Article
Orthopedics
Hans Peter Bogl, Georg Zdolsek, Lukas Barnisin, Michael Moller, Jorg Schilcher
Summary: This study investigated the feasibility of using the Swedish Fracture Register (SFR) as a surveillance tool for atypical femoral fractures (AFFs) and evaluated its performance compared to other classifications. The results showed that the SFR outperformed other diagnostic tools in identifying AFFs, with a high positive predictive value.
Review
Surgery
Jianpeng Gao, Xiao Liu, Xiaoyong Wu, Xiaoya Li, Jianheng Liu, Ming Li
Summary: The risk of bisphosphonate-associated atypical femur fracture has increased due to long-term treatment with these drugs. Teriparatide, a synthetic human parathyroid hormone, has positive effects on fracture healing and can reduce the risk of non-union. Further research is needed to establish effective clinical guidelines for the use of teriparatide in the management of atypical femur fractures.
FRONTIERS IN SURGERY
(2023)
Article
Medicine, General & Internal
Hong Jin Kim, Ha Kyun Chang, Dong-Gune Chang, JiYun Ha, Byeong-Rak Keum, Gun-Hwa Kim
Summary: This study aimed to analyze the incidence of bisphosphonate treatment failure, associated radiological factors, and effect of fracture healing in postmenopausal women with osteoporotic vertebral fractures. The non-response group had significantly lower initial BMD values than the response group, and the initial BMD value of the spine and the FRAX hip were identified as radiological factors influencing bisphosphonate non-response. These findings provide insights into the possible mechanisms and factors influencing bisphosphonate treatment failure in osteoporosis.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
M. Tohidi, S. M. Mann, P. A. Groome
Summary: This study aimed to describe practice variation in the use of total hip arthroplasty (THA) for older patients with femoral neck fracture and to determine the association between patient, surgeon, and institution factors and treatment with THA. The strongest predictors for treatment of patients with femoral neck fracture with THA were patient age, treating surgeon, and treating institution.
BONE & JOINT JOURNAL
(2023)
Review
Orthopedics
Eli Kamara, Yoav Shimon Zvi, Thomas Parker Vail
Summary: With increasing life expectancy, there will be a rise in hip fractures in the elderly population, necessitating critical analysis of treatment options. Surgical intervention is necessary for femoral neck fractures, with nonoperative treatment being unsuitable. Individualized decisions regarding surgical options should be made based on patient-specific factors.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2021)
Article
Endocrinology & Metabolism
H. Sato, C. Takai, N. Kondo, Y. Kurosawa, E. Hasegawa, A. Wakamatsu, D. Kobayashi, T. Nakatsue, A. Abe, S. Ito, H. Ishikawa, J. J. Kazama, T. Kuroda, Y. Suzuki, N. Endo, I Narita
Summary: The study found that the incidence of localized periosteal thickening in patients with rheumatoid arthritis was not high, but two patients developed incomplete atypical femoral fractures. Higher-dose prednisolone and higher-dose methotrexate were significant risk factors for LPT.
OSTEOPOROSIS INTERNATIONAL
(2021)
Article
Orthopedics
C. A. Selles, M. A. M. Mulders, J. Winkelhagen, P. V. van Eerten, J. C. Goslings, N. W. L. Schep
Summary: A multicenter randomized controlled trial compared functional outcomes of cast immobilization and volar plate fixation for acceptably reduced distal radial fractures. Patients in the operative group showed significantly better functional outcomes measured with the PRWE at various time points. Additionally, a 28% rate of subsequent surgery was identified in the nonoperative group.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2021)
Article
Orthopedics
C. A. Selles, M. A. M. Mulders, J. Winkelhagen, P. V. van Eerten, J. C. Goslings, N. W. L. Schep, VIPAR Collaborators
Summary: Operative treatment with volar plate fixation resulted in significantly better functional outcomes for patients with acceptably reduced intra-articular distal radial fractures compared to nonoperative treatment. Consequently, surgical treatment is recommended for these fractures to achieve better long-term results.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2021)
Review
Orthopedics
Dustin A. Greenhill, Martin J. Herman
Summary: Diaphyseal femur fractures are common in pediatric orthopaedic settings, and a patient-specific treatment plan should consider multiple factors. Noninvasive immobilization is typically used for young children, while internal fixation is preferred for school-aged children. Surgeons must pay attention to technical details to optimize outcomes.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Review
Orthopedics
Jiabao Jiang, Jialei Chen, Fei Xing, Hao Liu, Zhou Xiang
Summary: A systematic review was conducted to compare the efficacy and safety of femoral neck system (FNS) and cannulated screws (CS) for the treatment of femoral neck fractures (FNFs). The meta-analysis showed that FNS had better outcomes in terms of X-ray exposures, fracture healing time, length of femoral neck shortening, femoral head necrosis, implant failure/cutout, Visual Analog Scale Score, and Harris Score. However, more high-quality studies are needed to confirm these findings.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Orthopedics
Melissa Wright, Gregory J. Della Rocca
Summary: The Treatment of Clavicle Fractures Evidence-Based Clinical Practice Guideline is a systematic review of published studies on the diagnosis and treatment of clavicle fractures. It provides recommendations and options for healthcare professionals based on current evidence, serving as an information resource and highlighting areas for future research. The guideline is endorsed by several professional associations.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2023)
Article
Computer Science, Information Systems
Xiaozhong Chen, Zhijian Mao, Xi Jiang
Summary: This study proposed a feature-based method for designing anatomic plates for individual femoral fractures, improving design efficiency and quality. By creating parameterized femoral and plate templates, the approach enabled rapid generation of personalized plates and automatic restoration of fracture models. Intuitive modification of shape and structure further enhances the efficiency and quality of personalized plate design.
Article
Orthopedics
Shaquille J. -C Charles, Praveen Kumar, Rajiv P. Reddy, Ting Cong, Stephen Chen, Peter Mittwede, Gele Moloney, Peter Siska, Albert Lin
Summary: This study assessed the cost-effectiveness of dual plating (DP) compared with single plating (SP) in patients with operatively indicated displaced midshaft clavicle fractures. The results showed that DP fixation, despite its higher initial costs, was found to be cost-effective due to lower rates of reoperation and improved patient quality of life.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2023)
Article
Orthopedics
Yaniv Warschawski, Ran Ankori, Tal Frenkel Rutenberg, Ely L. Steinberg, Ran Atzmon, Michael Drexler
Summary: The EPFN group had a higher rate of postoperative orthopedic complications compared to the GPFN group, but there was no significant difference in revision rates. The main complication in both groups was screw cut-out, with the EPFN group achieving better scores. Nonunion occurred only in the GPFN group.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2022)
Article
Medicine, Research & Experimental
Bingzhang Wang, Jiahao Tang, Sheji Weng, Liang Chen, Zongyi Wu, Zhongjie Xie, Lei Yang
Summary: An atypical femoral fracture (AFF) is a rare complication associated with excessive inhibition of osteoclast expression during osteoporosis treatment, and vitamin K-2 (VK2) may have potential beneficial effects on the healing of AFFs. This case report suggests that VK2 could be a potential direction for pharmacological treatment of AFFs in future research.
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
(2021)