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Glasgow K, Conway Y, Mihas AK, Coffin MD, Stallworth J, Cichos KH, Spitler CA. Does pes anserinus tenotomy affect surgical site infection rate in operative tibial plateau fractures? EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY & TRAUMATOLOGY : ORTHOPEDIE TRAUMATOLOGIE 2024; 34:615-620. [PMID: 37667112 DOI: 10.1007/s00590-023-03711-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Accepted: 08/22/2023] [Indexed: 09/06/2023]
Abstract
PURPOSE To assess if pes anserinus tenotomy (PAT) during definitive open reduction and internal fixation (ORIF) of tibial plateau fractures is associated with a decreased risk of surgical site infection (SSI) and other postoperative complications. METHODS A retrospective review of all adults who underwent ORIF for tibial plateau fractures from April 2005 to February 2022 at single level 1 trauma center was performed. Patients who had a medial approach to the plateau with minimum three-month follow-up were required for inclusion. All patients with fasciotomy for compartment syndrome or with traumatically avulsed or damaged pes anserinus prior to ORIF were excluded. Two groups were created: those who received a pes anserinus tenotomy with repair (PAT group) and those whose pes anserinus were spared and left intact (control group). Patient demographics, injury and operative characteristics, and surgical outcomes were compared. The primary outcomes were rates of deep and superficial SSI. RESULTS The PAT group had significantly lower rates of deep SSI (9.2% vs. 19.7%, P = 0.009), superficial SSI (14.2% vs. 26.5%), P = 0.007), and any SSI (15.8% vs. 28.9%, P = 0.005). Multiple logistic regression showed that heart failure (aOR = 7.215, 95% CI 2.291-22.719, P < 0.001), and presence of open fracture (aOR = 4.046, 95% CI 2.074-7.895, P < 0.001) were independently associated with increased odds of deep SSI, while PAT was associated with a decreased odds of deep SSI (aOR = 0.481, 95% CI 0.231-0.992, P = 0.048). PAT had significantly lower rates of unplanned return to the operating room (20.8% vs. 33.7%, P = 0.010) and implant removal (10.0% vs. 18.0%, P = 0.042). CONCLUSION While these data do not allow for discussion of functional recovery or strength, pes anserinus tenotomy was independently associated with significantly lower rates of infection, unplanned operation, and implant removal. LEVEL OF EVIDENCE Level III.
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Affiliation(s)
- Katie Glasgow
- Heersink School of Medicine, University of Alabama at Birmingham, 510 20th St S, Birmingham, AL, 35210, USA
| | - Yvonne Conway
- Department of Orthopaedic Surgery, University of Alabama at Birmingham, 1313 13th Street S, Birmingham, AL, 35205-5327, USA
| | - Alexander K Mihas
- Department of Orthopaedic Surgery, University of Alabama at Birmingham, 1313 13th Street S, Birmingham, AL, 35205-5327, USA
| | - Megan D Coffin
- Heersink School of Medicine, University of Alabama at Birmingham, 510 20th St S, Birmingham, AL, 35210, USA
| | - James Stallworth
- Heersink School of Medicine, University of Alabama at Birmingham, 510 20th St S, Birmingham, AL, 35210, USA
| | - Kyle H Cichos
- Department of Orthopaedic Surgery, University of Alabama at Birmingham, 1313 13th Street S, Birmingham, AL, 35205-5327, USA
| | - Clay A Spitler
- Department of Orthopaedic Surgery, University of Alabama at Birmingham, 1313 13th Street S, Birmingham, AL, 35205-5327, USA.
- Department of Orthopaedic Surgery, University of Alabama at Birmingham, 510 20th St South, Faculty Office Tower Suite 901, Birmingham, AL, 35294, USA.
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Lv H, Chen W, Yao M, Hou Z, Zhang Y. Collecting data on fractures: a review of epidemiological studies on orthopaedic traumatology and the Chinese experience in large volume databases. INTERNATIONAL ORTHOPAEDICS 2022; 46:945-951. [DOI: 10.1007/s00264-022-05299-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 12/29/2021] [Indexed: 10/19/2022]
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Clinical Application Study of Minimally Invasive Double-Reverse Traction in Complex Tibial Plateau Fractures. BIOMED RESEARCH INTERNATIONAL 2022; 2022:5564604. [PMID: 35103238 PMCID: PMC8800596 DOI: 10.1155/2022/5564604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Revised: 08/21/2021] [Accepted: 12/06/2021] [Indexed: 11/21/2022]
Abstract
The aim of this study was to evaluate the clinical application of double-reverse traction for minimally invasive reduction of complex tibial plateau fractures. A retrospective analysis was performed to identify all patients admitted to the Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, from March 2017 to December 2019 with Schatzker type VI tibial plateau fractures. 12 patients were identified (7 men and 5 women) with an average age of 46.15 ± 13 (39-58) years old. All patients were treated with double-reverse traction and closed reduction. After the fracture was reduced, the bone plate was fixed by percutaneous minimally invasive implantation. Outcomes assessed in this study include operation time and intraoperative blood loss. Imaging was performed during the postoperative follow-up, and functional recovery was evaluated at the final follow-up according to the Hospital for Special Surgery (HSS) score and the International Knee Joint Literature Committee (IKDC) functional score. Patients were followed up for 12.54 ± 1.5 (8-15) months. The average operation time was 63.63 ± 21 (35-120) minutes, and the average intraoperative blood loss was 105.45 ± 21 (60-200) mL. The Rasmussen imaging score was either excellent or good in all cases. The knee joint HSS score was 86.15 ± 6 (79-90) points, and the IKDC score was 80.01 ± 11 (75-90) points. No complications, such as wound infection, incision disunion, loosening of internal fixation, and internal fixation failure, occurred. In the treatment of Schatzker VI type complex tibial plateau fracture, the dual-reverse traction minimally invasive technique has the advantages of safety and effectiveness, less soft tissue injury, and allowing early joint movement, which is worthy of clinical promotion.
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Prall WC, Kusmenkov T, Rieger M, Haasters F, Mayr HO, Böcker W, Fürmetz J. Radiological Outcome Measures Indicate Advantages of Precontoured Locking Compression Plates in Elderly Patients With Split-Depression Fractures to the Lateral Tibial Plateau (AO41B3). Geriatr Orthop Surg Rehabil 2021; 12:21514593211043967. [PMID: 34671507 PMCID: PMC8521727 DOI: 10.1177/21514593211043967] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2021] [Revised: 08/12/2021] [Accepted: 08/17/2021] [Indexed: 11/16/2022] Open
Abstract
Background Split-depression fractures to the lateral tibial plateau (AO41B3) often feature severe joint surface destructions. Precontoured locking compression plates (LCPs) are designed for optimum support of the reduced joint surface and have especially been emphasized in reduced bone quality. A lack of evidence still inhibits their broad utilization in elderly patients. Thus, aim of the present study was to investigate the implant-specific radiological outcomes of AO41B3-fractures in young versus elderly patients. Methods The hospital’s database was screened for isolated AO41B3-factures, open reduction and internal fixation (ORIF), and radiological follow-up ≥12 months. CT-scans, radiographs, and patients’ records were analyzed. Patients were attributed as young (18–49) or elderly (≥50 years). Additional subgrouping was carried out into precontoured LCP and conventional implants. The Rasmussen Radiological Score (RRS) after 12 months was set as primary outcome parameter. The RRS postoperatively and the medial proximal tibial angle (MPTA) postoperatively and after 12 months were secondary outcome parameters. Results Fifty nine consecutive patients were included (26 young, 38.2 ± 7.8 years; 33 elderly, 61.3 ± 9.4 years). There were no significant differences regarding mean size and depression depth of the lateral joint surface fragments. Prior to implant-specific subgrouping, the radiological outcome measures revealed no significant differences between young (RRS = 7.7 ± 1.7; MPTA = 90.3 ± 2.3°) and elderly (RRS = 7.2 ± 1.7; MPTA = 90.5 ± 3.3°). After implant-specific subgrouping, the radiological outcome revealed significantly impaired results in young patients with conventional implants (RRS(C) = 6.9 ± 1.6, RRS(LCP) = 8.5 ± 1.5, P = .015; MPTA(C) = 91.5 ± 1.9°, MPTA(LCP) = 89.1 ± 2.1°, P = .01). The effect was even more pronounced in elderly patients, with highly significant deterioration of the radiological outcome measures for conventional implants compared to precontoured LCP (RRS(C) = 5.7 ± 1.6, RRS(LCP) = 8.2 ± .8, P < .001; MPTA(C) = 92.6 ± 4.2°, MPTA(LCP) = 89.2 ± 1.4°, P = .002). Conclusion Utilizing precontoured LCP in the treatment of AO41B3-fractures is associated with improved radiological outcomes. This effect is significant in young but even more pronounced in elderly patients. Consequently, precontoured LCP should closely be considered in any AO41B3-fracture, but especially in elderly patients.
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Affiliation(s)
- Wolf C Prall
- Division of Knee, Hip and Shoulder Surgery, Schoen Clinic Munich Harlaching, Academic Teaching Hospital of the Paracelsus Medical University (PMU), Salzburg, Austria.,Department of General, Trauma and Reconstructive Surgery, Munich University Hospital, Ludwig-Maximilians-University (LMU), Munich, Germany
| | - Thomas Kusmenkov
- Department of General, Trauma and Reconstructive Surgery, Munich University Hospital, Ludwig-Maximilians-University (LMU), Munich, Germany
| | - Maximilian Rieger
- Division of Knee, Hip and Shoulder Surgery, Schoen Clinic Munich Harlaching, Academic Teaching Hospital of the Paracelsus Medical University (PMU), Salzburg, Austria
| | - Florian Haasters
- Division of Knee, Hip and Shoulder Surgery, Schoen Clinic Munich Harlaching, Academic Teaching Hospital of the Paracelsus Medical University (PMU), Salzburg, Austria.,Department of General, Trauma and Reconstructive Surgery, Munich University Hospital, Ludwig-Maximilians-University (LMU), Munich, Germany
| | - Hermann O Mayr
- Division of Knee, Hip and Shoulder Surgery, Schoen Clinic Munich Harlaching, Academic Teaching Hospital of the Paracelsus Medical University (PMU), Salzburg, Austria.,Department of Orthopaedics and Trauma Surgery, Freiburg University Hospital, Albert-Ludwigs-University, Freiburg, Germany
| | - Wolfgang Böcker
- Department of General, Trauma and Reconstructive Surgery, Munich University Hospital, Ludwig-Maximilians-University (LMU), Munich, Germany
| | - Julian Fürmetz
- Department of General, Trauma and Reconstructive Surgery, Munich University Hospital, Ludwig-Maximilians-University (LMU), Munich, Germany
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Li J, Zhu Y, Chen W, Zhao K, Zhang J, Meng H, Jin Z, Ye D, Zhang Y. Incidence and locations of deep venous thrombosis of the lower extremity following surgeries of tibial plateau fractures: a prospective cohort study. J Orthop Surg Res 2020; 15:605. [PMID: 33317585 PMCID: PMC7735415 DOI: 10.1186/s13018-020-02136-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2020] [Accepted: 11/30/2020] [Indexed: 01/23/2023] Open
Abstract
OBJECTIVE To investigate the incidence of deep venous thrombosis (DVT) of the lower extremities following surgeries of tibial plateau fractures. METHODS Retrospective analysis of the prospectively collected data on patients undergoing surgeries of tibial plateau fractures between October 2014 and December 2018 was conducted. Duplex ultrasonography (DUS) was used to screen for postoperative DVT of the bilateral lower extremities. Data on demographics, comorbidities, injury, surgery, and laboratory biomarkers at admission were collected. Univariate analyses and multivariate logistic regression analyses were used to identify the independent risk factors associated with DVT. RESULTS Among 987 patients included, 46 (4.7%) had postoperative DVT, with incidence rate of 1.0% for proximal and 3.7% for distal DVT. The average interval between operation and DVT was 8.3 days (median, 5.8 days), ranging from 2 to 42 days. DVT involved the injured extremity in 39 (84.8%) patients, both the injured and uninjured extremity in 2 patients (4.3%) and only the uninjured extremity in 5 patients (10.9%). Five risk factors were identified to be associated with postoperative DVT, including age (≥ 41 vs < 41 years) (OR 3.08; 95% CI 1.43-6.61; p = 0.004), anesthesia (general vs regional) (OR 2.08; 95% CI 1.12-3.85; p = 0.021), hyponatremia (OR 2.21; 95% CI 1.21-4.06; p = 0.010), prolonged surgical time (OR 1.04; 95% CI 1.01-1.07; p = 0.017) and elevated D-dimer level (OR 2.79; 95% CI 1.34-4.83; p = 0.004). CONCLUSION These epidemiologic data may be helpful in individualized assessment, risk stratification, and development of targeted prevention programs.
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Affiliation(s)
- Junyong Li
- Department of Orthopaedic Surgery, The 3rd Hospital of Hebei Medical University, Shijiazhuang, 050051 Hebei PR China
- Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- Orthopaedic Institution of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- The Second Hospital of Shijiazhuang City, Shijiazhuang, 050051 Hebei PR China
- NHC Key Laboratory of Intelligent Orthopeadic Equipment, Hebei 050051 Shijiazhuang, People’s Republic of China
| | - Yanbin Zhu
- Department of Orthopaedic Surgery, The 3rd Hospital of Hebei Medical University, Shijiazhuang, 050051 Hebei PR China
- Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- Orthopaedic Institution of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- NHC Key Laboratory of Intelligent Orthopeadic Equipment, Hebei 050051 Shijiazhuang, People’s Republic of China
| | - Wei Chen
- Department of Orthopaedic Surgery, The 3rd Hospital of Hebei Medical University, Shijiazhuang, 050051 Hebei PR China
- Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- Orthopaedic Institution of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- NHC Key Laboratory of Intelligent Orthopeadic Equipment, Hebei 050051 Shijiazhuang, People’s Republic of China
| | - Kuo Zhao
- Department of Orthopaedic Surgery, The 3rd Hospital of Hebei Medical University, Shijiazhuang, 050051 Hebei PR China
- Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- Orthopaedic Institution of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- NHC Key Laboratory of Intelligent Orthopeadic Equipment, Hebei 050051 Shijiazhuang, People’s Republic of China
| | - Junzhe Zhang
- Department of Orthopaedic Surgery, The 3rd Hospital of Hebei Medical University, Shijiazhuang, 050051 Hebei PR China
- Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- Orthopaedic Institution of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- NHC Key Laboratory of Intelligent Orthopeadic Equipment, Hebei 050051 Shijiazhuang, People’s Republic of China
| | - Hongyu Meng
- Department of Orthopaedic Surgery, The 3rd Hospital of Hebei Medical University, Shijiazhuang, 050051 Hebei PR China
- Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- Orthopaedic Institution of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- NHC Key Laboratory of Intelligent Orthopeadic Equipment, Hebei 050051 Shijiazhuang, People’s Republic of China
| | - Zhucheng Jin
- Department of Orthopaedic Surgery, The 3rd Hospital of Hebei Medical University, Shijiazhuang, 050051 Hebei PR China
- Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- Orthopaedic Institution of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- NHC Key Laboratory of Intelligent Orthopeadic Equipment, Hebei 050051 Shijiazhuang, People’s Republic of China
| | - Dandan Ye
- Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- Orthopaedic Institution of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- NHC Key Laboratory of Intelligent Orthopeadic Equipment, Hebei 050051 Shijiazhuang, People’s Republic of China
| | - Yingze Zhang
- Department of Orthopaedic Surgery, The 3rd Hospital of Hebei Medical University, Shijiazhuang, 050051 Hebei PR China
- Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- Orthopaedic Institution of Hebei Province, Shijiazhuang, 050051 Hebei PR China
- NHC Key Laboratory of Intelligent Orthopeadic Equipment, Hebei 050051 Shijiazhuang, People’s Republic of China
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Zhao L, Wang X, Wang T, Fan W, Ren H, Zhang R, Zou Y, Xu H, Zhang J, Wu Y, Liu F. Associations Between High-Altitude Residence and End-Stage Kidney Disease in Chinese Patients with Type 2 Diabetes. High Alt Med Biol 2020; 21:396-405. [PMID: 33185478 DOI: 10.1089/ham.2020.0076] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Zhao, Lijun, Xi Wang, Tingli Wang, Wenxin Fan, Honghong Ren, Rui Zhang, Yutong Zou, Huan Xu, Jie Zhang, Yunhong Wu, and Fang Liu. Associations between high-altitude residence and end-stage kidney disease in Chinese patients with type 2 diabetes. High Alt Med Biol. 21:396-405, 2020. Background: This study investigated whether living at high altitude was associated with progression to end-stage kidney disease (ESKD) in Chinese patients with diabetic nephropathy (DN). Materials and Methods: This retrospective study included 369 patients with type 2 diabetes mellitus (T2DM) and biopsy-confirmed DN. Cox proportional hazards models were used to estimate hazard ratios (HRs) for the influence of living at high altitude on ESKD. Results: Patients living at ≥2,000 m above sea level were more likely to be Tibetan, and they had higher mean body mass indexes, glycosylated hemoglobin, hemoglobin concentrations, and baseline estimated glomerular filtration rates than those living at lower altitudes. During a median follow-up period of 20 months, 141 (38%) patients progressed to ESKD. In multivariable Cox analysis adjusted for age, sex, ethnicity, and clinical and pathological parameters, living at high altitude was independently associated with progression to ESKD in Chinese DN patients [HR 2.83, 95% confidence interval (CI) 1.05-7.58]. Compared with Han Chinese, Tibetans were at a lower risk of progression to ESKD (HR 0.15, 95% CI 0.04-0.59). Conclusions: Living at high altitude was independently associated with renal outcome in Han Chinese patients with T2DM and DN, but not native Tibetans.
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Affiliation(s)
- Lijun Zhao
- Division of Nephrology, West China Hospital of Sichuan University, Chengdu, China
| | - Xi Wang
- Department of Endocrinology, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region (Hospital. C.T.), Chengdu, China
| | - Tingli Wang
- Division of Nephrology, West China Hospital of Sichuan University, Chengdu, China
| | - Wenxin Fan
- Department of Nephrology, The First Affiliated Hospital of Kunming Medical University, Chengdu, China
| | - Honghong Ren
- Division of Nephrology, West China Hospital of Sichuan University, Chengdu, China
| | - Rui Zhang
- Division of Nephrology, West China Hospital of Sichuan University, Chengdu, China
| | - Yutong Zou
- Division of Nephrology, West China Hospital of Sichuan University, Chengdu, China
| | - Huan Xu
- Division of Pathology, West China Hospital of Sichuan University, Chengdu, China
| | - Jie Zhang
- Key Laboratory of Transplant Engineering and Immunology, Ministry of Health, Regenerative Medicine Research Center, Chengdu, China
| | - Yunhong Wu
- Department of Endocrinology, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region (Hospital. C.T.), Chengdu, China
| | - Fang Liu
- Division of Nephrology, West China Hospital of Sichuan University, Chengdu, China
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Yan Y, Zhu Y, Lian X, Lv H, Hou Z, Zhang Y, Chen W, Liu G. A comparative epidemiologic study of fractures among people in rural and urban areas. Injury 2020; 51:1784-1790. [PMID: 32522358 DOI: 10.1016/j.injury.2020.05.018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2020] [Revised: 04/30/2020] [Accepted: 05/09/2020] [Indexed: 02/02/2023]
Abstract
PURPOSE This study aimed to comparatively analyse the epidemiologic characteristics of fractures among inpatients from rural and urban areas. METHODS This study retrospectively analysed patients with traumatic fractures of the limbs, pelvis and spine treated in our hospital from January 2017 to December 2017. Patients from rural and urban areas were classified into Group A and Group B, respectively. Data on age, sex, distribution of fracture locations, injury mechanism, season, date and time when the fracture occurred, length of hospital stay, chronic comorbidities and in-hospital mortality were collected, and compared between both groups. RESULTS A total of 10,046 patients (Group A: 4,440; 3,062 males and 1,378 females and Group B: 5,606; 3,374 males and 2,232 females) with traumatic fractures were included. The male-to-female ratio was significantly different between both groups (P<0.001). In Groups A and B, the patients aged 41.9 ± 21.6 and 45.0 ± 23.5 years old, respectively, showing significant difference (P<0.05). As for injury mechanism, the most common one was low-energy injury (Group A: 2110, accounting for 47.5%; Group B: 3422, accounting for 61.0%) in both Groups, followed by traffic accidents (Group A: 921, accounting for 20.7%; Group B: 973, accounting for 17.4%). In patients with multiple injuries, the most common mechanism of injury is traffic accidents (354, 46.1%). There were 178 patients in Group A (4.0%) and 141 patients in Group B (2.5%) combined with head injury. As for season, both groups had most of the fractures in autumn (Group A: 1449, accounting for 32.6%; Group B: 1518, accounting for 27.3%). CONCLUSION The epidemiological features of patients with traumatic fractures in rural and urban areas are somewhat different in terms of age distribution, injury mechanism, injured body site and season. Patients with high risk of fractures in rural areas were younger than those in urban areas. Fractures more frequently occurred in the wrist and hips in rural and urban areas, respectively. Prevention of low-energy-induced osteoporotic fractures has become very critical for both rural and urban populations. Reducing the risk of traffic accident remains critical to prevent multiple injuries.
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Affiliation(s)
- Ying Yan
- Department of Orthopedic Surgery, the Third Hospital of Hebei Medical University; No.139 Ziqiang Road, Shijiazhuang 050051 China.
| | - Yanbin Zhu
- Department of Orthopedic Surgery, the Third Hospital of Hebei Medical University; No.139 Ziqiang Road, Shijiazhuang 050051 China.
| | - Xiaodong Lian
- Department of Orthopedic Surgery, the Third Hospital of Hebei Medical University; No.139 Ziqiang Road, Shijiazhuang 050051 China.
| | - Hongzhi Lv
- Department of Orthopedic Surgery, the Third Hospital of Hebei Medical University; No.139 Ziqiang Road, Shijiazhuang 050051 China.
| | - Zhiyong Hou
- Department of Orthopedic Surgery, the Third Hospital of Hebei Medical University; No.139 Ziqiang Road, Shijiazhuang 050051 China.
| | - Yingze Zhang
- Department of Orthopedic Surgery, the Third Hospital of Hebei Medical University; No.139 Ziqiang Road, Shijiazhuang 050051 China.
| | - Wei Chen
- Department of Orthopedic Surgery, the Third Hospital of Hebei Medical University; No.139 Ziqiang Road, Shijiazhuang 050051 China; Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, P.R. China;.
| | - Guodong Liu
- Eighth Department, State Key Laboratory of Trauma, Burns and Combined Injuries, Research Institute of Surgery, Daping Hospital, Army Medical University, Chongqing 400042, P.R. China.
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Lv H, Zhang Q, Chen W, Song Z, Zheng Z, Zhang Y. Epidemiological Study of Tibial Plateau Fractures Combined with Intercondylar Eminence Fractures. Orthop Surg 2020; 12:561-569. [PMID: 32347009 PMCID: PMC7189054 DOI: 10.1111/os.12658] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Revised: 02/16/2020] [Accepted: 02/19/2020] [Indexed: 01/23/2023] Open
Abstract
OBJECTIVE To investigate the epidemiological characteristics of tibial plateau fractures combined with intercondylar eminence fractures and identify the risk factors. METHODS This retrospective study enrolled patients with tibial plateau fractures who were treated in the third hospital of Hebei Medical University from January 2015 to December 2018; 1020 patients (693 [68%] men and 327 [32%] women) meeting the inclusion and exclusion criteria had a mean age of 45.2 ± 13.8 years. In total, 506 (50%) cases were left injuries, 495 (48%) were right injuries, and 19 (2%) were bilateral injuries. Among them, 458 (44.9%) with a mean age of 47.0 ± 13.9 years had intercondylar eminence fractures, including 324 men and 134 women. A total of 562 (55.1%) patients were identified without intercondylar eminence fractures, including 369 (65.7%) men and 193 (34.3%) women with an average age of 43.8 ± 13.6 years. The distribution characteristics of tibial plateau fractures with intercondylar eminence involved were identified. The potential associations among fractures and various other factors, such as age, gender, occupation, and mechanism of injury, were explored. RESULTS The highest proportion age group of tibial plateau fractures included the ages 35-54 years, with more men than women for both age groups. For males, the highest proportion age group was 35-44 years, and for females, it was 55-64 years (χ 2 = 71.336, P < 0.01). According to Schatzker classification, type IV tibial plateau fractures had the highest risk of intercondylar eminence being involved (70.6%) without significance with type V (69.5%) and VI (68.2%) but with greater significance with types I (11.9%), II (39.2%), and III (9.4%, χ 2 = 280.187, P < 0.01). Multiple analysis showed that simple fractures, including types I, II, and III (OR 0.108, 95% CI: 0.080-0.145), were less likely to involve intercondylar eminence fractures than complex fractures, including types IV, V, and VI. Patients aged >74 years were more likely to have intercondylar eminence fractures compared with other age groups. Retired patients (OR 4.332, 95% CI: 1.147-16.362) were more likely to have fractured intercondylar eminence. CONCLUSION The current study revealed the characteristics of tibial plateau fractures, especially those involving intercondylar eminence fractures, as well as their proportion, distribution, and risk factors, which can be used as reference data for clinical assessment and surgical protocol selection.
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Affiliation(s)
- Hongzhi Lv
- Editorial DepartmentThe Third Hospital of Hebei Medical UniversityShijiazhuangChina
| | - Qi Zhang
- Editorial DepartmentThe Third Hospital of Hebei Medical UniversityShijiazhuangChina
| | - Wei Chen
- Editorial DepartmentThe Third Hospital of Hebei Medical UniversityShijiazhuangChina
| | - Zhaohui Song
- Editorial DepartmentThe Third Hospital of Hebei Medical UniversityShijiazhuangChina
| | - Zhanle Zheng
- Editorial DepartmentThe Third Hospital of Hebei Medical UniversityShijiazhuangChina
| | - Yingze Zhang
- Editorial DepartmentThe Third Hospital of Hebei Medical UniversityShijiazhuangChina
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Scarlat MM, Pećina M. Six thousand papers already: "the outcome of a matter is better than its beginning…". INTERNATIONAL ORTHOPAEDICS 2018; 42:979-981. [PMID: 29637280 DOI: 10.1007/s00264-018-3929-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
| | - Marko Pećina
- Department of Orthopaedic Surgery, School of Medicine, University of Zagreb, Zagreb, Croatia
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Chen W, Zhang Y. Prominent and fruitful development of orthopaedic research in China. INTERNATIONAL ORTHOPAEDICS 2018; 42:455-459. [PMID: 29478208 DOI: 10.1007/s00264-018-3840-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Affiliation(s)
- Wei Chen
- Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, People's Republic of China.,Key laboratory of biomechanics of Hebei Province, Shijiazhuang, Hebei, 050051, People's Republic of China.,Hebei Institute of Orthopaedics and Traumatology, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, People's Republic of China
| | - Yingze Zhang
- Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, People's Republic of China. .,Key laboratory of biomechanics of Hebei Province, Shijiazhuang, Hebei, 050051, People's Republic of China. .,Hebei Institute of Orthopaedics and Traumatology, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, People's Republic of China. .,Chinese Academy of Engineering, Beijing, 100088, People's Republic of China.
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History of orthopaedics in China: a brief review. INTERNATIONAL ORTHOPAEDICS 2018; 42:713-717. [PMID: 29455346 DOI: 10.1007/s00264-018-3829-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2018] [Accepted: 01/31/2018] [Indexed: 10/18/2022]
Abstract
BACKGROUND AND PURPOSE Chinese orthopaedic surgeons have made a substantial contribution to the development of orthopaedics worldwide, and traditional Chinese medicine (TCM) in orthopaedics has a very long history in China. We make a brief review of the development of orthopaedics in China, intending to pave the way for further understanding of Chinese orthopaedics for scholars all over the world. RESULTS The description of fractures firstly appeared in 3600 years ago in China, and the theories, experience, and treatment strategies of TCM still play important roles in clinical diagnosis and treatment of orthopaedic disorders in our country. Western orthopaedics was first introduced into China in the early twentieth century. After decades of development, Chinese scholars have made some gratifying achievements in orthopaedics. CONCLUSIONS Orthopaedics is constantly evolving, and we need to strengthen the ability of independent innovation to achieve orthopaedic surgeons' Chinese dream, and better serve our patients.
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