Review
Orthopedics
Guangming Zhang, Nong Chen, Linfeng Ji, Chengyi Sun, Sheng-Long Ding
Summary: In this meta-analysis, it was found that arthroscopically assisted reduction and internal fixation (ARIF) and open reduction and internal fixation (ORIF) are comparable in terms of providing pain relief and improving function for patients with ankle fractures. Therefore, the choice between the two techniques should be based on the patient's individual factors and the surgeon's personal preference.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Orthopedics
Kai Song, Bowen Zhu, Qing Jiang, Jin Xiong, Hongfei Shi
Summary: This study aimed to investigate the relationship between wound complications after ORIF of patella fractures and periarticular soft tissue thickness. The results of the retrospective analysis showed that increased femoral periarticular soft tissue thickness was associated with wound complications.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Glenn M. Weinraub, Ian Newport, Brandon K. Kim, Shiyun Zhu, Sumer Patel
Summary: This study is the first to evaluate complication rates of ankle fracture surgery performed by podiatric surgeons, showing lower rates of certain complications compared to the average rates reported in the orthopedic literature. The authors believe that surgical volume and experience are the most important determinants of post ankle surgical complications.
JOURNAL OF FOOT & ANKLE SURGERY
(2021)
Article
Dermatology
Shuaishuai Sun, Guang Yang, Yuze Zhang, Yisi Liu
Summary: This retrospective cohort study aimed to identify the risk factors associated with postoperative wound infections in patients undergoing open reduction and internal fixation for tibial plateau fractures. The study found that factors such as body mass index (BMI), smoking status, and diabetes mellitus were significant predictors of postoperative wound infection. Open fractures, preoperative malnutrition, elevated preoperative ASA scores, and a history of smoking were identified as significant independent risk factors for developing postoperative wound infections.
INTERNATIONAL WOUND JOURNAL
(2023)
Review
Orthopedics
Ramy Khojaly, Fiachra E. Rowan, Mekki Hassan, Sammy Hanna, Ruairi Mac Niocail
Summary: This systematic review and meta-analysis compared the complication rate and functional outcomes of early weightbearing (EWB) versus late weightbearing (LWB) following open reduction and internal fixation of ankle fractures. The findings suggest that early protected weightbearing does not affect surgical incision or fracture healing and is associated with better early functional outcomes at 6 weeks postoperatively, but not at 6 or 12 months.
FOOT & ANKLE INTERNATIONAL
(2022)
Article
Orthopedics
Alisa Malyavko, Theodore Quan, William T. Stoll, Joseph E. Manzi, Alex Gu, Sean Tabaie, Benjamin E. Stein
Summary: Patients with bleeding disorders undergoing ORIF for ankle fractures are at increased risk of postoperative complications, including the need for blood transfusion and extended hospital stay. Identifying patient risk factors and implementing optimal preoperative and perioperative management plans can help reduce complications and improve outcomes in this population.
FOOT & ANKLE INTERNATIONAL
(2022)
Article
Orthopedics
Carlos D. Ortiz-Babilonia, Daniel Badin, Arjun Gupta, Ryan Guilbault, Nigel Hsu, James R. Ficke, Amiethab A. Aiyer
Summary: Preoperative anemia is associated with increased risk of adverse postoperative outcomes, including complications, infections, readmissions, and extended hospital stays, in patients undergoing ORIF for ankle fractures. Both mild and moderate to severe anemia groups have a higher likelihood of requiring blood transfusions.
FOOT & ANKLE INTERNATIONAL
(2022)
Article
Critical Care Medicine
Toshifumi Sato, Yasuhiko Takegami, Takayuki Sugino, Kosuke Bando, Tomoki Fujita, Shiro Imagama
Summary: This multicenter study evaluated postoperative wound infection in patients receiving open reduction and internal fixation for ankle fractures, finding a 5.7% infection rate with Staphylococcus as the main causative organism. Smoking and trimalleolar fracture were identified as significant risk factors for infection.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Review
Orthopedics
Chun-Hong Lo, Chih-Hwa Chen
Summary: This study compared the efficacy of MIPF and ORIF for patella fractures, with results showing that MIPF was superior to ORIF in terms of pain score, knee range of motion, joint functionality, complications, and implant removal rate.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Orthopedics
Sasa Milenkovic, Milan Mitkovic, Milorad Mitkovic, Predrag Stojiljkovic, Mladen Stojanovic
Summary: This study retrospectively analyzed the treatment outcomes of 41 patients with lateral tibial plateau fractures, finding that post-traumatic knee osteoarthritis was common after lateral meniscectomy. Infections, deep vein thrombosis, and other complications were also observed in a significant portion of the patients.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Orthopedics
Soo-Hong Han, Jin Sung Park, Jong Hun Baek, Segi Kim, Ki Hyeok Ku
Summary: Open reduction and plate fixation is a common treatment option for distal humerus fractures, with low complication rates and favorable clinical outcomes. Surgeons need to be vigilant about ulnar nerve complications.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Oncology
Dong Yan, Hua Li, Botian Shao, Ge Jiang, Junpeng Yang, Dehu Liu, Miao Zhang, Lei Fu
Summary: This study compared the efficacy of arthroscopic-assisted reduction and internal fixation (ARIF) with traditional open reduction and internal fixation in the treatment of talus fractures. The results showed that ARIF had shorter time of fracture healing, hospitalization, and less intraoperative blood loss compared to traditional open reduction and internal fixation. The ankle-hindfoot score, treatment effect, callus growth score, and quality of life score were also better in the ARIF group. Additionally, the incidence of complications was lower in the ARIF group.
AMERICAN JOURNAL OF TRANSLATIONAL RESEARCH
(2022)
Article
Dermatology
Wei Hu, Chengbin Huang, Yingying Zhang, Xingyu Wang, Yanshu Jiang
Summary: The purpose of this study was to determine the risk factors for post-operative wound complications (PWCs) after open reduction and internal fixation (ORIF) for calcaneal fractures and establish a nomogram prediction model. The results showed that smoking, limb swelling, angle of incision, and CRP were independent risk factors for skin necrosis. The nomogram prediction model had good predictive performance and consistency, and may help clinicians identify high-risk patients early on and reduce the incidence of PWCs.
INTERNATIONAL WOUND JOURNAL
(2022)
Article
Medicine, General & Internal
Ki-Hyeok Ku, Jong-Hun Baek, Myung-Seo Kim
Summary: This study aimed to investigate the risk factors for non-union after open reduction and internal fixation (ORIF) in distal humerus fractures. The study found that obesity, diabetes mellitus, and combined fractures were important factors contributing to non-union. In addition, combined fracture operations and tension bend wiring (TBW) fixation method increased the risk of non-union.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Orthopedics
Junran Li, Lin Jin, Chuanjie Chen, Jingxiu Zhai, Ligeng Li, Zhiyong Hou
Summary: Our study identified TPW-AF, ARF, FHL, TIS, and PWAS as independent risk factors for PTOA in patients with TAFs following ORIF. These findings can assist orthopedic surgeons in implementing early individualized interventions to reduce the incidence of PTOA.
BMC MUSCULOSKELETAL DISORDERS
(2023)