The patient was a 19-year-old woman serving in the military at a remote location. She presented to a medical aid station with a chief complaint of right anterior knee pain after falling 3 hours prior from a height of 3 m and landing directly on the anterior aspect of her right knee.
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Disc degeneration influences the strain magnitude and stress distribution within the adjacent trabecular bone.
Front Bioeng Biotechnol
December 2024
Department of Bioengineering, Imperial College London, London, United Kingdom.
Article Synopsis
- Up to 20% of people may experience osteoporotic vertebral fractures, and current bone mineral density (BMD) measurements present challenges in predicting these fractures.
- The study examined how intervertebral disc (IVD) degeneration affects stress and strain distribution in adjacent vertebrae by using human cadaveric lumbar specimens and advanced imaging techniques.
- Results indicated that trabecular bone near degenerated IVDs experienced significantly higher strains and altered stress distributions compared to non-degenerated IVDs, suggesting that incorporating IVD metrics could enhance fracture risk assessments.
A Case Report Describing the Surgical Removal of Venous and Intracardiac Cement Leakage after Percutaneous Vertebroplasty in a Hybrid Operating Room.
Ann Ital Chir
December 2024
Department of Cardiovascular Surgery, Centro Cardiologico Monzino IRCCS, 20138 Milan, Italy; Department of Biomedical, Surgical, and Dental Sciences, University of Milan, 20122 Milan, Italy.
Aim: Percutaneous vertebroplasty is generally considered a safe procedure, however, cases of cardioembolism and cardiac perforation have been reported.
Case Presentation: A 69-year-old woman was referred to our emergency department after an outpatient echocardiogram revealed a "thrombus-like" formation involving the right heart. Two weeks before she had undergone percutaneous vertebroplasty of the third to fifth lumbar vertebrae due to osteoporotic fractures.
Effectiveness of the Dorr index in predicting implant failure before proximal femoral nail application.
Jt Dis Relat Surg
January 2025
Dr. Abdurrahman Yurtaslan Ankara Onkoloji Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, 06200 Yenimahalle, Ankara, Türkiye.
Objectives: This study aimed to investigate the importance of the Dorr index in the preoperative evaluation of implant failure in patients who underwent proximal femoral nail (PFN).
Patients And Methods: This retrospective study examined 312 patients who underwent PFN for intertrochanteric fractures between January 2016 and January 2020. Patients with unstable fractures according to the AO/OTA (AO Foundation/Orthopaedic Trauma Association) classification, those over 65 years of age, with at least one year of regular follow-up, a tip-apex distance <25 mm, and a caput-collum-diaphyseal angle between 125° and 135°, were included.
Standardized protocol during acetabular fracture surgery results in low rates of heterotopic ossification.
Eur J Orthop Surg Traumatol
December 2024
University of Washington Department of Orthopaedic Surgery and Sports Medicine, 1959 NE Pacific St, Seattle, WA, 98195, USA.
Purpose: To assess the rate of heterotopic ossification (HO) following acetabular surgery with a standardized protocol via the Kocher-Langenbeck. Secondarily, to evaluate patient characteristics, injury variables, and perioperative data among patients with HO and no HO.
Methods: This was a retrospective case series from an academic Level I trauma center.
Outcomes for Younger Patients with Femoral Neck Fractures.
J Bone Joint Surg Am
December 2024
Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, Scotland.
Background: There is a paucity of longer-term outcome data in younger adult patients who undergo fixation for an intracapsular hip fracture. The aims of this study were to evaluate the outcomes for young adult patients undergoing intracapsular hip fracture fixation and to assess factors associated with failure and patient-reported outcome measures (PROMs).
Methods: From 2008 to 2018, 112 consecutive patients ≤60 years of age (mean age, 48 years [range, 20 to 60 years]; 54% male) were retrospectively identified as having undergone fixation of an intracapsular hip fracture.
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