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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 12.
The role of intravenous acetaminophen in multimodal pain protocols for perioperative orthopedic patients.
Abstract Multimodal pain management should be considered for all perioperative orthopedic patients. The goal of reducing the amount of perioperative opioid medication given may be achieved by using nonopioid medications, including intravenous acetaminophen. The site of action of acetaminophen is a variety of receptors in the central nervous system. When given intravenously, acetaminophen produces a much higher plasma concentration, which then leads to higher levels in the cerebrospinal fluid. The safety profile and relative lack of systemic adverse reactions make this an attractive analgesic for a wide variety of o...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Lachiewicz PF Tags: Orthopedics Source Type: research
Can intravenous paracetamol reduce opioid use in preoperative hip fracture patients?
Abstract Pain due to intra- and extracapsular hip fractures is usually treated with opioid medication. Paracetamol (acetaminophen in North America) has better bioavailability when given intravenously than orally and has been successfully used in the postoperative care of orthopedic patients. However, no study has evaluated its use in the preoperative trauma patient. Our unit conducted a prospective, consecutive cohort study to investigate the opioid-sparing effect of regularly administered intravenous paracetamol compared with oral paracetamol in preoperative hip fracture patients. The total opioid dose given, base...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Tsang KS, Page J, Mackenney P Tags: Orthopedics Source Type: research
Effect of preoperative intravenous methocarbamol and intravenous acetaminophen on opioid use after primary total hip and knee replacement.
This study shows significant improvement in patient care from 2008 to 2011 that is at least partially due to the change to the use of preoperative intravenous methocarbamol and intravenous acetaminophen. PMID: 23379573 [PubMed - in process]
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Looke TD, Kluth CT Tags: Orthopedics Source Type: research
Multimodal pain management after spinal surgery for adolescent idiopathic scoliosis.
We present an illustrative case of our use of multimodal analgesia beginning intraoperatively and continuing during the acute inpatient postoperative period. PMID: 23379574 [PubMed - in process]
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Blanco JS, Perlman SL, Cha HS, Delpizzo K Tags: Orthopedics Source Type: research
Radiologic case study.
PMID: 23379616 [PubMed - in process]
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Mirick AL, Bornstein GB, Bancroft LW Tags: Orthopedics Source Type: research
ACL Stability, Function, and Arthritis: What Have We Been Missing?
PMID: 23379658 [PubMed - in process]
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Maffulli N, Osti L Tags: Orthopedics Source Type: research
Triceps Brachii Distal Tendon Reattachment With a Double-row Technique.
Abstract Case reports and small series have reported variable results regarding the treatment of choice for patients with triceps brachii tendon ruptures. Early surgical repair has been recommended for acute complete ruptures of the triceps brachii distal tendon to prevent late functional disability. However, controversy exists regarding the optimum surgical technique of reattachment. In addition, various attachment techniques have been described, with none shown clinically to be superior. Therefore, the authors present a technique for triceps brachii distal tendon reattachment following acute complete ruptures and...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Kokkalis ZT, Mavrogenis AF, Spyridonos S, Papagelopoulos PJ, Weiser RW, Sotereanos DG Tags: Orthopedics Source Type: research
Differentiation, diagnosis, and treatment of osteoarthritis, osteonecrosis, and rapidly progressive osteoarthritis.
Abstract Osteoarthritis, osteonecrosis, and rapidly progressive osteoarthritis are hip arthropathies that result in marked pain and disability. Although these diseases share features of arthritis-like symptoms and are all treated with total hip arthroplasty, they are separate diseases with distinct epidemiologic, radiographic, and histopathologic findings. In this article, the authors present clinical tips and techniques that will aid the surgeon in diagnosing and treating these different entities. PMID: 23379734 [PubMed - in process]
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Pivec R, Johnson AJ, Mont MA Tags: Orthopedics Source Type: research
Serum relaxin levels in young athletic men are comparable with those in women.
Abstract Relaxin was originally described as a reproductive hormone that mediated joint laxity in pregnant women and has been minimally studied in men. The purpose of this descriptive laboratory and clinical study was to evaluate serum relaxin in a young, primarily male population and compare levels between the sexes. In addition, the authors evaluated the relationship between relaxin and generalized laxity. PMID: 23379736 [PubMed - in process]
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Wolf JM, Cameron KL, Clifton KB, Owens BD Tags: Orthopedics Source Type: research
Use of perioperative erythropoietin without pharmacologic thrombosis prophylaxis.
PMID: 23379824 [PubMed - in process]
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: de Castro Araujo BL Tags: Orthopedics Source Type: research
Skin Grafts Provide Durable End-bearing Coverage for Lower-extremity Amputations With Critical Soft Tissue Loss.
Abstract Lower-extremity amputations in the presence of soft tissue loss represent an unresolved conundrum because surgeons must consider sacrificing bone length to obtain adequate soft tissue coverage. Local flaps and microvascular soft tissue transfers are established strategies for maintaining residual limb length. However, the use of skin grafts remains controversial due to the presumed inferiority compared with flaps with regard to enabling prosthetic fitting and full weight bearing. The current study was designed to test the hypothesis that split-thickness skin grafts represent a safe and feasible option to p...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Stahel PF, Kent T, Yi C, Livermore M Tags: Orthopedics Source Type: research
Surgical versus nonsurgical treatment of acute achilles tendon rupture: a meta-analysis of randomized trials.
PMID: 23379826 [PubMed - in process]
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Chutkan NB Tags: Orthopedics Source Type: research
Vancomycin prophylaxis of surgical site infection in clean orthopedic surgery.
Abstract EDUCATIONAL OBJECTIVESAs a result of reading this article, physicians should be able to:1.Identify the motivation for vancomycin prophylaxis in clean orthopedic surgery.2.Identify the complications and challenges surrounding vancomycin prophylaxis in clean orthopedic surgery.3.Describe the effectiveness of intravenous vancomycin in clean orthopedic surgery.4.Describe the effectiveness of locally delivered vancomycin in clean orthopedic surgery. Community-acquired methicillin-resistant Staphylococcus aureus (MRSA) has been recognized as a public health concern since the mid-1990s. Because of the increase in...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Kanj WW, Flynn JM, Spiegel DA, Dormans JP, Baldwin KD Tags: Orthopedics Source Type: research
Prospective and comparative analysis of internal fixation of femoral neck fractures with or without vascularized iliac graft in young adults.
Abstract The purpose of this study was to compare the effectiveness of 2 surgical approaches for femoral neck fractures in young adults: internal fixation with or without a vascularized iliac graft. Between January 1998 and December 2008, seventy-eight patients presented with a Garden type III (n=38) or IV (n=40) femoral neck fracture. Thirty-eight patients were women and 40 were men, with an average age of 28 years (range, 16-38 years). Fractures were caused by fall injury (n=24), motor vehicle accident (n=36), and heavy weight lifting (n=18). Patients were randomly divided into 2 groups. Group A underwent interna...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Yu XB, Zhao DW, Zhong SZ, Liu BY, Wang BJ, Liu YP, Zhang Y, Cui DP, Fu DP, Xie H Tags: Orthopedics Source Type: research
Subtrochanteric valgus osteotomy with monolateral external fixator in hips for patients with severe cerebral palsy.
Abstract Subtrochanteric valgus osteotomy has been used for painful hip joint dislocation in patients with severe cerebral palsy. The goal of this study was to evaluate 11 patients (17 hips) with severe cerebral palsy who had chronically dislocated and painful hips treated with subtrochanteric valgus osteotomy using a monolateral external fixator.A retrospective review was performed of 11 patients (average age, 17.8 years) with severe quadriplegic cerebral palsy with flexion-adduction contractures due to chronically dislocated and painful hips. A subtrochanteric valgus osteotomy with a monolateral fixator was perfo...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Agashe M, Song SH, Tong XB, Hong JH, Song HR Tags: Orthopedics Source Type: research
Sensory Neuropathy Associated With Aggressive Cauterization Using a Bipolar Radiofrequency Device in Primary TKA.
Abstract Because significant postoperative blood loss can result in many complications, hemostasis remains a critical part of successful joint replacement outcomes. Advanced techniques, such as electrocautery use after optimally timed tourniquet release, focus on desired patient blood loss outcomes.The purposes of this study were to report the incidence of nerve injury, identify associated risk factors following the use of bipolar electrocautery for hemostasis in the posterior knee during primary total knee arthroplasty, and compare that rate with the rate seen using a standard electrocautery device. Clinical and o...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Lyons S, Morrison K, Tejiram S, Levering M, Polikandriotis JA, Bernasek T Tags: Orthopedics Source Type: research
Full versus surface tibial baseplate cementation in total knee arthroplasty.
In this study, 232 patients who underwent TKA using full or surface cementation of the tibial baseplate were evaluated at an average 5.6-year follow-up to assess survivorship and clinical results. The cumulative survival rate at 8 years was 97.1%. With revision of either component for any reason considered the endpoint, no significant difference was noted between full and surface cemented groups. Knee Society Score, range of motion, and femoro-tibial mechanical angle significantly increased postoperatively. Multivariate analysis revealed that good preoperative range of motion and Knee Society Scores were related to good po...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Galasso O, Jenny JY, Saragaglia D, Miehlke RK Tags: Orthopedics Source Type: research
Two-year Outcome With the AperFix System for ACL Reconstruction.
Abstract The purpose of the study was to assess the fixation durability of the AperFix System (Cayenne Medical, Inc, Scottsdale, Arizona) used in arthroscopic reconstruction of the anterior cruciate ligament. The AperFix System consists of a femoral and tibial component designed to secure either allograft or autograft. The outcomes of 185 knees (180 patients) were retrospectively reviewed at a minimum of 2 years postoperatively. Mean age at surgery was 31±12 years (range, 16-68 years). Of these, a convenience sample was seen prospectively to obtain radiographs and to assess functional status. No cases occurred of ...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Uribe JW, Arango D, Frank J, Kiebzak GM Tags: Orthopedics Source Type: research
Immediate Coronal Plane Kinetic Effects of Novel Lateral-offset Sole Shoes and Lateral-wedge Insole Shoes in Healthy Individuals.
Abstract To investigate kinetic differences in the coronal plane between healthy individuals wearing shoes with lateral-offset soles and shoes with lateral-wedge insoles while walking, hip abduction, knee adduction, and ankle abduction moments were estimated using a 3-dimensional motion analysis system under 3 different conditions: wearing conventional shoes (control), wearing lateral-offset sole shoes (condition A), and wearing lateral-wedge insole shoes (condition B). Forty-eight healthy individuals (24 men and 24 women) were tested. Condition A resulted in a significantly reduced peak knee adduction moment compa...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Kang JW, Park HS, Na CK, Park JW, Hong J, Lee SH Tags: Orthopedics Source Type: research
Setting patients' expectations for range of motion after arthroscopic rotator cuff repair.
Abstract Arthroscopic rotator cuff repair is a reliable option for symptomatic patients who have failed conservative treatments. Limited evidence exists regarding early rehabilitation time points (less than 1 year) and the influence of tear size. The authors sought to determine whether a difference exists in pre- and postoperative range of motion among small, medium, and large isolated rotator cuff tears treated arthroscopically.Patient- and tear-specific demographics were analyzed in a retrospective series of patients who had undergone arthroscopic rotator cuff repair. Two hundred seventy-four patients (153 [56%] ...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Harris JD, Ravindra A, Jones GL, Butler RB, Bishop JY Tags: Orthopedics Source Type: research
Osteosarcoma and Chondrosarcoma of the Shoulder: Site-specific Comparative Analysis.
Abstract Osteosarcoma and chondrosarcoma compose most of the primary malignancies of the shoulder. The literature lacks site-specific comparative analyses of these 2 major shoulder sarcomas. The purposes of this study were to describe the different characteristics of the 2 major sarcomas near the glenohumeral joint, examine differences in treatment outcomes, and evaluate the functional outcomes of limb salvage surgery.Thirty-two patients with osteosarcoma or chondrosarcoma who underwent a wide resection including the glenohumeral joint were enrolled in this study. The characteristics of tumor development and treatm...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Shin SH, Jeong HJ, Han I, Cho HS, Kim HS Tags: Orthopedics Source Type: research
Hinged external fixator and open surgery for severe elbow stiffness with distal humeral nonunion.
Abstract Joint stiffness is a common complication of elbow trauma. Treating elbow stiffness is challenging, especially in patients with severe elbow stiffness with distal humeral nonunion.To improve treatment outcomes, the authors applied a hinged external fixator after performing open reduction and internal fixation and evaluated the clinical outcome. Between 2005 and 2011, eleven patients with elbow stiffness and distal humeral nonunion underwent open arthrolysis, surgical reduction, internal fixation, hinged external fixation, and selective bone grafting. The ulnar nerve was anteriorly transposed in all patients...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Ouyang Y, Liao Y, Liu Z, Fan C Tags: Orthopedics Source Type: research
Positioning Evaluation of Corrective Osteotomy for the Malunited Radius: 3-D CT Versus 2-D Radiographs.
Abstract The authors retrospectively investigated the postoperative position of the distal radius after a corrective osteotomy using 2-dimensional (2-D) and 3-dimensional (3-D) imaging techniques to determine whether malposition correlates with clinical outcome. Twenty-five patients who underwent a corrective osteotomy were available for follow-up. The residual positioning errors of the distal end were determined retrospectively using standard 2-D radiographs and 3-D computed tomography evaluations based on a scan of both forearms, with the contralateral healthy radius serving as reference. For 3-D analysis, use of...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Vroemen JC, Dobbe JG, Strackee SD, Streekstra GJ Tags: Orthopedics Source Type: research
Effect of bone morphogenetic protein-2 on tendon-bone integration in an in vitro cell culture.
Abstract The goal of this study was to evaluate the influence of bone morphogenetic protein-2 (BMP-2) on tendon-bone integration in a bovine in vitro cell culture. Seventy-two bovine tendons were cultivated over 3 months. The effects of BMP-2 were evaluated by generation in 4 subgroups. The groups differed in 2 parameters: the application of BMP-2 and the application of primary bovine osteoblasts. Results were analyzed biochemically by determining alkaline phosphatase activity and histologic tendon calcification, both markers for graft incorporation. Histological analysis demonstrated a positive effect of BMP-2 on ...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Struewer J, Crönlein M, Ziring E, Schwarting T, Kratz M, Ruchholtz S, Frangen TM Tags: Orthopedics Source Type: research
Predictors of Local Recurrence in High-grade Soft Tissue Sarcomas: Hydrogen Peroxide as a Local Adjuvant.
Abstract Soft tissue sarcomas have a mortality rate of 40% to 60%, with local recurrence being a poor prognostic factor for overall survival. Three-percent nondiluted hydrogen peroxide is hypothesized to be an effective local adjuvant.The purpose of this study was to identify risk factors for local recurrence in high-grade soft tissue sarcomas and to determine whether using hydrogen peroxide as a local adjuvant reduced the risks of local recurrence and surgical-site infection. Retrospective data were collected for 106 patients surgically treated for high-grade soft tissue sarcomas between 2002 and 2010. The primary...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Wooldridge AN, Kolovich GP, Crist MK, Mayerson JL, Scharschmidt TJ Tags: Orthopedics Source Type: research
Use of a calcium sulfate-calcium phosphate synthetic bone graft composite in the surgical management of primary bone tumors.
Abstract Benign primary bone tumors are commonly treated with intralesional curettage with or without the use of surgical adjuvants. The reconstructive approach to the resulting contained bone defects is controversial, and clinical practice is varied. Synthetic bone substitutes may provide early mechanical support while minimizing the risks of disease transmission, nonunion, infection, and donor-site morbidity. Limited data exists regarding the use of calcium sulfate-calcium phosphate composite bone substitute for this purpose.The authors retrospectively reviewed the clinical outcomes of 24 patients with benign pri...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Evaniew N, Tan V, Parasu N, Jurriaans E, Finlay K, Deheshi B, Ghert M Tags: Orthopedics Source Type: research
Comparative study of the prevalence of venous thromboembolism after elective spinal surgery.
Abstract To the authors' knowledge, no comparative studies exist of venous thromboembolism (VTE) based on different pathologies, surgical procedures, or spinal levels after spinal surgery. The authors prospectively investigated VTE after elective spinal surgery.The study comprised 4 patient groups. Group 1 comprised 79 patients with lumbar spinal stenosis treated with posterior decompression without fusion; group 2 comprised 90 patients with lumbar or lower thoracic degenerative disease treated with instrumentation for spine fusion; group 3 comprised 89 patients with cervical degenerative disease treated with poste...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Yoshioka K, Murakami H, Demura S, Kato S, Hayashi H, Inoue K, Ota T, Shinmura K, Yokogawa N, Fang X, Tsuchiya H Tags: Orthopedics Source Type: research
Geometrical dimensions and morphological study of the lumbar spinal canal in the normal egyptian population.
Abstract Information regarding the precise dimensions of the lumbar vertebrae is essential for spinal surgery and instrumentation. When stenosis of the vertebral canal or the intervertebral foramen exists, the neural structures in them can be affected and cause symptoms such as low back or radicular pain. Accurate and comprehensive spinal canal measurements in the lumbar vertebrae are incomplete. The purpose of this study was to collect data on the dimensions of the lumbar spinal canal from computed tomography scans.Three hundred patients (162 men and 138 women) were studied. Computed tomography scans were obtained...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Aly T, Amin O Tags: Orthopedics Source Type: research
Biomechanical Study Comparing a New Combined Rod-plate System With Conventional Dual-rod and Plate Systems.
Abstract Most anterior spinal instrumentation systems are designed as either a plate or dual-rod system and have corresponding limitations. Dual-rod designs may offer greater adjustability; however, this system also maintains a high profile and lacks a locking design. Plate systems are designed to be stiffer, but the fixed configuration is not adaptable to the variety of vertebral body shapes. The authors designed a new combined rod-plate system (D-rod) to overcome these limitations and compared its biomechanical performance with the conventional dual-rod and plate system.Eighteen pig spinal specimens were divided ...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Sha M, Ding ZQ, Ting HS, Kang LQ, Zhai WL, Liu H Tags: Orthopedics Source Type: research
Severe metallosis leading to femoral head perforation.
This article describes a case of severe metallosis in a 67-year-old woman who initially underwent primary total hip arthroplasty with a ceramic-on-ceramic articular bearing. This was subsequently revised to a metal-on-polyethylene articulation due to ceramic liner fracture. She presented with severe hip pain and a pelvic mass. Infective workup was negative. Perforation of the cobalt-chrome femoral head was observed intraoperatively. In addition, signs of extensive metallosis, including embedded ceramic debris from the primary procedure, were observed. To the authors' knowledge, this is the first report of a ceramic fractur...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Sharma OP, Lochab J, Berkovich Y, Safir OA, Gross AE Tags: Orthopedics Source Type: research
Extended neviaser portal approach to antegrade humeral nailing.
This article presents a case of bilateral antegrade humeral nailing in which the Neviaser portal approach was used for humeral shaft fractures in a patient with distorted shoulder anatomy secondary to severe cuff tear arthropathy and rheumatoid arthritis. Based on a literature review, extending the traditional superomedial (Neviaser) portal to the shoulder to perform humeral nailing has never been described clinically.An 85-year-old woman with rheumatoid arthritis and bilateral cuff tear arthropathy presented after a mechanical fall from standing height with bilateral acute humeral shaft fractures. Preoperative fluoroscopy...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Dilisio MF, Fitzgerald RE, Miller ET Tags: Orthopedics Source Type: research
Use of a Continuous External Tissue Expander in the Conversion of a Type IIIB Fracture to a Type IIIA Fracture.
Abstract Various methods have been used for soft tissue coverage of Gustilo-Anderson type IIIB open fractures. These injuries are often contaminated and, by definition, are associated with extensive periosteal stripping and inadequate soft tissue coverage. These characteristics predispose the patient to infection, delayed union, nonunion, and the likelihood of multiple surgeries to achieve durable soft tissue coverage. Although free tissue transfer and rotational flap coverage are the mainstay of treatment for Gustilo-Anderson type IIIB fractures, these procedures typically require additional modalities, such as lo...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Formby P, Flint J, Gordon WT, Fleming M, Andersen RC Tags: Orthopedics Source Type: research
Osteomyelitis Caused by Pantoea agglomerans in a Closed Fracture in a Child.
Abstract Development of osteomyelitis in a closed fracture is rare. Although it has been reported that trivial trauma may be associated with the subsequent development of acute osteomyelitis, no evidence has been found that fractures are involved in the etiology of osteomyelitis. Only 25 cases (11 in adolescents) of osteomyelitis after closed fracture have been reported in literature.The authors report a case of osteomyelitis in an 8-year-old girl after a forearm fracture involving the diaphysis of the radius and ulna. Radiographic examinations were performed 5, 14, and 30 days after trauma. At last examination, th...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Labianca L, Montanaro A, Turturro F, Calderaro C, Ferretti A Tags: Orthopedics Source Type: research
Sciatica caused by pyomyositis of the piriformis muscle in a pediatric patient.
This article describes a case of sciatica caused by pyomyositis of the piriformis muscle in a pediatric patient.A 6-year-old boy presented with right buttock and thigh pain following a mild fever and sore throat. The pain worsened, and he became unable to walk. On admission, his temperature was 38.4°C. He reported severe right-sided buttock and lateral thigh pain. Positive Freiberg sign was observed. Laboratory examination revealed elevated white blood cell count and C-reactive protein level. T2-weighted magnetic resonance images of the pelvis revealed high-intensity changes of the piriformis muscle and iliosacral joint. ...
Source: Orthopedics - February 1, 2013 Category: Orthopaedics Authors: Toda T, Koda M, Rokkaku T, Watanabe H, Nakajima A, Yamada T, Murakami K, Nakajima H, Murakami M Tags: Orthopedics Source Type: research
Protective effect of astrocyte-conditioned medium on neurons following hypoxia and mechanical injury.
Conclusion: ACM can promote the survival and functional recovery of neurons following hypoxia or scratching to a certain degree. The mechanism may be associated with reducing the synthesis and release of NO and LDH as well as increasing the activity of membrane ATPase. PMID: 23384863 [PubMed - in process]
Source: Chinese Journal of Traumatology - February 1, 2013 Category: Orthopaedics Authors: Yan JW, Tan TY, Huang QL Tags: Chin J Traumatol Source Type: research
Infectious complications in patients with crush syndrome following the Wenchuan earthquake.
Conclusion: Quick rescue and injury treatment can decrease the infection risk in crush syndrome patients. It is better to obtain microorganic proofs before applying antibiotics, and bacteriological and drug sensitivity data should be taken into account, especially considering that most of these infections are hospital-acquired and drug resistance. Emphasizing the accuracy and efficiency of wound management in emergency situations, cautiously assessing the indications for fasciotomy to avoid open wounds from unnecessary osteofascial compartment decompression incisions may decrease the incidence of infection and ameliorate ...
Source: Chinese Journal of Traumatology - February 1, 2013 Category: Orthopaedics Authors: Zhang H, Zeng JW, Wang GL, Tu CQ, Huang FG, Pei FX Tags: Chin J Traumatol Source Type: research
Management of limb fractures in a teaching hospital: comparison between Wenchuan and Yushu earthquakes.
Conclusion: Provision of suitable and sufficient medical care in a catastrophe can only be achieved by construction of sophisticated national disaster medical system, prediction of the injury types and number of injuries, and confirmation of participating hospitals?exact role. Based on the valuable rescue experiences after Wenchuan earthquake, the rescue was faster, more orderly and effective in Yushu earthquake. Nevertheless, there is still a long way to go in the development of a stronger emergent response to the disasters. PMID: 23384865 [PubMed - in process]
Source: Chinese Journal of Traumatology - February 1, 2013 Category: Orthopaedics Authors: Min L, Tu CQ, Liu L, Zhang WL, Yi M, Song YM, Huang FG, Yang TF, Pei FX Tags: Chin J Traumatol Source Type: research
Role of locking plates in treatment of difficult ununited fractures: a clinical study.
Conclusion: Along with achieving stability with locking compression plate, meticulous soft tissue dissection, acceptable reduction, good fixation technique and bone grafting can help achieve union in difficult nonunion cases. Though locking plate does not by itself ensure bony union, we have found it to be another useful addition to our armamentarium for treating difficult fracture nonunions. PMID: 23384866 [PubMed - in process]
Source: Chinese Journal of Traumatology - February 1, 2013 Category: Orthopaedics Authors: Kumar A, Gupta H, Yadav CS, Khan SA, Rastogi S Tags: Chin J Traumatol Source Type: research
Research and application of absorbable screw in orthopedics: a clinical review comparing PDLLA screw with metal screw in patients with simple medial malleolus fracture.
Conclusion: In the treatment of malleolus fracture, absorbable screw can achieve the same result compared with metal screw fixation. Absorbable screw is preferred due to its advantages of safety, cleanliness and avoiding the removal procedure associated with metallic implants. PMID: 23384867 [PubMed - in process]
Source: Chinese Journal of Traumatology - February 1, 2013 Category: Orthopaedics Authors: Tang J, Hu JF, Guo WC, Yu L, Zhao SH Tags: Chin J Traumatol Source Type: research
Comparison of three different surgical approaches for treatment of thoracolumbar burst fracture.
Conclusion: The anterior approach surgery is convenient for resection of the vertebrae and reconstruction of vertebral height, but it is more complicated and traumatic. Hence it is mostly used for severe Denis type B fracture. The posterior approach is commonly applied to most thoracolumbar fractures and has fewer complications compared with the anterior approach, but it has some shortcomings as well. The paraspinal approach has great advantages compared with the other two approaches. It is in accordance with the concept of minimally invasive surgery and can replace most posterior approach operations. PMID: 23384868 [PubMed - in process]
Source: Chinese Journal of Traumatology - February 1, 2013 Category: Orthopaedics Authors: Wu H, Wang CX, Gu CY, Zhang ZY, Tong S, Yan HD, Wang JC Tags: Chin J Traumatol Source Type: research
Epidemiology of livestock-related injuries in a major trauma center in Kashan, Iran.
Conclusion: Despite the low incidence, livestock-related injuries can damage major organs of human body and therefore appropriate training program to increase the safety awareness in home and outdoor is very important. PMID: 23384869 [PubMed - in process]
Source: Chinese Journal of Traumatology - February 1, 2013 Category: Orthopaedics Authors: Mohammadzadeh M, Hosseinpour M, Khosravi GR, Mirzadeh AS, Jazayeri H Tags: Chin J Traumatol Source Type: research
Cephalomedullary fixation for femoral neck/intertrochanteric and ipsilateral shaft fractures: surgical tips and pitfalls.
Conclusion: Combination of ipsilateral femoral shaft fracture and neck/intertrochanteric fracture is a difficult fracture pattern for trauma surgeons. Cephalomedullary nail is an excellent implant for such fractures but it requires careful insertion to avoid complications. Surgery is technically demanding with a definite learning curve. Nevertheless, a majority of these fractures can be surgically managed by single-implant cephalomedullary fixation by following basic surgical principles that have been summarized in this article. PMID: 23384870 [PubMed - in process]
Source: Chinese Journal of Traumatology - February 1, 2013 Category: Orthopaedics Authors: Bali K, Gahlot N, Aggarwal S, Goni V Tags: Chin J Traumatol Source Type: research
Frequency of fall-related injuries of female patients referred to the trauma center in the city of Kashan from years 2005 to 2008.
Conclusion: The results showed that fall incidences occurred in the old age group above 65 years. Fall injuries at this age may cause disability. Therefore, preventive measures should be taken, such as increasing the awareness of the aging population about the seriousness of fall incidence and encouraging the aged individuals to get involved in fitness program to remain physical fit and healthy. PMID: 23384871 [PubMed - in process]
Source: Chinese Journal of Traumatology - February 1, 2013 Category: Orthopaedics Authors: Sayyah M, Khosravi G, Bigdeli M Tags: Chin J Traumatol Source Type: research
Suicide bomb attack causing penetrating craniocerebral injury.
Abstract Penetrating cerebral injuries caused by foreign bodies are rare in civilian neurosurgical trauma, although there are various reports of blast or gunshot injuries in warfare due to multiple foreign bodies like pellets and nails. In our case, a 30-year-old man presented to neurosurgery clinic with signs and symptoms of right-sided weakness after suicide bomb attack. The skull X-ray showed a single intracranial nail. Small craniotomy was done and the nail was removed with caution to avoid injury to surrounding normal brain tissue. At 6 months'follow-up his right-sided power improved to against gravity. PM...
Source: Chinese Journal of Traumatology - February 1, 2013 Category: Orthopaedics Authors: Hussain M, Bari ME Tags: Chin J Traumatol Source Type: research
Penile replantation: report of two cases and review of the literature.
This report described the microsurgical procedure and postoperative care using bipedicled scrotal flap to achieve successful engraftment and function. A review of the published data and future methods to increase success of such surgical procedures is provided. PMID: 23384873 [PubMed - in process]
Source: Chinese Journal of Traumatology - February 1, 2013 Category: Orthopaedics Authors: Li GZ, He F, Huang GL, Man LB, Liu K, Shen YM Tags: Chin J Traumatol Source Type: research
T-condylar fracture delayed for 10 days in a 5-year-old boy: a case report and review of the literature.
We present such a case in a 5 year old child that was initially managed as a supracondylar fracture at another centre before referral to us, 10 days after the injury. The child was diagnosed as having a displaced T-condylar fracture on plain radiograph. Open reduction and internal fixation with K-wires was performed. At 2 years follow-up, the child had good range of motion at elbow with 5o of cubitus varus. With this background we discuss the pertinent principles of management of T-condylar fractures in skele-tally immature children. PMID: 23384874 [PubMed - in process]
Source: Chinese Journal of Traumatology - February 1, 2013 Category: Orthopaedics Authors: Kantharajanna SB, Goni V, Sudesh P, Gopinathan NR Tags: Chin J Traumatol Source Type: research
Neglected foreign body in contralateral limb in a traumatic transfemoral amputee---radiographs can be misleading.
We present a case of a 35-year- old male patient who had traumatic transfemoral amputation of the right lower limb with a clean laceration (size 2 cm multiply 1 cm) over the medial aspect of the left thigh. Radiographs suggested a single radioopaque foreign body which proved misleading, as during surgical removal multiple radiolucent and radiopaque foreign bodies were discovered. Postoperative ultrasound was performed and showed no retained foreign bodies. A secondary closure of the right thigh amputation was done and patient was discharged. At the last follow-up, 9 months after injury, the patient had no complaints, and b...
Source: Chinese Journal of Traumatology - February 1, 2013 Category: Orthopaedics Authors: Jaiswal A, Habib M, Tanwar YS Tags: Chin J Traumatol Source Type: research
Patient perception and knowledge on total joint replacement surgery.
CONCLUSION. Patients did recognise the advantages of total joint replacement surgery in treating arthritis. However, they had many concerns about its outcome that warrant clarification. Public education on these aspects is necessary to address concerns, and may be achieved in cooperation with the media. PMID: 23378352 [PubMed - in process]
Source: Hong Kong Med J - February 1, 2013 Category: Journals (General) Authors: Cheung KW, Chung SL, Chung KY, Chiu KH Tags: Hong Kong Med J Source Type: research
Curve progression after decompression surgery in patients with mild degenerative scoliosis.
Conclusions Surgical outcomes did not deteriorate in the P group. While curve progression after decompression surgery could not be predicted from the preoperative factors considered, spur formation at the concave side of the curve may be a candidate factor. The results of this study indicate that spinal fixation to halt deformity progression is not always necessary if the patient's pathological condition derives mainly from canal stenosis. PMID: 23373563 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery.Spine - February 1, 2013 Category: Neurosurgery Authors: Hosogane N, Watanabe K, Kono H, Saito M, Toyama Y, Matsumoto M Tags: J Neurosurg Spine Source Type: research