Orthopaedic Trauma Journal Scan

Related Articles

Technique for reduction and percutaneous fixation of U- and H-shaped sacral fractures.

Orthop Traumatol Surg Res. 2013 Jul 23;

Authors: Ruatti S, Kerschbaumer G, Gay E, Milaire M, Merloz P, Tonetti J

Abstract
We describe an early reduction and percutaneous fixation technique for isolated sacral fractures. Strong manual traction combined with manual counter-traction on the torso is used to disimpact the fracture. Transcondylar traction is then applied bilaterally and two ilio-sacral screws are inserted percutaneously on each side. Open reduction and fixation, with sacral laminectomy in patients with neurological abnormalities, remains the reference standard. Early reduction and percutaneous fixation ensures restoration of the pelvic parameters while minimising soft-tissue damage and the risk of infection. Decompression procedures can be performed either during the same surgical procedure after changing the installation or after a few days. These complex fractures warrant patient referral to specialised reference centres.

PMID: 23890706 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23890706?dopt=Abstract

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Editorial Comment: Symposium: Tscherne Festschrift: Editorial Comment.

Clin Orthop Relat Res. 2013 Jul 26;

Authors: Pape HC, Vrahas MS

PMID: 23888324 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23888324?dopt=Abstract

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Repair of a degloving injury of the thumb with a combined dorsal great toenail flap and dorsalis pedis flap: a case report.

Arch Orthop Trauma Surg. 2013 Jul 26;

Authors: Ju JH, Hou RX

Abstract
Many methods for the repair of degloving injuries of the thumb have been reported, but none are entirely satisfactory. Herein, we report a method in which the injury is divided into the dorsal and palmar area for repair. A great toenail flap is used to repair the dorsal injury to restore the nail defect, and a dorsalis pedis flap is used to repair the palmar injury. The described technique provides good restoration of morphology and aesthetic outcome, good functional and sensory recovery, and is associated with minimal donor-site morbidity.

PMID: 23887868 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23887868?dopt=Abstract

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Evaluation of surgical treatment for ruptured Achilles tendon in 31 athletes.

Orthop Traumatol Surg Res. 2013 Jul 22;

Authors: Jallageas R, Bordes J, Daviet JC, Mabit C, Coste C

Abstract
INTRODUCTION: In the past few decades, the incidence of Achilles tendon rupture has increased in parallel with increased sports participation. Although the optimal treatment remains controversial, there is a trend towards surgical treatment in athletes.
HYPOTHESIS: Surgical repair of ruptured Achilles tendon in athlete results in good functional and objective recovery, irrespective of the type of surgery performed. Subsidiarily, are the results different between percutaneous surgery (PS) and standard open surgery (OS)?
MATERIALS AND METHODS: This was a cross-sectional study of 31 patients who presented with a ruptured Achilles tendon that occurred during sports participation. Percutaneous surgery was performed in 16 patients and open surgery in 15 patients between 2005 and 2009. The objective recovery status was evaluated by open chain goniometry, measurement of leg muscle atrophy and assessment of isokinetic strength. The functional analysis was based on the delay, level of sports upon return, AOFAS and VAS for pain.
RESULTS: Our series of Achilles tendon rupture patients consisted of 88% men and 12% women, with an average age of 38years. In 71% of cases, the rupture occurred during eccentric loading. After a follow-up of

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Proximal radioulnar translocation associated with elbow dislocation and radial neck fracture in child: a case report and review of literature.

Arch Orthop Trauma Surg. 2013 Jul 25;

Authors: Yoon HK, Seo GW

Abstract
Proximal radioulnar translocation with radial neck fracture and elbow dislocation is extremely rare. We report a case of a 5-year-old boy who was presented with elbow dislocation, and proximal radioulnar translocation was diagnosed a day after the injury. Mini-open technique was used to reduce the translocation and radial neck fracture. The patient finally regained full range of elbow motion and forearm rotation. This case had clinical importance in that the reverse instability of the elbow was observed compared with the previous reports.

PMID: 23884463 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23884463?dopt=Abstract

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Arthroscopic treatment of iliopsoas impingement (IPI) after total hip replacement.

Arch Orthop Trauma Surg. 2013 Jul 25;

Authors: Jerosch J, Neuhäuser C, Sokkar SM

Abstract
PURPOSE: The purpose of the study was to present our arthroscopic surgical technique and the results in patient with an iliopsoas impingement (IPI) syndrome after a hip replacement.
MATERIALS AND METHODS: Between 1999 and 2011, 35 patients with the clinical picture of an IPI after total hip replacement were diagnosed and treated arthroscopically. The age was ranged from 58 to 82 years. All patients underwent conservative treatment for at least 6 months without success. The indication for the arthroscopic procedure was the failure of the conservative therapy as well as typical clinical signs as painful hip flexion, a positive local anesthesia test and radiological evidence of the presence of a prominent anterior acetabular component. The arthroscopic treatment was performed in all patients with anterior capsulotomy and partial capsulectomy of the hip joint. After identification of the pathology an arthroscopic release of the iliopsoas tendon in the region of the proved lesion was performed. The average follow-up period was 3.6 years (6 months to 12 years).

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Severe posttraumatic radiocarpal cartilage damage: first report of autologous chondrocyte implantation.

Arch Orthop Trauma Surg. 2013 Jul 24;

Authors: Medved F, Gonser P, Lotter O, Albrecht D, Amr A, Schaller HE

Abstract
STUDY DESIGN: Case report.
CLINICAL QUESTION: Traumatic articular cartilage defects predispose to secondary osteoarthritis accompanied by impairment or complete loss of function in the corresponding joint. On this account, the timely and correct diagnosis as well as the selection of an appropriate therapy for reconstruction of articular cartilage defects is important.
METHODS: A 22-year-old healthy male patient with history of traumatic intra-articular distal radius fracture is presented with in the course detectable 4° cartilage damage in the fovea scaphoidea and into the fovea lunata. For the first time, autologous chondrocyte implantation by the use of an in situ polymerizable albumin-hyaluronic acid gel was performed to restore the articular cartilage.

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High complication rate following distal biceps refixation with cortical button.

Arch Orthop Trauma Surg. 2013 Jul 24;

Authors: Banerjee M, Shafizadeh S, Bouillon B, Tjardes T, Wafaisade A, Balke M

Abstract
PURPOSE: There are several methods for the refixation of the distal biceps tendon which show a variable complication rate. The aim of the present study was to evaluate the clinical outcome and complication rate after distal biceps repair in cortical button technique.
METHODS: Clinical results, complications, strength of elbow flexion and supination and radiological evidence of heterotopic ossification in patients reporting persistent pain were evaluated in 27 male patients after an average of 36.1 month following distal biceps tendon repair in cortical button technique.
RESULTS: The mean Mayo elbow performance score was 95.9 (SD 11.9), the mean disabilities of the arm, shoulder and hand score was 1.9 (SD 4.9) and the mean American shoulder and elbow surgeons (ASES) score was 94.6 (SD 11.6). The mean flexion and supination strength of the involved side relative to the uninvolved side was 91.7 % (SD 12.6) and 87.8 % (SD 15.9). Nine patients had 14 different complications including four transient lesions of the posterior interosseous nerve, two persistent lesions of the superficial branch of the radial nerve, one symptomatic massive heterotopic ossification and one disengaged cortical button. Three patients had six revisions.

Related Articles

Perspectives of Being Spouse, Parent, Surgeon.

J Orthop Trauma. 2013 Jul 22;

Authors: Murtha Y

Abstract
: Achieving a balance between one's career and personal life is a never-ending challenge. As a surgeon, add-on cases and double booked clinics can lead to long hours at work, and make availability for family time unpredictable. It may seem like the threat of interruption due to patient needs always looms. Disruptions to family time extend beyond the long hours spent in surgery and clinics. Inattentiveness at home due to the technology tethers that keep one available for constant questions and patient care issues can also distract from time spent with family. While the practice of an orthopaedic trauma surgeon can involve unpredictable schedules and patient care issues, there are means of mitigating the chaos that can envelop one's personal life as a result of a chosen career track. Clear priorities and expectations in both personal and professional arenas can improve the work-life balance. Flexible jobs that allow for more time with family do exist. Negotiating for this flexibility and self-assurance in holding fast to personal ideals is important in achieving a successful balance.

PMID: 23880565 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23880565?dopt=Abstract