Article
Orthopedics
Fangning Hu, Xi Liu, Fanxiao Liu, Honglei Jia, Xiaolong Lv, Fengrui Wang, Shihong Xu, Juanjuan Yang, Lingfei Hu, Bomin Wang, Yongliang Yang
Summary: The study investigated the clinical efficacy and prognosis of intraoperative and postoperative Nice Knots-assisted reduction in the treatment of displaced comminuted clavicle fracture. Nice Knot was found to reduce intraoperative blood loss, shorten operation time, facilitate intraoperative reduction, and achieve satisfactory postoperative clinical results.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Medicine, General & Internal
Beom-Soo Kim, Ki-Cheor Bae, Chul-Hyun Cho, Kyung-Jae Lee, In Gyu Lee, Min-Gyu Lee, Byung-Woo Min
Summary: This study investigated the reduction effect of direct fixation of quadrilateral plates in acetabular fractures and compared it with indirect fixation. The results showed that patients in the direct fixation group had a lower incidence of post-traumatic osteoarthritis and achieved better anatomical reduction.
JOURNAL OF CLINICAL MEDICINE
(2023)
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
Critical Care Medicine
M. L. S. Driessen, C. Verstappen, M. Poeze, M. J. R. Edwards, J. Biert, E. Hermans
Summary: This study examines the characteristics, classification, treatment, complications, and functional outcomes of operatively treated displaced intra-articular calcaneal fractures (DIACFs) in a level-I trauma center over a 20-year period. The results show that both percutaneous re-duction and screw fixation (PSF) and open reduction and internal fixation (ORIF) can restore patients' function and yield relatively good long-term outcomes. However, there are differences in complication rates, with infection being the most common complication associated with ORIF and hardware removal being associated with PSF.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(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
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
Christopher L. Hoehmann, Michael DiVella, Nathan S. Osborn, Joshua Giordano, Joshua Fogel, Benjamin C. Taylor, David K. Galos
Summary: This study aims to determine the maximum screw length to avoid intra-articular penetration. After analyzing CT scans of 151 patients, it was found that most acetabular posterior walls cannot accommodate a 40 millimeter screw. Older and taller patients may be able to accommodate longer screws.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2022)
Article
Biotechnology & Applied Microbiology
Miko Lin Lv, Ming Ni, Wanju Sun, Duo Wai-Chi Wong, Shuren Zhou, Yongwei Jia, Ming Zhang
Summary: This study proposed a novel double-point fixation for calcaneal fractures and compared its biomechanical stability with the traditional three-point fixation. The double-point fixation demonstrated lower bone stress but higher implant stress compared to the three-point fixation. The displacement of the double-point fixation was higher, but the changes in the posterior joint facet and the Bohler angle and Gissane's angle were lower. The double-point fixation using volar distal radius plates showed sufficient and favorable fixation stability with a lower risk of postoperative stress fracture.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2022)
Article
Multidisciplinary Sciences
Guang Shi, Zhao Lin, Wei Liu, Xun Liao, Xingming Xu, Xue Luo, Hongrui Zhan, Xiyu Cai
Summary: This study aimed to determine the pattern of intra-articular calcaneal fractures (ICFs) using three-dimensional mapping and investigate consistent fracture patterns and comminution zones. CT scans of 67 patients with ICFS were analyzed, and multiplanar reconstruction and virtual reduction were performed on the calcaneal fracture fragments. Three-dimensional heat mapping was created by superimposing fracture lines onto a standard calcaneal template. The study found that ICFs have consistent characteristic fracture patterns and comminution zones.
SCIENTIFIC REPORTS
(2023)
Article
Critical Care Medicine
Theodore T. Manson, Gerard P. Slobogean, Jason W. Nascone, Marcus F. Sciadini, Christopher T. LeBrun, Christina L. Boulton, Nathan N. O'Hara, Andrew N. Pollak, Robert O'Toole
Summary: This study compared the treatment outcomes of elderly patients with acetabular fracture treated with open reduction and internal fixation (ORIF) alone versus ORIF plus total hip arthroplasty (THA). The results showed that in patients with specific fracture features, ORIF plus THA resulted in fewer reoperations. There were no significant differences in patient satisfaction and other outcome measures.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Critical Care Medicine
Cheng Long, Kaihu Li, Jianxi Zhu, Hongbin Liu, Yong Zhu
Summary: This study introduces a novel, reliable, and reproducible protocol of three-step closed reduction and percutaneous screw fixation for displaced intra-articular calcaneal fractures. The findings of the retrospective study with 32 patients demonstrate significant recovery of postoperative outcomes and favorable clinical effects.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Orthopedics
Maroun Rizkallah, Amer Sebaaly, Elias Melhem, Pierre-Emmanuel Moreau, Peter Upex, Pomme Jouffroy, Guillaume Riouallon
Summary: The use of per-operative cone beam tomography imaging for displaced acetabular fractures can increase post-operative articular reduction accuracy. Patients treated under O-ARM guidance had significantly less need for THR compared to those treated under C-ARM guidance, and showed better functional outcomes and lower osteoarthritis grades in the hip.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Orthopedics
Robin Eelsing, Loran B. Aronius, Jens A. Halm, Tim Schepers
Summary: This study compared the outcomes of screw fixation, plate fixation, and anatomical plate fixation in the treatment of intra-articular calcaneal fractures. The results showed that plate fixation and anatomical plate fixation were superior to screw fixation in terms of correcting the bone angle and implant removal. There were no significant differences in surgical site infections, need for secondary arthrodesis, and functional outcomes among the different fixation methods.
FOOT & ANKLE INTERNATIONAL
(2023)
Article
Orthopedics
Taoufik Cherrad, Mohammed Ouahidi, Mourad Bennani, Mouad Guenbdar, Hassan Zejjari, Jamal Louaste, Larbi Amhajji
Summary: This study analyzed and evaluated the functional and radiological outcomes of 24 patients with acetabular fractures treated with open reduction and internal fixation. The results showed that most patients achieved good radiological outcomes and functional scores postoperatively, but there were also complications such as heterotopic ossification, post-traumatic arthritis, and avascular necrosis.
INTERNATIONAL ORTHOPAEDICS
(2022)
Review
Orthopedics
Qiuyuan Wang, Nianfei Zhang, Wanshou Guo, Weiguo Wang, Qidong Zhang
Summary: A meta-analysis comparing cannulated screw fixation and plate fixation for displaced intra-articular calcaneus fracture (DIACF) found that the two methods have similar postoperative functional outcomes, but cannulated screw fixation is superior in terms of reduction quality, time efficiency, and wound complication rates.
INTERNATIONAL ORTHOPAEDICS
(2021)