Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Trauma 147 articles

Articles

Radiographic Changes of Implant Failure After Plating for Pubic Symphysis Diastasis: An Underappreciated Reality?

Cory Collinge MD, Michael T. Archdeacon MD, Elizabeth Dulaney-Cripe MD, Berton R. Moed MD

Implant failure after symphyseal disruption and plating reportedly occurs in 0% to 21% of patients but the actual occurrence may be much more frequent and the characteristics of this failure have not been well described.

Critically Assessing the Haiti Earthquake Response and the Barriers to Quality Orthopaedic Care

Daniel B. Sonshine BA, Amber Caldwell BA, Richard A. Gosselin MD, MSc, MPH, FRCS(C), Christopher T. Born MD, R. Richard Coughlin MD, MSc

Although numerous authors have described surgical experiences following major disasters, little is known regarding the needs of and barriers to care faced by surgeons during such disasters.

Is Application of an Internal Anterior Pelvic Fixator Anatomically Feasible?

David J. Merriman MD, William M. Ricci MD, Christopher M. McAndrew MD, Michael J. Gardner MD

Spinal hardware has been adapted for fixation in the setting of anterior pelvic injury. This anterior subcutaneous pelvic fixator consists of pedicle screws placed in the supraacetabular region connected by a contoured connecting rod placed subcutaneously and above the abdominal muscle fascia.

What are Predictors of Mortality in Patients with Pelvic Fractures?

Joerg H. Holstein MD, Ulf Culemann MD, Tim Pohlemann MD

Our knowledge of factors influencing mortality of patients with pelvic ring injuries and the impact of associated injuries is currently based on limited information.

Can Lumbopelvic Fixation Salvage Unstable Complex Sacral Fractures?

Clifford B. Jones MD, Debra L. Sietsema RN, PhD, Martin F. Hoffmann MD

Traditional screw or plate fixation options can be used to fix the majority of sacral fractures. However, these techniques are unreliable with dysmorphic upper sacral segments, U-fractures, osseous compression of neural elements, and previously failed fixation. Lumbopelvic fixation can potentially address these injuries but is a technically demanding procedure requiring spinal and pelvic fixation and it is unclear whether it reliably corrects the deformity and restores function.

Initial Experience Using a Pelvic Emergency Simulator to Train Reduction in Blood Loss

Tim Pohlemann MD, Ulf Culemann MD, Joerg H. Holstein MD

Because the average exposure of surgeons to pelvic injuries with life-threatening hemorrhage is decreasing, training opportunities are necessary to prepare surgeons for the rare but highly demanding emergency situations. We have developed a novel pelvic emergency simulator to train surgeons in controlling blood loss.

Complications of Anterior Subcutaneous Internal Fixation for Unstable Pelvis Fractures: A Multicenter Study

Rahul Vaidya MD, Erik N. Kubiak MD, Patrick F. Bergin MD, Derek G. Dombroski MD, Ren J. Critchlow MD, Anil Sethi MD, Adam J. Starr MD

Stabilization after a pelvic fracture can be accomplished with an anterior external fixator. These devices are uncomfortable for patients and are at risk for infection and loosening, especially in obese patients. As an alternative, we recently developed an anterior subcutaneous pelvic internal fixation technique (ASPIF).

CD4 Count is Associated with Postoperative Infection in Patients with Orthopaedic Trauma who are HIV Positive

George N. Guild MD, Thomas J. Moore MD, Whitney Barnes MPH, BS, Christopher Hermann BS

Since the advent of effective antiretroviral therapy, the number of people with AIDS has increased and a certain percentage of these patients will require emergent orthopaedic surgery. Little is known regarding orthopaedic infections and the association of CD4 counts with postoperative infection in patients with HIV infection who experience orthopaedic trauma.

Race May Not Effect Outcomes in Operatively Treated Tibia Fractures

Jonathan Piposar MD, John R. Fowler MD, John P. Gaughan PhD, Saqib Rehman MD

A recent review of the literature found worse outcomes and longer length of stay for minorities undergoing TKAs and THAs when compared with whites. It is unclear if this association exists for the operative treatment of tibia fractures.

Mortality Rates are Similar after Hip Fractures for Rural and Urban Patients

Benjamin J. Miller MD, Xueya Cai PhD, Peter Cram MD, MBA

Proximal femoral fractures are common in the elderly. The best care depends on expeditious presentation, medical stabilization, and treatment of the condition.