Publications by authors named "Richard J Behlmer"
Article Synopsis
- The study evaluated how different reduction techniques impact the alignment of tibial shaft fractures after intramedullary nail (IMN) fixation in 428 adult patients at a trauma center from 2008 to 2017.
- Results showed that using traveling traction (TT), with or without percutaneous clamps (PC), significantly improved coronal alignment compared to manual reduction (MR) alone, with lower rates of malalignment.
- No significant differences were found in sagittal alignment across techniques, and there was excellent reliability in measuring alignment outcomes, particularly in the coronal plane.
Purpose: The Surgical Implant Generation Network (SIGN) intramedullary nail was designed for use in resource limited settings which often lack fluoroscopy, specialized fracture tables, and power reaming. A newer design iteration, the SIGN Fin nail, was developed to further simplify retrograde femoral nailing by making proximal interlocking screw placement unnecessary. Instead, the leading end of the Fin nail achieves stability through an interference fit within the proximal femoral canal.
View Article and Find Full Text PDFObjectives: To identify the incidence of distal articular fractures in a series of distal third tibia shaft fractures and to report the utility of both computed tomography (CT) scans and Radiographic Investigation of the Distal Extension of Fractures into the Articular Surface of the Tibia (RIDEFAST) ratios for identification of articular involvement.
Design: Retrospective cohort.
Setting: Level 1 trauma center.