The Effectiveness of Mini-C-Arm Fluoroscopy for the Closed Reduction of Distal Radius Fractures in Adults: A Randomized Controlled Trial.

Purpose: Most distal radius (DR) fractures are initially managed with closed reduction and orthosis application. Mini-C-arm fluoroscopy provides assessment of reduction quality in real time. Our null hypothesis was that there would be no difference in the reduction quality of DR fractures in the emergency department when using mini-C-arm fluoroscopy during reduction compared with standard reduction techniques (evaluating reduction quality with orthogonal radiographs taken in an orthosis).

Stable Fixation and Immediate Weight-Bearing After Combined Retrograde Intramedullary Nailing and Open Reduction Internal Fixation of Noncomminuted Distal Interprosthetic Femur Fractures.

With an aging population, treatment of interprosthetic femur fractures continues to pose a challenge to the orthopaedic surgeon. Retrograde intramedullary nailing combined with open reduction internal fixation using a tissue-preserving plating technique was used in our series of 9 patients with noncomminuted, distal femur fractures. No interfragmentary screws, cables, cerclage wires, or supplemental bone grafts of any type were used.

Iatrogenic Radial Nerve Palsy After Humeral Shaft Nonunion Repair: More Common Than You Think.

Objectives: To determine the rate of iatrogenic radial nerve palsy (RNP) after surgical repair of established humeral shaft nonunion (HSNU).

Design: Retrospective chart review.

Setting: Level I trauma center.

Step-Cut Osteotomy for Recalcitrant Humeral Shaft Nonunion.

The majority of humeral shaft nonunions resolve following operative intervention; however, a small percentage will persist despite surgical efforts. These cases of persistent nonunion are frustrating for patients and challenging for orthopedic surgeons. The authors describe the use of a step-cut osteotomy of the humeral diaphysis coupled with neutralization plating and autologous bone grafting for the management of humeral shaft nonunions that were recalcitrant to initial surgical management.

Achieving Anatomic Acetabular Fracture Reduction-When is the Best Time to Operate?

Objectives: We hypothesize that earlier operative intervention for acetabular fractures improves the probability of achieving an anatomic reduction.

Design: Retrospective review.

Setting: Academic level I trauma center.

Efficacy of Routine Postoperative CT Scan After Open Reduction and Internal Fixation of the Acetabulum.

Objectives: The purpose of this study was to evaluate the efficacy of routine postoperative computed tomography (CT) scan after open reduction and internal fixation of acetabular fractures.

Design: Retrospective review of prospectively collected acetabulum fracture database.

Setting: Level I trauma center.

Implant Failure Following Posterior Spinal Fusion-Caudal Migration of a Fractured Rod: Case Report.

Study Design: Case report.

Objectives: To describe a patient who experienced rod fracture with subsequent caudal migration into the gluteal region after minimally invasive posterior spinal fusion for adult idiopathic scoliosis.

Summary Of Background Data: Rod fracture occurs in approximately 6.

Management of complex elbow dislocations: a mechanistic approach.

Complex elbow dislocations (ie, fracture-dislocations) are challenging injuries to treat and may result in significant patient morbidity. Chronic instability, posttraumatic arthrosis, and poor functional outcomes are frequent. Orthopaedic surgeons should strive to optimize elbow function through restoration of articular congruity and stability coupled with early rehabilitation.

Treatment of Calcaneal Fracture With Severe Soft Tissue Injury and Osteomyelitis: A Case Report.

Advancements in surgical technique have resulted in the ability to reconstruct lower extremity injuries that would have previously been treated by amputation. Currently, a paucity of data is available specifically addressing limb amputation versus reconstruction for calcaneal fractures with severe soft tissue compromise. Reconstruction leaves the patient with their native limb; however, multiple surgeries, infections, chronic pain, and a poor functional outcome are very real possibilities.

Open reduction and internal fixation of acetabulum fractures: does timing of surgery affect blood loss and OR time?

Objectives: The purpose of this study was to investigate the timing of surgical intervention for fractures of the acetabulum and its influence on perioperative factors.

Design: Retrospective review.

Setting: Level I trauma center.

Assessment of pelvic fractures resulting from the 2010 Haiti earthquake: opportunities for improved care.

Background: On January 12, 2010, a catastrophic 7.0 magnitude earthquake shook the Haitian capital of Port-au-Prince. Because of their sudden and destructive nature, earthquakes can result in unfamiliar mass casualty situations accompanied by devastating orthopedic injuries.

Chronic Bilateral Tibial Stress Fractures with Valgus Treated with Bilateral Intramedullary Nailing: A Case Report.

Introduction: Stress fractures are overuse injuries most commonly seen in athletes, military recruits, and individuals with endocrine abnormalities. It has been demonstrated that chronic cases of anterior tibial stress fractures refractory to conservative management respond well to intramedullary nailing. To our knowledge, only one report has been published concerning patients with bilateral tibial stress fractures treated with bilateral intramedullary nailing.