrates the feasibility of using a motorized expandable plate for femoral lengthening in young children, which is a good alternative for patients who cannot undergo intramedullary lengthening or need to avoid external fixation. The outcomes and complication rates after surgery are comparable to other methods of femoral lengthening.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2022)
Review
Orthopedics
Andrew G. G. Georgiadis, Nicholas P. P. Gannon
Summary: Park-Harris lines are linear opacities visible on X-rays that appear in the metaphyseal bone near a growth plate. They have clinical utility in tracking bone development, assessing growth arrest, and evaluating treatment response. However, there is ongoing controversy regarding whether these lines are pathological or a normal part of growth and whether they indicate growth arrest or recovery.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Article
Multidisciplinary Sciences
Michael H. Schwartz, Katherine M. Steele, Andrew J. Ries, Andrew G. Georgiadis, Bruce A. MacWilliams
Summary: Walking is a crucial skill with significant positive impacts on health, function, and well-being. However, various disorders can impair walking through complex mechanisms. This study proposes a comprehensive model to quantify the causes and consequences of walking impairments, and demonstrates its potential utility in clinical care and addressing scientific questions related to walking.
Article
Orthopedics
Jaren LaGreca, Amanda Nickel, Michael Finch, Benjamin D. Martin, Jennifer C. Laine
Summary: This study evaluated the trends in surgical management of Legg-Calve-Perthes disease (LCPD) in the United States before and after the publication of two landmark studies. The rate of hospital admissions for LCPD surgery has decreased over time, indicating a decline in disease incidence. However, there has been no change in the proportion of patients undergoing surgery by age group over time.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2023)