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The VIDIA BONE score as a patient- and fracture-related risk score for the occurrence of fracture sequelae in proximal humerus fractures.
BMC Musculoskelet Disord
December 2024
Department of Traumatology, Hand Surgery and Sports Medicine, ViDia Clinics Karlsruhe, Steinhaeusserstr. 18, Karlsruhe, D-76135, Germany.
Purpose: The aim of the study was to determine preoperative patient- and fracture-related risk factors for estimating the risk of fracture sequelae after surgically treated proximal humerus fractures (PHF) using locking plate osteosynthesis. The purpose was to develop a fracture sequelae risk score as an additional tool to facilitate the treatment strategy for PHF.
Methods: All patients with PHF who underwent surgery with locking plate osteosynthesis were included.
Thermal optimization of robotic piezoelectric osteotomy motion in porcine trabecular bone.
Clin Biomech (Bristol)
December 2024
Western University, 1151 Richmond St, London, Ontario N6A 3K7, Canada; Toronto Metropolitan University, 350 Victoria Street, Toronto, Ontario M5B 2K3, Canada. Electronic address:
Background: Piezoelectric osteotomy represents a potentially viable alternative to conventional techniques for preparing pilot holes for bone screws. However, piezoelectric osteotomes have demonstrated the potential to heat bone beyond 47 °C, which induces necrosis that could contribute to screw loosening, resulting in osteosynthetic material failure and pseudarthrosis. Thus, we sought to determine the working movements of a piezoelectric drill that resulted in the lowest maximum bone temperatures while ensuring that this optimal drilling motion resulted in temperatures below 47 °C.
View Article and Find Full Text PDFSurgical treatment of post-traumatic vertebral osteonecrosis including intravertebral expansive implants-clinical, functional and imaging outcomes and a center experience over 7 years.
J Spine Surg
September 2024
Spine Surgery Unit, Department of Orthopedics, Coimbra Hospital and University Centre, Coimbra, Portugal.
Background: The effective treatment of post-traumatic vertebral osteonecrosis continues to be an under discussion and controversial subject. Armed kyphoplasty with expansive intravertebral implants is an emerging procedure, which, in theory, allow for a more effective preservation of the restored vertebral height. The development of the indications for these recent devices has given rise to auspicious outcomes in vertebral non-union situations.
View Article and Find Full Text PDFIs the clavicla pro humero a reliable reconstruction for paediatric proximal humerus sarcomas?
Int Orthop
January 2025
Department of Orthopedic Oncology Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Article Synopsis
- This study investigates the use of clavicla pro humero (CPH) reconstruction for pediatric patients with challenges in proximal humeral reconstruction, focusing on survival rates, functional outcomes, and complications.
- Eight patients aged 6 to 14 were monitored over an average follow-up of about 54.6 months, with findings showing a high rate of complications, particularly clavicle fractures (87.5%) and a bone union rate averaging 3.8 months.
- The study concludes that while CPH leads to quick bone healing, the significant complication rate makes it unadvisable as a routine surgical option when better alternatives exist.
[Radial neck fracture in children-"A benign fracture?"].
Unfallchirurgie (Heidelb)
October 2024
Orthopädische Klinik, Klinikum Stuttgart, Olgahospital, Stuttgart, Deutschland.
Article Synopsis
- * Diagnosis usually involves standard X-rays, but younger kids might benefit from ultrasounds; treatment varies based on fracture severity, with less than 20° angulation potentially allowing for conservative management, while surgery may be required for larger dislocations.
- * Complications can arise, including joint issues and deformation, necessitating a multidisciplinary treatment approach, but long-term outcomes are generally favorable, emphasizing the importance of understanding potential complications for effective management.
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