JOURNAL OF ORTHOPAEDIC TRAUMA

The Use Of External Beam Radiation Therapy For Heterotopic Ossification Prophylaxis After Surgical Fixation Of Acetabular Fractures: A Randomized Controlled Trial
Boissonneault A, O'Hara NN, Slobogean GP, Meyer A, Maceroli M, Sciadini MF, Nascone JW, Gage MJ, Lin J, Hanasoge S, Shelton J, Rana Z, Mishra M and O'Toole RV
To determine the effect of external beam radiation (XRT) on preventing severe heterotopic ossification (HO) after acetabular surgery.
Are Drains Associated With Infection After Operative Fixation of High-Risk Tibial Plateau and Pilon Fractures?
Boissonneault A, O'Toole RV, Hayda R, Reid JS, Caroom C, Carlini A, Dagal A, Castillo R, Karunakar M, Matuszewski P, Hymes R, O'Hara NN and
To determine the association between closed suction drainage and postoperative infection in patients with tibial plateau or pilon fractures. Secondarily, this study assessed if intrawound vancomycin powder modified the association of closed surgical drains with infection.
Pelvic Binder Radiography Is Safe and Feasible for Quantifying Fracture Instability in LC1 Pelvis Fractures: A Clinical Trial
Patterson JT, Duong AM, Flynn C, Kim A, Inaba K, Reddy S, Blumenthal SR and Gary JL
To demonstrate fracture displacement, patient tolerance, and in-hospital safety quantifying lateral compression type 1 (LC1) pelvis fracture stability with awake stress radiography using a pelvic binder (PBR).
Tibial Malalignment is an Independent Predictor of Nonunion After Intramedullary Nailing of Tibial Shaft Fractures
Goch A, Healey K, Zingas N, Raffetto M, McKibben N, Benzel C, Stockton DJ, O'Hara NN, Slobogean GP, Nascone JW and O'Toole RV
This study aimed to assess the relationship between postoperative alignment and nonunion in patients with tibial shaft fractures treated with intramedullary nailing.
AO Trauma North America Funded Research: Fellows and Early Career Grants. A Tribute to Andrew Burgess
Firoozabadi R
Pelvic Fracture in Multiple Trauma: Classification by Mechanism is Key to Pattern of Organ Injury, Resuscitative Requirements, and Outcome
Andrew R. Burgess: Leader and Trailblazer in Orthopaedic Trauma
Gary JL and Routt MLC
Development of a Surgical Difficulty Score for Open Reduction Internal Fixation of Pilon Fractures
Burns D, Abbas A, Dasari S, Prabhakar P and Hebert-Davies J
To identify characteristics that contribute to surgical complexity in pilon fractures and to develop a machine learning (ML) Pilon Surgical Difficulty Score (PSDS) based on these factors.
Ipsilateral Femoral Neck and Shaft Fractures: Complex Injuries With High Rates of Femoral Shaft Nonunion
Haase DR, Saiz AM, Eastman JG, Achor TS, Choo AM, Munz JW and Warner SJ
To investigate nonunion rates and risk factors in patients with ipsilateral femoral neck and shaft fractures.
Effects of Tranexamic Acid on Human Osteoblasts as Proxy for Fracture Healing
Abraham A, Meyers DN, Rieger WD, Anthony R, Aparicio H, Park AY, Kellam JF and Ambrose CG
To investigate the effect of tranexamic acid (TXA) through in vitro culture of primary human osteoblasts (HOB) and in vivo using an operative rat femur fracture model. It was hypothesized that there would not be any effect on fracture healing in both studies.
The Effects of a Stepped-Care Mental Health Program on Trauma Recidivism at a Level 1 Trauma Center
Rivas GA, Gammel J, George K, Ruggiero KJ, Davidson T, Espeleta HC, Hartsock L and Reid K
This study aimed to analyze the effects of a stepped-care mental health program (TRRP) on trauma recidivism at a single institution.
Occupational Radiation Exposure During Intraoperative 3-Dimensional Fluoroscopy in Pelvis and Acetabular Surgery
Gosselin MM, Ngo DH, Levack AE, Kutzler MA, Osunbayo O, Feng JC, Gary JL, Warner SJ and Routt MLC
To quantify the occupational radiation exposure with a 3-dimensional (3D) fluoroscopic machine during routine use in pelvic and acetabular surgery and to determine whether the additional radiation exposure encountered with the 3D fluoroscopic spin is within previously accepted limits.
Biomechanical Analysis of a Modified Triangular Osteosynthesis Technique for Treatment of Spinopelvic Dissociation
Voort WV, O'Donnell E, Haffner M, Garcia-Nolan T, Simister SK, Le H, Klineberg E, Eastman JG and Saiz AM
The purpose of this study was to evaluate the biomechanical stability of a modified triangular osteosynthesis construct with S1 pedicle screws compared with other described lumbopelvic fixation constructs in a U-type sacral fracture model.
Iron Chelators Augment Large Osteochondral Allograft Osseointegration in a Preclinical Canine Model
Cook JL, Drager J, Bozynski CC, Stoker AM, Kuroki K, Stannard JP, Felice H, Fahs A, Cook CR, Ramírez-GarcíaLuna JL, Hadidi L, Merle G and Crist BD
Osteochondral allograft transplantation (OCAT) can be a successful joint restoration treatment option for large post-traumatic articular defects but is still associated with significant revision and failure rates. Despite recent advances that have improved OCAT success, insufficient osteochondral allograft (OCA) osseointegration remains a major cause of failure. Deferoxamine (DFO) is an effective angiogenic and osteo-anabolic iron chelator that consistently promotes bone neovascularization and regeneration. This study was designed to investigate local delivery of DFO for augmenting OCA osseointegration using a preclinical canine model for OCAT in the knee and hip as commonly affected joints.
Reverse Total Shoulder Arthroplasty for Acute Proximal Humerus Fractures: Is Delay Associated With an Increased Rate of Reoperation?
Tat J, Nam D, Thiruchelvam D, Paterson JM and Sheth U
To compare reoperation rates of acute versus delayed reverse total shoulder arthroplasty (RTSA) following a period of nonoperative treatment for proximal humerus fractures (PHFs). We also aimed to identify an optimal time interval from PHF to RTSA before the risk of reoperation significantly increased.
Inability to Remove Locking Screws from the Femoral Neck System due to Stripping of the Screwdriver within the Locking Screw Head
Park JW, Cha YH, Kim JW, Kim HS, Nho JH, Jang BW, Kim JT, Kim JK, Kim TY, Kim KC and Lee YK
The purposes of this study were to investigate the frequency of screwdriver stripping in the head of the locking screw that attaches to the side plate to the femur shaft among the patients who underwent implant removal after Femoral Neck System (FNS) for femoral neck fracture, to determine the risk factors for locking head screw stripping in FNS treatment of femoral neck fracture, and to suggest a surgical tip that removes FNS, which is difficult to remove due to screw stripping.
Hardware Removal After Lisfranc ORIF Results in Improved Physical Function
Sroka O, Campbell M, Thorne T, Haller J, Rothberg D, Higgins T and Marchand L
The purpose of this study was to investigate whether HWR after Lisfranc ORIF resulted in significant impact via PROMIS physical function (PF) and pain intensity (PI) scores.
Outpatient Upper Extremity Fracture Surgery Is Associated with Increased Post-operative Emergency Department Visits
Lans J, Beagles CB, Watkins IT, Lechtig A, Garg R and Chen NC
This study aimed to determine if outpatient upper extremity fracture surgery was associated with increased post-operative ED visits and identify related risk factors.
Bicortical Compression and Construct Stability With Variable Pitch Locking Screws in Cadaveric Specimens
Koroneos ZA, Alwine S, Tortora P, Pitcher M, Benedict C, Wee H, Kunselman A, Aynardi M and Lewis GS
A variable pitch locking screw is intended to provide interfragmentary compression combined with fixed angle stability of locking plate constructs. The objective of this study was to compare variable pitch locking screws (3.5-mm KreuLock Ti locking compression screws, Arthrex Inc., Naples, FL) with standard locking screws (from the same manufacturer) in bicortical fixation scenarios in cadaver bone by assessing (1) interfragmentary compression and plate-bone compression and (2) construct biomechanical stability.
Cast-OFF 2: one week versus three to five weeks of plaster cast immobilization for non-or minimally displaced distal radius fractures, a stepped wedge cluster randomized controlled trial
de Bruijn MAN, Boersma EZ, van Silfhout L, van Ginkel LA, Tromp TN, van de Krol E, Edwards MJR, Stirler VMA, Hermans E and
Implementation of one week of cast immobilization followed by gradually increasing wrist mobilization for non- or minimally displaced DRF and comparison of the functional outcomes and pain scores with the usual care (three to five weeks of cast immobilization).
Timing of radiographic healing for distal femur fractures treated with intramedullary nails
Brodke D, Devana S, Hernandez A, O'Hara N, Burke C, Gupta J, McKibben N, O'Toole R, Morellato J, Gillon H, Walters M, Barber C, Perdue P, Dekeyser G, Steffenson L, Marchand L, Fairres MJ, Black L, Roddy E, El Naga A, Hogue M, Gulbrandsen T, Atassi O, Mitchell T, Shymon S, Working Z and Lee C
This study aimed to profile modified Radiographic Union Scale for Tibia (mRUST) scores over time in distal femur fractures treated with intramedullary nails and identify predictors of radiographic union timing and delayed progression.