Orthopedics Research and Traumatology - Open Journal (ORTOJ)
Recently Published Issues
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Recently Published Articles
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Angulation and Translation Capabilities of a Minimized Orthopedic Hexapod Ortho-SUV Frame: An Experimental Study
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860.56 KB Full-Text (HTML)
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Adipofascial Turnover Forearm Flap for a Large Defect in Hand after Squamous Cell Tumor Extirpation. A Case Report
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465.49 KB Full-Text (HTML)
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Giant Iatrogenic Lumbar Pseudomeningocele: A Case Report and Literature Review
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887.18 KB Full-Text (HTML)
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Magnet Expandable Rods a Promising Technology which can Lead to Catastrophic Failure
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482.09 KB Full-Text (HTML)
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Lateral Tibial Plateau with Peroneal Nerve Entrapment is Unique Fracture in Diagnosis and Management
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369.13 KB Full-Text (HTML)
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Pre-Debridement and Post-Debridement Culture in Open Fractures of the Extremities: A Comparative Study
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421.75 KB Full-Text (HTML)
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Characteristics of Effective and Safe Methods of Treatment for Fresh Fracture-Dislocations of the Proximal Humerus
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452.58 KB Full-Text (HTML)
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Bilateral Staged Primary Total Knee Arthroplasty: Are Patients Less Pleased with their Second Side?
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283.29 KB Full-Text (HTML)
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Two Cases Report of Dysphagia Due to Diffuse Idiopathic Skeletal Hyperostosis (DISH)
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678.77 KB Full-Text (HTML)
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Complications in the Combined and Consecutive Use of External and Internal Fixation of the Femur with Reference to Use of the Extracortical Clamp Device
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410.17 KB Full-Text (HTML)
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Balloon Kyphoplasty: Cement Augmentation in Acute Osteoporotic Thoraco-Lumbar Fractures
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1.28 MB Full-Text (HTML)
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Halo-Vesting in Preschool Aged Children with Synchondrosis Fracture: A Case Series which Explores the Current Techniques Associated with this Procedure
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3.18 MB Full-Text (HTML)
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Evaluation of the Ossification of the Cervical Posterior Longitudinal Ligament Utilizing X-Ray, CT and MR Imaging
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1.06 MB Full-Text (HTML)
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Treatment of Osteoporotic Spine Fractures Using Cement Augmentation: A Mini Review
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383.20 KB Full-Text (HTML)
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Are Post-Operative Drains Beneficial in Total and Reverse Total Shoulder Arthroplasty?
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408.03 KB Full-Text (HTML)
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Isokinetic Muscle Strength in Recreational Athletes with Partial ACL Lesions Treated with Surgical Reconstruction
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441.01 KB Full-Text (HTML)
About the Journal
Orthopedics Research and Traumatology – Open Journal (ORTOJ) is an online open access portal encompassing all aspects related to orthopedics and traumatology.
Orthopedics is the branch of medicine that deals with the correction or prevention of deformities, disorders, and injuries of the skeleton as well as associated structures (ligaments, muscles, and tendons) of the human body.
Traumatology is often considered to be a subset of orthopedic surgery. It deals with individuals who have experienced or have been exposed to highly traumatic events in their lives and helps them on the road to recovery.
Through this journal, Openventio hopes to cater to the needs of professionals in this field with concise yet descriptive information.
Aims and Scope
This journal, with its complete overview of the subject, aims to benefit individuals with identification and relevant diagnosis.
Openventio encourages documentation of the ever-growing medical community to ensure that the data is recorded and passed on to the future generations of practitioners.
ORTOJ covers a wide array of subjects as given below:
- Arthritis
- Broken leg
- Orthopedics
- Foot and Ankle
- Traumatic Arthritis
- Acute and Chronic Bursitis
- Fracture
- Fibrositis
- Brain death
- Traumatic Arthritis
- Coma
- Broken ribs
Submissions for this journal are accepted from all practitioners and students of orthopedics research and traumatology, as well as from experts and novices beginning to explore the field.
The audience of ORTOJ includes doctors, nurses, research assistants, local community practitioners, manufacturers, and students of various universities and general communities from different parts of the world.
The journal welcomes all types of articles such as original research, review, case-report, mini-review, editorial, short-communication, book review, opinion, commentary, letter to the editor, conference proceedings, technical report, errata, illustrations, etc.
We are open to receive comments and corrections from subject experts to improve the quality of our journal.
Article in press
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Angulation and Translation Capabilities of a Minimized Orthopedic Hexapod Ortho-SUV Frame: An Experimental Study
Provisional PDF
860.56 KB Full-Text (HTML)
Abstract [+]
Introduction
Orthopedic hexapods demonstrated effectiveness and accuracy in deformity correction of limbs in both adults and children. Previous studies demonstrated the best reduction capabilities of the orthopedic hexapod Ortho-SUV Frame (OSF) versus other models of this group of external fixation devices. Minimized version of this hexapod (minimized Ortho-SUV Frame (OSFm)) was created to reduce common for this group disadvantages: large bulkiness and weight and limitation on working with “short segments”. However, the reduction capabilities of the OSFm have not yet been studied.
Aim
To evaluate translation and angulation capabilities of OSFm with standard struts size and to compare results to OSF with short struts size.
Materials and Methods
The experimental study was performed using plastic models of the tibia with osteotomy at the middle third of the shaft. Proximal and distal bone fragments were fixed with one-ring modules. The reduction capabilities of OSFm in the first series and OSF in the second series of the experiment were studied. According to the method of fixing the struts to the rings, experiments were divided into three groups: directly to the ring, using straight plates, and using Z-shaped plates. Translation and angulation capabilities were evaluated by the maximum displacement of the distal bone fragment relative to the proximal one until any of the struts reached its minimum or maximum possible length.
Results
In translation OSFm outperforms OSF by 2.8-9.5% fixed the struts directly to the rings, by 4.8-9.7% using straight plates, and by 27.3-29.3% using Z-plates. In angulation OSFm with struts fixed directly to the rings outperforms OSF by 33.9-55.4%, by 36.9-47.3% using straight plates, and by 29.6-36% using Z-plates.
Conclusion
OSFm exceeds OSF in translation and angulation capabilities in all series of experiment. Distraction and rotation capabilities and the bone fragments fixation rigidity should be evaluated as further research to prove application of OSFm as a possible better candidate for deformity correction of limbs in children and foot deformity correction.
Keywords
External fixation; Deformity correction; Orthopedic hexapod; Reduction capabilities.
Current Issue
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Giant Iatrogenic Lumbar Pseudomeningocele: A Case Report and Literature Review
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887.18 KB Full-Text (HTML)
Full-Text (HTML)
Abstract [+]
Post-discectomy iatrogenic lumbar pseudomeningoceles are an uncommon complication. This pathology is an extradural, encapsulated, cerebrospinal fluid collection which develops at the site of previous surgery as the consequence of an unnoticed or unrepairable dural tear. A pseudomeningocele is defined as giant if it grows beyond 8 cm in length. Giant iatrogenic pseudomeningoceles with detailed information are quite rare in the literature with only 21 reported cases including the current case. Herein, we present a middle age woman with a giant pseudomeningocele which had developed subsequent to L4-L5 discectomy.
Keywords
Iatrogenic lumbar pseudomeningocele; Pathology; Discectomy.
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Adipofascial Turnover Forearm Flap for a Large Defect in Hand after Squamous Cell Tumor Extirpation. A Case Report
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465.49 KB Full-Text (HTML)
Full-Text (HTML)
Abstract [+]
Squamous cell carcinoma is a cancer that is rare in the hand. The extirpation of this cancer can leave an important cutaneous defect in many cases. The cutaneous covering at the back of the hand is a challenge for any surgeon, especially when there are large skin defects with exposure of tendons, bones or neurovascular structures. Here, we describe a clinical case where an adipofascial turnover forearm flap and full thickness skin graft were performed, after the extensive extirpation of the well-differentiated squamous cell carcinoma has been made.
Keywords
Flap; Adipofascial; Forearm; Hand; Skin defect; Carcinoma; Tumor; Squamous cell.
Previous Issue
Characteristics of Effective and Safe Methods of Treatment for Fresh Fracture-Dislocations of the Proximal Humerus
PDF 452.58 KB
Full-Text (HTML)
Abstract [+]
Aim
The study was aimed to assess the results of treatment for fracture-dislocations of the proximal humerus (PH) within different time frames for optimizing treatment tactics.
Patients and Methods
This retrospective cohort study evaluated clinical outcomes of 25 patients with fracture-dislocations of the PH (15 patients were analyzed for short- and medium-term results, and 10 – for long-term results). The follow-up period ranged from 1 to 9-years. All patients underwent: clinical examination, constant score assessment and shoulder X-ray examination. Clinical, radiological and statistical methods were used for analysis.
Results
Assessment of the degree of initial displacement of tubercles and its impact on the results of treatment showed that significantly better results were obtained in case of displacement no more than 10 mm (p=0.041). Patients with displacement no more than 10 mm had an average score of 68.0±16.1 points (Mean=69.5), while those with displacement of the tubercle(s) exceeding 10 mm had an average score of 49.5±19.5 points (Mean=44). Analysis of the results of treatment showed that the delay in restoring normal anatomy of the PH or avoiding surgical interventions at all led to functional disorders of the shoulder joint. It was also demonstrated that neither patients, nor doctors were satisfied with the outcomes of the unipolar shoulder replacement (USR). Based on the results of the study, we proposed an algorithm for determining the tactics of surgical treatment in cases when a fracture-dislocation of the PH with complete dislocation of the fragment involving the articular surface of the humeral head is diagnosed.
Conclusion
The present study demonstrated some factors affecting the outcomes of treatment for fracture-dislocations of the PH. Current approaches for endoprosthesis replacement in these cases remain debatable and require further investigation.
Keywords
Trauma; Fracture; Shoulder joint; Fracture-dislocation of the proximal humerus.
Pre-Debridement and Post-Debridement Culture in Open Fractures of the Extremities: A Comparative Study
PDF 421.75 KB
Full-Text (HTML)
Abstract [+]
Background
Due to contamination, open fractures are considered to be dangerous and thereby require proper management. Through a systematic review and meta-analysis, this study compares the literature on pre-debridement and post-debridement cultures derived from such fracture sites.
Methods
Data for this review was collected through various online sources such as dataBASE (EMBASE), medical literature analysis and retrieval system online (MEDLINE) and different citations provided the relevant data.
Results
Twenty articles were included. The desired timing to examine the debridement was six hours post-injury (according to the six-hour rule). Antibiotics including ampicillin, penicillin, cefazolin, cefuroxime, and flucloxacillin were used in some patients. The use of Ancef I as an antibiotic during the starting hours of fracture helps to reduce the chances of infection in 1.4% of the infected patients. The infection rate was 3% in pre-debridement culture, while a 2% infection rate was found in post debridement culture. Gram-negative bacteria were responsible for pre-debridement infection, while gram-positive bacteria were responsible for post-debridement.
Conclusion
The pre-debridement infection rates are reduced as compared to post-debridement when treatment is initiated within a strict time interval and limited to the specific use of antibiotics. Treatment of gram-negative bacteria helps to reduce the bulk of infectious material and thereby reduces the infection rate.
Keywords
Open fractures; Debridement; Pre-debridement; Post-debridement; Meta- analysis; Systematic review.
Lateral Tibial Plateau with Peroneal Nerve Entrapment is Unique Fracture in Diagnosis and Management
PDF 369.13 KB
Full-Text (HTML)
Abstract [+]
A majority of tibial plateau fractures involve the lateral plateau. Posterolateral tibial plateau fractures are caused by a valgus force that impacts the posterolateral plateau against the lateral femoral condyle. We describe a unique case of a patient who sustained a lateral plateau fracture with posterior displacement behind a fractured fibular head, with entrapment of the peroneal nerve. This unusual fracture pattern required dual anterolateral and lateral approach for reduction and fixation.
Keywords
Tibial plateau; High energy; Fracture; Peroneal nerve entrapment.
Magnet Expandable Rods a Promising Technology which can Lead to Catastrophic Failure
PDF 482.09 KB
Full-Text (HTML)
Abstract [+]
In recent years, there has been a paradigm shift in the treatment of early-onset scoliosis. This change is manifested by a propensity to avoiding or delaying fusion surgeries due to their many potential shortcomings. Many surgeons gravitate towards conservative measures and growth-friendly implants such as magnetic expandable growing rods. Still, such interventions are not impeccable. This case report discusses 8-year-old girl with early-onset scoliosis managed with magnetic expandable rods after failing conservative management. The results were promising at first. However, catastrophic failure was diagnosed after multiple successful elongations necessitating discarding the system and changing the construct to conventional growing rods.
Keywords
Magnet rods; Growing rods; Growth friendly procedures; Catastrophic failure; Early-onset scoliosis; Juvenile scoliosis; Scoliosis complications.
