Orthopaedics Research This is an OPML file. It can be used to export all the MedWorm RSS feeds on this topic into your personal RSS reader (usually you have to save this file to your own computer before clicking on an Import OPML command in your own feed reader to upload the file which will then import all the feeds) or it can be used by webmasters to integrate MedWorm feeds with their own website. This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.
Have a look at The Orthopedics Daily, the new orthopedics portal powered by MedWorm, with all the latest orthopedics news and research updated daily.
This page shows you the most recent publications within this specialty of the MedWorm directory.
Fall-induced deaths among older adults: nationwide statistics in Finland between 1971 and 2009 and prediction for the future
Conclusions: Between 1971 and 2009 the number of fall-induced deaths increased among elderly Finns. The changes were sex-specific so that men surpassed women in both the number and age-adjusted incidence of these fatal falls. Welcome observations were that men's age-adjusted incidence of fall-induced deaths started to stabilize during the new millennium and that in women this incidence continuously declined between 1971 and 2009. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Niina Korhonen, Pekka Kannus, Seppo Niemi, Mika Palvanen, Jari Parkkari Tags: Clinical papers Source Type: research
Radiation-free distal locking of intramedullary nails: Evaluation of a new electromagnetic computer-assisted guidance system
Abstract: Distal locking of intramedullary nails (IMNs) is a difficult part of intramedullary nailing (IMN) that could be time-consuming and expose the surgeon, the surgery personnel and the patient to a considerable amount of radiation as fluoroscopy is usually guiding the procedure. Utilization of electromagnetic fields for that purpose offers an attractive alternative. The SURESHOT™ Distal Targeting System (Smith & Nephew, Inc., Memphis, TN, USA) is a novel commercially available radiation-free aiming system that utilizes computerized electromagnetic field tracking technology for the distal locking of IMNs. In order t...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Ioannis Stathopoulos, Panagiotis Karampinas, Dimitrios-Stergios Evangelopoulos, Kalliopi Lampropoulou-Adamidou, John Vlamis Tags: Clinical papers Source Type: research
Second toe-to-thumb transfer with transposition of the thumb stump to second finger
Toe-to-thumb transfer has revolutionised the field of hand surgery, especially in the industrialised world. Years later, second toe-to-thumb transfer has decreased donor-site morbidity and enabled better cosmetic and functional results by sparing the great toe. But, in some cases, combined procedures or different transfer techniques are needed in order to obtain better results such as microvascular transfer of additional soft tissues, vascularised joint, wrap-around toe technique, and second-toe-to-hand technique. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Ilker Yazici, Tarik Cavusoglu, Esen Ibrahim Karakaya, Altughan Cahit Vural, Ibrahim Vargel Tags: Correspondence Source Type: research
Comments on Kokoroghiannis et al.: Evolving concepts of stability and intramedullary fixation of intertrochanteric fractures—A review
We read with deep interest the article by Kokoroghiannis et al. We appreciate the work of the authors on the review. However, Fig. 7 got us confused with inappropriate fracture types given by authors. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Lihai Zhang, Zhi Mao, Peifu Tang Tags: Correspondence Source Type: research
Nerve-conduits or nerve-guides? When terminology matters
The term “artificial nerve-guide” is already in use in the biomaterials literature; however, it appears in a minority of clinical papers. The terms “nerve-conduit”, or “nerve cuff”, or “nerve tube”, are far more preferred in the clinical literature and associate these devices with the cylindrical shape. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: A. Merolli Tags: Correspondence Source Type: research
Erratum to “Grading of injury severity – What should be the prerequisites to separate multiply injured patients from those in critical condition and polytrauma?” [Injury 44 (3) (2013) 157–158]
The publisher regrets that in this published editorial, the research article from Professor Toshikazu Abe, a corresponding author of the article “Kondo Y, Abe T, Kohshi K, et al. Revised trauma scoring system to predict in-hospital mortality in the emergency department: Glasgow Coma Scale, Age, and Systolic Blood Pressure score. Critical Care 2011;15:R191.” was not mentioned as part of the References in the bibliography. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: H.C. Pape, R. Lefering Tags: Erratum Source Type: research
Modic changes of the cervical spine in patients with whiplash injury: A prospective 11-year follow-up study
Conclusions: While Modic changes became more common in whiplash patients in the 10-year period after the accident, they occurred with a similar frequency in control subjects. We did not find any association between Modic changes and the nature of the car accident in which the whiplash occurred. Modic changes found in whiplash patients may be a result of the physiological ageing process rather than pathological findings relating to the whiplash injury. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Morio Matsumoto, Daisuke Ichihara, Eijiro Okada, Yoshiaki Toyama, Hirokazu Fujiwara, Suketaka Momoshima, Yuji Nishiwaki, Takeshi Takahata Tags: Clinical papers Source Type: research
Psychometric analysis of measuring functional outcomes in tibial plateau fractures using the Short Form 36 (SF-36), Short Musculoskeletal Function Assessment (SMFA) and the Western Ontario McMaster Osteoarthritis (WOMAC) questionnaires
Abstract: Patients participating in a modern prospective orthopaedic trauma database may be asked to complete many functional outcome measures, adding to the burden of study participation. This prospective study assessed the utility and responsiveness of the generic Short Form 36 (SF-36) and the disease specific Short Musculoskeletal Function Assessment (SMFA) and the Western Ontario McMaster Osteoarthritis (WOMAC) questionnaires in 55 patients treated operatively for tibial plateau fractures with the goal of determining if there was clear benefit of using multiple measures in a lower extremity peri-articular fracture popu...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: R. Dattani, G.P. Slobogean, P.J. O’Brien, H.M. Broekhuyse, P.A. Blachut, P. Guy, K.A. Lefaivre Tags: Clinical papers Source Type: research
Fracture union following internal fixation in the HIV population
Conclusion: Contrary to previous assumptions, this study suggests that HIV infection does not increase rates of non-union in surgically managed fractures. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: R.O.E. Gardner, J.H. Bates, E. Ng’oma, W.J. Harrison Tags: Clinical papers Source Type: research
Standardising trauma monitoring: The development of a minimum dataset for trauma registries in Australia and New Zealand
Conclusion: A draft BMDS has been developed for use in trauma registries across Australia and New Zealand. The email survey provided strong indications of the utility of the fields contained in the BMDS. The BMDS has been adopted as the dataset to be used by an ongoing Australian Trauma Quality Improvement Program. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Cameron S. Palmer, Tamzyn M. Davey, Meng Tuck Mok, Rod J. McClure, Nathan C. Farrow, Russell L. Gruen, Cliff W. Pollard Tags: Clinical papers Source Type: research
The injury burden of the 2010 Haiti earthquake: A stratified cluster survey
Conclusions: Estimates of the injury burden in disasters in lower- and middle-income countries is essential for disaster preparedness and response planning in future natural disasters. Given the difficulties in reporting injuries in emergencies, including both challenges of aggregating information and lack of standardized definitions and inclusion/exclusion criteria for injuries that are not severe, ascertaining the injury burden of disasters will be a persistent challenge. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Shannon Doocy, Gabrielle Jacquet, Megan Cherewick, Thomas D. Kirsch Tags: Clinical papers Source Type: research
Comparison of the serious injury pattern of adult bicyclists, between South-West Netherlands and the State of Victoria, Australia 2001–2009
Abstract: Background: Head injury is the leading cause of death and long term disability from bicycle injuries and may be prevented by helmet wearing. We compared the pattern of injury in major trauma victims resulting from bicyclist injury admitted to hospitals in the State of Victoria, Australia and South-West Netherlands, with respective high and low prevalence of helmet use among bicyclists.Methods: A cohort of bicycle injured patients with serious injury (defined as Injury Severity Score>15) in South-West Netherlands, was compared to a cohort of serious injured bicyclists in the State of Victoria, Australia. Additiona...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Pinar Yilmaz, Belinda J. Gabbe, Francis T. McDermott, Esther M.M. Van Lieshout, Pleunie P.M. Rood, Terrence M. Mulligan, Peter Patka, Peter A. Cameron Tags: Clinical papers Source Type: research
A comparison of injuries to moped/scooter and motorcycle riders in Queensland, Australia
Abstract: Background: The popularity of moped and motor scooter riding in Australia is increasing. However, there is a paucity of information about their safety, especially in comparison to motorcycle riding where riders require specific licensing, education and training. Given it is widely established that motorcycle riders are overrepresented in road injury statistics, consideration of moped and scooter riders as a sub-group of all motorcyclists is required for accurate understanding of injury patterns and the acute care needs of this group.Method: A comparison of demographic, injury and acute care characteristics betwee...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: David White, Jacelle Lang, Glen Russell, Kevin Tetsworth, Kathy Harvey, Nicholas Bellamy Tags: Clinical papers Source Type: research
The comparison of freehand fluoroscopic guidance and electromagnetic navigation for distal locking of intramedullary implants
Conclusion: Fluoroscopy time to achieve equivalent precision is significantly reduced with electromagnetism-based surgical navigation compared with free hand fluoroscopic guidance. Also the operative time is significantly reduced with electromagnetic based navigation. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Vedat Uruc, Raif Ozden, Yunus Dogramacı, Aydıner Kalacı, Beşir Dikmen, Omer Serkan Yıldız, Erhan Yengil Tags: Clinical papers Source Type: research
Fall-related hip fracture hospitalisations and the prevalence of dementia within older people in New South Wales, Australia: An analysis of linked data
Conclusion: The use of linked datasets with tens of thousands of cases enables the calculation of precise estimates of various parameters. People with dementia constitute a significant proportion of the total population of elderly hip fracture patients in hospitals (up to 29%). Their mortality rate is greater than those without a diagnosis of dementia and their hospital length of stay is shorter, particularly if they are discharged to a residential aged care facility. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: James P. Scandol, Barbara Toson, Jacqueline C.T. Close Tags: Clinical Papers – Proximal femoral fractures Source Type: research
Intramedullary nailing of trochanteric fractures: central or caudal positioning of the load carrier? A biomechanical comparative study on cadaver bones
Conclusion: Biomechanical superiority can be shown for caudal positioning of the femoral neck load carrier in terms of reduced varus deformity. The incidence of cut out is however unaffected by the position of the load carrier. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: L. Konstantinidis, C. Papaioannou, A. Hirschmüller, T. Pavlidis, S. Schroeter, N.P. Südkamp, P. Helwig Tags: Experimental Studies Source Type: research
Finite element analysis modelling of proximal femoral fractures, including post-fixation periprosthetic fractures
Abstract: Biomechanical testing has been a cornerstone for the development of surgical implants used in fracture stabilisation. In a multi-disciplinary collaboration complex at the University of Wales, Swansea, novel computerised clinically relevant models were developed using advanced computational engineering. In-house software (developed initially for commercial aerospace engineering), allowed accurate finite element analysis (FEA) models of the whole femur to be created, including the internal architecture of the bone, by means of linear interpolation of greyscale images from multiaxial CT scans. This allowed for model...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Saqib Noor, Cerianne Pridham, Tim Fawcett, Mark Barclay, Y.T. Feng, Oubay Hassan, Ian Pallister Tags: Experimental Studies Source Type: research
Periarticular raft constructs and fracture stability in split-depression tibial plateau fractures
Conclusions: Designs utilising screws through the plate trended towards statistically significant improved stability against plateau displacement relative to utilising screws outside the plate. Our study also suggests that there is no significant benefit of locking screws over non-locking screws in this unicondylar tibia plateau fracture model. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: William W. Cross, Bruce A. Levy, Joseph A. Morgan, Bryan M. Armitage, Peter A. Cole Tags: Experimental Studies Source Type: research
Cement augmentation of the proximal femoral nail antirotation for the treatment of osteoporotic pertrochanteric fractures—A biomechanical cadaver study
Abstract: Introduction: Proximal femoral fractures will gain increasing importance in the future due to the epidemiological development. Osteoporosis is often a limiting factor in the achievement of implant stability. New nailing systems offer the possibility of augmentation of the femoral neck component with cement. The aim of this study was to perform a biomechanical comparison of implant stability in osteoporotic pertrochanteric fractures using the proximal femoral nail antirotation (PFNA, Synthes GmbH, Umkirch, Germany) with cement augmented and non-augmented blades.Materials and methods: Bone mineral density (BMD) was...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: F. Fensky, J.V. Nüchtern, J.P. Kolb, S. Huber, M. Rupprecht, S.Y. Jauch, K. Sellenschloh, K. Püschel, M.M. Morlock, J.M. Rueger, W. Lehmann Tags: Experimental Studies Source Type: research
The potential of implant augmentation in the treatment of osteoporotic distal femur fractures: A biomechanical study
Conclusions: This study shows a promising potential of implant augmentation in the treatment of osteoporotic distal femur fractures. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: D. Wähnert, J.H. Lange, M. Schulze, S. Lenschow, R. Stange, M.J. Raschke Tags: Experimental Studies Source Type: research
Decompressed percutaneous vertebroplasty: A secured bone cement delivery procedure for vertebral augmentation in osteoporotic compression fractures
Abstract: The purpose of this study was to assess the efficacy of a new assistive procedure for injecting cement in percutaneous vertebroplasty (PV). Percutaneous vertebroplasty is frequently used for treating patients with osteoporotic vertebral compression fractures. However, the leakage of bone cement during PV may lead to serious complications, such as spinal cord compression or pulmonary embolism. Herein we present a secure procedure designed to safely and effectively deliver the bone cement into the vertebral column.Materials and methods: Thirty-five patients with a total of 50 levels of osteoporotic compression frac...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: William Chu, Yu-Chuan Tsuei, Pei-Hung Liao, Jiun-Hung Lin, Wen-Hsiang Chou, Woei-Chyn Chu, Shuenn-Tsong Young Tags: Clinical papers Source Type: research
Sliding hip screw versus IM nail in reverse oblique trochanteric and subtrochanteric fractures. A study of 2716 patients in the Norwegian Hip Fracture Register
Conclusion: 12 months postoperatively patients with transverse/reverse oblique trochanteric and subtrochanteric fractures operated with a SHS had a higher reoperation rate compared to those operated with an IM nail. Small differences regarding pain, satisfaction, quality of life, and mobility were also in favour of IM nailing. Consequently, a change in our treatment strategy for these fractures could be considered. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Kjell Matre, Leif Ivar Havelin, Jan-Erik Gjertsen, Tarjei Vinje, Birgitte Espehaug, Jonas Meling Fevang Tags: Clinical Papers – Proximal femoral fractures Source Type: research
Clopidogrel has no effect on mortality from hip fracture
Abstract: Over 76,000 patients in the UK sustain a proximal femoral fracture. Clopidogrel is currently the world's second best selling drug. There has been much recent controversy surrounding the optimal time for surgical intervention in this medically challenging group of patients.This consecutive series of 1225 patients from our unit over six years included thirty patients concurrently taking clopidogrel whilst sustaining a hip fracture.Our study demonstrated no significant difference in ASA grade, intra-operative blood loss or subsequent transfusion, post-operative wound complication, or mortality to one year in those t...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: D.R. Wordsworth, T. Halsey, R. Griffiths, M.J. Parker Tags: Clinical Papers – Proximal femoral fractures Source Type: research
The effects of ‘old’ red blood cell transfusion on mortality and morbidity in elderly patients with hip fractures – A retrospective study
Conclusion: Patients undergoing surgery for hip fractures who received ‘old’ units of blood did not differ from those receiving ‘new’ units with regard to mortality and morbidity. Large-scale clinical trials are needed to further investigate this association. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Assaf Kadar, Ofir Chechik, Eldad Katz, Itay Blum, Gabrielle Meghiddo, Moshe Salai, Ely Steinberg, Amir Sternheim Tags: Clinical Papers – Proximal femoral fractures Source Type: research
High failure rate of trochanteric fracture osteosynthesis with proximal femoral locking compression plate
Conclusions: Early results for PF-LCP osteosynthesis show major complications in 7 of 19 patients requiring reosteosynthesis or prosthesis implantation due to secondary loss of reduction or hardware removal. Further studies are required to evaluate the limitations of this device. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: C. Wirtz, F. Abbassi, D.S. Evangelopoulos, S. Kohl, K.A. Siebenrock, A. Krüger Tags: Clinical Papers – Proximal femoral fractures Source Type: research
Periprosthetic fractures around hip hemiarthroplasty performed for hip fracture
Conclusions: This article reports satisfactory outcomes in this complex group of patients. We have established the incidence of 1.7%, with relatively low rates of nonunion, infection and other complications. The mortality rate has been established, and survivorship analysis has identified an increased rate of fracture around the Austin Moore prosthesis. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: J.R.A. Phillips, C.G. Moran, A.R.J. Manktelow Tags: Clinical Papers – Proximal femoral fractures Source Type: research
Valgus intertrochanteric osteotomy and fibular strut graft in the management of neglected femoral neck fracture
Conclusion: Our mechanobiological surgical technique is reproducible with radiographic union achieved in 95.12% cases (39 patients) at the nonunion site and consistent excellent or good functional outcome in 85% of patients over a 32-month average follow-up. We recommend this procedure for neglected femoral neck fractures. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Wasudeo M. Gadegone, Alankar Ambadas Ramteke, Vijayanand Lokhande, Yogesh Salphade Tags: Clinical Papers – Proximal femoral fractures Source Type: research
Health related quality of life, reoperation rate and function in patients with diabetes mellitus and hip fracture—A 2 year follow-up study
Conclusion: The findings of this study indicate that patients with diabetes mellitus had more pain, co-morbidities, reduced health status preoperatively than patients without diabetes. Hip fracture patients with diabetes mellitus have more hip pain at 4 months. Cardiac and renal failure was more frequent in patients with diabetes at 24 months but otherwise we found a comparable re-operation rate, function and deterioration of Health Related Quality of Life as patients without diabetes within 2 years after a hip fracture. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: W. Ekström, A.N. Al-Ani, M. Sääf, T. Cederholm, S. Ponzer, M. Hedström Tags: Clinical Papers – Proximal femoral fractures Source Type: research
Advances made in the treatment of thoracolumbar fractures: Current trends and future directions
Abstract: Thoracolumbar fractures are common injuries after blunt trauma and are accompanied with significant morbidity, including neurologic deficit. Parallel to the evolution of initial management during the past few years, efforts have been concentrated on determining clear indications for surgical treatment, as there is no agreement over superiority of conservative or operative treatment. Various classification systems have been used for identifying those injuries requiring surgical intervention. Moreover, novel trends in surgical techniques, including minimal invasive surgery, implants and rehabilitation protocols hav...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Spyros G. Pneumaticos, Georgios K. Triantafyllopoulos, Peter V. Giannoudis Tags: Reviews Source Type: research
Trauma registries in developing countries: A review of the published experience
Conclusion: Amongst the small number of trauma registries in developing countries, there is a large variation in processes. The implementation of trauma systems with trauma registries is feasible in under-resourced environments where they are desperately needed. (Source: Injury)
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Gerard M. O’Reilly, Manjul Joshipura, Peter A. Cameron, Russell Gruen Tags: Reviews Source Type: research
Trochanteric fossa or piriform fossa of the femur: Time for standardised terminology?
Abstract: Piriform fossa, trochanteric fossa and greater trochanteric tip have each been described as entry points for antegrade femoral nailing. However, the terminology used for these entry points is confusing.The accuracy of the entry point nomenclature in published text and illustrations was recorded in this review study. The trochanteric fossa, a deep depression at the base of the femoral neck is indicated as ‘piriform fossa’ in the vast majority of the publications. Other publications indicate the insertion site of the tendon of the piriformis muscle on the greater trochanteric tip as ‘piriform fossa’. As a r...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: C.M.S. Ansari Moein, P.D. Gerrits, H.J. ten Duis Tags: Clinical Papers – Proximal femoral fractures Source Type: research
Early and ultra-early surgery in hip fracture patients improves survival
Abstract: Background: Hip fracture is a common injury with associated high mortality. Recent drives by the Department of Health have sought to prioritise these patients’ care. In April 2010, the Best Practice Tariff was introduced in England and Wales. This offers financial incentives to institutions that provide holistic care and surgery within 36h for hip fracture patients. The England and Wales National Institute for Health and Clinical Excellence (NICE) published its first guidance on hip fracture management in June 2011, and emphasised the need for surgery on the day or day after admission. In spite of the emphasis ...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Chika Edward Uzoigwe, Henry Guy Francis Burnand, Caroline Lois Cheesman, Douglas Osaro Aghedo, Murtuza Faizi, Rory George Middleton Tags: Clinical Papers – Proximal femoral fractures Source Type: research