Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Trauma 147 articles


Antibiotics in the Treatment of Low-velocity Gunshot-induced Fractures: A Systematic Literature Review

Efthymios Papasoulis MD, Michael J. Patzakis MD, Charalampos G. Zalavras MD, PhD

Low-velocity gunshots are often associated with extremity fractures. There is no consensus, however, on the use of antibiotics for these injuries.

Is There a Difference in Timing and Cause of Death After Fractures in the Elderly?

Inge S. Liem MD, Christian Kammerlander MD, Christoph Raas MD, Markus Gosch MD, Michael Blauth MD

Patients who sustain osteoporotic fractures have excessive mortality compared to age-matched controls, which is most pronounced within the first 6 months postfracture. However, the timing and cause of death in the first 3 months after sustaining a fracture are unclear.

Can Fluoroscopy-based Computer Navigation Improve Entry Point Selection for Intramedullary Nailing of Femur Fractures?

Meghan C. Crookshank PhD, Max R. Edwards MD, FRCS(Tr&Ortho), Michael Sellan MSc, Cari M. Whyne PhD, Emil H. Schemitsch MD, FRCS(C)

The entry point is crucial to an accurate reduction in femoral nailing. Fluoroscopy-based navigation was developed to aid in reducing femur fractures and selecting entry points.

Heterotopic Ossification Rates After Acetabular Fracture Surgery Are Unchanged Without Indomethacin Prophylaxis

Sean M. Griffin MD, Stephen H. Sims MD, Madhav A. Karunakar MD, Rachel Seymour PhD, Nikkole Haines MD

We previously found no reduction in heterotopic ossification (HO) rates after acetabular surgery with indomethacin compared with a placebo. We subsequently abandoned routine indomethacin therapy after acetabular surgery but questioned whether the incidence had changed using a posterior approach.

Role of Interleukin-6 as an Early Marker of Fat Embolism Syndrome: A Clinical Study

Shiva Prakash SS, MS, Ramesh Kumar Sen MS, DNB, PhD, Sujit Kumar Tripathy MS, DNB, MNAMS, Indu Mohini Sen MD, R. R. Sharma MD, Sadhna Sharma MD

A few animal studies have shown that IL-6 can serve as an early marker of fat embolism syndrome. The degree to which this is true in human trauma victims is unknown.

Implant Material and Design Alter Construct Stiffness in Distal Femur Locking Plate Fixation: A Pilot Study

Ulf Schmidt MD, Rainer Penzkofer PhD, Samuel Bachmaier MSc, Peter Augat PhD

Construct stiffness affects healing of bones fixed with locking plates. However, variable construct stiffness reported in the literature may be attributable to differing test configurations and direct comparisons may clarify these differences.

What is the Rate of Methicillin-resistant Staphylococcus aureus and Gram-negative Infections in Open Fractures?

Antonia F. Chen MD, MBA, Verena M. Schreiber MD, Wesley Washington, Nalini Rao MD, Andrew R. Evans MD

There have been increasing reports of methicillin-resistant(MRSA) infections in the community, but it is unclear whether infectious organisms in open fracture infections have changed and if our current regimen of antibiotic prophylaxis is therefore obsolete.

Minimally Invasive Percutaneous Plate Fixation of Tibia Fractures: Results in 80 Patients

Alexandre A. Sitnik MD, PhD, Alexander V. Beletsky MD

Minimally invasive percutaneous plate fixation (MIPPF) has gained wide acceptance for treating periarticular fractures of the tibia. Despite the theoretical biological advantages of MIPPF, it is unclear whether these are offset by wound complications, union rate, and malalignment.

Orthopaedic Surgeons’ Knowledge and Misconceptions in the Identification of Intimate Partner Violence Against Women

Gregory J. Della Rocca MD, PhD, FACS, Sheila Sprague MSc, Sonia Dosanjh MSW, Emil H. Schemitsch MD, FRCS(C), Mohit Bhandari MD, PhD, FRCS(C)

Intimate partner violence (IPV)—physical, sexual, psychologic, or financial abuse between intimate partners—is the most common cause of nonfatal injury to women in North America. As many IPV-related injuries are musculoskeletal, orthopaedic surgeons are well positioned to identify and assist these patients. However, data are lacking regarding surgeons’ knowledge of the prevalence of IPV in orthopaedic practices, surgeons’ screening and management methods, and surgeons’ perceptions about IPV.

Segmental Tibial Fractures: An Infrequent but Demanding Injury

Martin Teraa MD, Taco J. Blokhuis MD, PhD, Lisa Tang MS, Loek P. H. Leenen MD, PhD

Segmental tibial fractures are considered to be a special injury type associated with high complication rates. However, it is unclear whether healing of these fractures truly differs from that of nonsegmental fractures.