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Deep infections after low-velocity ballistic tibia fractures are frequently polymicrobial and recalcitrant.
OTA Int
December 2024
Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, NC.
Objectives: To identify risk factors for developing a fracture-related infection in operatively treated ballistic tibia fractures and to report the microbiologic results of intraoperative cultures.
Design: Retrospective review.
Setting: Level 1 trauma center.
Temporary Reduction Assisting Corridor Constraint Wires (TRACC-wires) for Intramedullary Nailing of Periarticular Fractures: A Technical Trick and Case Series.
J Orthop Trauma
September 2024
Atrium Health Musculoskeletal Institute, Department of Orthopaedic Surgery, Charlotte, NC.
Why Make the Cut? The Anconeus Triceps Hemipeel Approach for Distal Humerus Exposure Without Olecranon Osteotomy.
J Orthop Trauma
January 2025
Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, NC.
Article Synopsis
- * The anconeus hemipeel approach offers improved access to the distal humerus by reflecting the anconeus muscle, serving as a potential alternative to the more invasive olecranon osteotomy.
- * This study presents the first clinical outcomes for patients treated with the anconeus hemipeel approach, highlighting its effectiveness in managing comminuted intraarticular distal humerus fractures without the added complications of an olecranon osteotomy.
Background: Lower-extremity injuries can result in severe impairment and substantial years lived with a disability. Persistent pain and psychological distress are risk factors for poor long-term outcomes and negatively influence the recovery process following a traumatic injury. Cognitive-behavioral therapy (CBT) interventions have the potential to address these risk factors and subsequently improve outcomes.
View Article and Find Full Text PDFDo Transtibial Amputations Outperform Amputations of the Hind- and Midfoot Following Severe Limb Trauma?: A Secondary Analysis of the OUTLET Study.
J Bone Joint Surg Am
May 2024
Atrium Health-Carolinas Medical Center, Charlotte, North Carolina.
Background: The purpose of this study was to compare 18-month clinical and patient-reported outcomes between patients with severe lower-limb injuries treated with a transtibial amputation or a hind- or midfoot amputation. Despite the theoretical benefits of hind- and midfoot-level amputation, we hypothesized that patients with transtibial amputations would report better function and have fewer complications.
Methods: The study included patients 18 to 60 years of age who were treated with a transtibial amputation (n = 77) or a distal amputation (n = 17) and who were enrolled in the prospective, multicenter Outcomes Following Severe Distal Tibial, Ankle, and/or Foot Trauma (OUTLET) study.
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