Podcasts about internal fixation

In-Person Course: May 30-31, 2025 (Course #2503245) Learn more and register at https://www.aaos.org/education/courses/2503245 Course Director: Brian Mullis, MD, FAAOS, FACS, FAOrthA Episode panelists and faculty: David Goodspeed, MD, FAAOS, and Emily Wagstrom, MD, FAAOS JAAOS articles discussed: Review article “External Fixation Before Planned Conversion to Internal Fixation in Orthopaedic Trauma: Controversies and Current Trends” from the October 1, 2024 issue  Research article “A Good Tip-Apex Distance Does Not Make Up For a Poor Reduction in Intertrochanteric Hip Fractures Treated with an Cephalomedullary Nail: The Utility of the Neck-Shaft Angle in Preventing Fixation Failure” from the January 15, 2024 issue  Review article “Traumatic Rhabdomyolysis: Crush Syndrome, Compartment Syndrome, and the ‘Found Down' Patient” from the February 15, 2024 issue   The JAAOS Journal Club podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

Faculty Presenters:Jonathan Copp, MDCo-Director of Orthopaedic TraumaForrest General HospitalHattiesburg, MississippiPaul Perdue, MDAssociate ProfessorDepartment of Orthopaedic SurgeryVirginia Commonwealth University Medical CenterRichmond, VirginiaMilton Routt, MDProfessorAndrew R. Burgess, M.D., Chair in Orthopaedic Trauma SurgeryMcGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth)Department of Orthopaedic SurgeryMemorial Hermann - Texas Medical CenterHouston, TexasArticles:•Article#1 – Pelvic Ring Disruptions: Effective Classification System and TreatmentProtocols•Articlethat significantly impacted your practice •Article#2 – Early Results of Percutaneous Iliosacral Screws placed with the Patient in theSupine Position •Articleyou are the proudest of•Article#3 – Fixation of Transforaminal Sacrum Fractures: A Biomechanical Study •Articleregarding a trend that did not catch on •Article#4 –Internal Fixation in Pelvic Fractures and Primary Repairs of AssociatedGenitourinary Disruptions: A Team Approach•Articlethat significantly impacted your practice

James Kellam, MD shares his memories and stories of the OTA starting with OTHA over the last 40 years.  For additional educational resources visit OTA.org

There is a lack of consensus in the use of open reduction internal fixation (ORIF) vs primary arthrodesis (PA) in the management of Lisfranc injuries. Statistical fragility represents the number of events needed to flip statistical significance and provides context to interpret P values of outcomes from conflicting studies. The current study evaluates the statistical fragility of existing research with an outcome-specific approach to provide statistical clarity to the ORIF vs PA discussion. We hypothesized that statistical fragility analysis would offer clinically relevant insight when interpreting conflicting outcomes regarding ORIF vs PA management of Lisfranc injuries.   In conclusion, the overall research regarding ORIF vs PA is relatively robust compared with other orthopaedic areas of controversy. Although the full statistical context of each article must be considered, studies supporting PA superiority with regard to functional scores and return to function metrics were found to be statistically robust. Outcome-specific analysis revealed moderate fragility in several clinically relevant outcomes such as functional score, return to function, and wound complications.   Click here to read the article.

Postoperative care protocols for ankle fracture surgery remain controversial with variability among care providers. This prospective controlled trial compared 12-week postoperative outcomes for immediate unprotected weightbearing (IMWB) vs nonweightbearing (NWB) for 2 weeks in a splint followed by weightbearing as tolerated (WBAT) in a boot after surgical fixation of selected low-energy ankle fractures without superior articular involvement.   In conclusion, in this short-term and relatively small prospective trial, we found more wound complications among patients treated with immediate unprotected weightbearing compared with patients treated with 2 weeks of NWB followed by protected weightbearing. Given the low incidence and small sample size, we do not know if these observed findings are generalizable. However, we also found no difference in functional outcomes at 12 weeks postoperation between these 2 groups. In light of that, we do not recommend IMWB after open reduction internal fixation of low-energy ankle fractures with plate and/or screw fixation.   Click here to read the article

Ankle fractures are common orthopaedic injuries that may be indicated for open reduction internal fixation (ORIF). Although the negative impact of tobacco use on perioperative outcomes of ankle fracture ORIF has been described, the potential impact of cannabis use on related outcomes is not as well established.   In conclusion, patients with tobacco use (alone or with cannabis) were at greater odds of 90-day adverse events following ankle fracture ORIF, but cannabis only users were not.   Click here to read the article.

In this month's podcast, Dr. Graham interviews Dr. Chris Dy, the senior author of “Catastrophic Health Expenditures Associated With Open Reduction and Internal Fixation of Distal Radius Fractures”, which is the lead article in the October 2023 issue of The Journal of Hand Surgery.

Five articles from the May 2023 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are, “Long-term Outcomes After Arthroscopic Treatment of Femoroacetabular Impingement for Patients With Borderline Dysplasia,” “Internal Fixation of Unstable Osteochondritis Dissecans of the Knee: Long-term Outcomes in Skeletally Immature and Mature Patients,” “Lower Extremity Injury Rates on Artificial Turf Versus Natural Grass Playing Surfaces: A Systematic Review,” “Factors Associated With Meniscal and Articular Cartilage Injury in the PLUTO Cohort,” and “The Effect of Vitamin C and N-Acetylcysteine on Tendon-to-Bone Healing in a Rodent Model of Rotator Cuff Repair.” Click here to read the articles.

Dr. Michael Blankstein chats with selected Poster Authors at the 2022 OTA Annual Meeting:  •Dr. Tyler Moon, Poster #96: Are Infection Rates Increased After Sterilization of the External Fixator During Staged Internal Fixation of High-Energy Tibial Plateau Fractures? • Dr. Noelle Lily Van Rysselberghe, Poster #97: Are Extreme Distal Periprosthetic Femur Fractures too Distal for Retrograde Intramedullary Nailing? A Multicenter Retrospective Cohort Study • Dr. Andrew Hresko, Poster # 102: Management of Aseptic Failure After Open Reduction and Internal Fixation of Complete Articular Tibial Plateau Fractures These posters were presented live at the 2022 OTA Annual Meeting.  To see the abstracts, download the ConveyMed app for free: Apple Store click here  Google Play click here  For additional educational resources visit https://ota.org/

FACULTY AUTHORS AND ARTICLES: Justin Haller, MD - Plafond Malreduction and Talar Dome Impaction Accelerates Arthrosis After Supination-Adduction Ankle Fracture Niloofar Dehghan, MD, BSC (Hons), FRCSC - Early Weightbearing and Range of Motion Versus Non-Weightbearing and Immobilization After Open Reduction and Internal Fixation of Unstable Ankle Fractures: A Randomized Controlled Trial Tim White, MBChB, MD, FRCS - A Prospective Randomised Controlled Trial of the Fibular Nail Versus Standard Open Reduction and Internal Fixation for Fixation of Ankle Fractures in Elderly Patients David W. Sanders, MD, FRCSC - Operative Versus Nonoperative Treatment of Unstable Lateral Malleolar Fractures: A Randomized Multicenter Trial

Isolated Weber B, AO (Association for the Study of Internal Fixation) type 44B ankle fractures with no fracture to the medial side are the most common type of ankle fracture and may be treated with internal fixation or without surgery.   This study aimed to determine if surgery is superior to nonsurgical management for the treatment of these fractures after a minimum 5-year follow-up.   In conclusion, the results of this study suggest that in terms of patient-reported outcomes, surgical management is not superior to nonsurgical management in type B ankle (fibula) fractures with minimal talar shift over a 5-year period and that surgery is associated with increased adverse events.   To view the article, click here.

Host Dr. Michael Blankstein interviews primary paper author Dr. Arun Aneja as they discuss this retrospective study of patient outcomes specifically geared toward returning to sporting activities and activities of daily living. This paper was presented at the 2022 OTA Annual Meeting. Looking for CME?  OTA Podcast CME only on the ConveyMED Podcast App: Apple Store click here  Google Play click here For additional educational resources visit https://ota.org/

In this episode, Antonia and Andrew discuss a selection of articles from the August 17, 2022 issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold! Top of the Pile What’s New in Limb Lengthening and Deformity Correction, by Bafor et al. An Introduction to the Orthopaedic Diversity Leadership Consortium. Advancement of our Orthopaedic Leaders of Diversity, Equity, and Inclusion Through Networking, Strategy, and Innovation, by Taylor et al. The Table I Fallacy: P Values in Baseline Tables of Randomized Controlled Trials, by Pijls et al. Evidence-Based Orthopaedics In Patients with Displaced Type-II Distal Clavicle Fractures, Operative and Nonoperative Therapies Did Not Differ for Functional Outcomes at 1 Year, by Hall et al. (commentary by Chen) In Adults Aged

Drs Dekker and Millett discuss The "Bony Bankart Bridge" Procedure: A New Arthroscopic Technique for Reduction and Internal Fixation of a Bony Bankart Lesion

Our first podcast in this edition is with the President of the Orthopaedic Trauma Association (OTA) Prof Heather Vallier.Papers discussed: Enhancing trauma patient experience and engagement: development of a mobile applicationImproved Reduction of the Tibiofibular Syndesmosis With TightRope Compared With Screw Fixation: Results of a Randomized Controlled StudyBetter outcome for suture button compared with single syndesmotic screw for syndesmosis injury: five-year results of a randomized controlled trialCast immobilization is non-inferior to volar locking plates in relation to QuickDASH after one year in patients aged 65 years and older: a randomized controlled trial of displaced distal radius fracturesImplementation of a mobile app for trauma education: results from a multicenter studyOperative vs Nonoperative Treatment of Distal Radius Fractures in Adults: A Systematic Review and Meta-analysisEarly Weightbearing and Range of Motion Versus Non-Weightbearing and Immobilization After Open Reduction and Internal Fixation of Unstable Ankle Fractures: A Randomized Controlled TrialSurgical and Nonoperative Management of Olecranon Fractures in the Elderly: A Systematic Review and Meta-AnalysisProspective randomised trial of non-operative versus operative management of olecranon fractures in the elderlyCemented or uncemented hemiarthroplasty for displaced intracapsular fractures of the hip: a randomized trial of 400 patientsEffectiveness and safety of cemented and uncemented hemiarthroplasty in the treatment of intracapsular hip fractures

In this episode of the PRS Global Open Keynotes Podcast, Brian Pinsky MD discusses different techniques for treating metacarpal fractures. The PRS Global Open article discussed is available to read for free on PRSGlobalOpen.com. “Extra-articular Metacarpal Fractures: Closed Reduction and Percutaneous Pinning Versus Open Reduction and Internal Fixation” by< Vasileios Vasilakis, Catherine J. Sinnott, Malack Hamade, Hassan Hamade, Brian A. Pinsky. Read Here: https://bit.ly/ClosedMetacarpFract Dr. Pinsky is a board-certified plastic surgeon in Long Island. He is also an Assistant Clinical Professor in Plastic Surgery at Stony Brook University. Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Plastic surgery at the University of Sydney in Australia.#PRSGlobalOpen #KeynotesPodcast #PlasticSurgery

In this episode of the PRS Global Open Keynotes Podcast, Brian Pinsky MD discusses different techniques for treating metacarpal fractures. The PRS Global Open article discussed is available to read for free on PRSGlobalOpen.com. “Extra-articular Metacarpal Fractures: Closed Reduction and Percutaneous Pinning Versus Open Reduction and Internal Fixation” by Vasileios Vasilakis, Catherine J. Sinnott, Malack Hamade, Hassan Hamade, Brian A. Pinsky. Read Here: https://bit.ly/ClosedMetacarpFract Dr. Pinsky is a board-certified plastic surgeon in Long Island. He is also an Assistant Clinical Professor in Plastic Surgery at Stony Brook University. Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Plastic surgery at the University of Sydney in Australia. #PRSGlobalOpen #KeynotesPodcast #PlasticSurgery

Five articles from the July 2019 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are, "Performance and Return to Sport After Open Reduction and Internal Fixation of the Olecranon in Professional Baseball Players","Adaptation of Running Biomechanics to Repeated Barefoot Running", "Multiplanar Loading of the Knee and Its Influence on Anterior Cruciate Ligament and Medial Collateral Ligament Strain During Simulated Landings and Noncontact Tears" , "Pathoanatomy of Shoulder Instability in Collegiate Female Athletes" and "Severe Bone Marrow Edema Among Patients Who Underwent Prior Marrow Stimulation Technique Is a Significant Predictor of Graft Failure After Autologous Chondrocyte Implantation."    Click here to read the articles.

Five articles from the August 2018 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are "Integrity of the Untorn Articular-Sided Tendon in Bursal-Sided Partial-Thickness Rotator Cuff Tear: A Comparative Study of Apoptotic Activity in Torn and Untorn Layers", "No difference in the KOOS Quality of Life, between anatomic Double-bundle and anatomic Single-bundle Anterior Cruciate Ligament reconstruction of the knee; a Prospective, Randomized, Controlled Trial with 2 years’ follow-up", "In Vitro Repair of Meniscus Radial Tear Using Hydrogels Seeded with Adipose Stem Cells and TGF-β3"," Septic Arthritis After Anterior Cruciate Ligament Reconstruction - How Important is Graft Salvage?", and "Internal Fixation of Unstable Osteochondritis Dissecans— Do Open Growth Plates Improve Healing Rate?   Click here to read the articles.

Listen to Dr. Graham interview Dr. Nikolas Kazmers regarding his article entitled "Evaluation of Factors Driving Cost Variation for Distal Radius Fracture Open Reduction and Internal Fixation", which appears in the July 2018 issue of The Journal of Hand Surgery.

This podcast covers the JBJS issue for November 2012. Featured are articles covering: Total Hip Replacement Versus Open Reduction and Internal Fixation of Displaced Femoral Neck Fractures; recorded commentary by Dr. Marsh; Increasing the Elution of Vancomycin from High-Dose Antibiotic-Loaded Bone Cement - A Novel Preparation Technique; Computer-Navigated Versus Conventional Total Knee Arthroplasty - A Prospective Randomized Trial; recorded commentary by Dr. Blumenfeld; Risk of Sciatic Nerve Traction Injury During Hip Arthroscopy.

This podcast covers the JBJS issue for November 2012. Featured are articles covering: Total Hip Replacement Versus Open Reduction and Internal Fixation of Displaced Femoral Neck Fractures; recorded commentary by Dr. Marsh; Increasing the Elution of Vancomycin from High-Dose Antibiotic-Loaded Bone Cement - A Novel Preparation Technique; Computer-Navigated Versus Conventional Total Knee Arthroplasty - A Prospective Randomized Trial; recorded commentary by Dr. Blumenfeld; Risk of Sciatic Nerve Traction Injury During Hip Arthroscopy.

Background Non-unions are severe complications in orthopaedic trauma care and occur in 10% of all fractures. The golden standard for the treatment of ununited fractures includes open reduction and internal fixation (ORIF) as well as augmentation with autologous-bone-grafting. However, there is morbidity associated with the bone-graft donor site and some patients offer limited quantity or quality of autologous-bone graft material. Since allogene bone-grafts are introduced on the market, this comparative study aims to evaluate healing characteristics of ununited bones treated with ORIF combined with either iliac-crest-autologous-bone-grafting (ICABG) or demineralized-bone-matrix (DBM). Methods and results From 2000 to 2006 out of sixty-two consecutive patients with non-unions presenting at our Level I Trauma Center, twenty patients had ununited diaphyseal fractures of long bones and were treated by ORIF combined either by ICABG- (n = 10) or DBM-augmentation (n = 10). At the time of index-operation, patients of the DBM-group had a higher level of comorbidity (ASA-value: p = 0.014). Mean duration of follow-up was 56.6 months (ICABG-group) and 41.2 months (DBM-group). All patients were clinically and radiographically assessed and adverse effects related to bone grafting were documented. The results showed that two non-unions augmented with ICABG failed osseous healing (20%) whereas all non-unions grafted by DBM showed successful consolidation during the first year after the index operation (p = 0.146). No early complications were documented in both groups but two patients of the ICABG-group suffered long-term problems at the donor site (20%) (p = 0.146). Pain intensity were comparable in both groups (p = 0.326). However, patients treated with DBM were more satisfied with the surgical procedure (p = 0.031). Conclusion With the use of DBM, the costs for augmentation of the non-union-site are more expensive compared to ICABG (calculated difference: 160 €/case). Nevertheless, this study demonstrated that the application of DBM compared to ICABG led to an advanced outcome in the treatment of non-unions and simultaneously to a decreased quantity of adverse effects. Therefore we conclude that DBM should be offered as an alternative to ICABG, in particular to patients with elevated comorbidity and those with limited availability or reduced quality of autologous-bone graft material. Introduction