Orthopaedic Trauma Archive

SUMMARY: In 55 patients aged 60+ with complex proximal humerus fractures, reverse shoulder arthroplasty gave reliable recovery: good Oxford scores, early independence, return to driving in 8-12 weeks, and a 5.5% complication rate.

SUMMARY: In 67 intra-articular distal humerus fractures, older patients had more distal transverse and more lateral longitudinal fracture lines, which may limit distal lateral fixation with a tab-equipped posterolateral plate.

SUMMARY: In a cadaveric Neer IIB distal clavicle fracture model, anatomical conoid-position suture button reconstruction gave better posterior stability than anterior-position drilling without sacrificing superior stability; clinical relevance of the 1.8 mm difference remains unproven.

SUMMARY: In a 240-patient retrospective cohort, the RAVEN score combining opportunistic CT bone attenuation with clinical factors modestly stratified 1-3 year fragility fracture risk (C-index 0.64); external validation is needed before use.

SUMMARY: Narrative review of CFR-PEEK and photodynamic bone stabilization implants for fractures, which are niche but may reduce stress shielding and help in poor-quality bone or when radiotherapy imaging artifact matters.

SUMMARY: This review covers pathophysiology, risk factors, and diagnostic challenges of acute compartment syndrome, arguing it should be viewed as a continuum and favoring continuous pressure measurement and objective tissue-health markers over fixed thresholds.

SUMMARY: In 139 dissatisfied shoulder arthroplasty patients, stiffness, glenoid loosening, component malposition, and tuberosity nonunion were common, and revision rates underestimated failure, suggesting attention to positioning, motion, and tuberosity fixation.

SUMMARY: Review of treatment options for Vancouver B3 periprosthetic femoral fractures after hip arthroplasty, noting the supporting evidence is poor, limited to small case series with inconsistent B2/B3 classification.

SUMMARY: Scoping review of 163 free functional muscle transfers for Volkmann's ischemic contracture found a 96% success rate, mostly gracilis for finger flexion, but 34.6% needed later tenolysis or adhesiolysis.

SUMMARY: This review describes hexapod external fixators, six-strut ring devices that allow precise software-guided correction across six degrees of freedom, used for complex trauma, deformity, limb reconstruction, and lengthening.

SUMMARY: Among 1,597 hand and wrist fracture patients, incarcerated patients were first seen by specialists more often in clinic than the ED and completed fewer therapy visits, suggesting reduced access to timely care and rehabilitation.

SUMMARY: In 25 wrists, a freehand ulnar shortening osteotomy with interosseous wire plus locking plate achieved union in all cases (median 10 weeks) with improved pain and function and no specialized jigs needed.

SUMMARY: In this non-randomized study of 244 elderly distal radius fracture patients, daily vitamin C 500 mg for 3 months was associated with lower CRPS-I incidence (15.5% vs 35.2%), suggesting a cheap preventive option.

SUMMARY: In 126 surgically fixed pelvic ring fractures, 31% had complications; a Morel-Lavallée lesion and combined-mechanism fracture pattern independently predicted surgical site infection, while posterior fixation technique and timing did not.

SUMMARY: Historical review from 1911 to today showing primary subtalar arthrodesis for calcaneal fractures shifted from salvage to a selective option; outcomes are similar to reconstruction alone, so patient selection is what matters.

SUMMARY: In 33 distal humerus fractures fixed via the TRAP approach without postoperative immobilization, early passive motion at 48 hours gave acceptable function and preserved triceps strength, with no triceps rupture or implant failure.

SUMMARY: In 35 surgically treated coronal shear fractures of the distal humerus, medial trochlear involvement on CT predicted worse elbow extension and more bone-related complications, which standard classifications missed, so it may help surgical planning.

SUMMARY: In patients over 70 with unstable Colles fractures, volar plating gave better radiographic alignment than casting, but functional outcomes were equivalent and casting had less pain and no complications, favoring nonoperative care.

SUMMARY: Narrative review finding machine learning, especially convolutional neural networks, diagnoses hand fractures with high accuracy (outperforming some clinicians), but limited external validation and workflow integration still constrain clinical adoption.

SUMMARY: In 78 children with femoral fractures treated with titanium elastic nails, most complications were minor; mismatched nail diameters and comminution over 25% predicted malunion, and prominent nail ends caused insertion-site pain.

SUMMARY: This overview discusses acceptable alignment in adolescent radial shaft fractures, when to operate, and when plating is preferable to flexible nails given limited remodeling and the need to restore radial bow.

SUMMARY: In 300 older adults with surgically treated proximal femur fractures, a score combining NLR, albumin, and D-dimer predicted 1-year mortality better than any marker alone (AUC 0.86), but it needs external validation before use.

SUMMARY: This review describes using monitored anesthesia care with surgeon-administered local soft tissue infiltration as the sole anesthetic for short cephalomedullary nailing in medically complex, high-risk hip fracture patients.

SUMMARY: In 51 severe pilon fractures, a two-stage approach (limited articular fixation with temporary external fixation, then medial plating) had no secondary arthrodeses and trended toward better motion and function, so authors favor it with extensive soft tissue damage.

SUMMARY: A low-cost drop-tower setup (about 947 euros) reliably produced distal radius fractures, mostly AO/OTA type C, in 15 tissue-intact full-length cadaveric forearms, offering a usable model for testing immobilization devices.

SUMMARY: In a national trauma database, surgery within 24 hours of admission for thoracic spinal cord injury, isolated or polytrauma, was linked to fewer complications and better discharge disposition than later surgery.

SUMMARY: In 115 older patients with osteoporotic fractures, leg phase angle predicted discharge ADL (FIM-motor), grip strength, and muscle mass, suggesting segmental phase angle may help guide rehabilitation intervention choices.

SUMMARY: In a prospective randomized study of 94 tibial shaft fractures, reamed nailing gave earlier union in closed fractures without added complications, and reaming did not raise complication risk in open fractures.

SUMMARY: This classic paper presents the UTMB/Cierny-Mader staging system for adult osteomyelitis, combining four anatomic types with three host classes into 12 stages to guide treatment decisions and allow comparison of results.

SUMMARY: In 205 patients with metastatic femoral disease, a long uncemented modular stem had a 1% two-year reintervention risk and no revisions for loosening, supporting its use in selected patients.