Tendon Transfer for Correction of the Radial Deviation Deformity of the Wrist and Centralization in Posterior Interosseous Nerve Palsy.

There are very few descriptions of tendon transfers designed specifically to address the reconstruction of posterior interosseous nerve palsy (PINP). Unlike a radial nerve palsy (RNP), a patient with a PINP is able to extend their wrist but in radial deviation, because of the preserved innervation of the extensor carpi radialis longus (ECRL). Tendon transfers to restore finger and thumb extension in PINP have been extrapolated from tendon transfers to restore these functions in RNP, specifically using flexor carpi radialis, not flexor carpi ulnaris, so as not to further exacerbate the distinctive radial deviation deformity of the wrist.

Management of soft-tissue coverage of open tibia fractures in Latin America: Techniques, timing, and resources.

Purpose: This study examined soft-tissue coverage techniques of open tibia fractures, described soft-tissue treatment patterns across income groups, and determined resource accessibility and availability in Latin America.

Methods: A 36-question survey was distributed to orthopaedic surgeons in Latin America through two networks: national orthopaedic societies and the Asociación de Cirujanos Traumatólogos de las Américas (ACTUAR). Demographic information was collected, and responses were stratified by income groups: high-income countries (HICs) and middle-income countries (MICs).

Poor Agreement Between Next-Generation DNA Sequencing and Bacterial Cultures in Orthopaedic Trauma Procedures.

Background: Next-generation DNA sequencing (NGS) detects bacteria-specific DNA corresponding to the 16S ribosomal RNA gene and can identify bacterial presence with greater accuracy than traditional culture methods. The clinical relevance of these findings is unknown. The purpose of the present study was to compare the results from bacterial culture and NGS in order to characterize the potential use of NGS in orthopaedic trauma patients.

Accuracy of institutional orthopedic trauma databases: a retrospective chart review.

Introduction: Academic trauma institutions rely on fracture databases as research and quality control tools. Frequently, these databases are populated by trainees, but the completeness and accuracy of such databases has not yet been evaluated. The purpose of this study is to determine the capture rate of a resident-populated database in collecting extremity fractures and to determine the accuracy of assigned Orthopaedic Trauma Association (OTA) classifications.

Drilling Technique Can Minimize Plunging.

Purpose: Vibratory and acoustic feedback, drill sharpness, and material density have each been shown to influence the depth of plunging when drilling through bicortical bone. We hypothesized that drilling technique can also influence the depth of plunging.

Methods: Six subjects of various training levels (PGY1 to 16-year experienced surgeon) were asked to drill through a cortical bone surrogate, third-generation Sawbones tube with similar density and compressive modulus of healthy cortical bone.

Risk Factors for Early Reoperation After Operative Treatment of Acetabular Fractures.

Objectives: To identify the risk factors for early reoperation after operative fixation of acetabular fractures.

Design: Retrospective evaluation.

Setting: Level I Trauma Center.

Radial column and volar plating (RCVP) for distal radius fractures with a radial styloid component or severe comminution.

Individual fracture patterns demand specific and adequate fixation. Locked volar plating has become popular in the operative fixation of distal radius fractures. However, in cases in which there is a radial styloid fragment or in cases of severe comminution, the amount of fixation from volar plating alone can be inadequate and may lead to loss of reduction.

In situ transtendon repair outperforms tear completion and repair for partial articular-sided supraspinatus tendon tears.

This biomechanical study compared 2 repair techniques for high-grade, partial, articular-sided supraspinatus tendon tears of the rotator cuff: transtendon in situ repair and tear completion with repair. Standardized, 50% partial, articular-sided supraspinatus lesions were created in 10 pairs of matched fresh, frozen cadaveric shoulders: 10 underwent partial lesion repair with an in situ transtendon technique using 2 suture anchors. In the contralateral 10 shoulders, the partial lesion was converted to a full-thickness tear and repaired with a double-row technique, using 4 suture anchors.