Medicine and Health Sciences Commons^™

Cost Analysis Of Implementing An Exercise Program For Fall And Fracture Prevention In Older Adults On Proton Pump Inhibitor Therapy, Thomas Adam Wichelmann, Nhan Dang, David H. Kruchko, Sufyan Abdulmujeeb, Eli D. Ehrenpreis

Journal of Patient-Centered Research and Reviews

Purpose: Falls have significant financial impact. Proton pump inhibitor (PPI) therapy is associated with an increased risk of falls and fractures. Exercise programs have been shown to decrease risk of falls in the elderly population and are recommended by the U.S. Preventive Services Task Force for patients over age 65 to reduce falls. Our study aimed to explore the potential financial benefit of implementing three different Centers for Disease Control and Prevention-recommended exercise-based interventions for fall prevention (Tai Chi, Stepping On, and Otago Exercise Program) in ≥ 65-year-old patients on PPI therapy.

Methods: A Markov model was developed to predict …

Long-Term Functional Outcome Of Knee After Antegrade Versus Retrograde Intramedullary Nailing For Femoral Fracture, Adel I. El-Seedy, Elsayed M. Zaki, Ibrahim F. El-Sheikh, Samy A. Sakr

Menoufia Medical Journal

Objectives To evaluate functional outcomes of the knee after antegrade and retrograde intramedullary nailing for femoral shaft fractures in adults. Background Antegrade reamed interlocked intramedullary nailing is the treatment of choice for femoral diaphyseal fractures. More recently, retrograde intramedullary nailing of the femur has been seen as a viable alternative to the antegrade nailing. Patients and methods This was a prospective comparative study. A total of 40 patients were divided randomly by a closed envelope technique into two equal group: group A (antegrade nailing) and group B (retrograde nailing). A total of 20 patients with shaft femur fractures had interlocking …

Management Of Nonunion Of Diaphyseal Femoral Fractures Using Exchange Nailing Versus Plate Augmentation, Amr A. Kandeel, Mahmoud M. Hadhoud, Ramzy M. A. Mostafa

Menoufia Medical Journal

Objectives The aim of this study was to compare the clinical and radiographic outcomes of exchange nailing versus plate augmentation for the management of patients with nonunion of diaphyseal femoral fractures. Background Due to its superior biomechanical and biological properties, intramedullary nailing of the femur has enjoyed widespread acceptance in the management of femoral diaphyseal fractures. However, nonunion occasionally occurs secondary to malreduction, inaccurate implant placement, and unfavorable fracture pattern. Patients and methods This was an interventional prospective cohort study to evaluate the treatment options, which was conducted at the Department of Orthopedics and Traumatology, Menoufia University Hospital between May …

Cartilage Restoration Of The Patella Using Prochondrix® Osteochondral Allograft: A Case Report, Evan D. Boyd, Michael S. Barnum, James R. Slauterbeck

Western Journal of Orthopaedics

Articular cartilage injuries are challenging to treat because of the limited healing potential of articular cartilage. Various cartilage restoration procedures have been developed to restore the protective role of articular cartilage and to delay or prevent additional damage to the articular surface. ProChondrix® Cartilage Restoration Matrix is a cryopreserved hyaline cartilage allograft with viable chondrocytes and growth factors necessary to promote its incorporation and viability. We describe a 19-year-old man with a well-contained, full-thickness cartilage defect on his patella. He subsequently underwent cartilage restoration with a ProChondrix® osteochondral allograft. At 1-year postoperatively, the patient had both clinical and radiographic evidence …

Prevalence And Clinical Outcome Of Sympathetic Chain Injury After Anterior Approach To Upper Lumbar Fractures, Hazem Alkosha, Basem Awad, Hesham Elsobky, Ashraf Zidan, Amin Sabry

Advanced Spine Journal

Background data: The sympathetic chain is a vulnerable structure in anterior reconstructive surgeries to upper lumbar fractures. Purpose: To explore the prevalence of sympathetic chain injuries following the anterior surgical approach to treat upper lumbar fractures and their impact on clinical outcomes. Study design: A nonrandomized prospective cohort study. Patients and Methods: Consecutive cases with upper lumbar fractures that undergone surgery by either anterior or posterior approaches were preoperatively and postoperatively evaluated for sympathetic chain injury and followed up six months after surgery to explore outcomes. Two simple, valid, and reliable bedside tests were used to assess sympathetic functions: the …

Aspetic Nonunion Of Long Bones In Children: A Report Of Twelve Cases, Rami Khalifa, Amr Abdelgawad, Ahmed M. Thabet

Western Journal of Orthopaedics

Background: There are very few reports in the literature that directly address nonunion in children. The current study aimed to present a series of long bones nonunion in children following fractures and corrective osteotomies. Methods: This was a retrospective study that included pediatric patients diagnosed with nonunion following long bone fractures or corrective osteotomies. Patients with nonunion following femoral neck or lateral humeral condyle fractures were excluded. The clinical and radiological records were retrospectively analyzed. Results: Eight patients developed nonunion after fractures, while four patients had nonunion after corrective osteotomies. The mean age at the time of surgical procedure for …

Mesh Plate Fixation For Complex Patella Fractures: A Surgical Technique, Rami Khalifia, Eric Potter, Sherif Dabash, Richard S. Yoon

Western Journal of Orthopaedics

Different types of low-profile plates have been designed for fixation of complex patellar fractures. Plate fixation of patella fractures provides stable fixation and allows earlier mobilization. This report describes three cases of complex patellar fractures. The report includes a detailed description and tips of the surgical technique

Identification And Management Of Injuries Associated With Femoral Shaft Fracture, Brian N. Hodges, Thomas A. Decoster

Western Journal of Orthopaedics

Femoral shaft fractures are common injuries typically due to high-energy trauma. Injuries associated with femoral shaft fractures include ipsilateral femoral neck fractures, ipsilateral distal femur fractures, ipsilateral patella fractures, ipsilateral tibial shaft fractures, ipsilateral knee ligament injuries, acetabular and pelvis fractures, and small bone fractures. These injuries can go unnoticed, and it is important to recognize and treat these injuries accordingly.

The Pediatric Orthopaedic Trauma Season: Does It Exist?, Ava A. Boswell, Seth B. Mccord, Cole L. Paffett, Anthony Kallur

UNM Orthopaedic Research Journal

Background: It remains unclear whether pediatric trauma, including fracture, occurs more frequently at a certain time of the year. We developed a database based on the University of New Mexico orthopaedics consult log (OCL) with the aim of determining whether pediatric fractures have a seasonal predilection.

Methods: The OCL for 2009 and 2010, representing a total of 2385 patient visits, was reviewed, and data on patients who were 17 years of age or younger who were treated for trauma were collected. The months and seasons of the year in which the trauma occurred were recorded.

Results: The OCL for 2009 …

Acute Head Trauma - A Multidetector Computed Tomography Scanning Study, El-Sayed El-Mekkawy El-Sayed, Ousama Abdelmohsen Youssef Elsayes

Menoufia Medical Journal

Objective The present work was designed to evaluate the role of multidetector computed tomography (CT) scanning in the diagnosis of sequelae of acute head trauma. Background Head trauma is a major cause of death and disability. CT of the head is commonly considered to be the imaging modality of choice for the diagnosis of sequelae of acute head trauma. CT imaging has vastly improved from single-section scanning to the present multidetector row CT (MDCT). MDCT has improved the diagnostic value through the availability of postprocessing techniques such as multiplanar reformation and three-dimensional reconstruction imaging. Methods We studied 63 patients, aged …

Ultrasonography Diagnosis Of A Neglected Femoral Fracture In A Child: A Casereport, Yi-Chia Yeh, Shu-Min Chen, Ta-Shen Kuan, Chii-Jeng Lin

Rehabilitation Practice and Science

Ultrasonography is sensitive and reliable for detecting pediatric fractures, including incomplete fractures, clavicle fractures, and fractures in unossified bones. Ultrasonography is also a good imaging modality for pediatric bone healing.A 1-year-5-month-old boy suffered from a painful mass on the left thigh due to a traction injury. His parents brought him to the emergency room, and the initial impression was soft tissue injury. The patient presented with disabling pain and was unable to walk for a few days following the injury. Ultrasonography was scheduled and revealed cortical disruption of the femoral shaft with irregular hyperechoic materials over the area of cortical …