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Welcome to the Pubget Medical Subject Headings (MESH) browser. Click on a topic or subtopic below to explore related papers. In the gold box is the most recent paper about the current MESH term, and below are 20 related papers.
Fractures, Open (0):
Recent article
Fractures, Open
Abstract
Choosing the appropriate treatment for grade IIIB and IIIC open tibial fractures is a difficult decision for both the patient and the physician. Current research shows that the functional outcomes for reconstruction are similar to those for below-knee amputation, but little investigation of the qual...
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PMID: 20697318
PDF is available here.
PDF is available here.
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Abstract
Foot & Ankle International (31)11 2010
Abstract
Open ankle fractures are one of the most frequently treated open fractures. Immediate internal fixation in open ankle fractures is widely reported to produce good results, with a very low infection rate. However, there are few reports in the literature discussing distinct features of open ankle frac...
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PMID: 21189188
PDF is available here.
PDF is available here.
Abstract
We conducted a prospective 6-month audit of open tibial diaphyseal fracture management in five plastic surgery units (Bristol, Exeter, Plymouth, Salisbury, Swansea) with a collective catchment of 9.2 million people. Detailed data were collected on patient demographics, injury pattern, surgical manag...
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PMID: 21047449
PDF is available here.
PDF is available here.
Abstract
We identified 67 extremities requiring a coverage procedure out of 213 consecutive combat-related Type III open diaphyseal tibia fractures.
The 67 Type III B tibia fractures were treated with rotational or free flap coverage.
Flap failure, reoperation, infection, amputation, time to union, and visua...
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PMID: 20926962
PDF is available here.
PDF is available here.
Abstract
Extruded bone is a rare complication of open fractures associated with high energy. We describe a case of bony extrusion involving an osteoarticular segment of distal tibial treated with reimplantation and internal fixation with 18-month follow-up.
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PMID: 20926964
PDF is available here.
PDF is available here.
Abstract
We defined a septic knee as a knee with infection that required reoperation with arthrotomy or arthroscopy. Infections at an open fracture site were defined as those treated with local irrigation and débridement and intravenously and/or orally administered antibiotics.
Open femoral shaft fractures...
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PMID: 20881635
PDF is available here.
PDF is available here.
Abstract
Our results suggest that gentamicin applied to a biodegradable scaffold is effective at decreasing radiographically defined osteomyelitis in an infected open fracture....
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PMID: 20736800
PDF is available here.
PDF is available here.
Abstract
Local antibiotic delivery is a viable and attractive option for preventing infection. Unfortunately, the current options are limited and often necessitate surgical removal. This study evaluates the ability of a biodegradable and biocompatible chitosan sponge to minimize infection by delivering local...
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PMID: 20736801
PDF is available here.
PDF is available here.
Abstract
Journal of Trauma (69 Suppl 1)supplement 2010
Abstract
Treatment of combat-related open tibia fractures with external fixation was 77% successful in our series. We recorded no major complications but demonstrated the possibility for technical improvement in one of the five constructs with potential complications. Despite the recorded potential and minor...
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PMID: 20622607
PDF is available here.
PDF is available here.
Abstract
We have instituted a method of managing the problems in stages using an artificial dermis and skin grafting technique in 17 wounds in 15 individuals from Sept. 2006 to Feb. 2009. While all wounds were noted to assume aberrant healing processes, the majority of involved bony structures were devoid of...
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PMID: 20004631
PDF is available here.
PDF is available here.
Abstract
Abstract
In this series, complications were associated with delayed involvement of plastic surgeons. Retrospective analysis has shown a decreased incidence of open tibial fractures which is reported in similar studies. Gustilo grade was found to correlate with length of hospital admission and plastic surgery...
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PMID: 20501017
PDF is available here.
PDF is available here.
Journal of Trauma (68)5 2010
Abstract
Journal of Trauma (68)5 2010
Abstract
Abstract
All the patients obtained union within a mean 4.5 months. The functional scores for the shoulder (Constant) and the elbow (Mayo) were 77 and 97 points (mean), respectively.Two patients developed transient paresis related to radial nerve and musculocutaneous nerve injuries and one had a recurring fra...
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PMID: 20417912
PDF is available here.
PDF is available here.
Abstract
We report a technique without microsurgery, using Masquelet's induced membrane technique to manage the bone loss, associated to bone transport and coverage by a fasciocutaneous flap with distal pedicle. In a patient presenting with a 10 cm defect with bone exposure, this 2-step procedure allowed con...
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PMID: 20417920
PDF is available here.
PDF is available here.
Treatment for large skeletal defects by free vascularized fibular graft combined with locking plate.
Abstract
FVFG combined with locking plate is a viable option for the management of large skeletal defects from open fracture and infection....
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PMID: 19471948
PDF is available here.
PDF is available here.
Abstract
Military Medicine (175)3 2010
Abstract
Low-energy shotgun fractures involving the arm are complex injuries. Previously published reports have emphasized various problems associated with these injuries. This case report describes a low-energy shotgun wound managed by a staged treatment protocol involving: (1) a spanning external fixator a...
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PMID: 20358713
PDF is available here.
PDF is available here.
Abstract
Botulism developed in a patient following surgical repair of an open radial fracture. Symptoms resolved after treatment with antitoxin and antibiotics, and hardware excision was deferred. Subsequent osteomyelitis necessitated hardware exchange, and wound cultures grew Clostridium argentinense. This...
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PMID: 20007390
PDF is available here.
PDF is available here.
Abstract
Abstract
Abstract
We describe a simple method for fashioning an antibiotic cement-coated interlocking intramedullary nail to treat an infected tibia fracture. This technique capitalizes on local delivery of antibiotics through use of antibiotic cement with the added benefit of improving fracture stability and fixatio...
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PMID: 20305835
PDF is available here.
PDF is available here.
Abstract
Total extrusion of the talus is an unusual injury, and the obvious risks of reimplantation of the extruded bone include infection and avascular necrosis. In this article, the authors present the case of a 34-year-old man who sustained an open ankle injury with complete extrusion of the talus. The ta...
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PMID: 20015667
PDF is available here.
PDF is available here.
Abstract
Injuries at work (occupational injuries) represent a big social and economic problem. This case report presents the patient who suffered occupational injury--open fracture of the left shin. He has been hospitalized for several times at Orthopedic-Surgical Hospital "Banjica" and underwent several sur...
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PMID: 20681214
PDF is available here.
PDF is available here.
Srpski arhiv za celokupno lekarstvo (138)9-10 2010
Abstract
We recommend this method as the method of choice for the treatment of pseudoarthrosis of the tibia. The advantage consists of curing the infection using the natural bactericide power of the tissue and curing the bone defect, at the same time, and finally, producing the equalization of the legs....
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PMID: 21180097
PDF is available here.
PDF is available here.
Abstract
It is now recognized that the treatment of many orthopaedic injuries can be, and in many cases should be, deferred until a later date. For example, surgical repair of most fractures of the proximal and distal tibia is now delayed until soft-tissue healing has occurred. Acute treatment involves only...
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PMID: 20415397
PDF is available here.
PDF is available here.
Zhongguo Xiufu Chongjian Waike Zazhi/Chinese Journal of Reparative and Reconstructive Surgery (23)12 2009
Abstract
One case had skin graft necrosis 5 days after operation and healed after re-debridement, vacuum sealing drainage, and dermatoplasty. For the rest 14 patients, the incision all healed by first intention, and the skin graft, skin flaps, and muscle flaps were all survived. All wounds of the donor sites...
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PMID: 20073305
PDF is available here.
PDF is available here.
Abstract
Lower extremity trauma is common. Despite an abundance of literature on severe injuries that can be treated with salvage or amputation, the appropriate management of these injuries remains uncertain. In this situation, a cost-utility analysis is an important tool in providing an evidence-based pract...
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PMID: 19952652
PDF is available here.
PDF is available here.
Abstract
The SMFA DI and SF-36 PCS scores were highly correlated at 3, 6, and 12 months post-surgical fixation. The difference in the mean standardized change scores for SMFA DI and SF-36 PCS, from 3 to 12 months post-surgical fixation, was not statistically significant. Both the SMFA DI and SF-36 PCS scores...
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PMID: 19364637
PDF is available here.
PDF is available here.
Abstract
We present a series of 59 patients treated with retrograde Ender nailing; 56 healed in an average of 9.1 weeks, 2 had delayed union (> 15 weeks) and one went on to non-union, which healed after secondary plate fixation. Nail back out occurred in 8 cases, of which only 3 required nails repositioning....
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PMID: 19999870
PDF is available here.
PDF is available here.
Abstract
The authors' data show that the more advanced healing of fractures covered by muscle compared with fasciocutaneous tissue is not related to the vascularity of the tissues, as the latter had a higher vascular density at all time points. Therefore, provided that a flap has sufficient vascularity to ef...
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PMID: 19935305
PDF is available here.
PDF is available here.
Abstract
Control patients developed 2 acute infections (8%) and 5 delayed infections (20%), for a total of 7 deep infections (28%), whereas NPWT patients developed 0 acute infections, 2 delayed infections (5.4%), for a total of 2 deep infections (5.4%). There is a significant difference between the groups fo...
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PMID: 19704269
PDF is available here.
PDF is available here.
Abstract
A bone defect can be provoked by several pathological conditions (e.g. bone tumours, infections, major trauma with bone stock loss) or by surgical procedures, required for the appropriate treatment. Surgical techniques currently used for treating bone defects may count on different alternatives, inc...
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PMID: 19711008
PDF is available here.
PDF is available here.
Abstract
This paper analyses 80 cases of displaced proximal humerus fractures, with two or three fragments, treated by PHN nailing. The hold of the spiral blade was effective, and is particularly recommended for fractures with two fragments according to Neer's classification. The results, analysed with Const...
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PMID: 19711001
PDF is available here.
PDF is available here.
Journal of Trauma (67)2 2009
Abstract
Abstract
Full union was achieved in all patients. The shortest union time was 12 weeks and the longest 24 weeks, with an average of 15.2 weeks. Results in 15 patients (75%) were excellent, in 4 patients (20%) good and in 1 patient (5%) moderate according to Thorensen criteria. CONCLUSION: Use of expandable n...
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PMID: 19669970
PDF is available here.
PDF is available here.
Journal of Trauma (67)1 2009
Abstract
Differentially loaded radiostereometric analysis to monitor fracture stiffness: a feasibility study.
Abstract
We describe a method to monitor fracture stiffness during healing in a clinical research setting by detecting changes in fracture displacement using radiostereometric analysis and simultaneously measuring applied axial loads. A method was developed for load application, positioning of the patient, a...
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PMID: 19184262
PDF is available here.
PDF is available here.
Abstract
We hypothesized TKAs performed after infected tibial plateau fractures would have an even higher complication rate when compared with noninfected tibial plateau fractures. In a matched case-control study, we retrospectively reviewed 19 patients who underwent primary TKAs after infected tibial platea...
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PMID: 19002742
PDF is available here.
PDF is available here.
Abstract
We present an alternative technique of radiolunate fusion for the management of posttraumatic arthritis, which combines the traditional procedure with a corticocancellous autograft, created from the dorsal side of the radius that slides over the bones to be fused. That procedure provides the best en...
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PMID: 19516134
PDF is available here.
PDF is available here.
Abstract
We retrospectively reviewed the charts of 7 consecutive patients (age range, 2-12 years) who underwent this treatment. All extremities healed without flap reconstruction or amputation. Mean follow-up was 24.4 months, and mean wound size was 196 cm2. There were 2 superficial graft complications, 1 no...
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PMID: 19649348
PDF is available here.
PDF is available here.
Abstract
Abstract
Full weight-bearing periods in groups I and II were 21 and 22.4 weeks, respectively. Non-union in one case of group I was revised with circular fixator. In another case, implant removal was needed due to chronic osteomyelitis. Mal-union was detected in another. In group II, two cases needed implant...
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PMID: 19562546
PDF is available here.
PDF is available here.
Orthopedics (32)5 2009
Abstract
This article presents our experience with the use of antibiotic-impregnated calcium sulfate in the management of comminuted open fractures with a bony defect caused by combat-related blast injuries and high-energy wounds. Calcium sulfate was used 19 times in 15 patients (17 fractures) as a bone graf...
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PMID: 19472965
PDF is available here.
PDF is available here.
Orthopedics (32)5 2009
Abstract
Abstract
We report a case in which Ilizarov distraction osteogenesis was used to lengthen the portion of calcaneum that remained after a radical debridement for osteomyelitis. The patient was able to walk normally in unmodified shoes at the end of his treatment.
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PMID: 19407304
PDF is available here.
PDF is available here.
Anesthesia & Analgesia (108)4 2009
Abstract
Accidental intravascular administration of bupivacaine during performance of a brachial block precipitated convulsions followed by asystole. The patient was rapidly resuscitated using cardiopulmonary resuscitation, supplemented by 150 mL of 20% lipid emulsion. Nonetheless, cardiac toxicity reappeare...
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PMID: 19299810
PDF is available here.
PDF is available here.
Abstract
This new scoring system was thought to be useful for predicting the occurrence of deep infection in open extremity fractures. However, further prospective study or multicenter study would be needed to clarify the validity of this scale....
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PMID: 18560847
PDF is available here.
PDF is available here.
Abstract
Journal of Trauma (66)4 Suppl 2009
Abstract
Thirty-four patients (34%)--37 limbs (30%)--had sustained a total of 38 vascular injuries. Twenty-eight limbs (22.6%) had an associated fracture, 9 (7.3%) did not. Twenty-nine limbs (23.4%) required immediate revascularization to preserve their limb: 16 limbs (13%) underwent an initial Damage Contro...
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PMID: 19359958
PDF is available here.
PDF is available here.
Abstract
We retrospectively analysed 106 consecutive traumatic humeral shaft fractures over a five-year period. The mechanism of injury, age, gender, fracture types, associated injury and the presence of injury to the radial nerve were reviewed. The incidence was about 10 per 100,000 per year; most were clos...
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PMID: 18414861
PDF is available here.
PDF is available here.
Abstract
All the patients in Group A got limb salvage (10 patients were upper limb, 6 patients were lower limb), and the mean skin survival rate of degloving injury was (77.88 +/- 4.21)%. Five patients in Group A were finally treated with free flap. All the patients in Group B got limb salvage (10 patients w...
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PMID: 19366102
PDF is available here.
PDF is available here.
Zhongguo Xiufu Chongjian Waike Zazhi/Chinese Journal of Reparative and Reconstructive Surgery (23)3 2009
Abstract
The mean operation time was 94 minutes (60-132 minutes) and the mean blood loss was 122 mL (100-350 mL). The wound healed by first intention in 32 patients. Incision was sutured in 2 cases of type III a fractures after operation 4 days, gastrocnemius flap graft was performed in 1 case of type III b...
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PMID: 19366130
PDF is available here.
PDF is available here.
Abstract
MMW Fortschritte der Medizin (151)5 2009
Abstract
Abstract
All the patients were followed-up for 12 to 29 months, averaged 17 months. The cases occurrenced compilications including 2 cases of nonunion, 2 of new fracture, 1 of displacment, 4 of joint dysfunction, 3 of irritation of the bottom of the nail and 1 malunion. CONCLUSION: Strict indication, well de...
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PMID: 19281011
PDF is available here.
PDF is available here.
Abstract
We undertook direct primary closure of the skin wounds of 173 patients with Gustilo and Anderson grade-IIIA and grade-IIIB open fractures. These patients were selected from a consecutive group of 557 with type-III injuries presenting during this time. Strict criteria for inclusion in the study inclu...
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PMID: 19190057
PDF is available here.
PDF is available here.