Article
Critical Care Medicine
M. Scrivano, A. Vadal, G. Fedeli, R. Di Niccolo, D. Topa, S. Porcino, F. Pallotta, A. De Carli
Summary: This study compares the outcomes and complications of Ilioinguinal versus modified Stoppa approach in Open Reduction and Internal Fixation (ORIF) of anterior column acetabulum fractures. The results show that the modified Stoppa approach has a shorter operative time, less intra-operative blood loss, and fewer complications. The ilioinguinal approach achieves better anatomic reduction. However, there were no significant differences in terms of vascular lesions, clinical and functional outcomes between the two groups.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Orthopedics
Zhong Chen, Zhao-Xiang Wu, Ge Chen, Yi Ou, Hong-Jie Wen
Summary: This study investigates the safety and efficacy of the oblique-ilioischial plate technique for acetabular fractures involving the low posterior column. The results demonstrate that this technique offers reliable fixation, limited invasion, little intraoperative bleeding, and fewer complications.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Letter
Critical Care Medicine
Bo-Shiang Fu, Zhi-Hong Zheng
Summary: This article discusses severe intraoperative vascular bleeding as the main complication of acetabular fractures treated with plate osteosynthesis via the modified Stoppa approach. While we found the study interesting, we have some concerns about the results and look forward to the authors' responses.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Surgery
Lin Jin, Zhongzheng Wang, Kuo Zhao, Xiaodong Lian, Wei Chen, Yingze Zhang, Zhiyong Hou
Summary: The aim of this study was to compare the clinical efficacy of close suction drainage (CSD) and no-CSD after a modified Stoppa approach for the surgical fixation of acetabular fractures. The results showed that there were no significant differences in patient demographics, fracture characteristics, intraoperative indicators, reduction quality, clinical outcomes, and incision-related complications between the two groups. However, the use of CSD was associated with a significantly higher postoperative blood transfusion volume and rate, as well as higher postoperative temperatures and visual analogue scale (VAS) scores. Therefore, routine use of CSD should not be recommended for patients with acetabular fractures after surgical fixation using a modified Stoppa approach.
FRONTIERS IN SURGERY
(2023)
Article
Multidisciplinary Sciences
Dae-Kyung Kwak, Seung-Hun Lee, Kang-Uk Lee, Ji-Hyo Hwang, Je-Hyun Yoo
Summary: This study presents a surgical technique using an anatomical suprapectineal QLS plate through the modified Stoppa approach for the treatment of superomedially displaced acetabular fractures. The study demonstrates the feasibility of this technique and compares it with the conventional reconstruction plate fixation. The results show that the new technique has shorter operation time and less blood loss, making it a viable option for treating superomedially displaced acetabular fractures.
SCIENTIFIC REPORTS
(2022)
Article
Orthopedics
Yun Yang, Ting-ting Tang, Chang Zou, Yue Fang
Summary: This study evaluated the medium- and long-term outcomes of the modified Stoppa combined with iliac fossa approach for complex acetabular fractures. The results showed that this surgical technique can achieve satisfactory reduction quality and hip function. The rate of intraoperative and postoperative complications was low, indicating that it may be a potential alternative surgical approach.
ORTHOPAEDIC SURGERY
(2022)
Article
Orthopedics
Wei Liu, Hongbin Yang, Zhenyan Yu, Yu Zhao, Jigong Hu, Benyang Li, Yechong Zhu
Summary: This study compared the therapeutic effects of pararectus and Stoppa approaches in treating complex pelvic acetabular fractures. The pararectus approach was found to provide better anatomical visualization and shorter operation time and blood loss.
INDIAN JOURNAL OF ORTHOPAEDICS
(2022)
Article
Critical Care Medicine
Julia Riemenschneider, Maren Janko, Tilmann Vollrath, Christoph Nau, Ingo Marzi
Summary: This study provides an overview of the plate osteosynthesis via the modified Stoppa approach for treating acetabular fractures and highlights the main complications associated with this technique. The results show that although this surgical method allows for excellent intraoperative visibility of the fracture, it is not without risks, such as severe vascular bleeding and nerve function impairment.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Review
Orthopedics
Tomonori Shigemura, Yasuaki Murata, Yohei Yamamoto, Yuki Shiratani, Hiroyuki Hamano, Yuichi Wada
Summary: This study conducted a systematic review and meta-analysis of existing literature, and found that the modified Stoppa (MS) approach had better reduction quality, shorter operative time, and lower operative blood loss compared to the ilioinguinal (IL) approach for the treatment of acetabular fractures. However, there was no significant difference in complications and clinical outcomes between the two approaches.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2022)
Review
Orthopedics
Amit Srivastava, Rajesh Kumar Rajnish, Prasoon Kumar, Rehan Ul Haq, Ish Kumar Dhammi
Summary: This meta-analysis compares the outcomes of ilioinguinal and modified Stoppa approaches for open reduction and internal fixation (ORIF) of displaced acetabular fractures. The results show that the modified Stoppa approach has advantages in terms of shorter surgery duration, less intraoperative blood loss, fewer overall complications, and lower postoperative infection rates compared to the ilioinguinal approach. However, the ilioinguinal approach achieves better fracture reduction quality. The results were inconclusive for vascular injuries, nerve injuries, heterotopic ossification, and clinical outcome between the two groups.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Orthopedics
Ching-Chieh Hung, Kuan-Hsiang Chen, Chih-Wei Chang, Yi-Chen Chen, Ta-Wei Tai
Summary: The aim of this study is to report the postoperative outcome, prognosis, and complication rates of total hip arthroplasty in posttraumatic hip arthritis after failed internal fixation, as well as the results among different fracture types. Salvage THA after failed internal fixation for hip fractures required longer operative time, led to more blood loss, and had higher postoperative complications.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Orthopedics
Fatih Ilker Can, Rabia Mihriban Kilinc, Emre Gueltac, Cem Yalin Kilinc, Ismail Goekhan Sahin
Summary: This study evaluates the two-year clinical outcomes of bilateral acetabular fractures treated with a single incision modified Stoppa approach. The results show that this approach provides satisfactory results with reduced bleeding and shorter operation duration.
JOINT DISEASES AND RELATED SURGERY
(2022)
Article
Orthopedics
Ethan Sanders, Alexandra Finless, Andrew Adamczyk, Johanna Dobransky, Geoffrey Wilkin, Wade T. Gofton, Paul E. Beaule, Allan Liew, Steven Papp, George Grammatopoulos
Summary: Objective of this study was to assess the outcomes of acetabular open reduction and internal fixation (ORIF) in elderly patients, investigate factors influencing the outcomes, and compare the outcomes after low-energy and high-energy mechanisms of injury. The results showed that the grade of reduction was the most significant factor associated with outcome post-ORIF. Female sex, pre-existing osteoporosis, low-energy trauma, and Matta grade were associated with poor outcome. Joint survivorship was lower after low-energy trauma.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Orthopedics
Elias Melhem, Maroun Rizkallah, Hichem Abid, Pierre-Emmanuel Moreau, Peter Upex, Mourad Zaraa, Mansour Sadeqi, Pomme Jouffroy, Guillaume Riouallon
Summary: This study describes a CT-scan-based post-operative reduction score for acetabular fractures and evaluates its accuracy and reproducibility. The results show that this score has good interobserver reproducibility and accuracy in predicting the risk for secondary total hip arthroplasty (THA).
INTERNATIONAL ORTHOPAEDICS
(2023)
Article
Orthopedics
Mohamed Abo-Elsoud, Elsayed Kassem
Summary: The study demonstrated that fragment-specific fixation technique for fractures of the posterior wall of the acetabulum achieved excellent anatomical reduction and good radiological and functional results in most cases. However, recurrent subluxation and post-traumatic arthritis were observed in a small number of patients, highlighting the need for careful monitoring and management post-surgery.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Critical Care Medicine
Andrija Jurina, Valentina Delimar, Zlatko Giljevic, Tajana Filipec Kanizaj, Andro Matkovic, Dinko Vidovic, Nikolina Jurjevic, Vinko Vidjak, Zeljko Duic, Mario Cuk, Mladen Japjec, Tomislav Dujmovic, Andrea Radeljak, Mirjana Marjana Kardum Paro, Marijana Vucic-Lovrencic, Mario Staresinic
Summary: This study investigated the prevalence of fragility spinal fractures among liver transplant candidates with cirrhosis. The results showed the detrimental impact of chronic liver disease and hepatic osteodystrophy on bone strength, and the correlation between DXA measurement and lumbar fragility fractures. These findings highlight the importance of adequate bone evaluation in liver transplant candidates.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
M. Scrivano, A. Vadal, G. Fedeli, R. Di Niccolo, D. Topa, S. Porcino, F. Pallotta, A. De Carli
Summary: This study compares the outcomes and complications of Ilioinguinal versus modified Stoppa approach in Open Reduction and Internal Fixation (ORIF) of anterior column acetabulum fractures. The results show that the modified Stoppa approach has a shorter operative time, less intra-operative blood loss, and fewer complications. The ilioinguinal approach achieves better anatomic reduction. However, there were no significant differences in terms of vascular lesions, clinical and functional outcomes between the two groups.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Jacob Hartline, Christopher T. Cosgrove, Nathan N. O'Hara, Qasim M. Ghulam, Zachary D. Hannan, Robert V. O'Toole, Marcus F. Sciadini, Christopher G. Langhammer
Summary: In a young, healthy orthopedic trauma population with isolated extremity injury, traditional demographic factors and ballistic injury mechanism have a greater predictive value for long-term mortality after hospital discharge compared to popular markers of socioeconomic status.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Youngmin Kwon, Jihye Lim, Chunui Lee
Summary: This study aims to investigate dental traumatic injuries related to standing electric scooters and compare them with injuries caused by other factors. The results indicate that crown-root fractures and avulsions are more common in electric scooter accidents. Additionally, relatively minor dental injuries, such as concussions and subluxations, are more likely to occur as combined injuries in electric scooter accidents. The study suggests the need for strengthened policies and enforcement of laws to prevent severe dental and craniofacial trauma associated with electric scooter use.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Louise Kruse Jensen, Henrik Elvang Jensen, Hans Gottlieb
Summary: This study describes the histopathology of debrided bone tissue in chronic osteomyelitis (CO). The inflammatory response still exists after debridement, although it fades from the center. Sampling of debrided bone tissue must be performed initially during surgery to avoid underestimation of neutrophil infiltration.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Alejandro Alejandrez, Motasem Refaat, Yeng Vue
Summary: This study aims to assess the rate of operative fixation of sacral fractures in pelvises with dysmorphic and nondysmorphic sacrums, as well as whether a difference exists in fracture morphology between groups. The study found no statistical difference in operative fixation rates between pelvises with dysmorphic and nondysmorphic sacrums, but a difference in fracture patterns was observed.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Dong Wang, Shuo Diao, Xiaobin Zhou, Junlin Zhou, Yang Liu
Summary: This study discussed the role of fracture site tissue exosomes lncRNAs-mRNAs networks on post-injury adaptation (PIA) promoting bone mesenchymal stem cells (BMSCs) proliferation and migration. The results confirmed that PIA accelerated BMSCs proliferation and migration, and identified tissue exosomes as the key factor in this process. By analyzing the tissue exosomes lncRNAs-mRNAs networks, several hub genes, such as Akt1, Actb, and Uba52, were identified, and Kif11 was found to be a key gene in BMSCs regulated by tissue-derived exosomes of PIA treated rats.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Lisa Reider, Jason R. Falvey, Safiyyah M. Okoye, Jennifer L. Wolff, Joseph F. Levy
Summary: Falls are a leading cause of injury and hospital readmissions in older adults, with over 3 million seeking hospital care for fall injuries annually in the United States. The annual acute treatment costs for these injuries amount to $20 billion, indicating the urgent need for evidence-based fall prevention interventions and investments in geriatric emergency departments.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Mohamed Elbuzidi, Alyssa N. Wenzel, Andrew Harris, Majd Marrache, Julius K. Oni, Harpal S. Khanuja, Vishal Hegde
Summary: A retrospective propensity score matched cohort study was conducted using the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database to compare outcomes for patients with recently diagnosed COVID-19 infection and those without COVID-19 infection undergoing operative treatment of hip fractures. The results showed that COVID-19-positive patients had a higher risk of 30-day mortality, pneumonia, unplanned intubation, septic shock, longer length of hospital stay, and discharge to an acute care hospital. Active COVID-19 infection is an independent risk factor for complications and increased resource utilization in these patients.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Review
Critical Care Medicine
Jorge Mayor, Vera Birgel, Jan-Dierk Clausen, Goekmen Aktas, Stephan Sehmisch, Ann-Kathrin Einfeldt, Vasilis Giannoudis, Ahmed H. K. Abdelaal, Emmanouil Liodakis
Summary: This study provides a comprehensive overview of biomechanical research on the treatment of intertrochanteric fractures using cephalomedullary devices. Through a systematic literature search and synthesis analysis, the study highlights the need for standardization in biomechanical studies, and suggests strategies to enhance construct stability. The findings emphasize the importance of further research and meta-analyses to establish standardized protocols and enhance reliability.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Patricia Rodarte, Jamieson O'Marr, Billy Haonga, Deogratias Patrick, Kian Niknam, Mayur Urva, Abigail Cortez, Willem-Jan Metsemakers, David Shearer, Saam Morshed
Summary: This study evaluates the diagnostic performance of telephone questionnaires in identifying patients with fracture-related infections (FRIs) after open tibia fracture fixation in Tanzania. The study shows that telephone questionnaires have adequate diagnostic performance, with drainage being the main indicator for FRIs.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Review
Critical Care Medicine
Zhiyi Liu, Guodong Hou, Wencong Zhang, Junyan Lin, Jinrong Yin, Huan Chen, Guowei Huang, Aiguo Li
Summary: Calcaneal tuberosity avulsion fracture, an extra-articular injury, is a rare fracture caused internally by intense contraction of the gastrocnemius-soleus complex, and externally by low-energy (possibly high-energy). The risk of injuries to the skin and Achilles tendon around the calcaneal tuberosity is closely related to the Lee classification and Carnero-Martin de Soto Classification of this type of fracture. Diagnosis is typically confirmed through X-ray, digital imaging, and CT, but MRI should also be used to assess the soft tissue. Recent advances in understanding this fracture have led to the development of different internal fixation devices and surgical procedures that provide stable fracture reduction and resistance to Achilles tendon forces. This article reviews the new insights into the anatomy, classification, risk factors, and treatment modalities of calcaneal tuberosity avulsion fracture in recent years.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Win Wah, Janneke Berecki-Gisolf, Karen Walker-Bone
Summary: This study aimed to identify the incidence and factors associated with in-hospital complications of work-related musculoskeletal injuries. The results showed that age, gender, area-level disadvantage, hospital type, comorbidity, emergency admissions, anesthesia, and the type of injury were all associated with in-hospital complications. The most common complications were cardiovascular, gastrointestinal complications and adverse drug events.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Gareth Rooke, Paul Sharplin, Richard Buckley
Summary: A 31-year-old female suffered a right fibula fracture with deltoid ligament injury after falling while climbing on wet rocks. She had ORIF surgery and recovered well, but has developed vague pain and hardware sensation at the lateral ankle 6 months later. Her past medical history includes breast reduction surgery and vaginal delivery, and she has a social history of alcohol consumption and past recreational drug use.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Review
Critical Care Medicine
Yuwei Wen, Danjiang Zhu, Qiang Wang, Baojian Song, Wei Feng
Summary: This study compared the clinical outcomes of compression screw and non-weight-bearing techniques in treating pediatric Jones fractures. The results showed that compared to non-weight-bearing techniques, compression screw fixation can shorten the radiographic union time, immobilization time, and facilitate earlier return to full weight bearing and daily life. We recommend the use of compression screw fixation for widely displaced fractures and school-age active adolescents.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)