Article
Critical Care Medicine
Matthew J. Wood, Talal Al-Jabri, Ahmed Zaghloul, Brent Lanting, Peter V. Giannoudis, Alister James Hart
Summary: Periprosthetic acetabular fractures are rare but potentially serious complications of total hip arthroplasty. There is a lack of literature on these fractures compared to periprosthetic femoral fractures after total hip arthroplasty. This article provides an up-to-date review of the epidemiology, risk factors, diagnostic challenges, classifications, and management strategies for periprosthetic acetabular fractures after total hip arthroplasty.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Critical Care Medicine
Haiyang Wu, Chengjing Song, Ranran Shang, Qipeng Shao, Ximing Liu, Hongqi Zhang, Xianhua Cai
Summary: This study evaluated the biomechanical properties of a novel dynamic anterior plate-screw system (DAPSQ) for double column acetabular fractures, showing that DAPSQ fixation was superior to traditional buttress-plate constructs.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Orthopedics
Rong-mao Shi, Li-bo Yuan, Chao-jun Tan, An-xu Li, Xiong Qiu, Bing Yang, Hong-bo Tan
Summary: Acetabular fractures are common, and traditional surgical methods may lead to more complications and slower recovery. Hip arthroscopy is a less invasive and faster recovery option for selected patients with acetabular fractures.
ORTHOPAEDIC SURGERY
(2021)
Article
Orthopedics
Xingui Wang, Guangyuan Ran, Xiaojun Chen, Huiyang Jia, Zhongju Liu, Changsheng Sun, Lijie Ma, Zhiyong Hou
Summary: The study found that using obturator oblique and pubic ramus inlet views can guide anterior column acetabular screw insertion more accurately, improving the quality and success rate of screw placement.
ORTHOPAEDIC SURGERY
(2021)
Article
Orthopedics
Zhao-jie Liu, Ya Gu, Jian Jia
Summary: This study compared the therapeutic effects of robot-aided percutaneous anterior column screw fixation versus minimally invasive anterior plate fixation for transverse-oriented acetabular fractures (TOAFs). The results showed that robot-aided screw fixation had obvious advantages in surgical time, blood loss, and invasiveness. The combination of the Kocher-Langenbeck approach with minimally invasive anterior plate fixation was also a reliable alternative for TOAFs, with similar reduction quality and functional results.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Sasa Milenkovic, Milan Mitkovic, Milorad Mitkovic, Predrag Stojiljkovic
Summary: The study evaluated the outcomes of total hip arthroplasty (THA) in patients with post-traumatic osteoarthritis (OA) and avascular necrosis (AVN), who had previously undergone surgical treatment for acetabular fractures. THA significantly improved the life quality and functional status of patients with post-traumatic OA and AVN.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Orthopedics
Till Berk, Ivan Zderic, Peter Schwarzenberg, Torsten Pastor, Roman Pfeifer, Sascha Halvachizadeh, Geoff Richards, Boyko Gueorguiev, Hans-Christoph Pape
Summary: The purpose of this study was to evaluate construct stiffness and failure load following posterior column fractures fixation with standard plate osteosynthesis, screw fixation, or using a screwable cup for total hip arthroplasty under full weight bearing conditions. The results showed that both standard plate osteosynthesis and screwable cup fixation demonstrated encouraging results for post-surgical treatment concept with full weight bearing.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Orthopedics
Sara Solasz, Abhishek Ganta, Kenneth A. Egol, Sanjit R. Konda
Summary: This review discusses the indications and technique for performing acute total hip arthroplasty in geriatric patients with incomplete both-column acetabular fracture.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2023)
Article
Orthopedics
Haiyang Wu, Qipeng Shao, Ranran Shang, Chengjing Song, Ximing Liu, Xianhua Cai
Summary: The study evaluated the clinical and radiological outcomes of ORIF in elderly patients with quadrilateral plate fractures, and investigated the factors potentially affecting the results. The Walid's classification system was found to be associated with the quality of reduction and functional recovery, suggesting ORIF as a viable treatment option for elderly patients with quadrilateral plate fractures.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Orthopedics
Phillip M. Mitchell, M. Kareem Shaath, Milton ''Chip'' Routt
Summary: The article presents a surgical technique for transverse or transverse/posterior wall acetabular fractures repaired using clamp-assisted reduction, anterior column screw fixation, and subsequent posterior column plating. A case series of 55 patients treated with this technique was reviewed to evaluate the reduction quality using postoperative computed tomogram scans.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Critical Care Medicine
Guilherme Boni, Henrique Paradella Alvachian Fernandes, Adilson Goes Rodrigues Junior, Gustavo Tadeu Sanchez, Vincenzo Giordano, Robinson Esteves Pires, Fernando Baldy dos Reis
Summary: Through a systematic review analysis, evoked potential tests can quickly and accurately detect imminent neurological impairment during surgery for acetabular and pelvic ring injuries, leading to improved surgical outcomes in some cases, although irreversible damage may still be unavoidable.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Orthopedics
Harsh Wadhwa, L. Henry Goodnough, Andrea K. Finlay, Malcolm R. DeBaun, Sean T. Campbell, Garin Hecht, Justin F. Lucas, Julius A. Bishop, Michael J. Gardner
Summary: Articular impaction is common in geriatric olecranon fractures, occurring in nearly half of the patients studied. Despite this, patients with articular impaction did not show significantly different rates of postoperative complications or revision surgery compared to those without articular impaction. Surgeons should be aware of this common feature and have a surgical plan ready to manage it effectively.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2021)
Article
Emergency Medicine
Georg Osterhoff, Dag Wulsten, Satish Babu, Mark Heyland, Carlotta Pari
Summary: In this in vitro mechanical study, antegrade and retrograde screw fixation of anterior column acetabular fractures showed no significant differences in construct survival, load to failure, stiffness, and mode of failure, with transiliac fracture as the main mode of failure in all samples.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2021)
Article
Critical Care Medicine
Ramesh K. Sen, Mohammad Umair Attar, Gaurav Saini, Sujit Kumar Tripathy
Summary: In open reduction and internal fixation of acetabular fractures, intravenous tranexamic acid does not significantly reduce blood loss and transfusion requirements.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Critical Care Medicine
Julian R. Wier, Reza Firoozabadi, Joseph T. Patterson
Summary: Patients with cirrhosis have a higher risk of complications after operative treatment of acetabular fractures. This study found that cirrhosis is independently associated with increased risk of inpatient complications, serious adverse events, infection, and mortality following operative repair of acetabular fracture.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
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)