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Volume Vii (2018), Unm Department Of Orthopaedic Surgery
Volume Vii (2018), Unm Department Of Orthopaedic Surgery
UNM Orthopaedic Research Journal
No abstract provided.
Front Matter, Unm Department Of Orthopaedic Surgery
Front Matter, Unm Department Of Orthopaedic Surgery
UNM Orthopaedic Research Journal
No abstract provided.
Faculty, Unm Department Of Orthopaedic Surgery
Faculty, Unm Department Of Orthopaedic Surgery
UNM Orthopaedic Research Journal
No abstract provided.
Residents, Unm Department Of Orthopaedic Surgery
Residents, Unm Department Of Orthopaedic Surgery
UNM Orthopaedic Research Journal
No abstract provided.
Mid-Level Providers, Unm Department Of Orthopaedic Surgery
Mid-Level Providers, Unm Department Of Orthopaedic Surgery
UNM Orthopaedic Research Journal
No abstract provided.
Physical Therapy Faculty, Unm Department Of Orthopaedic Surgery
Physical Therapy Faculty, Unm Department Of Orthopaedic Surgery
UNM Orthopaedic Research Journal
No abstract provided.
Division Of Research, Unm Department Of Orthopaedic Surgery
Division Of Research, Unm Department Of Orthopaedic Surgery
UNM Orthopaedic Research Journal
No abstract provided.
Fellows And Chiefs, Unm Department Of Orthopaedic Surgery
Fellows And Chiefs, Unm Department Of Orthopaedic Surgery
UNM Orthopaedic Research Journal
No abstract provided.
Letter From The Chair, Unm Department Of Orthopaedic Surgery
Letter From The Chair, Unm Department Of Orthopaedic Surgery
UNM Orthopaedic Research Journal
No abstract provided.
Letter From The Chief Of The Division Of Physical Therapy, Unm Department Of Orthopaedic Surgery
Letter From The Chief Of The Division Of Physical Therapy, Unm Department Of Orthopaedic Surgery
UNM Orthopaedic Research Journal
No abstract provided.
Letter From The Co-Editors, Unm Department Of Orthopaedic Surgery
Letter From The Co-Editors, Unm Department Of Orthopaedic Surgery
UNM Orthopaedic Research Journal
No abstract provided.
Alumni Map, Unm Department Of Orthopaedic Surgery
Alumni Map, Unm Department Of Orthopaedic Surgery
UNM Orthopaedic Research Journal
No abstract provided.
Primary Fusion For Treating High-Energy Intraarticular Fractures Of The Distal Tibia: A Review, Tony G. Pedri
Primary Fusion For Treating High-Energy Intraarticular Fractures Of The Distal Tibia: A Review, Tony G. Pedri
UNM Orthopaedic Research Journal
Orthopaedic surgeons on-call often see patients with fractures of the distal tibia involving the articular surface, with extension proximal into the metaphysis, or intraarticular distal tibia fractures. These injuries pose unique challenges owing to the typical highenergy mechanism, articular-surface involvement, high degree of comminution, and typically large soft-tissue injury. Treatment has evolved greatly with the advent of modern fracture-fixation techniques and implants. However, a large percentage of patients continue to report poor subjective outcomes. Nearly all of these patients develop posttraumatic arthritis, with the most severe often requiring further reconstructive or fusion procedures once healed to treat the symptoms. Recent …
Below-Knee Amputations: A Review, Erika L. Garbrecht
Below-Knee Amputations: A Review, Erika L. Garbrecht
UNM Orthopaedic Research Journal
At our institution, physicians from the orthopaedic department perform a considerable proportion of below-knee amputations. These amputations are performed to treat non-traumatic and traumatic injuries. However, the outcomes of amputation are not discussed as often in our educational experience as those of other procedures. The current review examines the current and relevant studies for indications and outcomes of patients with non-traumatic and traumatic conditions treated with below-knee amputations.
Controversies In Treatment Of Pediatric Supracondylar Humerus Fractures: A Review, Brielle Payne Plost
Controversies In Treatment Of Pediatric Supracondylar Humerus Fractures: A Review, Brielle Payne Plost
UNM Orthopaedic Research Journal
Although supracondylar humerus fractures are one of the most common fractures in children, there remains notable controversy regarding several treatment aspects. Controversial topics include fixation of ipsilateral forearm fractures, treatment of type II supracondylar humerus fractures, pin configuration, timing of operative intervention, and treatment of supracondylar humerus fractures with a vascular injury. Studies have supported both closed and open reduction for treating ipsilateral forearm fractures associated with supracondylar humerus fractures. For type II supracondylar humerus fractures, some studies support nonoperative treatment owing to risks associated with operative treatment such as pin-site infections. However, other studies support operative fixation because of …
Retrograde Nailing For Treating Femoral Shaft Fractures: A Review, Thomas A. Decoster, Brianna N. Patti
Retrograde Nailing For Treating Femoral Shaft Fractures: A Review, Thomas A. Decoster, Brianna N. Patti
UNM Orthopaedic Research Journal
Rigid intramedullary nailing is an effective procedure for treating fractures of the femoral shaft. Although antegrade nailing is the traditionally used technique, retrograde nailing offers various advantages. A companion article published in the seventh volume of The University of New Mexico Orthopaedics Research Journal addressed antegrade femoral nailing. This review will describe retrograde nailing of femoral shaft fractures, including a brief history, indications, detailed technique, outcomes, advice (or “pearls”), and common failures (or “pitfalls”). Retrograde nailing for treating femoral shaft fractures can provide successful results similar to those of antegrade nailing in general and advantages in particular situations such as …
Open Fractures: A Review, Alex Telis
Open Fractures: A Review, Alex Telis
UNM Orthopaedic Research Journal
Open fractures occur most commonly in men aged more than 50 years, which may result in lifetime costs for patients and healthcare systems. In the past 5 years, high-quality evidence for direct treatment of these fractures has increased. The expedient administration of intravenous antibiotics continues to be one of the most predictive factors of infection prevention. Open fractures are complicated injuries to classify owing to multiple factors that will be reviewed in the current study: severity of fracture and soft-tissue injury, thoroughness of debridement, time to initial treatment, modality of antibiotic delivery, and timing of definitive fracture fixation and soft-tissue …
Correlating Patient-Specific Anthropometric Variables With Soft-Tissue Thickness At The Superolateral Arthrocentesis Entry Site To The Knee, Savannah P. Krebsbach, Tony G. Pedri, Paul J. Johnson, Christina G. Kurnik, Gehron P. Treme
Correlating Patient-Specific Anthropometric Variables With Soft-Tissue Thickness At The Superolateral Arthrocentesis Entry Site To The Knee, Savannah P. Krebsbach, Tony G. Pedri, Paul J. Johnson, Christina G. Kurnik, Gehron P. Treme
UNM Orthopaedic Research Journal
Background: Irrigation for treating septic joints in adults in the emergency department is possible but requires the development of novel systems that fit all body habitus. However, varying body habitus and age of patients may affect the amount of soft tissue surrounding the knee joint capsule. We examined whether the dimensions of the soft-tissue thickness at the superolateral approach of entry to the arthrocentesis site correlated with patient anthropometric data such as age, sex, height, weight, and body mass index (BMI, kg/m2).
Methods: Using the diagnosis code 844.2 (International Classification of Diseases, Ninth Revision), we reviewed findings of magnetic resonance …
Clinical And Radiographic Comparison Between Patients With Achilles Midsubstance Ruptures And Achilles Sleeve Avulsions, Christopher L. Shultz, Matthew G. Wharton, Katherine J. Gavin, Richard A. Miller
Clinical And Radiographic Comparison Between Patients With Achilles Midsubstance Ruptures And Achilles Sleeve Avulsions, Christopher L. Shultz, Matthew G. Wharton, Katherine J. Gavin, Richard A. Miller
UNM Orthopaedic Research Journal
No abstract provided.
Midterm Results Of An Anatomical Radial Head Arthroplasty For Treating Fractures And Degenerative Joint Diseases Of The Radial Head, Gabriel Pertierra, Lauren L. Vernon, Francisco Rubio
Midterm Results Of An Anatomical Radial Head Arthroplasty For Treating Fractures And Degenerative Joint Diseases Of The Radial Head, Gabriel Pertierra, Lauren L. Vernon, Francisco Rubio
UNM Orthopaedic Research Journal
Background: Radial head arthroplasty (RHA) is typically performed to restore elbow stability or function in patients with fractures or degenerative joint diseases. The procedure requires a specific operating technique to avoid complications such as overstuffing, capitellar erosion, stiffness, instability, micro motion, and loosening. It is difficult to restore native radial head function reliably.
Methods: We reviewed the medical records of 45 patients who underwent radial head arthroplasty using the ALIGN radial head implant (ALIGN Radial Head System, Skeletal Dynamics, Miami, FL) at our institution. A total of 15 patients met inclusion criteria and were contacted to complete a QuickDASH questionnaire, …
Simulated Method To Perform The Coleman Block Test In Educating Orthopaedic Residents Outside Of The Clinic, Taylor J. Polander, Erika L. Garbrecht, Amber L. Price, Paul J. Johnson, Richard A. Miller
Simulated Method To Perform The Coleman Block Test In Educating Orthopaedic Residents Outside Of The Clinic, Taylor J. Polander, Erika L. Garbrecht, Amber L. Price, Paul J. Johnson, Richard A. Miller
UNM Orthopaedic Research Journal
No abstract provided.
Patterns In Bone Drilling Performance Before And After The 2017 Motors Skills Course Of The Southwest Orthopaedic Trauma Association, Naghmeh Zamani, Bill Lou, Ashkan Pourkand, Christina Salas, Deana Mercer, David I. Grow
Patterns In Bone Drilling Performance Before And After The 2017 Motors Skills Course Of The Southwest Orthopaedic Trauma Association, Naghmeh Zamani, Bill Lou, Ashkan Pourkand, Christina Salas, Deana Mercer, David I. Grow
UNM Orthopaedic Research Journal
Background: Although experience within the operating room can help surgeons learn simple bone-drilling techniques, outside training may be better suited for complex procedures. We adapted a rotary handpiece to evaluate bone drilling skills of orthopaedic resident physicians during the 2017 motor skills course of the Southwest Orthopaedic Trauma Association (SWOTA).
Methods: A total of 25 postgraduate year-one orthopaedic residents from seven institutions were asked to perform a bicortical drilling task three times before and after attending a motor skills course. Kinetic and kinematic data were collected using force, acceleration, and visual sensors.
Results: A total of 16 parameters were measured. …
Pelvic Ring Emergency Stabilization System (Press), Christina Salas, Thomas R. Howdieshell, Rachel Tufaro, Lauren Long, Ava K. Mauser, Aneesha Kondapi, Sherif H. Aboubakr
Pelvic Ring Emergency Stabilization System (Press), Christina Salas, Thomas R. Howdieshell, Rachel Tufaro, Lauren Long, Ava K. Mauser, Aneesha Kondapi, Sherif H. Aboubakr
UNM Orthopaedic Research Journal
Pelvic ring fractures can be lethal owing to the potential for hemodynamic instability or arterial hemorrhage when the pelvic volume is increased. Pelvic binders are the standard of care used to provide circumferential compression to the pelvis, reducing the volume and increasing the intra-pelvic pressure. While commercially available options have been shown to provide adequate stability to the unstable pelvis, the circumferential nature of the binders limits access to the abdomen and groin regions, where accessibility is often necessary during the course of emergency treatment. We introduce a new technology known as the Pelvic Ring Emergency Stabilization System (PRESS). The …
Comparison Of Techniques Used For Application Of Hip Spica Cast To Treat Femoral Shaft Fractures In Children: Long-Term Follow-Up, Selina R. Silva, Elizabeth A. Szalay, Charlotte E. Orr, Brielle Payne Plost, Geneva Tranchida
Comparison Of Techniques Used For Application Of Hip Spica Cast To Treat Femoral Shaft Fractures In Children: Long-Term Follow-Up, Selina R. Silva, Elizabeth A. Szalay, Charlotte E. Orr, Brielle Payne Plost, Geneva Tranchida
UNM Orthopaedic Research Journal
After treatment using hip spica casts, femoral shaft fractures in children can appear well reduced in the operating room. However, the resulting bone length may quickly angulate or shorten. We describe a technique that places a well-molded hip spica cast to help decrease the risk of revision procedures and malunited fractures. We compared results of patients aged 1 to 6 years treated by one pediatric orthopaedic surgeon using the casting technique described (Group A, n = 25) to those treated by other orthopaedic surgeons who did not use the technique (Group B, n = 46). Although not statistically significant, results …
Subperiosteal Abscess Of The Distal Radius In A 13-Year-Old Boy: A Case Report, Anastasiya K. Haponyuk, Deana M. Mercer
Subperiosteal Abscess Of The Distal Radius In A 13-Year-Old Boy: A Case Report, Anastasiya K. Haponyuk, Deana M. Mercer
UNM Orthopaedic Research Journal
Children and adolescents have the tendency to develop osteomyelitis in metaphyseal sinusoids because turbulent blood flow increases the probability of bacterial growth. Osteomyelitis in children is frequently misdiagnosed owing to lack of symptoms and specific findings from laboratory tests. Without rapid antibiotic treatment of osteomyelitis, complications such as subperiosteal abscesses may occur. We describe a 13-year-old boy who underwent irrigation and debridement to treat a subperiosteal abscess of the right distal radius and ulna, caused by acute osteomyelitis. After debridement, the patient was placed on a continuous 6-week course of nafcillin infusion through a peripherally inserted central catheter (PICC). The …
Rhabdomyolysis Of The Abdominal Wall In A 23-Year-Old Football Player: A Case Report, Brandon J. Hockenberry, Christopher A. Mcgrew, Shane P. Cass, James P. Toldi
Rhabdomyolysis Of The Abdominal Wall In A 23-Year-Old Football Player: A Case Report, Brandon J. Hockenberry, Christopher A. Mcgrew, Shane P. Cass, James P. Toldi
UNM Orthopaedic Research Journal
Rhabdomyolysis is a syndrome caused by injury to skeletal muscle, which results in leakage of large quantities of potentially toxic intracellular contents into plasma. Causes include direct trauma, drug use, genetic muscle diseases, hyperthermia, seizures, ischemia, and severe exertion. We describe a rare case of exercise related rhabdomyolysis of the abdominal wall in a 23-year-old football player. He presented with painless hematuria after starting a new abdominal workout routine to lose weight. Although the workout was not excessively strenuous, it involved new exercises targeting a poorly trained muscle group. Results of initial workup indicated severely elevated levels of creatine kinase. …
Chronic Tenosynovitis Caused By Mycobacterium Avium-Intracellulare Of The Flexor Tendons In A 65-Year-Old Man: A Case Report, Kourosh M. Kolahi, Moheb S. Moneim
Chronic Tenosynovitis Caused By Mycobacterium Avium-Intracellulare Of The Flexor Tendons In A 65-Year-Old Man: A Case Report, Kourosh M. Kolahi, Moheb S. Moneim
UNM Orthopaedic Research Journal
We report a rare case of Mycobacterium aviumintracellulare flexor tenosynovitis in the hand of a 65-year-old man. The patient reported no history of penetrating trauma but was an avid gardener and presented nearly 2 years after the onset of symptoms. Our case highlights the difficulty in diagnosing mycobacterial infections owing to their lack of classic clinical and laboratory findings. Our patient underwent successful surgical debridement followed by oral antibiotic therapy, initiated 4 weeks after the culture was positive for a slow-growing organism.
Suspected Propofol-Related Infusion Syndrome After Lumbar Spinal Fusion With Total Intravenous Anesthesia: A Case Report, Tony G. Pedri, Matthew G. Wharton, Andrew J. Paterson
Suspected Propofol-Related Infusion Syndrome After Lumbar Spinal Fusion With Total Intravenous Anesthesia: A Case Report, Tony G. Pedri, Matthew G. Wharton, Andrew J. Paterson
UNM Orthopaedic Research Journal
Propofol-related infusion syndrome (PRIS) is a welldocumented yet rare complication of prolonged infusions of propofol. It is characterized by a myriad of metabolic abnormalities, including cardiac arrhythmias, rhabdomyolysis, acute kidney injury, metabolic acidosis, and other disturbances. First described in children receiving extended propofol infusions to maintain sedation while in the intensive care unit, PRIS has now been described in every age group. It typically results in death. Management of this potentially devastating complication involves supportive treatment of the metabolic problems encountered and discontinuing the use of propofol. We describe a patient with suspected PRIS who underwent a two-stage lumbar spine …
Cutaneous Manifestations In The Fingertips After A Supracondylar Humerus Fracture In A 6-Year-Old Girl: A Case Report, Dan M. Quan, Kristin M. Loker, Lauren Mercer, David M. Bennett, Deana M. Mercer
Cutaneous Manifestations In The Fingertips After A Supracondylar Humerus Fracture In A 6-Year-Old Girl: A Case Report, Dan M. Quan, Kristin M. Loker, Lauren Mercer, David M. Bennett, Deana M. Mercer
UNM Orthopaedic Research Journal
A 6-year-old girl jumped from a swing and fell on her left arm, presenting to our clinic with a supracondylar fracture of the distal humerus. The child underwent closed reduction and percutaneous pinning. At 3-week follow-up, anterior interosseous nerve palsy was noted with concurrent manifestations in the median nerve distribution. Our patient was treated nonoperatively; at 8-week follow-up spontaneous resolution of cutaneous and motor symptoms was observed. Healthcare professionals should be aware that cutaneous lesions may develop after injury to the median nerve of the proximal forearm, which can result from supracondylar humerus fractures.
Posttraumatic Radioulnar Synostosis In A 63-Year-Old Man With Isolated, Non-Displaced Ulna Shaft Fracture: A Case Report, Audrey A. Rich, Deaba M. Mercer
Posttraumatic Radioulnar Synostosis In A 63-Year-Old Man With Isolated, Non-Displaced Ulna Shaft Fracture: A Case Report, Audrey A. Rich, Deaba M. Mercer
UNM Orthopaedic Research Journal
Radioulnar synostosis in adults is a rare pathological fusion of the two forearm bones. When seen in adults, it is an uncommon complication after a minimally displaced ulnar fracture. We describe a 63-year-old man who presented with radioulnar synostosis after closed treatment of a left ulna midshaft fracture sustained 7 months earlier. At 10 weeks after presentation, the patient underwent radioulnar synostosis excision with nonsteroidal adjuvant therapy. At 18 months postoperatively, no pain was noted, with complete degree of flexion. Healthcare professionals should consider treating radioulnar synostosis with an operative excision in adults as initial management when forearm pronosupination is …