Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Trauma 147 articles

Articles

Disability After Deployment Injury: Are Women and Men Service Members Different?

Jessica C. Rivera MD, Christina M. Hylden MD, Anthony E. Johnson MD

Civilian trauma literature suggests sexual dimorphism in outcomes after trauma. Because women represent an increasing demographic among veterans, the question remains if war trauma outcomes, like civilian trauma outcomes, differ between genders.

Negative Pressure Wound Therapy in Grade IIIB Tibial Fractures: Fewer Infections and Fewer Flap Procedures?

Daniel R. Schlatterer DO, MS, Adam G. Hirschfeld MD, Lawrence X. Webb MD

Grade IIIB open tibia fractures are devastating injuries. Some clinicians advocate wound closure or stable muscle flap coverage within 72 hours to limit complications such as infection. Negative pressure wound therapy was approved by the FDA in 1997 and has become an adjunct for many surgeons in treating these fractures. Opinions vary regarding the extent to which negative pressure wound therapy contributes to limb salvage. Evidence-based practice guidelines are limited for use of negative pressure wound therapy in Grade IIIB tibia fractures. This systematic literature review of negative pressure wound therapy in Grade IIIB tibia fractures may substantiate current use and guide future studies.

Sex-specific Differences of the Infraacetabular Corridor: A Biomorphometric CT-based Analysis on a Database of 523 Pelves

Florian Gras PD Dr med, Heiko Gottschling Dr rer nat, Manuel Schröder Dipl Inf, Ivan Marintschev DM, Nils Reimers MBE, Rainer Burgkart PD Dr med

An infraacetabular screw path facilitates the closure of a periacetabular fixation frame to increase the plate fixation strength in acetabular fractures up to 50%. Knowledge of the variance in corridor sizes and axes has substantial surgical relevance for safe screw placement.

Does Patient Sex Affect the Anatomic Relationships Between the Sternoclavicular Joint and Posterior Vascular Structures?

Jarrad A. Merriman MD, MPH, Diego Villacis MD, Brian Wu BS, Dakshesh Patel MD, Anthony Yi BS, George F. Rick Hatch MD

Despite increased concern for injury during surgical reconstruction of the sternoclavicular joint, to our knowledge there are few studies detailing the vascular relationships adjacent to the joint.

What Is the Frequency of Nerve Injuries Associated With Acetabular Fractures?

Wolfgang Lehmann MD, Michael Hoffmann MD, Florian Fensky MD, Jakob Nüchtern MD, Lars Großterlinden MD, Emin Aghayev MD, Helmar Lehmann MD, Fabian Stuby MD, Johannes M. Rueger MD

Acetabular fractures and surgical interventions used to treat them can result in nerve injuries. To date, only small case studies have tried to explore the frequency of nerve injuries and their association with patient and treatment characteristics. High-quality data on the risk of traumatic and iatrogenic nerve lesions and their epidemiology in relation to different fracture types and surgical approaches are lacking.

Are Quadrilateral Surface Buttress Plates Comparable to Traditional Forms of Transverse Acetabular Fracture Fixation?

Brian J. Kistler MD, Ian R. Smithson MD, Seth A. Cooper MD, Jacob L. Cox MD, Aniruddh N. Nayak MS, Brandon G. Santoni PhD, H. Claude Sagi MD

Several construct options exist for transverse acetabular fracture fixation. Accepted techniques use a combination of column plates and lag screws. Quadrilateral surface buttress plates have been introduced as potential fixation options, but as a result of their novelty, biomechanical data regarding their stabilizing effects are nonexistent. Therefore, we aimed to determine if this fixation method confers similar stability to traditional forms of fixation.

How is Forearm Compliance Affected by Various Circumferential Dressings?

John T. Capo MD, Regis L. Renard MD, MS, Mark J. R. Moulton MD, David J. Schneider MD, Natalie R. Danna MD, Bryan G. Beutel MD, Vincent D. Pellegrini MD

The forearm is the second most common location for extremity compartment syndrome. Compliance is a physical property that describes a material’s ability to expand with an increasing internal volume. The effect of circumferential dressings on extremity pressures has been investigated in various animal models and in some nonphysiologic mechanical models, but the importance of this effect has not been fully investigated in the human upper extremity. In addition, the physical property of compliance has not been reported in the analysis of compartment volume-pressure relationships.

Risk Factors for the Development of Heterotopic Ossification After Acetabular Fracture Fixation

Reza Firoozabadi MD, MA, Timothy J. O’Mara MD, Alan Swenson MD, Julie Agel MA, ATC, John D. Beck MD, Milton Routt MD

Heterotopic ossification (HO) is a common complication of the operative treatment of acetabular fractures. Although the surgical approach has been shown to correlate with the development of ectopic bone, specific risk factors have not been elucidated.

CT-generated Radiographs in Obese Patients With Acetabular Fractures: Can They Be Used in Lieu of Plain Radiographs?

Philip M. Sinatra MD, Berton R. Moed MD

Acetabular fracture diagnosis is traditionally made with AP and oblique pelvic plain radiographs. Obesity may impair diagnostic accuracy of plain radiographs. New CT reconstruction algorithms allow for simulated radiographs that may eliminate the adverse imaging effects of obesity.

Implant Survival, Adverse Events, and Bone Remodeling of Osseointegrated Percutaneous Implants for Transhumeral Amputees

Georgios Tsikandylakis MD, Örjan Berlin MD, PhD, Rickard Brånemark MD, PhD

Osseointegrated percutaneous implants provide direct anchorage of the limb prosthesis to the residual limb. These implants have been used for the rehabilitation of transhumeral amputees in Sweden since 1995 using a two-stage surgical approach with a 6-month interval between the stages, but results on implant survival, adverse events, and radiologic signs of osseointegration and adaptive bone remodeling in transhumeral amputees treated with this method are still lacking.