Publications by authors named "Brian D Solberg"
Background: The importance of the tip-apex distance (TAD) to predict the cut-out risk of fixed angle hip implants has been widely discussed in the scientific literature. Intra-operative determination of TAD is difficult and can be hampered by image quality, body habitus, and image projection. The purpose of this paper is to evaluate, through a cadaveric study, a novel computer assisted surgery system (ADAPT), which is intended for intraoperative optimisation of lag screw positioning during antegrade femoral nailing.
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- Chest wall implosion injuries are rare but serious, often resulting from side impacts, and this study highlights a new surgical technique for repair without needing thoracotomy.
- In a seven-year review, 22 patients with these injuries were analyzed, of which nine underwent a minimally invasive surgery, while seven were treated nonoperatively as a control group.
- Results indicated that those who underwent surgery had significantly shorter intubation times and better shoulder function scores compared to the nonoperative group, suggesting that this advanced surgical approach is effective in treating these complex injuries.
Surgical treatment of three and four-part proximal humeral fractures.
J Bone Joint Surg Am
July 2009
Article Synopsis
- Surgical management of three and four-part proximal humeral fractures in osteoporotic patients is debated, with some experts suggesting prosthetic replacement and others advocating for the use of locked plates that provide angular stability as an alternative.
- A study involving 122 patients aged 55 and older analyzed the effectiveness of locked-plate constructs versus hemiarthroplasty, tracking clinical outcomes over a minimum period of 24 months.
- Results indicated that the locked-plate group had significantly better Constant-Murley scores than the hemiarthroplasty group, with complications noted in the locked-plate cohort, including osteonecrosis and screw perforation.
Article Synopsis
- The study investigates the outcomes of using locked plates for treating osteopenic proximal humerus fractures in patients over 55 years old.
- Seventy patients were evaluated based on their initial fracture patterns (varus or valgus) to determine complications and overall recovery following the surgical procedure.
- Results showed a significant difference in clinical outcomes and complications, with the varus group experiencing higher rates of failure (79%) compared to the valgus group (19%).
Use of a trochanteric flip osteotomy improves outcomes in Pipkin IV fractures.
Clin Orthop Relat Res
April 2009
Article Synopsis
- The surgical method known as trochanteric flip osteotomy (TFO) provides effective exposure and repair for both femoral head and acetabular fractures in patients with Pipkin IV injuries.
- A study reviewed 12 patients over six years, finding that all had successful healing of their acetabular fractures, with 11 also healing their femoral head fractures, though one developed osteonecrosis.
- Clinical outcomes were generally positive, with high scores on assessment scales and most patients achieving good or excellent results, indicating that TFO is a reliable approach for this complex fracture type.