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This page shows you the most recent publications within this specialty of the MedWorm directory.

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QFractureScores may improve on hip fracture risk assessmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
UK researchers have developed new algorithms for assessing a patient’s risk for osteoporotic and hip fracture without the need for clinical or laboratory tests. (Source: MedWire News - Bone Health)
Source: MedWire News - Bone Health - November 21, 2009 Category: Orthopaedics Source Type: news

Perthes' disease in Norway.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19922171 [PubMed - as supplied by publisher] (Source: Acta Orthopaedica)
Source: Acta Orthopaedica - November 21, 2009 Category: Orthopaedics Authors: Wiig O Tags: Acta Orthop Source Type: journals

Kyphoplasty feasible even with loss of wall integrityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Kyphoplasty is suitable even for patients whose osteoporotic vertebral fractures have loss of vertebral wall integrity, say Chinese clinicians. (Source: MedWire News - Bone Health)
Source: MedWire News - Bone Health - November 20, 2009 Category: Orthopaedics Source Type: news

Studying the association between musculoskeletal disorders, quality of life and mental health. A primary care pilot study in rural Crete, GreeceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to assess the impact of MSD on the quality of life and mental health of patients and to discuss issues concerning care seeking patterns in rural Greece. Methods: Patients registered at one rural Primary Care Centre (PCC) in Crete were invited to complete the Nordic Musculoskeletal Questionnaire (NMQ) for the analysis of musculoskeletal symptoms, together with validated instruments for measuring health related quality of life (SF-36) and mental distress (GHQ-28). Results: The prevalence rate of MSD was found to be 71.2%, with low back and knee pain being the most common symptoms. Most conditi...
Source: BMC Musculoskeletal Disorders - November 20, 2009 Category: Orthopaedics Authors: Maria AntonopoulouAthanasios AlegakisAlexander HadjipavlouChristos Lionis Source Type: journals

[Orthopedic made-to-measure shoes for diabetics : Long-term 5-year outcome.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
For patients with diabetes mellitus and diabetic foot syndrome customized orthopedic shoes represent the most effective treatment to avoid foot ulceration and amputation. A total of 53 patients suffering from diabetes and treated with customized orthopedic shoes for more than 5 years were included in the study. Of the patients 91% had peripheral artery occlusion disease, polyneuropathy and diabetic neuropathic osteoarthropathy (DNOAP) and in nearly 25% amputation of one limb had already been carried out. The incidence of ulcers over a time period of 5 years was assessed from the patient records and questioning the pati...
Source: Der Orthopade - November 20, 2009 Category: Orthopaedics Authors: Illgner U, Wühr J, Rümmler M, Drerup B, Wetz HH Tags: Orthopade Source Type: journals

[Epidemiology and classification of diabetic foot syndrome.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The diabetic foot syndrome (DFS) is an important complication of diabetes mellitus resulting in severe undesired consequences, such as amputation, disability and reduced quality of life. In Germany there are approximately 300,000 patients with lesions of the foot caused by diabetes of which approximately 50% have to be amputated within 4 years of diagnosis. To achieve a reduction of the amputation rate it is necessary to identify the main causes. The use of the Wagner-Armstrong wound classification is well accepted in Germany. Therapy and diagnosis of the diabetic foot syndrome are almost standardized and all procedure...
Source: Der Orthopade - November 20, 2009 Category: Orthopaedics Authors: Teichmann J, Sabo D Tags: Orthopade Source Type: journals

IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Source Type: journals

Soft Tissue and Biomechanical Challenges Encountered with the Management of Distal Tibia NonunionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A thoughtful treatment algorithm is required to optimally treat distal tibia nonunion. A healthy respect for the tenuous soft tissue envelope, compromised vascularity, and challenging mechanical environment is advisable. Achieving osseous union and improved functionality requires an individualized plan of care based on the personality of the nonunion and host. Attention must be focused on providing mechanical stability at the site of nonunion and providing biologic supplementation. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: Ivan S. Tarkin, Peter A. Siska, Boris A. Zelle Source Type: journals

Managing Bone Deficiency and Nonunions of the Proximal FemurEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article presents a technique of deformity correction, bone graft techniques that reconstitute residual defects, and definitive fixation using load-sharing devices that provide immediate stability for bone healing and early rehabilitation. Preoperative planning and the potential advantages and disadvantages of newer fixed-angled plates versus established implants are discussed. With proper planning, surgical execution with proved techniques, augmented by the addition of newer graft harvesting techniques, anatomic restoration, and bone reconstitution with healing, has invariably been the result. (Source: Orthopedic Clin...
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: John J. Perry, Brent Winter, Jeffrey W. Mast Source Type: journals

RIA: One Community's ExperienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Reamer Irrigator Aspirator (RIA) has three main indications in our community trauma practice. The most common indication for RIA is harvesting of autololgous bone graft from the femur for nonstructural bone graft. The second most common indication is for irrigation and debridement of intramedullary osteomyelitis. The final indication for RIA is for acute nailing of femoral shaft fractures in patients with multiple long bone fractures with or without pulmonary injury. If one pays careful attention to the details of the technique, RIA is a safe and effective method of harvesting autologous bone graft with minimal morbidi...
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: Christopher G. Finkemeier, Rafael Neiman, Domingo Hallare Source Type: journals

Quantitative Analysis of Growth Factors from a Second Filter Using the Reamer-Irrigator-Aspirator System: Description of a Novel TechniqueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on our novel technique of using a second filter containing beta-tricalcium phosphate (TCP) as a graft extender while using the RIA system. We also quantify growth factor concentrations in the collections from the TCP filter. A second filter attached in series with the standard RIA filtration system yields TCP with substantial concentrations of bioactive proteins that are equal to those seen in the bone graft that is harvested in the first filter. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: James P. Stannard, Ashoke K. Sathy, Fariba Moeinpour, Rena L. Stewart, David A. Volgas Source Type: journals

Autologous Bone Graft: When Shall We Add Growth Factors?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although the unquestionable value of autologous bone grafting and the analogous value of the reaming by-products in nonunion treatment have been mentioned extensively in the literature, there is ongoing vivid discussion for the treatment of those case scenarios where the fracture nonunion is complicated by other local environment adverse circumstances. The graft expansion with growth factors as the bone morphogenetic proteins (BMPs) offers the possibility to reduce the number of operative procedures, complications, length of hospital stay, and time to union. In this article, we consider the potential clinical scenarios for...
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: Peter V. Giannoudis, Haralampos T. Dinopoulos Source Type: journals

Autograft and Nonunions: Morbidity with Intramedullary Bone Graft versus Iliac Crest Bone GraftEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article focuses on comparing patient morbidity with harvesting bone graft for the treatment of nonunions from three different sites. Anterior iliac crest graft is the most commonly used site; however, the posterior iliac crest and intramedullary canal provide greater quantities of bone. The anterior and posterior iliac crests also have some donor site complications such as nerve injury and persistent pain. The intramedullary canal, when compared with anterior and posterior iliac crest, offers the largest quantity of bone graft with the least amount of patient donor site morbidity. The intramedullary canal also appears...
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: Janet D. Conway Source Type: journals

Treatment of Large Segmental Bone Defects with Reamer-Irrigator-Aspirator Bone Graft: Technique and Case SeriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Treatment of large segmental defects using conventional autogenous iliac crest bone graft can be limited by volume of cancellous bone and donor site morbidity. The reamer-irrigator-aspirator (RIA) technique allows access to a large volume of cancellous bone graft containing growth factors with potency equal to or greater than autograft material from the iliac crest. The purpose of this study was to evaluate the effectiveness of RIA-harvested autogenous bone graft for treating large segmental defects of long bones. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: Todd A. McCall, David S. Brokaw, Bradley A. Jelen, D. Kevin Scheid, Angela V. Scharfenberger, Dean C. Maar, James M. Green, Melanie R. Shipps, Marcus B. Stone, Dana Musapatika, Timothy G. Weber Source Type: journals

Biological Rationale for the Intramedullary Canal as a Source of Autograft MaterialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Bone harvested by intramedullary reaming offers a minimally invasive alternative to harvesting bone from the iliac crest, which has long been considered the gold standard for autogenous bone grafting. The biologic potential of intramedullary reaming material has been studied both in vitro and in vivo. The material provides osteogenic, osteoinductive, and osteoconductive properties that are comparable to the material harvested from the iliac crest. In addition to the ability to obtain a large volume of bone, the graft harvested by the Reamer-Irrigator-Aspirator has been shown to be rich in growth factors, including BMP-2, T...
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: David J. Hak, Jason L. Pittman Source Type: journals

Use of the Induced Membrane Technique for Bone Tissue Engineering Purposes: Animal StudiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Animal experiments using the induced membrane procedure for bone tissue engineering purposes have provided evidence that the membrane has structural characteristics and biologic properties that may be used for bone tissue engineering purposes. Clinically relevant animal models have demonstrated that standardized particulate bone constructs can be used to repair large bone defects using the procedure and that the osteogenic ability of these constructs partially approaches that of bone autografts. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: Véronique Viateau, Morad Bensidhoum, Geneviève Guillemin, Hervé Petite, Didier Hannouche, Fani Anagnostou, Philippe Pélissier Source Type: journals

Clinical Use of Resorbable Polymeric Membranes in the Treatment of Bone DefectsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The reconstruction of large bone defects remains a clinically challenging condition. Although many treatment approaches exist, they all have limitations. Recently, bioresorbable polylactide membranes have become commercially available. These membranes, when applied to bone defects, enhance bone healing by direct osteoconduction, exclusion of nonosseous tissues, and enhancing the osteogenic environment for autologous grafts. When combined with appropriate internal fixation and autologous bone graft, bioresorbable polylactide membranes allow for single-step reconstruction of large bone defects. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: Richard P. Meinig Source Type: journals

The Concept of Induced Membrane for Reconstruction of Long Bone DefectsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Clinical, experimental, and fundamental studies have shown the interest of a foreign body-induced membrane to promote the consolidation of a conventional cancellous bone autograft for reconstruction of long bone defects. The main properties of the membrane are to prevent the resorption of the graft and to secrete growth factors. The induced membrane appears as a biological chamber, which allows the conception of numerous experimental models of bone reconstruction. This concept could probably be extended to other tissue repair. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: Alain C. Masquelet, Thierry Begue Source Type: journals

Use of Solid and Cancellous Autologous Bone Graft for Fractures and NonunionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the use of solid and cancellous bone graft in the treatment of acute bone loss and nonunion. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: James T. Marino, Bruce H. Ziran Source Type: journals

Viable Bone and Circulatory Factors Required for Survival of Bone GraftsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The healing of fractures and nonunions has significant science background to it; however, the application of the products in the surgeon's hands should be considered an art in the science of bone healing. The surgeon must choose adequate fixation for stability and to promote healing by not making the construct too stiff. If a bone graft substitute is necessary, the surgeon must choose the type of bone graft substitute depending on patient factors and surgeon factors involving the treatment of the fracture. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: Lisa K. Cannada Source Type: journals

Bone Defects Caused by High-energy Injuries, Bone Loss, Infected Nonunions, and NonunionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses bone defects caused by high-energy injuries, bone loss, infected nonunions, and nonunions. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: Andrea Wiese, Hans C. Pape Source Type: journals

PrefaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The management of traumatic bone defect continues to be a tremendous challenge to orthopedic trauma surgeons. Although many products that stimulate the growth of bone and replace defects have become available within the past decades, autologous bone continues to have ideal biologic properties. Although some of the well-described techniques to grow bone, such as distraction osteogenesis, have incurrent risks of infections, newer methods have become available to treat bone defects in the presence of an infection. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Authors: Hans C. Pape, Timothy G. Weber Source Type: journals

Forthcoming issuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 19, 2009 Category: Orthopaedics Source Type: journals

Peak BMD may explain Indian osteoporosis rateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Research suggests that peak bone mineral density in Indian men and women is lower than expected, which may explain why osteoporosis is more common in India than in Western populations. (Source: MedWire News - Bone Health)
Source: MedWire News - Bone Health - November 19, 2009 Category: Orthopaedics Source Type: news

Physical examination of the foot and ankle by orthopaedic and accident and emergency clinicians [Injury 2009;40(2):136–8]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We thank Mr Borland for his comments. We agree that a sound knowledge of limb anatomy is of interest to the vast majority of doctors and not just orthopaedic surgeons. Mr Borland says that 60% of undergraduates will end up as general practitioners, we would argue that a significant amount of a general practitioner's workload are “musculoskeletal” related problems and so it is of utmost importance that they have a good knowledge of limb anatomy to provide good patient care. (Source: Injury)
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Andy Roche, Dan Brown Tags: Correspondence Source Type: journals

Are we failing our students?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I read the study performed by Roche et al. published in February's edition with great interest. As a medical student I was assured that due to the ‘modernisation’ of undergraduate medical training, the focus of study would be less on basic science and more on applied clinical knowledge. As a result I failed to learn much about the anatomy of the human body which was not within the torso. But of course that was fine as 60% of us would go on to be general practitioners and would not need such unimportant facts cluttering up our brains. Of course, as irony would have it, 40% have not gone on to be GPs and found that study...
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Steve Borland Tags: Correspondence Source Type: journals

Reconstruction of finger-pulp defect with a homodigital laterodorsal fasciocutaneous flap distally based on the dorsal branches of the proper palmar digital arteryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The homodigital laterodorsal fasciocutaneous flap based on the dorsal branch of the proper palmar digital artery is an ideal alternative to reconstruct the finger-pulp for single-stage reconstruction without sacrificing the proper palmar digital artery and nerve. (Source: Injury)
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Meng Xianyu, Chen Lei, Lu Laijin, Liu Zhigang Tags: Articles Source Type: journals

Learning the lessons from conflict: Pre-hospital cervical spine stabilisation following ballistic neck traumaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Penetrating ballistic trauma to the neck is associated with a high mortality rate. Our data suggests that it is very unlikely that penetrating ballistic trauma to the neck will result in an unstable cervical spine in survivors. In a hazardous environment (e.g. shooting incidents or terrorist bombings), the risk/benefit ratio of mandatory spinal immobilisation is unfavourable and may place medical teams at prolonged risk. In addition cervical collars may hide potential life-threatening conditions. (Source: Injury)
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Arul Ramasamy, Mark Midwinter, Peter Mahoney, Jon Clasper Tags: Articles Source Type: journals

Factors affecting results of patients with humeral proximal end fractures undergoing primary hemiarthroplasty: A retrospective study in 42 patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Aim: Our study reports long-term results and factors related to patient satisfaction in the case of primary hemiarthroplasty for humeral proximal end fractures.Patients and methods: We retrospectively evaluated 42 patients with humeral proximal end fractures who underwent primary hemiarthroplasty in our clinic from February 1994 to March 2004. Of the 42 patients, 14 (33%) were male and 28 (67%) female. The mean age was 68.9±5.57 years (age range: 59–81 years). The mean follow-up period was 78.8±26.6 months (range: 48–118 months). We evaluated the following parameters: fracture type according to the Neer cla...
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Erdinç Esen, Yunus Doğramacı, Serap Gültekin, Mehmet Ali Deveci, Fatih Suluova, Ulunay Kanatlı, Selçuk Bölükbaşı Tags: Articles Source Type: journals

Removal of erythropoietin from anaemia trauma practice guideline does not increase red blood cell transfusions and decreases hospital utilization costsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Introduction: We previously demonstrated that utilization of erythropoietin (r-EPO) did not significantly reduce blood utilization in trauma patients. We undertook this study to analyze blood utilization 1 year after r-EPO removal from our trauma service anaemia practice management guideline.Methods: Electronic records of patients admitted to the trauma service were retrospectively reviewed for units of packed red blood cells (pRBCs) transfused and for units of r-EPO administered 12 months before the initiation of an anaemia practice guideline (PRE), 12 months during the use of an anaemia guideline (GUIDE), and 1...
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: A. Britton Christmas, Steven M. Camp, M. Craig Barrett, Thomas M. Schmelzer, H. James Norton, Toan T. Huynh, Michael H. Thomason, Ronald F. Sing Tags: Articles Source Type: journals

Recovery of brachial plexus injury after shoulder dislocationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Brachial plexus injury is an underestimated complication from anterior dislocation of the shoulder. To our knowledge, there is limited information available about the factors that influence neurological recovery of this injury. We reviewed 15 upper extremities in 14 patients with brachial plexus injuries caused by anterior shoulder dislocation. Two-thirds of the cases had total brachial plexus palsy. With the conservative treatment, the motor recoveries of all cases are full or nearly full within 20 months except intrinsic muscle of the hand. Intrinsic muscle recovery may be better in a younger age group (less th...
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Arkaphat Kosiyatrakul, Surasak Jitprapaikulsarn, Sebastein Durand, Christophe Oberlin Tags: Articles Source Type: journals

Ulnar artery distal cutaneous descending branch as free flap in hand reconstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: These authors aimed to evaluate the method and therapeutic effects of surgical hand-wound repair using free vascularised flaps based on the descending ramus of the above-wrist cutaneous branch of the ulnar artery. We retrospectively reviewed records of 75 patients with 79 finger defects who had received hand surgery between January 2001 and December 2007. Soft-tissue defects of the hand were repaired using free flaps with the descending ramus of the above-wrist cutaneous branch of the ulnar artery as the vascular pedicle. Intra-operative and postoperative variations in vascular anatomy were observed and surgical o...
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: J.U. Jihui, Yuefei Liu, Ruixing Hou Tags: Articles Source Type: journals

The incidence of scaphoid fracture in a military populationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion/conclusions: When compared to the previous data on scaphoid fractures, our study showed a greater incidence of scaphoid fracture at 1.21/1000 person-years in the US military population. These data are derived from a large database which effectively captures the population at risk. Males, the younger age group and the white race were associated with higher rates of scaphoid injury in this specialised military population. (Source: Injury)
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Jennifer Moriatis Wolf, Laura Dawson, Sally B. Mountcastle, Brett D. Owens Tags: Articles Source Type: journals

Factors affecting infection after calcaneal fracture fixationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: A retrospective study of 178 operatively managed intra-articular calcaneal fractures was undertaken. The primary purpose of the study was to investigate whether delay prior to surgery was related to the prevalence of post-operative deep infection although other factors related to infection were also examined.The deep infection rate was 5.6% but there was no statistical correlation between surgical delay and deep infection. However analysis of the results showed that surgical experience did correlate with deep infection. The infection rate for a group of inexperienced surgeons was 14.3% compared with 2.8% for the ...
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Charles M. Court-Brown, Matthias Schmidt, Bernard G. Schutte Tags: Articles Source Type: journals

Treatment of unstable distal clavicle fractures using two suture anchors and suture tension bandsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Coracoclavicular reconstruction using two suture anchors and supplementary interfragmentary fixation using two non-absorbable suture tension bands for acute distal clavicle fracture are reliable techniques for restoring stability in patients with acute distal clavicle fracture. (Source: Injury)
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Sang-Jin Shin, Kwon Jae Roh, Jong Oh Kim, Hoon-Sang Sohn Tags: Articles Source Type: journals

Prospective analysis of a new minimally invasive technique for paediatric Gartland type III supracondylar fracture of the humerusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Minimally invasive surgery with the assistance of mosquito forceps for the reduction of severely displaced supracondylar fracture of the humerus in children was shown to be a safe and effective alternative method. The final functional outcome was the same as that of the standard technique. (Source: Injury)
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Yi-An Li, Pi-Chang Lee, Wei-Tso Chia, Huai-Jen Lin, Fang-Yao Chiu, Tain-Hsiung Chen, Chi-Kuang Feng Tags: Articles Source Type: journals

Complications when using threaded K-wire fixation for displaced intra-articular calcaneal fracturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: A retrospective chart review was performed on patients treated at a level one trauma centre for displaced intra-articular calcaneal fractures by a single trauma surgeon between January 1998 and July 2007. Patients were treated with open reduction and internal fixation utilising the extended lateral incision and a new type of fixation not described before. Threaded 1.575mm (0.062in.) Kirschner wires (K-wires) were used for fixation post-operatively along with standard plates, screws and bone substitute.There were 278 fractures in 246 patients that were treated with ORIF for displaced intra-articular calcaneal frac...
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: A. Ross Demcoe, Marieke Verhulsdonk, Richard E. Buckley Tags: Articles Source Type: journals

Mid-term results of internal fixation of proximal humeral fractures with the Philos plateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Internal fixation with the Philos plate seems to be a reliable option in the operative treatment of upper end humeral fractures, especially in osteoporotic bone. It allows secure fracture fixation and quick shoulder mobilisation, while quick and uneventful fracture healing and very satisfactory clinical results are achieved. (Source: Injury)
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Periklis Papadopoulos, Dimitrios Karataglis, Stavros I. Stavridis, George Petsatodis, Anastasios Christodoulou Tags: Articles Source Type: journals

Percutaneous plating in paediatric tibial fracturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Background: Although non-operative treatment is a mainstay of tibial fracture management in children, certain fractures require a surgical approach. However, choices concerning optimal methods and implants are difficult. The purpose of this study was to determine the effectiveness of percutaneous plating of tibial fractures in children.Materials and methods: Sixteen tibial fractures treated using the percutaneous plating technique between 2000 and 2007 were reviewed. The mean age at operation was 10 years 9 months (range: 6–16 years). There were eight open and closed fractures each. Operative indications were a...
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Nazri Mohd Yusof, Chang-Wug Oh, Jong-Keon Oh, Joon-Woo Kim, Woo-Kie Min, Il-Hyung Park, Hee-June Kim Tags: Articles Source Type: journals

Three-dimensional computed tomography imaging increases the reliability of classification systems for tibial plateau fracturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Three-dimensional CT is a more reliable radiographic modality than 2D CT in evaluation of fracture patterns in tibial plateau fractures. This finding seems to show that more sophisticated imaging techniques can improve the reliability of fracture classification systems. (Source: Injury)
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Yan-Ling Hu, Fa-Gang Ye, Ai-Yu Ji, Guang-Xi Qiao, Hai-Fei Liu Tags: Articles Source Type: journals

Volar locking plates versus Kirschner wires for distal radial fractures—A cost analysis studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: With use of a locked volar plate for patients under the age of 70 years there is a loss of £652 for the Trust with the present NHS tariffs. (Source: Injury)
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Gunaratnam Shyamalan, Chris Theokli, Yemi Pearse, Duncan Tennent Tags: Articles Source Type: journals

Injuries sustained at a temporary ice-skating rink: Prospective study of the Winchester experience 2007–2008Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was undertaken to assess, prospectively, the workload created as a consequence of ice-rink injuries, when the facility was reopened over Christmas 2007.All patients attending from the ice-rink were included and their injuries reviewed. Costs of care were calculated based on ED attendance, out-patient appointments (OPA's), radiography, plaster immobilisation and government tariffs for surgical procedures.The ice-rink was open for 39 days welcoming 43,000 skaters. Sixty-two accidents were recorded in the accident book, 43 attended the ED. Radiographic investigation was necessary for 31 patients. Nineteen had diagn...
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: N.K.R. Kelsall, G.W. Bowyer Tags: Articles Source Type: journals

A health economic analysis of the use of rhBMP-2 in Gustilo–Anderson grade III open tibial fractures for the UK, Germany, and FranceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: The purpose of this study was to determine the cost savings from a societal perspective for recombinant human Bone Morphogenetic Protein-2 (rhBMP-2) in grade III A and B open tibial fractures treated with a locked intramedullary nail and soft-tissue management in the UK, Germany, and France. Health care system costs (direct health care costs) and costs for productivity losses (indirect health care costs) were calculated using the raw data from the Bone Morphogenetic Protein Evaluation Group in Surgery for Tibial Trauma “BESTT study”. Return-to-work time for estimation of productivity losses was assumed to cor...
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Volker Alt, Simon T. Donell, Amit Chhabra, Anthony Bentley, Alexander Eicher, Reinhard Schnettler Tags: Articles Source Type: journals

Examination tests predictive of bone injury in patients with clinically suspected occult scaphoid fractureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The two above-mentioned manoeuvres were most indicative of bone injury in patients with clinically suspected occult scaphoid fracture. These examinations may reduce the number of unnecessary MRI examinations. (Source: Injury)
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Koray Unay, Bahadir Gokcen, Korhan Ozkan, Oguz Poyanli, Engin Eceviz Tags: Articles Source Type: journals

Fresh-frozen vs. irradiated allograft bone in orthopaedic reconstructive surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: The use of allograft bone is increasingly common in orthopaedic reconstruction procedures. The optimal method of preparation of allograft bone is subject of great debate. Proponents of fresh-frozen graft cite improved biological and biomechanical characteristics relative to irradiated material, whereas fear of bacterial or viral transmission warrants some to favour irradiated graft. Careful review of the literature is necessary to appreciate the influence of processing techniques on bone quality. Whereas limited clinical trials are available to govern the selection of appropriate bone graft, this review presents ...
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: D.J. Costain, R.W. Crawford Tags: Reviews Source Type: journals

Maxillofacial trauma—Developments, innovations and controversiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Despite seat belt and alcohol legislation, craniofacial trauma still remains a common health problem and significant workload in many maxillofacial units. Although management has evolved considerably from “wiring teeth together”, complex fractures can still result in cosmetic and functional deformity. Today's challenge is to consistently restore patients back to their pre-injury form and function—but this is not always possible. Greater understanding and developments have significantly improved outcomes, although controversy still exists in some areas. This review outlines some of these topics. (Source: Injury)
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Michael Perry Tags: Reviews Source Type: journals

Management, complications and clinical results of femoral head fracturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: A systematic review of the literature was conducted to investigate data regarding femoral head fractures, particularly focusing on their management, complications and clinical results.Twenty-nine eligible articles, meeting prespecified inclusion criteria, reported on 453 femoral head fractures in 450 patients (mean age of 38.9 years with a mean follow-up of 55.6 months). 84.3% of patients had been victims of an automobile accident. The most widespread classification scheme used was that of Pipkin (65.4% of cases) whereas clinical results were evaluated mainly according to Thompson–Epstein criteria (63.3% of cas...
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: P.V. Giannoudis, G. Kontakis, Z. Christoforakis, M. Akula, T. Tosounidis, C. Koutras Tags: Reviews Source Type: journals

Fracture healing and bone regeneration: Autologous bone grafting or BMPs?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In 1915, autologous bone grafting was introduced as a useful surgical technique in the clinical setting. It was not long before its efficacy and safety was recognised and nowadays it is no surprise that over half a million graft harvesting procedures are performed annually in the USA. Common autologous bone graft harvesting sites include the pelvis (anterior/posterior iliac crest), proximal tibia, femur, and distal radius. (Source: Injury)
Source: Injury - November 19, 2009 Category: Orthopaedics Authors: Peter V. Giannoudis Tags: Editorial Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Injury)
Source: Injury - November 19, 2009 Category: Orthopaedics Source Type: journals