Providing Comprehensive Care Beyond the Broken Bones: Identification and Interventions for Survivors of Intimate Partner Violence.

Intimate partner violence is common among orthopedic patients and leads to significant morbidity and mortality. The orthopedic surgeon may be the first contact a survivor has with the health care system and is in an important place to identify victims. By improving screening and identifying victims in the clinic, interventions that improve housing and safety can be established to improve the overall well-being of victims.

Socioeconomic status is associated with greater hazard of post-discharge mortality than race, gender, and ballistic injury mechanism in a young, healthy, orthopedic trauma population.

Objectives: To explore the utility of legacy demographic factors and ballistic injury mechanism relative to popular markers of socioeconomic status as prognostic indicators of 10-year mortality following hospital discharge in a young, healthy patient population with isolated orthopedic trauma injuries.

Methods: A retrospective cohort study was performed to evaluate patients treated at an urban Level I trauma center from January 1, 2003, through December 31, 2016. Current Procedure Terminology (CPT) codes were used to identify upper and lower extremity fracture patients undergoing operative fixation.

A Comparison of the Prevalence of, Demographics of, and Effects on Outcomes of Bilateral Versus Unilateral Femoral Shaft Fractures: A Retrospective Cohort Analysis From the National Trauma Data Bank.

Objectives: To document the prevalence of, and the effect on outcomes, operatively treated bilateral femur fractures treated using contemporary treatments.

Design: A retrospective cohort using data from the National Trauma Data Bank.

Participants: In total, 119,213 patients in the National Trauma Data Bank between the years 2007 and 2015 who had operatively treated femoral shaft fractures.

Necrotizing Soft-Tissue Infections After Hip Arthroplasty.

Necrotizing soft-tissue infections are a rare complication following hip arthroplasty procedures. These rapidly spreading infections have a high mortality rate and must be diagnosed and treated in an expeditious manner. This article discusses the epidemiology, classification, diagnosis, and treatment of these conditions and describes 2 related case reports.

Kocher-Langenbeck Approach for Posterior Wall Acetabular Fractures.

Adequate surgical exposure is necessary for anatomical reduction and fixation of posterior wall acetabular fractures. This video demonstrates the Kocher-Langenbeck approach to the posterior acetabulum, as well as operative indications, surgical reduction and fixation techniques, and outcomes for posterior wall acetabular fractures.

A Novel Indirect Reduction Technique in Ankle Syndesmotic Injuries: A Cadaveric Study.

Objective: To describe a novel technique using preoperative computed tomography (CT) to plan clamp tine placement along the trans-syndesmotic axis (TSA). We hypothesized that preoperative CT imaging provides a reliable template on which to plan optimal clamp tine positioning along the TSA, reducing malreduction rates compared with other described techniques.

Methods: CT images of 48 cadaveric through-knee specimens were obtained, and the TSA was measured as well as the optimal position of the medial clamp tine.

Functional Outcomes of Syndesmotic Injuries Based on Objective Reduction Accuracy at a Minimum 1-Year Follow-Up.

Objective: To evaluate whether objective syndesmosis reduction predicts functional outcomes and pain scores in patients with operatively treated syndesmotic injuries at a minimum 1-year follow-up.

Design: Prospective Cohort.

Setting: Urban Level I Trauma Center.

Medial Clamp Tine Positioning Affects Ankle Syndesmosis Malreduction.

Objectives: To determine whether the position of the medial clamp tine during syndesmotic reduction affected reduction accuracy.

Design: Prospective cohort.

Setting: Urban Level 1 trauma center.

Validation of an innovative method of shoulder range-of-motion measurement using a smartphone clinometer application.

Background: An accurate and reliable measurement of shoulder range of motion (ROM) is important in the evaluation of the shoulder. A smartphone digital clinometer application is a potentially simpler method for measuring shoulder ROM. The goal of this study was to establish the reliability and validity of shoulder ROM measurements among varying health care providers using a smartphone clinometer application in healthy and symptomatic adults.

Anterior cruciate ligament reconstruction femoral tunnel characteristics using an accessory medial portal versus traditional transtibial drilling.

Purpose: To evaluate anterior cruciate ligament femoral tunnel characteristics using an accessory medial (AM) portal and transtibial (TT) drilling.

Methods: Ten matched pairs of cadaveric knees underwent arthroscopic AM portal or TT femoral drilling with 8-mm reamers. All knees underwent computed tomography scanning and were evaluated for tunnel aperture area, shape as described by the length of the long and short axes, location of the tunnel relative to the anterior and inferior aspects of the articular surface with the knee in extension, tunnel angle in the coronal and axial planes, and tunnel length.