Journal of orthopaedic trauma
-
Operative management of thoracic injuries is an increasingly accepted technique, with multiple reports of improved patient outcomes as compared with nonoperative treatment. Despite the evolving support of rib fracture fixation, descriptions of surgical approaches and tactics remain limited. We present this information to allow surgeons to begin or improve treatment of these injuries. In addition, we present the initial treatment results of a series of 21 patients treated with the approaches described within.
-
To determine the reliability of the Orthopaedic Trauma Association (OTA) Open Fracture Classification. ⋯ This study, which included a diverse multicenter multinational cohort of orthopaedic surgeons and residents, of the OTA Open Fracture Classification demonstrated moderate to excellent interobserver reliability.
-
The orthopaedic trauma-related blood product usage is largely unknown. Aim of this study was to describe the epidemiology of early (<24 hours of arrival) blood component use in major orthopaedic trauma. ⋯ Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
-
Clinical Trial
Subtrochanteric fractures: treatment with cerclage wire and long intramedullary nail.
Fracture malalignment and nonunion are not infrequent after treating subtrochanteric fractures with intramedullary nails. The use of a cerclage wire with a minimally invasive approach to aid and maintain reduction in certain subtrochanteric fracture patterns can be an effective surgical strategy to improve outcome. ⋯ This has the added advantage of optimizing the greater trochanteric starting point. It minimizes malreductions of the proximal femoral fragment, and, we believe, that its rational use with a minimally invasive technique is a key factor in achieving good results.
-
To analyze factors influencing the reoperation rate due to fracture healing complications after internal fixation of Garden I and II femoral neck fractures with special reference to a new validated method assessing the preoperative posterior tilt on lateral radiographs. ⋯ Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.