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Recently Published Articles
  • 2020, May

    systematic review

    Pre-Debridement and Post-Debridement Culture in Open Fractures of the Extremities: A Comparative StudyOpen Access

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    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.


  • 2020, January

    original research

    Characteristics of Effective and Safe Methods of Treatment for Fresh Fracture-Dislocations of the Proximal HumerusOpen Access

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    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.


  • 2019, November

    review

    Muscle Cell Function and the Effects of Hyperbaric Oxygen TherapyOpen Access

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    Abstract [+]

    There are different processes via which a muscle cell can utilize oxygen to make energy that will sustain activity. The type of activity and duration of activity will determine what energy system is used to sustain the activity being done. Aerobic metabolism uses oxygen to sustain the energy demand. Oxygen is obtained from the air we breathe, and then transported to the cells though the myoglobin. Although ambient air only contains 21% oxygen, it is enough to sustain life and energy needs. But what if the muscle cell could instead receive 100% oxygen? The delivery method would be via hyperbaric oxygen therapy (HBO) which supplies oxygen at 100% concentration under a minimum of 1 atmospheric pressure. Atmospheric pressure will affect the outcomes of consuming 100% oxygen. Research supports positive findings on oxygen therapy under pressure and muscle cell recovery but much research still needs to be investigated. One research study revealed detrimental effects of 100% oxygen breathed in consistently for days resulting in comorbidities that did not exist prior to experiment. HBO can pose some risks but if it is applied in a controlled manner, HBO can be a safe option to enhance cellular recovery and cell function.

    Keywords

    Oxygen; Hyperbaric oxygen therapy; Muscle recovery; Muscle cells; Pure oxygen.


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.