Strategies in Trauma and Limb Reconstruction This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Reconstruction of the DRUJ in a young adult after resection of a large exostosis of the distal radius
We present a case of reconstruction of the DRUJ with distraction lengthening of the ulna after resection of a large exostosis of the distal radius that had resulted in a malformed and dysplastic ulna. This treatment in a young patient resulted in a stable, functional and congruent distal radioulnar joint. (Source: Strategies in Trauma and Limb Reconstruction)
Source: Strategies in Trauma and Limb Reconstruction - April 15, 2015 Category: Orthopaedics Source Type: research

Limb reconstruction in Ollier’s disease
We present our experience of lengthening and correction of complex deformities in the management of patients with Ollier’s dysplasia (multiple enchondromatosis) from 1985 and 2002. All patients were under 18 years with a minimum follow-up time of 2 years (mean 9.6 years, range 2–15 years). There were a total of ten patients of which seven were male and three female. The mean age at presentation was 10.7 years (range 5–17 years; SD 3.7 years). The total length gain was 42.3 mm (range 30–110 mm; SD 28.9 mm). The number of days in external fixation was 164.8 days (range 76–244 days; SD 42.9 days). The b...
Source: Strategies in Trauma and Limb Reconstruction - April 10, 2015 Category: Orthopaedics Source Type: research

Femoral supracondylar focal dome osteotomy with plate fixation for acute correction of frontal plane knee deformity
Abstract Focal dome osteotomy (FDO) allows deformity correction without secondary translational deformity. The purpose of this study was to evaluate the degree of correction and knee functional outcome after correction of frontal knee deformity using femoral supracondylar FDO fixed with plate and screws. A prospective study included 12 consecutive cases of femoral frontal plane deformity that underwent correction using supracondylar focal osteotomy fixed by plate and screws. Average age was 27 years, while mean follow-up was 2.1 years. Functional assessment was done using the Hospital for Special Surger...
Source: Strategies in Trauma and Limb Reconstruction - April 10, 2015 Category: Orthopaedics Source Type: research

An accurate method of determining a single-plane osteotomy to correct a combined rotational and angular deformity
Abstract Conventional osteotomy used for the correction of deformity is performed out of the plane of deformity creating a wedge either opening or closing when the deformity is corrected. Deformity that is a combination of rotation and angulation exists in a single plane that is oblique to the coronal, sagittal and axial planes depending on the magnitude of deformity measured in each plane. Accurate planning and a simple method of finding this oblique plane operatively is presented. This method starts by finding the bisector of angulation. This is marked by a wire that lies in the plane of angulati...
Source: Strategies in Trauma and Limb Reconstruction - April 9, 2015 Category: Orthopaedics Source Type: research

Bone transport through an induced membrane in the management of tibial bone defects resulting from chronic osteomyelitis
In this study, we investigate the efficacy of physician-directed antibiotic-impregnated PMMA spacers in achieving remission of chronic tibial osteomyelitis. This retrospective case series involves eight patients with chronic osteomyelitis of the tibial diaphysis managed with bone transport through an induced membrane using circular external fixation. All patients were treated according to a standardized treatment protocol. A review of the anatomical nature of the disease, the physiological status of the host and the outcome of treatment in terms of remission of infection, time to union and the complications that occurred w...
Source: Strategies in Trauma and Limb Reconstruction - April 4, 2015 Category: Orthopaedics Source Type: research

Reviewers 2014
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Source: Strategies in Trauma and Limb Reconstruction - March 28, 2015 Category: Orthopaedics Source Type: research

The role of soft-tissue traction forces in bone segment transport for callus distraction
This study demonstrates that soft tissues are of relevance biomechanically in bone segment transport. The size of the bone segment and the selection of the region for osteotomy are of utmost importance in defining the treatment procedure. (Source: Strategies in Trauma and Limb Reconstruction)
Source: Strategies in Trauma and Limb Reconstruction - March 28, 2015 Category: Orthopaedics Source Type: research

Retrograde intramedullary nailing for the treatment of femoral medial condyle fracture nonunion
We report the case of an elderly osteoporotic patient with a medial condyle fracture nonunion treated successfully through retrograde intramedullary nailing. A 78-year-old osteoporotic woman suffered medial condyle fracture of the femur 9 months before visiting our hospital. She had been treated conservatively, and the fracture demonstrated a complete nonunion with gross instability. The edge fragments appeared sclerotic, and the nonunion site was accompanied by a bony defect. Although fixation by a plate and screw is the standard method for the treatment of such fracture, we judged that stability would be difficult to ac...
Source: Strategies in Trauma and Limb Reconstruction - March 13, 2015 Category: Orthopaedics Source Type: research

The Ilizarov method for the treatment of complex tibial fractures and non-unions in a mass casualty setting: the 2005 earthquake in Pakistan
We report our experience in treating victims of the recent earthquake disaster in Pakistan. Our experience was based on two humanitarian missions to Islamabad: one in October 2005, 10 days after the earthquake, and the second in January 2006. The mission consisted of a team of orthopaedic surgeons and a second team of plastic surgeons. The orthopaedic team bought all the equipment for application of Ilizarov external fixators. We treated patients who had already received basic treatment in the region of the disaster and subsequently had been evacuated to Islamabad. During the first visit, we treated 12 injured limbs in 11...
Source: Strategies in Trauma and Limb Reconstruction - March 12, 2015 Category: Orthopaedics Source Type: research

Limb salvage in a partially amputated distal femur with extensive segmental bone loss using the nailing after lengthening technique: a case report
Abstract Segmental long bone defects resulting from high-energy trauma with severe soft tissue loss are difficult problems to manage. Amputation was for a long time the primary mainstay of treatment. This is the report on a 15-year-old male patient who sustained a third-degree open, traumatic fracture with partial amputation of the left distal femur and extensive bone loss of 26 cm. Successful limb salvage was performed after vascular repair, shortening of the bone defect, primary placement of an antibiotic cement spacer and simple external fixation. This was followed by bifocal lengthening modify...
Source: Strategies in Trauma and Limb Reconstruction - March 10, 2015 Category: Orthopaedics Source Type: research

“Open-book” pelvic fracture with soft tissue serious damage in a child
Abstract Open-book fractures of the pelvis are uncommon during childhood and require urgent treatment from the association with other abdominal, vascular or nervous injuries. The case discussed is an open-book fracture (type B1, Tile classification) associated with triradiate cartilage injury (type I, Salter–Harris classification) in an 11-year-old female. Surgical treatment was delayed for 2 months due to an associated extensive cutaneous lesion which required an adequate treatment. The delayed intervention did not affect the radiological and clinical healing of the fracture. (Source: Strategies in Tr...
Source: Strategies in Trauma and Limb Reconstruction - March 6, 2015 Category: Orthopaedics Source Type: research

Mechanical rigidity of the Ortho-SUV frame compared to the Ilizarov frame in the correction of femoral deformity
Abstract The Ortho-SUV frame (OSF) is a novel hexapod circular external fixator which draws upon the innovation of the Ilizarov method and the advantages of hexapod construction in the three-dimensional control of bone segments. Stability of fixation is critical to the success or failure of an external circular fixator for fracture or osteotomy healing. In vitro biomechanical modelling study was performed comparing the stability of the OSF under load in both original form and after dynamisation to the Ilizarov fixator in all zones of the femur utilising optimal frame configuration. A superior perfo...
Source: Strategies in Trauma and Limb Reconstruction - February 26, 2015 Category: Orthopaedics Source Type: research

Clinical results of the re-fixation of a Chevron olecranon osteotomy using an intramedullary cancellous screw and suture tension band
In this study, an evaluation of the re-fixation of the Chevron osteotomy through a cancellous screw and suture tension band was performed. The data of 19 patients in whom a Chevron osteotomy was re-fixated with a cancellous screw in combination with a suture tension band were used. Evaluation was performed by assessment of the post-operative X-rays and documentation of complications. In all 19 cases, evaluation of the post-operative X-rays showed complete consolidation without dislocation or other complications. Re-fixation of a Chevron osteotomy of the olecranon with a large cancellous screw with a suture tension band pro...
Source: Strategies in Trauma and Limb Reconstruction - February 19, 2015 Category: Orthopaedics Source Type: research

Surgical treatment of intra-articular calcaneal fractures: description of a technique using an adjustable uniplanar external fixator
Abstract Several surgical techniques are available for the treatment of intra-articular calcaneal fractures. The use of a uniplanar external fixator is an option for the treatment of fractures classified as Sanders types 2 and 3. Satisfactory reduction and stabilisation of the fracture are achieved by means of mini-incisions and fixator adjustment. The advantages of this technique include less soft-tissue damage, avoidance of internal implants and early weight-bearing with the potential to improve postoperative recovery. (Source: Strategies in Trauma and Limb Reconstruction)
Source: Strategies in Trauma and Limb Reconstruction - December 25, 2014 Category: Orthopaedics Source Type: research

Adjuvant treatment of chronic osteomyelitis of the tibia following exogenous trauma using OSTEOSET ® -T: a review of 21 patients in a regional trauma centre
Abstract Surgical debridement and prolonged systemic antibiotic therapy are an established management strategy for infection after tibial fractures. Local antibiotic delivery via cement beads has shown improved outcome but requires further surgery for extraction of beads. OSTEOSET®-T is a resorbable bone void filler composed of calcium sulphate and 4 % tobramycin that is packed easily into bone defects. This is a review of the outcomes of 21 patients treated with OSTEOSET®-T for osteomyelitis of the tibia. This is a retrospective case note and clinical review. In all cases, the strategy was debridement...
Source: Strategies in Trauma and Limb Reconstruction - December 25, 2014 Category: Orthopaedics Source Type: research