Journal of orthopaedic trauma
-
Case Reports
Use of inherent anteversion of an intramedullary nail to avoid malrotation in femur fractures.
Rotational malalignment after intramedullary (IM) nailing of femoral fractures remains a significant problem. A technique using intraoperative fluoroscopy and the anteversion inherent to the IM nail for obtaining appropriate femoral rotational alignment is presented. ⋯ This method is simple and requires intraoperative fluoroscopy on the injured extremity alone. It reliably sets the femoral anteversion within a normal physiologic range with minimal additional intraoperative steps and without preoperative measurements.
-
The treatment of acetabular fractures in the elderly patients remains challenging. The "Gull Sign," which was recently described, was 100% predictive of failure of reduction and/or fixation. However, we believe that adequate reduction can be achieved and lead to good functional outcomes. ⋯ The average Harris Hip Score was 81. Good reduction of superior medial dome impaction can be obtained and maintained in the well-selected geriatric patient. We believe that, appropriately used, this direct reduction technique can be an important adjunct to surgeons dealing with this troublesome fracture.
-
Multicenter Study
Risk factors for failure of locked plate fixation of distal femur fractures: an analysis of 335 cases.
Locked plating has become a standard method to treat supracondylar femur fractures. Emerging evidence indicates that this method of treatment is associated with modest failure rates. The goals of this study were to determine risk factors for complications and to provide technical recommendations for locked plating of supracondylar femur fractures. ⋯ Prognostic level II. See instructions for authors for a complete description of levels of evidence.
-
The purpose of this study is to report the rate of anatomic reduction, articular subsidence, and clinical outcomes for Schatzker II tibial plateau fractures treated with structural bone allografts. ⋯ Therapeutic level IV. See instructions for authors for a complete description of levels of evidence.
-
To quantify the radiographic tibia and fibula shaft fracture characteristics that are associated with a concomitant ipsilateral ankle injury. ⋯ Prognostic level IV. See instructions for authors for a complete description of levels of evidence.