Injuries to the posterolateral corner of knee are disabling. Despite improved understanding this group tendons and ligaments, best surgical treatment an unstable is not clear.Surgical repair acute tears has outcomes that as good those from reconstruction combined with early motion rehabilitation protocol.Cohort study; Level evidence, 2.Sixty-three patients 64 were included in study, 39 repairs 25 reconstructions using modified 2-tailed technique. Patients evaluated clinical KT-2000...

To investigate negative pressure wound therapy (NPWT) to prevent dehiscence and infection after high-risk lower extremity trauma.Prospective randomized multicenter clinical trial.Four Level I trauma centers.Blunt patients with one of three fracture types (tibial plateau, pilon, calcaneus) requiring surgical stabilization.Incisional NPWT (Group B) was applied the closed incisions study arm this trial, whereas standard postoperative dressings A) were control patients.Acute chronic...

To evaluate the impact of negative pressure wound therapy (NPWT) after severe open fractures on deep infection.Prospective randomized study.Academic level I trauma center.Fifty-nine patients with 63 high-energy were enrolled in this study, data available 58 62 fractures.Twenty-three 25 to control group and underwent initial irrigation debridement followed by standard fine mesh gauze dressing, repeat every 48-72 hours until closure. Thirty-five NPWT had identical treatment except that was...

Purpose: To evaluate the use of negative pressure wound therapy (NPWT) to augment healing surgical incisions and hematomas after high-energy trauma. Materials: This study is a prospective randomized evaluation NPWT in trauma patients, randomizing patients with draining either dressing (group A) or VAC B). Additionally, calcaneus, pilon, tibial plateau fractures were standard postoperative over sutures. Results: There 44 into hematoma study. Group A drained mean 3.1 days, compared only 1.6...

Background: Popliteal artery injury is frequently associated with knee dislocation following blunt trauma, an that being seen increasing frequency. The primary purpose of the present study was to evaluate use physical examination determine need for arteriography in a large series patients dislocation. secondary correlation between findings and clinically important vascular subgroup who underwent arteriography. Methods: One hundred thirty consecutive (138 knees) had sustained acute...

The objective of this 3-year retrospective, controlled, cohort study is to characterize an interdisciplinary method managing geriatric patients with hip fracture. All aged 65 years or older admitted a single academic level I trauma center during period isolated fracture were included as participants for study. Thirty-one treated historical methods care (cohort 1). comparison group 115 similar was under newly developed, institutional comanagement protocol 2). There no differences in age, sex...

Surgeons are often faced with very limited data available to make informed decisions regarding the appropriate treatment of patients posteromedial corner (PMC) injuries knee. This study compared outcomes surgical repair versus reconstruction in knee dislocation who have sustained injury PMC Senior author treated 113 consecutive dislocations 115 over 7 years. A total 71 73 tears qualified for and were followed a mean 43 months. Patients had assigned Group A. B included autograft PMC. an...

To report on the use of a new plating system in treatment high-energy tibial plateau fractures using minimally invasive stabilization techniques.Prospective, consecutive patient series.University Level I trauma center.Thirty-seven patients with 39 were treated specialty plates. All OTA class 41C. Ten open, including eight Gustilo and Anderson Type IIIA two IIIB. Thirty-three 34 had follow-up at least 12 months.Internal fixation Less Invasive Stabilization System (LISS, Synthes USA, Paoli,...

The purpose of this study was to document the pattern ligament and meniscal injuries that occur during high-energy tibial plateau fractures. One hundred three patients with fractures due mechanisms were evaluated knee magnetic resonance imaging (MRI). All studies read by a single musculoskeletal radiologist who blinded surgical physical exam findings. Pertinent demographic information obtained. There 66 AO/OTA type 41C 37 41B Seventy-three (71%) tore at least one major group, 55 (53%)...

Rothberg, David L. MD; Holt, C. Horwitz, Daniel S. Kubiak, Erik N. MD Author Information

Background: Our hypothesis was that patients treated with hinged external fixators as an adjunct to multiple-ligament reconstruction would have fewer failures than without fixation. Methods: In this prospective randomized study, a knee dislocation either underwent ligament placement of brace following surgery (Group A) or fixator (Compass Knee Hinge) for six weeks instead the B). The were followed clinically and evaluated physical examination, Lysholm International Documentation Committee...

Background: Deep-vein thrombosis following skeletal trauma is an important yet poorly studied issue. The purpose of the present study was to evaluate efficacy two different strategies for prophylaxis against deep-vein and pulmonary embolus blunt trauma. Methods: Two hundred twenty-four inpatients were enrolled in a prospective, randomized investigating venous thromboembolic disease patients completed study, which compared regimens prophylaxis. Group A received enoxaparin (30 mg, administered...

The purpose of the study was to prospectively compare functional outcome intramedullary nailing femur performed with use a trochanteric and piriformis fossa entry portal.One hundred ten patients femoral shaft fracture were enrolled in prospective, randomized study. Fifty-four Group A (piriformis portal) fifty-six B (trochanteric portal). Outcome measures included Western Ontario McMaster Universities (WOMAC) Osteoarthritis Index hip function score, pain, blinded evaluation by physical...

Abstract Open fracture management is a common challenge to orthopaedic trauma surgeons and burdensome condition the patient, health care, entire society. Fracture-related infection (FRI) leading morbid complication avoid during open because it leads sepsis, nonunion, limb loss, overall very poor region-specific general functional outcomes. This review, based on symposium presented at 2022 OTA International Trauma Care Forum, provides practical evidence-based summary key strategies prevent...

Studies on intramedullary nailing of humeral shaft fractures in the orthopaedic literature have shown mixed results. The purpose this investigation was to document clinical outcome and complications associated with use a new flexible, locking nail that can be implanted humerus either retrograde or an antegrade manner without violating rotator cuff mechanism damaging articular surface head.Fifty consecutive patients fifty-one were entered into our prospective study. fracture classified basis...