Journal of Orthopaedic Trauma
Công bố khoa học tiêu biểu
Sắp xếp:
Varus Posteromedial Rotatory Instability of the Elbow: Injury Pattern and Surgical Experience of 27 Acute Consecutive Surgical Patients
Objectives:
To identify associated injuries that occur in varus posteromedial rotatory instability (VPMRI) of the elbow and present their surgical management.
Design:
Level II retrospective study.
Setting:
Tertiary referral center.
Patient/Participants:
Twenty-seven patients with VPMRI injuries treated surgically over an 8-year period.
Intervention:
Open reduction and internal fixation of anteromedial coronoid facet fracture, lateral collateral ligament repair, and associated injured soft-tissue repairs.
Main Outcome Measured:
Radiographic classification, associated medial and lateral bony and soft-tissue injuries, surgical fixation method, and complications were recorded.
Results:
According to the O'Driscoll classification, there were 15 (55%) type 2-2, 11 (41%) type 2-3, and 1 (4%) type 3-1 fractures. Lateral and medial collateral ligament tears were found in 100% and 63%, respectively. Common extensor and flexor origin injuries occurred in 19 (70%) and 2 (7%) elbows, respectively. A marginal radial head fracture was found in 1 patient. Most patients were treated with a combination of fixation methods. Complications occurred in 7 (26%) patients.
Conclusions:
This study documents both associated findings and surgical fixation methods. In all cases, the lateral collateral ligament was disrupted, often in association with an injured common extensor origin. Medial collateral ligament injuries are commonly involved. Radial head fractures are rarely associated. The surgeon should have a high index of suspicion if an isolated coronoid fracture is encountered. Clinical and functional outcome scores are needed in future studies to further inform treatment of VPMRI of the elbow.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Journal of Orthopaedic Trauma - Tập 32 Số 12 - Trang e469-e474 - 2018
Treatment of Complex Acetabular Fractures Through a Modified Extended Iliofemoral Approach
Journal of Orthopaedic Trauma - Tập 16 Số 4 - Trang 220-230 - 2002
First Generation Computerized Fluoroscopic Navigation in Percutaneous Pelvic Surgery
Journal of Orthopaedic Trauma - Tập 18 Số 2 - Trang 106-111 - 2004
Preliminary Report: The Retrograde Medullary Superior Pubic Ramus Screw for the Treatment of Anterior Pelvic Ring Disruptions: A New Technique
Journal of Orthopaedic Trauma - Tập 9 Số 1 - Trang 35-44 - 1995
Percutaneous Screw Fixation of Fractures of the Iliac Wing and Fracture-dislocations of the Sacro-iliac Joint (OTA Types 61-B2.2 and 61-B2.3, or Young-Burgess “Lateral Compression Type II” Pelvic Fractures)
Journal of Orthopaedic Trauma - Tập 16 Số 2 - Trang 116-123 - 2002
Early Results of Percutaneous Iliosacral Screws Placed with the Patient in the Supine Position
Journal of Orthopaedic Trauma - Tập 9 Số 3 - Trang 207-214 - 1995
Nonunions Treated With Autologous Preparation Rich in Growth Factors
Journal of Orthopaedic Trauma - Tập 23 Số 1 - Trang 52-59 - 2009
State of the Art Review: Techniques to Avoid Pin Loosening and Infection in External Fixation
Journal of Orthopaedic Trauma - Tập 16 Số 3 - Trang 189-195 - 2002
Decreasing Bacterial Colonization of External Fixation Pins Through Nitric Oxide Release Coatings
Journal of Orthopaedic Trauma - Tập 25 Số 7 - Trang 432-437 - 2011
Use of a Tobramycin-Impregnated Polymethylmethacrylate Pin Sleeve for the Prevention of Pin-Tract Infection in Goats
Journal of Orthopaedic Trauma - Tập 13 Số 2 - Trang 98-101 - 1999
Tổng số: 76
- 1
- 2
- 3
- 4
- 5
- 6
- 8