Publications by authors named "D Seligson"
Purpose: Femoral shaft fractures with third fragments are difficult to reduce anatomically, affecting bone healing chances. The goal of this study is to determine the impact of the third fragment's radiological characteristics assessed on post-operative radiographs, as well as other factors, on the healing of type 32B femur shaft fractures treated with intramedullary nail.
Methods: We conducted a retrospective study of 93 patients treated for femoral shaft fractures type 32 B.
Article Synopsis
- A review of cadaver studies was conducted to evaluate the decrease in compressive strength after surgery, adhering to PRISMA guidelines while utilizing databases like PubMed and Google Scholar.* -
- Out of the five studies involving 49 cadavers, one study found a statistically significant decrease in force leading to fracture (FLF) in decancellated tibias compared to the healthy ones, with a mean FLF of 3766.9 N versus 5126.4 N.* -
- Although most FLF values in the studies were significantly above the body weight threshold for safety, some cadavers recorded FLF below this threshold, suggesting that while weight-bearing after the procedure seems statistically acceptable, clinical safety cannot be universally
Use of light activated intramedullary device for revision of a proximal humerus fracture: a case study.
Eur J Orthop Surg Traumatol
August 2024
Article Synopsis
- A 45-year-old woman with a history of alcoholism experienced a proximal humerus fracture and initially underwent surgery using a lateral locking plate but faced complications due to falls caused by delirium tremens.
- After her condition worsened, she required revision surgery where the previous hardware was removed and a new fixation was done with the addition of a UV-activated intramedullary cement implant.
- This case is notable as it is the first reported use of UV-activated cement to strengthen the fixation for such fractures, addressing issues of non-compliance that could lead to surgical failure.
Case: A 19-year-old woman sustained an open ankle fracture with complete destruction of the left medial malleolus and significant soft-tissue loss. After temporizing external fixation and coverage with a rotational posterior tibial artery perforator flap, the medial malleolus was reconstructed with an autologous iliac crest bone graft and direct repair of the deltoid ligament. The patient achieved excellent improvement in functional outcomes at 21 months with adequate restoration of ankle motion.
View Article and Find Full Text PDFHeterotopic ossification in the knee following retrograde nailing of a femur fracture.
Eur J Orthop Surg Traumatol
October 2023
Background: Heterotopic ossification (HO) is a pathologic bone formation in extra skeletal tissue and articular space. This was an objection to nailing of femur fractures across the knee; however, this has not been the case in many thousands of cases. Nonetheless, we present a patient in who placement of a retrograde nail resulted in calcification in the knee requiring excision.
View Article and Find Full Text PDF