Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Trauma 147 articles

Articles

Minimizing Disparities in Osteoporosis Care of Minorities With an Electronic Medical Record Care Plan

Ronald A. Navarro MD, Denise F. Greene RNP, Raoul Burchette MS, Tadashi Funahashi MD, Richard Dell MD

Ethnic disparities in care have been documented with a number of musculoskeletal disorders including osteoporosis. We suggest a systems approach for ensuring osteoporosis care can minimize potential ethnic disparities in care.

Mortality in Female War Veterans of Operations Enduring Freedom and Iraqi Freedom

Jessica D. Cross MD, Anthony E. Johnson MD, Joseph C. Wenke PhD, Michael J. Bosse MD, James R. Ficke MD

Combat-wounded service members are surviving battle injuries more than ever. Given different combat roles held by men and women, female service members should survive wounds at an unprecedented rate.

Surgical Treatment Options in Patients With Impaired Bone Quality

Norman A. Johanson MD, Jody Litrenta MD, Jay M. Zampini MD, Frederic Kleinbart MD, Haviva M. Goldman PhD

Bone quality should play an important role in decision-making for orthopaedic treatment options, implant selection, and affect ultimate surgical outcomes. The development of decision-making tools, currently typified by clinical guidelines, is highly dependent on the precise definition of the term(s) and the appropriate design of basic and clinical studies. This review was performed to determine the extent to which the issue of bone quality has been subjected to this type of process.

Surgical Technique: Static Intramedullary Nailing of the Femur and Tibia Without Intraoperative Fluoroscopy

Neil J. White MD, FRCS(C), Anthony T. Sorkin MD, Geoffrey Konopka MPH, Todd O. McKinley MD

On a recent mission directed at definitive care for victims of the Haitian earthquake, the orthopaedic team developed a technique for freehand distal locking of femoral and tibial nails without intraoperative fluoroscopy or proximally mounted targeting jigs.

Nonoperative versus Prophylactic Treatment of Bisphosphonate-associated Femoral Stress Fractures

Michael B. Banffy MD, Mark S. Vrahas MD, John E. Ready MD, John A. Abraham MD

Several studies have identified a specific fracture in the proximal diaphysis of the femur in patients treated with bisphosphonates. The fractures typically are sustained after a low-energy mechanism with the presence of an existing characteristic stress fracture. However, it is unclear whether these patients are best treated nonoperatively or operatively.

Does a Multidisciplinary Team Decrease Complications in Male Patients With Hip Fractures?

Christopher J. Dy MD, MSPH, Paul-Michel Dossous MPH, Quang V. Ton MD, James P. Hollenberg MD, Dean G. Lorich MD, Joseph M. Lane MD

Men with hip fractures are more likely to experience postoperative complications than women. The Medical Orthopaedic Trauma Service program at New York Presbyterian Hospital utilizes a multidisciplinary team approach to care for patients with hip fractures. The service is comanaged by an attending hospitalist and orthopaedic surgeon, with daily walking rounds attended by the hospitalist, orthopaedic resident, physical therapist, social worker, and a dedicated Medical Orthopaedic Trauma Service physician assistant.

A Method to Localize The Radial Nerve Using the ‘Apex Of Triceps Aponeurosis’ as a Landmark

Sumit Arora MS Ortho, DNB Ortho, Navneet Goel MS Ortho, Gursimrat Singh Cheema MS Ortho, Sumit Batra MS Ortho, DNB Ortho, Lalit Maini MS Ortho

The relationship of the radial nerve is described with various osseous landmarks, but such relationships may be disturbed in the setting of humerus shaft fractures. Alternative landmarks would be helpful to more consistently and reliably allow the surgeon to locate the radial nerve during the posterior approach to the arm.

Can Computed Tomography Predict Hip Stability in Posterior Wall Acetabular Fractures?

Jeffrey M. Reagan MD, Berton R. Moed MD

In a pilot study, two-dimensional (2-D) CT assessment of posterior wall fracture fragments predicted hip stability with small fracture fragments and instability for large fracture fragments.

Distal Femoral Osteotomy: Is Internal Fixation Better than External?

K. T. Matthew Seah BMedSci, MBChB, Raheel Shafi MD, Austin T. Fragomen MD, S. Robert Rozbruch MD

Distal femoral osteotomies (DFO) can be used to correct deformities around the knee. Although osteotomies can be fixed with either internal or external fixation techniques, the advantages of one over the other are unclear.

Is Surgery Necessary for Femoral Insufficiency Fractures after Long-term Bisphosphonate Therapy?

Yong-Chan Ha MD, Myung-Rae Cho MD, Ki Hong Park MD, Shin-Yoon Kim MD, Kyung-Hoi Koo MD

Prolonged use of bisphosphonates in patients with osteoporosis reportedly induces femoral insufficiency fractures. However, the natural course of these fractures and how to treat them remain unknown.