M J Gardner

..At our institution, this technique has been used for femoral head fractures resulting in superior visualization and fracture stabilization. This article details the technique and its application...

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..Although additional clinical investigation is warranted, these concepts may be useful in eliminating syndesmotic screw fixation in select patients...

..We hypothesised that using an external stabilising guide which can be set anywhere in space can decrease then time necessary for navigated drilling...

..The purpose of this study was to determine what factors influence the maintenance of fracture reduction after locked plating of proximal humerus fractures, and particularly the role of medial column support...

..The purpose of this study was to evaluate the accuracy of these predicted injury sequences using magnetic resonance imaging (MRI) in a series of patients with ankle fractures...

..As the loading parameters necessary to enhance fracture healing become refined, external compression may be used as a potent stimulus for treating fractures with decreased biological capacity...

..Though further prospective trials are necessary, this study indicates that the application of autologous platelet gel may lead to improved haemostasis, better pain control and a shortened hospital stay...

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..The purpose of this study was to define the relationship of this surgical interval to the lateral plating zone of the proximal humerus and to the penetrating vascular supply of the humeral head...

..We describe the technique for placement of supraacetabular external fixation pins, pelvic reduction, and compression using a femoral distractor...

..This requires continued public health initiatives involving patient and physician education regarding the necessity for bone mass measurement and the merits of antiresorptive therapy...

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..This would be useful for indirect reduction and stabilization of the posterior pelvis. The purpose of this study was to determine the forces achieved by this construct compared with other forms of fixation...

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..The goal of this study was to determine the incidence of injury to soft tissue structures of the knee in tibial plateau fractures scheduled for surgery...

..This finding may be of potential clinical utility when weight bearing is utilized to stimulate lower extremity fracture healing...

..Unstable ankle fractures should be evaluated carefully for evidence of posteromedial involvement so appropriate treatment may proceed...

..The purpose of this study was to analyse the ability of a new helical blade device to stabilise intertrochanteric hip fractures, and to further determine which factors are important in implant stability...

..Few treatment guidelines and long-term outcomes are available. The purpose of this study was to determine the long-term functional outcomes of patients treated with open reduction and internal fixation...

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..The purpose of this review is to discuss these different clinical situations and the recommended treatment methods, as well as to characterize the latest literature and recommendations...

..The purpose of this study was to evaluate the neurologic complications after percutaneous iliosacral screw placement without neurodiagnostic monitoring...

..At an early stage of fracture healing, pause-inserted loading led to more histologically advanced healing...

..To evaluate the results in patients with open AO/OTA type C3 pilon fractures with segmental bone loss who were treated with a standard treatment protocol...

..These fractures can be managed with internal fixation, with predictable results, similar to those seen in more proximal fractures...

..This pattern is assessable using the preoperative CT scan. A supine posteromedial approach with antiglide plating provides a good clinical solution for these complex injuries...

..Arthrosis occurs frequently, and may occur primarily at the time of injury or from chronic alteration of intraarticular contact forces secondary to development of a nonunion...

..We have used a lateral parapatellar approach with atraumatic elevation of the infrapatellar fat pad to expose the starting point. Our hypothesis was that this approach leads to a low incidence of knee pain...

..Discrepancies of the axis due to rotational movements as well as flexion of the knee joint can be avoided and corrected immediately with the help of navigation...

..We hypothesized that substituting slots for holes in the near cortex under a locked plate would lead to predictably lower stiffness without diminishing implant stability...

..The current investigation tested the hypothesis that positional maneuvers do not achieve the same degree of vertebral height correction as kyphoplasty balloon tamps for the reduction of low-energy VCFs...

..We know of no reports of osseous hydatidosis presenting as a femoral shaft nonunion. A discussion of the challenges in diagnosis and treatment of osseous hydatidosis are discussed, and the literature on osseous hydatidosis is reviewed...

..Computerized navigation has the potential for increasing precision in fracture reduction while minimizing fluoroscopic requirements...

..A number of advantages to using the newer internal fixators have been described, but there are still several indications for traditional compression plating...

..To assess the wound complications and reductions achieved in a cohort of patients with pilon fractures who were treated using a novel lateral approach...

..This surgical approach allows exposure of the proximal humerus and indirect reduction of the fracture, with subsequent locking plate fixation, adhering to the principles of biological fixation...

..Fall prevention strategies can further decrease the possibility of fracture. A comprehensive approach to osteoporosis can favorably alter the disease...

..This study aims to critically analyze the cortical step sign in cadaveric specimens using radiographic and direct measurements...

..The purpose of this study was to determine the risk of iatrogenic ulnar nerve injury in a consecutive series of supracondylar fractures treated using a standardized technique of crossed pin placement...

..We hypothesized that the amount of fracture depression and widening on anteroposterior (AP) plain radiographs would correlate with the incidence of injury to these structures on magnetic resonance imaging (MRI)...

..Our hypothesis was that an unsuspected malignant tumor will exist and that a bone-marrow aspiration from the iliac crest would enhance our ability to detect a malignant tumor...

..The purpose of this study was to determine the area, dimensions, and orientation of the gluteus medius footprint to provide an improved understanding of its insertional anatomy...

..An antibiotic cement rod in the diaphysis may provide fracture stabilization. Locking full-length constructs should be considered for osteoporotic fractures...

..We report on the use of bifocal bone transport to treat a skeletally immature patient with 15 cm of post-traumatic segmental bone loss from the distal tibia...

..The purpose of this study was to determine the impact of operative fixation of unstable pelvic ring injuries in diminishing acute pain...

..The purpose of this study was to determine the incidence of posterior skin involvement in tongue-type calcaneus fractures and to determine the patient and fracture characteristics that lead to high-risk situations...

..In these situations, we describe a technique of maintaining the pelvic sheet position for continued use as a reduction aid and using working portals to insert definitive percutaneous pelvic implants...

..A protocol including computed tomography of the ankle may detect more injuries in a larger study. LEVEL OF EVIDENCE: Level II, prognostic study...

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..The purpose of this proof of concept study was to determine the effects of slots on stiffness and their ability to maintain fixation of locking plates under cyclic loading...

..The purpose of this study was to create a biomechanical model simulating this effect based on a clinical case radiographic analysis...

..Further biomechanical and clinical studies are necessary to validate the efficacy of the Trochanteric Fixation Nail, but in our experience this is an improvement over the currently available devices...

..However, over the four years of the present study, there was a significant increase in the rate of treatment. It is hoped that treatment rates will continue to increase in the future with continued educational efforts...

..Recent evidence suggests that active elderly patients who have acetabular disease or severely displaced fractures may benefit most from primary total hip arthroplasty...

..We also sought to determine whether different injury patterns and varying severity of displacement lead to different amounts of passive recoil...

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..We present a technique of internal rotation and taping of the lower extremities as an alternative or supplemental pelvic closed reduction method...

..The purpose of this study was to determine the ability of intramedullary fibular fixation to maintain reduction until healing and to determine the overall complication rate in high-energy pilon fractures associated with fibular fractures...

..The insertion of interlocking screws at a slightly oblique angle may cause a substantial degree of rotational deformity, and this factor has not been evaluated as a cause of malrotation...

..Use of this modified entry site may reduce soft tissue injury with nailing procedures and minimize subsequent hip pain...

..2 (0, best; 100, worst). This approach allowed direct access to the lateral fracture planes for fracture reduction and plate placement or safe nail and interlocking screw placement...

..An initial reduction of the medial fracture indirectly restores the scapular relationship, allowing for subsequent completion of the articular reduction via a limited approach to the posterior shoulder using the same incision...

..Although some of these disorders are clinically evident, others may be easily overlooked. The purpose of this article is to summarize the most common orthopedic aspects of hemiplegic patients who have had a cerebrovascular accident...

..Surgeons using computer aided surgery systems should be aware of possible unrecognized movements of the RA, however, gentle collisions do not appear to cause significant motion or destabilization...

..Objective outcome testing showed uniformly good to excellent recovery of wrist and hand function in all patients. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic, Level IV...

..Virtual software may be useful for visualizing and planning treatment of fractures of the acetabulum, potentially leading to more accurate and efficient reductions, and may also be an effective educational tool...

..Deviations of mechanical axis occur on weight bearing in lower limbs following HTO. These shifts must be considered and possibly quantified to achieve the desired axis correction and maximize the chance at a successful long term outcome...

..This may be achieved either with purposeful inferomedial humeral head screws or endosteal fibula allograft augmentation...

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..This technique may be used to ensure articular surface congruity in simple transverse fractures and may be particularly useful in comminuted fractures when patellar excision would otherwise be considered...

..However, an accurate three-dimensional understanding of carpal motion is critical for academic and clinical purposes, and may play an important role in assessing surgical procedures or rehabilitation protocols...

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..Our results demonstrate that the use of external devices to augment drill bit stabilization can improve drilling accuracy. This may have particular importance when using navigation systems to drill into small anatomic confines...