Article
Orthopedics
Ingrid Kvello Stake, Anna R. Bryniarski, Alex W. Brady, Jon W. Miles, Grant J. Dornan, Jan Erik Madsen, C. Thomas Haytmanek, Elisabeth Ellingsen Husebye, Thomas O. Clanton
Summary: The purpose of this study was to determine the optimal treatment for posterior malleolar fractures (PMFs) by comparing different combinations of transsyndesmotic suture buttons, posterior malleolar screws, and anterior inferior tibiofibular ligament (AITFL) augmentation using suture tape. The results showed that posterior malleolar screws with AITFL augmentation provided the best stability for external rotation, while all repairs involving posterior malleolar screws stabilized the fibula and ankle joint for internal rotation. There were no significant differences in efficacy between 25% and 50% PMFs.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Medicine, General & Internal
Jan Niklas Altmeppen, Christian Colcuc, Christian Balser, Yves Gramlich, Alexander Klug, Oliver Neun, Sebastian Manegold, Reinhard Hoffmann, Sebastian Fischer
Summary: The study found that both SB fixation and SF fixation achieve good clinical outcomes in both the short-term and long-term. Athletes experience a faster recovery with SB fixation.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Critical Care Medicine
Jie Wang, Hao-Bo Jia, Jia-Guo Zhao, Jia Wang, Xian-Tie Zeng
Summary: This study compared the clinical and radiological outcomes of plate fixation and screw fixation for posterior malleolar fractures in trimalleolar ankle fractures. The study included 2 RCTs and 6 cohort studies. The results showed that plate fixation had better articular step-off or gap compared to screw fixation. However, no significant differences were found in AOFAS scores, arthritis, infection, and total complications.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Medicine, General & Internal
Markus Regauer, Gordon Mackay, Owen Nelson, Wolfgang Boecker, Christian Ehrnthaller
Summary: The surgical treatment of unstable syndesmotic injuries remains controversial, with no widely accepted guidelines. Various controversies exist surrounding screw fixation versus dynamic fixation, the use of reduction clamps, open versus closed reduction, and the role of the posterior malleolus and anterior inferior tibiofibular ligament (AITFL). An evidence-based surgical treatment algorithm is developed based on the literature, emphasizing the importance of anatomic reduction and flexible dynamic stabilization techniques whenever possible. Repair and augmentation of the unstable AITFL are also recommended.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Vito Pavone, Giacomo Papotto, Andrea Vescio, Gianfranco Longo, Salvatore D'Amato, Marco Ganci, Emanuele Marchese, Gianluca Testa
Summary: This study aimed to compare the short- and mid-term quality of life, clinical outcomes, and gait in patients with syndesmotic injuries associated with ankle fractures who underwent static stabilization with a trans-syndesmotic screw or dynamic stabilization with a suture button device. The results showed significant differences in the AOFAS and EQ-5D scores at the two-month follow-up. No differences were found in the other follow-ups or gait analysis. Conclusion: Both dynamic and static fixation are effective procedures for avoiding ankle instability in syndesmotic injuries, and the suture button device is comparable to screw fixation based on functional outcomes and gait analysis.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Critical Care Medicine
H. Marques Ribeiro, J. Silva, R. Teixeira, P. Fernandes, L. Sobral, I Rosa
Summary: For patients with trimalleolar ankle fractures involving <25% of the articular surface of the posterior malleolus, osteosynthesis of the fragment leads to significantly improved clinical outcomes and reduces the need for trans-syndesmotic screws.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Orthopedics
F. R. K. Sanders, M. F. Birnie, S. A. Dingemans, M. P. J. van den Bekerom, M. Parkkinen, R. N. van Veen, J. C. Goslings, T. Schepers
Summary: The study shows that on-demand removal (ODR) of syndesmotic screws is not inferior to routine removal (RR) in terms of functional outcomes, with fewer complications in the ODR group.
BONE & JOINT JOURNAL
(2021)
Article
Computer Science, Interdisciplinary Applications
Diego Alastuey-Lopez, Belen Seral, Ma Angeles Perez
Summary: A comparison of biomechanical behavior between screw fixation and suture button fixation in treating tibiofibular syndesmotic injuries was conducted using the finite element method. Results showed that suture buttons have advantages in maintaining syndesmosis widening compared to screw fixation, supporting the good long-term clinical outcomes associated with suture button fixation. The proposed methodology may serve as an efficient tool for preoperative planning.
COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
(2021)
Article
Biotechnology & Applied Microbiology
Xiangping Peng, Shaoqing Li, Sidong Yang, Isaac Swink, Jake Carbone, Boyle Cheng, Zhanyong Wu
Summary: This study aimed to compare the biomechanical stability of unilateral and bilateral pedicle screw fixations in two-level PLIF constructs. The results showed that bilateral pedicle screw fixation provided better stability under lateral bending loading compared to unilateral pedicle screw fixation.
BIOMED RESEARCH INTERNATIONAL
(2022)
Article
Orthopedics
Seiji Kimura, Satoshi Yamaguchi, Yoshimasa Ono, Shotaro Watanabe, Ryuichiro Akagi, Takahisa Sasho, Seiji Ohtori
Summary: The study aimed to evaluate the reduction of syndesmosis after suture-button fixation for ankle malleolar fractures over time and the reliability of measurement values. Results showed a decrease in anterior tibiofibular distance and anteroposterior fibular translation 1 year after surgery, while other measurement values remained stable.
FOOT & ANKLE INTERNATIONAL
(2021)
Article
Orthopedics
Nicholas J. Tucker, Bryan L. Scott, Austin Heare, Stephen C. Stacey, Cyril Mauffrey, Joshua A. Parry
Summary: This study aimed to compare hospital outcomes and late displacement between stress-positive minimally displaced lateral compression type 1 (LC1) pelvic ring injuries treated with combined anterior-posterior versus posterior-only fixation. The results showed that anterior-posterior fixation resulted in longer operative times and had a trend of increased estimated blood loss, but patients in this group required less inpatient morphine equivalent doses, were more likely to clear physical therapy (PT) by discharge, were less likely to discharge to rehabilitation facilities, and had a trend of less days to clear PT after surgery and decreased hospital length of stay. Late fracture displacement did not differ between groups.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2023)
Article
Orthopedics
Sherif Hamdy Zawam, Mohamed Goda Mabrouk, Mahmoud Ahmed El-Desouky
Summary: This study compared the clinical results, complication rates, and radiographic outcome between two methods of lateral malleolar fracture fixation. The results showed no significant difference in functional outcome score between the two groups. The group treated with intramedullary screws had a shorter operative time and time to full union, and a lower complication rate.
INTERNATIONAL ORTHOPAEDICS
(2022)
Article
Orthopedics
Benjamin M. Lurie, Conner J. Paez, Shayna R. Howitt, Andrew T. Pennock
Summary: Comparison between suture-button (SB) and screw fixation for tibiofibular syndesmosis in adolescents showed that SB fixation had lower implant removal rates, effective in preventing syndesmotic diastasis in overweight adolescents, and equivalent functional outcomes to screw fixation at a mean follow-up of 4.0 years.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2021)
Article
Orthopedics
Christopher D. D. Flanagan, Eric Solomon, Joseph Michalski, Thomas S. S. Stang, Derek S. Stenquist, David Donohue, Anjan Shah, Benjamin Maxson, David Watson, George Ochenjele, Hassan R. R. Mir
Summary: This retrospective cohort study aimed to determine whether a reduced secondary operation rate offsets higher implant charges when using suture button fixation for syndesmotic injuries. The study found that suture button fixation can lower the rate of secondary operations, leading to cost savings.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2023)
Review
Medicine, General & Internal
Wenxuan Guo, Wenhuan Chen, Jinsheng Yu, Fan Wu, Wenqiang Qian, Siyuan Zhuang, Kun Tian, Rujie Zhuang, Yu Pan
Summary: This study aims to evaluate the functional outcomes and radiographic results of flexible fixation for treatment of isolated Lisfranc ligament injuries.
Article
Critical Care Medicine
Lukas G. Keil, Brian H. Mullis, Paul Tornetta, Maxwell C. Alley, Nathan P. Olszewski, Jonathan A. Wheeler, Ericka P. von Kaeppler, Saam Morshed, Robert N. Matar, Michael T. Archdeacon, Tyler W. Smith, Anna N. Miller, Daniel S. Horwitz, Mirza Shahid Baig, Zachary L. Telgheder, Emil Azer, Givenchy W. Manzano, Heather A. Vallier, Scott A. Barnett, Peter C. Krause, Troy D. Bornes, William M. Ricci, Patrick J. Dunne, Seth R. Yarboro, Alexander J. Ment, Andrew J. Marcantonio, Rashed S. Alqudhaya, Ross K. Leighton, Robert F. Ostrum
Summary: This study evaluated the reliability of diagnosing proximal tibia fracture dislocations (PTFDs) by traumatologists and compared their outcomes with bicondylar tibial plateau fractures (BTPFs). The results showed that PTFDs accounted for 4% of all proximal tibia fractures, often presented as unicondylar fractures, and had a higher occurrence of malunion.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Orthopedics
Brian H. Mullis, Julie Agel, Clifford Jones, Jason Lowe, Heather Vallier, David Teague, Laurence Kempton, Andrew Schmidt, Darin Friess, Saam Morshed, Anna N. Miller, Ross Leighton, Paul Tornetta
Summary: This study observed the functional outcomes of unilateral sacral fractures and found that all groups reported the worst function at 3 months after injury, but gradually recovered within 2 years. No functional benefit was observed with operative intervention for either displaced or nondisplaced fractures.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Orthopedics
Ashley E. Levack, Harold G. Moore, Stephen Stephan, Sally Jo, Ian Schroeder, John Garlich, Aidan Hadad, Milton T. M. Little, Anna N. Miller, Stephen Lyman, Joseph Lane
Summary: This study compares transfusion rates in patients on direct oral anticoagulants (DOACs) with non-anticoagulated patients undergoing hip fracture surgery and finds that DOAC use should not be a determining factor in delaying surgery for patients with hip fracture, as long as they are otherwise medically optimized.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Orthopedics
Sally Jo, Justin Tilan, Christopher McAndrew, Anna N. N. Miller
Summary: The study found that anterior impaction tibial pilon fractures are associated with recurrent anterior talar subluxation, more severe posttraumatic osteoarthritis, and a higher rate of implant removal for pain compared with non-anterior impaction fractures.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Article
Surgery
Bryant W. Oliphant, Jill L. Jakubus, Judy N. Mikhail, Anna N. Miller, Naveen Sangji, John W. Scott, Mark R. Hemmila
Summary: The study analyzed data from 34 American College of Surgeons Committee on Trauma verified level 1 and level 2 trauma centers over a four-year period and found a significant improvement in the timeliness of antibiotic administration after implementing a collaborative quality initiative. The initiative successfully achieved the target time for patients to receive antibiotics and identified areas for further improvement.
Article
Orthopedics
William L. Shelton, Peter C. Krause, Rabun Fox, Mallory Lowe, Laura DeLatin, Claudia Leonardi, Anna N. Miller, Clay Spitler, Brian Mullis, Jonathan Savakus, Kevin Purcell, Justin Tilan, Heather Vallier, Emily Wichern
Summary: This study retrospectively analyzed the characteristics and treatments of 244 patients with foot and/or ankle fractures caused by gunshot wounds. Male patients with an average age of 31.2 years were predominant. Most injuries were categorized as low energy and the majority of patients had retained bullet fragments. Multivariable analysis indicated that high-energy injuries and retained bullet fragments increased the risk of infection.
JOURNAL OF FOOT & ANKLE SURGERY
(2023)
Article
Critical Care Medicine
Cade A. Morris, Justin P. Moo Young, Jonathan C. Savakus, Mitchel R. Obey, Daniel E. Pereira, Jeffrey M. Hills, Ava McKane, Sharon N. Babcock, Anna N. Miller, Byron F. Stephens, Phillip M. Mitchell
Summary: This study reviewed the clinical documentation and imaging of 270 patients with spinopelvic dissociation and found that the incidence of neurologic injury was 33%. Bowel and/or bladder dysfunction was the most common presentation. Most patients recovered neurologic function after treatment, but long-term neurologic dysfunction was characterized by radiculopathy. No factors were found to be predictive of neurologic recovery in this study.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Orthopedics
Zachery Hong, David C. Clever, Lauren M. Tatman, Anna N. Miller
Summary: Social deprivation is associated with slower fracture healing and potentially influences short-term patient-reported outcomes following orthopaedic trauma.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2022)
Article
Orthopedics
Mitchel R. Obey, Anna N. Miller
Summary: Orthopaedic trauma can have unexpected effects on patients' lives, leading to a higher prevalence of psychiatric disorders. Symptoms of depression, anxiety, and posttraumatic stress disorder are reported in up to 56% of patients throughout their postoperative course, and these symptoms are consistently associated with worse patient outcomes.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Public, Environmental & Occupational Health
Sydney Schieffer, Casey Costa, Rohin Gawdi, Karan Devane, Isaac N. Ronning, Thomas Hartka, R. Shayn Martin, Bahram Kiani, Anna N. Miller, Fang-Chi Hsu, Joel D. Stitzel, Ashley A. Weaver
Summary: As obesity rates rise, it is important to study the effects of obesity on motor vehicle safety. This study found that obese individuals are more likely to position the lap belt above the anterior superior iliac spine (ASIS). However, the impact of this positioning on the incidence of abdominal organ injury remains a key point for further exploration.
TRAFFIC INJURY PREVENTION
(2022)
Article
Public, Environmental & Occupational Health
William Armstrong, Casey Costa, Luis Poveda, Anna N. Miller, Alexander Ambrosini, Fang-Chi Hsu, Bahram Kiani, R. Shayn Martin, Joel D. Stitzel, Ashley A. Weaver
Summary: The study found that abdominal muscle quantity and lumbar bone mineral density have an impact on injury risk and in-hospital outcomes in older motor vehicle crash occupants, with sarcopenia associated with thoracic injury, osteopenia associated with upper extremity injury, and osteosarcopenia associated with higher likelihood of ventilation and ICU admission.
TRAFFIC INJURY PREVENTION
(2022)
Article
Critical Care Medicine
Peter S. Chang, Daniel Bechtold, Gregory S. Kazarian, Andrea Tian, Anna N. Miller, Christopher M. McAndrew, Paul M. Inclan, Marschall B. Berkes
Summary: This study aimed to investigate the association between residual fracture gapping and translation at the time of intramedullary nail fixation and delayed healing or nonunion of diaphyseal femur fractures. The results showed that a residual gap size of over 3 mm significantly increased the time to union and the risk of nonunion. Thus, it is recommended to minimize the sum of the residual fracture gap to less than 6 mm.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Critical Care Medicine
Victor Ritter, Feng-Chang Lin, Anna Miller, Robert F. Ostrum
Summary: This study compared the short-term outcomes of operative and non-operative treatment for humeral shaft fractures in polytrauma patients. The results showed no significant differences in length of stay, ICU days, and ventilator days between the two treatment approaches. Therefore, surgical fixation of humeral shaft fractures does not provide short-term benefits for multiply injured patients.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Ergonomics
Ashley A. Weaver, Isaac N. Ronning, William Armstrong, Anna N. Miller, Bahram Kiani, R. Shayn Martin, Kristen M. Beavers, Joel D. Stitzel
Summary: This study aimed to develop and validate a method to measure pelvic bone mineral density (BMD) in computed tomography (CT) scans, and investigate its association with age and pelvic fracture incidence. The findings suggest that pelvic BMD declines with age and may be a contributing risk factor for pelvic fracture in motor vehicle crashes.
ACCIDENT ANALYSIS AND PREVENTION
(2023)
Article
Orthopedics
Joseph T. Patterson, Nathan N. O'Hara, Daniel O. Scharfstein, Renan C. Castillo, Robert O'Toole, Reza Firoozabadi
Summary: Superficial infection after open reduction and internal fixation of tibial plateau and pilon fractures does not commonly lead to deep infection requiring surgical debridement. The association between superficial infection and subsequent deep infection remains inconclusive in this study.
EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY
(2023)