Kenneth A Egol

....

..This study was performed to evaluate when patients recover sufficiently to drive an automobile after operative repair of various other lower extremity fractures...

..The hypothesis of this study was that application of external fixation and restoration of limb length would have no effect on the compartment pressures...

....

..In this study, the curvature of 948 femurs (474 matched pairs) was determined and compared with current intramedullary nails. The correlation of femoral curvature to age, gender, femoral size, and race was also evaluated...

..The purpose of this study was to determine when patients recover the ability to safely operate the brakes of an automobile following operative repair of an ankle fracture...

..LEVEL OF EVIDENCE: Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence...

..This study compares the biomechanical stability of two volar locked plate systems for fixation of unstable, extra-articular distal radius fractures...

..Our approach led to the restoration of elbow joint stability in all patients...

..No specimen lost fixation during cycling. CONCLUSION: The L.I.S.S plating system provides stable fixation of complex bicondylar tibial plateau fractures allowing early range of knee motion with favorable clinical results...

....

..Our hypothesis was that post-splinting radiographs do not demonstrate changes in fracture alignment or impact the management of the patient...

..Evaluate whether supplementary fibular fixation helped maintain axial alignment in distal metaphyseal tibia-fibula fractures treated by locked intramedullary nailing...

....

..However, there was a 50% incidence of postoperative complications associated with this treatment method. We believe that the complication rate associated with the use of the Hagie pin should preclude the use of this particular implant...

..Models where the femoral head had a higher compressive strength than that of the femoral neck may simulate fracture patterns with significant medial cortex comminution that are prone to varus collapse...

..To compare the strength and stiffness of standard double-plate fixation with that of a single-locking plate for comminuted extra-articular distal humeral fractures...

..In this investigation, 43 patients at a large university hospital were retrospectively identified who had been diagnosed with chronic osteomyelitis at 44 sites...

..Clinically significant osteonecrosis and heterotopic ossification are rare, but mild to moderate posttraumatic osteoarthrosis may be anticipated at midterm follow-up...

....

..We analyzed autogenous marrow aspirates obtained from three different graft sites for the mRNA levels of BMPs and their receptors...

....

..The results of this study suggest use of plates with unicortical screws for the described fracture is not recommended...

..CONCLUSION: A sliding hip screw with an attached lateral support plate provides stability and ability to resist medial displacement of the femoral shaft similar to that seen with the IMHS...

..To review one surgeon's experience with a novel type of "hybrid" locking plate (which has both 3.5mm and 4.5mm locking holes) for difficult fractures of the meta-diaphyseal humeral shaft...

....

..The increased mortality risk was highest during the first year after hip fracture and returned to the risk of the standard population 3 years postoperatively. Males who are 65 to 84 years had the highest mortality risk...

....

..Understanding and anticipating issues that may arise in the older patient with hip fracture, while delivering evidence-based care components, is necessary to maximize patient recovery...

..Critical assessment of the available literature and a review of treatment indications, implant recommendations, and technical pitfalls will provide insight to physicians to enable better care of patients with these complex injuries...

..Phase 3 of our study presented the most accurate results in length determination of tibial nail length...

..8%) in wound hematoma compared with dextran 40 (1.6%) and aspirin (2.4%) (P<.01). The 3 agents were found not to differ with respect to mortality, thromboembolic phenomena, hemorrhagic complications, or wound complications...

..In this study, we evaluated predictors of short-term functional outcome following surgical stabilization of ankle fractures...

..Conventional plates may continue to be the fixation method of choice for periarticular fractures which demand perfect anatomical reduction and to certain types of nonunions which require increased stability for union...

....

..Although no differences in loads to failure during torsion were noted, locked plating constructs exhibited catastrophic failure not observed with the Ogden construct...

..To examine our incidence of early complications that occur using the Proximal Humeral Internal Locking System (PHILOS) and to determine the contributing factors...

..The review was conducted as a retrospective analysis of prospectively collected data at two level one trauma centers and a tertiary referral academic center...

..This study's findings demonstrate that operative treatment in active, wheelchair-bound patients can provide an improved quality of life postinjury and a rapid return to activities...

..The purpose of this study was to critically evaluate clinical, radiographic and functional outcomes following high-energy fractures of the tibial plafond...

..033). Adding CT, although it may influence the decision to operate on Tillaux and triplane fractures, may not be as useful as previously thought...

..This was in contrast to the solid lag screws that demonstrated lateral projection in all cases...

..This advantage may help minimize postoperative lateral soft-tissue impingement...

..To compare the fixation stability of intramedullary nails to that of locked plates for the treatment of distal metaphyseal tibia and fibula fractures...

..Patients should be counseled and made aware of the decreased range of shoulder motion following this fracture...

..There were no serious complications and no adverse reactions to the rhOP-I implant. Our study suggests that rhOP-1 may be a safe and effective adjuvant for the treatment of humeral diaphyseal nonunions...

..Our purpose was to determine the incidence of ulnar nerve dysfunction after open reduction and internal fixation of distal humerus fractures and identify factors associated with its development...

..Identification of risk factors that can better explain regional rate variation may lead to development of intervention strategies that could significantly reduce the risk for hip fracture among people 65 or older...

..Both elastic stable intramedullary nails and external fixation can be utilized. We retrospectively reviewed our experience with these two techniques to determine if one is superior to the other...

..Ethnic disparities have been demonstrated in the treatment of chronic diseases, such as diabetes and heart disease. It is unclear if similar ethnic disparities appear with respect to recovery following fracture care...

..We recommend a single radiographic view along with proper documentation in the postoperative report to confirm the removal of internal fixation hardware in lieu of pathologic evaluation...

..CONCLUSIONS: Male gender was a risk factor for sustaining a postoperative complication as well as a higher mortality at 1 year post hip fracture...

..The purpose of this study was to assess the effects of anesthesia type on postoperative pain and function in a large cohort of patients...

..9 mm and 2.0°, respectively. These results show that this technique is able to achieve the goals of fracture reduction and immobilization in a rapid fashion when help is not available...

..The effects of the cartilage defects so created are not known. The choice of technique is also determined by concomitant fractures and the exposure required for their fixation...

..This prospective study evaluated patient outcomes and pain reduction following removal of orthopaedic hardware implanted for fracture fixation...

..There were very few complications seen in our cohort as compared to previous studies with very good long-term functional outcomes...

..Also discussed are the surgical and nonsurgical treatment options, various presentations of medial sided injuries in ankle fractures, and, finally, current recommendations for fixation...

..Despite this, positive effects on the overall education of orthopaedic residents, and on maintaining the proficiency of practicing orthopaedic surgeons, are anticipated...

..Examining function in patients treated nonoperatively and operatively should help determine whether and when surgery is appropriate in these difficult-to-treat fractures...

..Orthopedic surgeons must be aware of these results when treating these fractures in obese trauma patients...

..These issues and, last, the timing of care for calcaneus and talus injuries are reviewed, as risk of avascular necrosis and quality of articular reduction are related to the timing of fixation...

..Rates of postoperative complications, recovery of ambulatory ability within 1 year, and mortality within 1 year did not differ. These findings may guide orthopedic surgeons in counseling patients with PD and a hip fracture...

..This in turn will prevent complications attributable to lack of followup and allow more accurate assessment of results, thereby improving patient outcomes...

..Therefore, we do not recommend making acquisition of ABG levels a routine part of the preoperative evaluation...

..The purpose of this survey was to assess the tourniquet pressures used by orthopaedic surgeons, both academic and community based, and their familiarity with associated literature...

..Pin-track infection remains one of the most troublesome complications of external fixation, in some cases compromising otherwise successful fracture treatment...

....

..09). Surgery type (arthroplasty vs open reduction and internal fixation [ORIF], P < .03) and surgery duration (P < .05) had more of an effect on postoperative blister formation than dressing type...

....

..4%). Patient age, patient sex, number of medical comorbidities, smoking history, nutritional status, and type of surgery were not statistically significantly associated with risk for developing tape blisters...

..CONCLUSIONS: Patients at risk for poor outcomes after hip fracture can be identified by assessing hemoglobin levels at hospital admission...

..With the aging of the population and an associated increase in the incidence of distal humeral fractures, the debate over the optimal treatment regime will undoubtedly continue...

..The purpose of this study was to evaluate the results using this standardized protocol...

....

..Based on the current evidence, the literature appears to support surgical fixation of displaced ankle fractures in the elderly patient population...

..We will summarize the strategies for treating adults with gunshot injuries to specific regions of the lower extremities--the hip, the femur, the knee, the tibia, and the foot...

..This potential complication should be considered when using a large-diameter Steinmann pin in the distal femur for skeletal traction...

..The purpose of this article was to compare clinical and functional outcomes of surgically treated trimalleolar fractures with bimalleolar and unimalleolar ankle fractures...

..It is also essential to educate the patient regarding the potential sequelae and follow them for evidence of osteonecrosis and posttraumatic arthritis...

....

..Overall, these measurements are a reliable method of assessing lower extremity deformity and should be used to guide treatment and monitor outcome...

..The current article reviews the perioperative considerations associated with geriatric hip fractures and takes an evidence-based look at the complex issues involved in managing these patients...

..Delayed reduction showed no evidence of physeal damage, physeal growth disturbance, or radiographic bar formation. Alignment was not improved in delayed reduction versus malreduced fractures...

....

..This supports the current clinical practice of delayed weight-bearing for ten to twelve weeks...

..These fractures are treated by distal femoral replacement. Level of Evidence: Therapeutic study, level V (expert opinion). See Guidelines for Authors for a complete description of levels of evidence...

..The purpose of the current study was to examine the usefulness of the traction-internal rotation radiograph for the classification of hip fractures by junior residents in our department...

..We hypothesized that an intra-articular block of the ankle would provide similar analgesia and the ability to reduce the ankle with a lower risk than conscious sedation...

..This study tested a mathematical method of measuring axial plane malrotation in SCHFs based on plain radiographs...

..Ultimately, the decision of which method to use lies with the attending surgeon and the technique with which he or she feels most comfortable...

..Based on our study we recommend the use of a short-arm radial gutter splint for initial immobilization of displaced distal radius fractures. TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic, level II...

..In this article, we outline some of these developments with respect to femoral neck and intertrochanteric fractures...

..Also, the volar locked plate was stiffer than the dorsal nonlocked plate for all loading configurations tested except when subjected to a dorsally applied eccentric load...

....

..To address this problem, we combined three cohorts of hip fracture patients to produce a sample of 2692 patients followed for 6 months...