Articles: fracture-fixation.
-
The bone & joint journal · Aug 2020
Multicenter Study Comparative Study Observational StudyTreatment of femoral fractures in children aged two to six.
Current American Academy of Orthopaedic Surgeons (AAOS) guidelines for treating femoral fractures in children aged two to six years recommend early spica casting although some individuals have recommended intramedullary stabilization in this age group. The purpose of this study was to compare the treatment and family burden of care of spica casting and flexible intramedullary nailing in this age group. ⋯ Both early spica casting and intramedullary nailing were effective methods for treating femoral fractures in children two to six years of age. Intramedullary stabilization provides an option in this age group that may be advantageous in some social situations that depend on the child's mobility. Fracture treatment should be individualized based on factors that extend beyond anatomical and biological factors. Cite this article: Bone Joint J 2020;102-B(8):1056-1061.
-
Multicenter Study Comparative Study
Increased Mortality and Major Complications in Hip Fracture Care During the COVID-19 Pandemic: A New York City Perspective.
To examine one health system's response to the essential care of its hip fracture population during the COVID-19 pandemic and report on its effect on patient outcomes. ⋯ Prognostic Level III. See Instructions for Authors for a complete description of Levels of Evidence.
-
The bone & joint journal · Aug 2020
Multicenter StudyCombined two-centre experience of single-entry telescopic rods identifies characteristic modes of failure.
The Fassier Duval (FD) rod is a third-generation telescopic implant for children with osteogenesis imperfecta (OI). Threaded fixation enables proximal insertion without opening the knee or ankle joint. We have reviewed our combined two-centre experience with this implant. ⋯ FD rods are easier to implant but do not improve on the revision rates reported for second generation T-piece rods. Proximal femoral fixation is problematic in younger children with a partially ossified greater trochanter. Distal tibial fixation typically fails after two years. Future generation implants should address proximal femoral and distal tibial fixation to avoid the majority of complications in this series. Cite this article: Bone Joint J 2020;102-B(8):1048-1055.
-
To evaluate inpatient outcomes among patients with hip fracture treated during the COVID-19 pandemic in New York City. ⋯ Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.
-
Multicenter Study
Complications following operative treatment of supination-adduction type II (AO/OTA 44A2.3) ankle fractures.
There are few published studies that investigate the surgical treatment of supination-adduction (SAD, AO/OTA 44A2.3) ankle fractures. The purpose of this study was to describe the complications and outcomes following operative fixation of SAD type 2 ankle fractures. ⋯ III, retrospective cohort study.