Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Trauma 147 articles


A Fracture Does Not Adversely Affect Bone Mineral Density Responses after Teriparatide Treatment

Aasis Unnanuntana MD, Quang V. Ton MD, John P. Kleimeyer BA, Joseph T. Nguyen MPH, Joseph M. Lane MD

Fracture leads to local and systemic catabolic physiologic changes. As teriparatide is an agent used to treat osteoporosis in patients with fragility fractures, it is unclear whether teriparatide treatment alters bone mineral density (BMD) and bone markers when given to patients with fractures.

The Effect of Long-term Alendronate Treatment on Cortical Thickness of the Proximal Femur

Aasis Unnanuntana MD, Kashif Ashfaq MD, Quang V. Ton MD, John P. Kleimeyer BA, Joseph M. Lane MD

One of the radiographic hallmarks in patients with atypical femoral insufficiency fractures after prolonged bisphosphonate treatment is generalized cortical hypertrophy. Whether cortical thickening in the proximal femur is caused by long-term alendronate therapy, however, remains unknown.

Incidence of Patients with Lower Extremity Injuries Presenting to US Emergency Departments by Anatomic Region, Disease Category, and Age

Kaj Lambers BSc, Daan Ootes MD, David Ring MD, PhD

The incidence of patients with lower extremity injuries presenting to emergency departments in the United States with respect to specific anatomic regions and disease categories is unknown. Such information might be used for injury prevention, resource allocation, and training priorities.

Cost Analysis of a Falls-prevention Program in an Orthopaedic Setting

John G. Galbraith MRCS, Joseph S. Butler MRCS, Adeel R. Memon MRCS, Mark A. Dolan FRCS, James A. Harty FRCS

Falls by orthopaedic patients may lead to negative outcomes such as injury, prolonged hospitalization, delayed rehabilitation, and increased costs.

The Use of an Algorithm for Classifying Acetabular Fractures: A Role for Resident Education?

Thuan V. Ly MD, Michael D. Stover MD, Stephen H. Sims MD, Mark C. Reilly MD

The Letournel and Judet classification system is commonly used for classifying acetabular fractures. However, for orthopaedic surgeons with less experience with these fractures, correct classification can be more difficult. A stepwise approach has been suggested to enhance the inexperienced observer’s ability to properly classify acetabular fractures, but it is unclear whether this actually improves one’s ability.

A Minimally Invasive Stabilizing System for Dorsal Pelvic Ring Injuries

Thomas Dienstknecht MD, Arne Berner MD, Andreas Lenich MD, Michael Nerlich MD, Bernd Fuechtmeier MD

Open reduction and stabilization of dorsal pelvic ring injuries is accompanied by a high rate of soft tissue complications. Minimally invasive techniques have the potential to decrease soft tissue trauma, but the risk of iatrogenic nerve and vessel damage through the reduced surgical exposure should be considered. We treated these injuries using a transiliac internal fixator (TIFI) in a minimally invasive technique characterized by implantation of a pedicle screw and rod system, bridging the sacroiliac joints and the sacral area.

Proximal Humerus Fractures in the Elderly Can Be Reliably Fixed With a “Hybrid” Locked-plating Technique

Jonathan D. Barlow MD, Joaquin Sanchez-Sotelo MD, PhD, Michael Torchia MD

Controversy exists regarding the best treatment of proximal humerus fractures in the elderly. Recent studies of open reduction and internal fixation have demonstrated high complication rates.

2010 Mid-America Orthopaedic Association Physician in Training Award: Healing Complications Are Common After Locked Plating for Distal Femur Fractures

Christopher E. Henderson MD, Trevor J. Lujan PhD, Lori L. Kuhl, Michael Bottlang PhD, Daniel C. Fitzpatrick MD, John L. Marsh MD

Several mechanical studies suggest locking plate constructs may inhibit callus necessary for healing of distal femur fractures. However, the rate of nonunion and factors associated with nonunion are not well established.

Excessive Complications of Open Intramedullary Nailing of Midshaft Clavicle Fractures With the Rockwood Clavicle Pin

Christopher D. Mudd MD, Kevin J. Quigley MD, Lyndon B. Gross MD, PhD

Intramedullary clavicle fixation is a potential alternative to plate fixation. Previous studies documenting the complication rates of intramedullary clavicle fixation have demonstrated variable rates of soft tissue complications and fracture healing.

Breakout Session: Sex/Gender and Racial/Ethnic Disparities in the Care of Osteoporosis and Fragility Fractures

Mark D. Neuman MD, Ann M. Kennelly BA, Laura L. Tosi MD

Recent epidemiologic and clinical data suggest men and racial and ethnic minorities may receive lower-quality care for osteoporosis and fragility fractures than female and nonminority patients. The causes of such differences and optimal strategies for their reduction are unknown.