Search for other papers by Benedikt J. Braun in
Google Scholar
PubMed
Search for other papers by Bernd Grimm in
Google Scholar
PubMed
Search for other papers by Andrew M. Hanflik in
Google Scholar
PubMed
Search for other papers by Meir T. Marmor in
Google Scholar
PubMed
Search for other papers by Peter H. Richter in
Google Scholar
PubMed
Search for other papers by Andrew K. Sands in
Google Scholar
PubMed
Search for other papers by Sureshan Sivananthan in
Google Scholar
PubMed
medical sphere: gaming consoles, 1 and activity trackers 2 are just some of the many examples. With all the ongoing developments and published literature, this subject is increasingly complex. The AO Foundation’s Technical Commission has
Search for other papers by Vasileios Lampridis in
Google Scholar
PubMed
Search for other papers by Nikolaos Gougoulias in
Google Scholar
PubMed
Search for other papers by Anthony Sakellariou in
Google Scholar
PubMed
-Hansen (stages) AO/OTA Infra- syndesmotic Type A Supination adduction (SAD) 1. Transverse fracture of lateral malleolus 2. Vertical fracture of medial malleolus 44-A1 (isolated lateral) 44-A2 (lateral, medial) 44-A3 (lateral, medial
Search for other papers by Benjamín Cancino in
Google Scholar
PubMed
Hospital Base de Valdivia, Valdivia, Chile
Search for other papers by Matías Sepúlveda in
Google Scholar
PubMed
Universidad Austral de Chile, Valdivia, Chile
Search for other papers by Estefanía Birrer in
Google Scholar
PubMed
-
Ankle fractures are common in children, and they have specific implications in that patient population due to frequent involvement of the physis in a bone that has growth potential and unique biomechanical properties.
-
Characteristic patterns are typically evident in relation to the state of osseous development of the segment, and to an extent these are age-dependent.
-
In a specific type known as transitional fractures – which occur in children who are progressing to a mature skeleton –a partial physeal closure is evident, which produces multiplanar fracture patterns.
-
Computed tomography should be routine in injuries with joint involvement, both to assess the level of displacement and to facilitate informed surgical planning.
-
The therapeutic objectives should be to achieve an adequate functional axis of the ankle without articular gaps, and to protect the physis in order to avoid growth alterations.
-
Conservative management can be utilized for non-displaced fractures in conjunction with strict radiological monitoring, but surgery should be considered for fractures involving substantial physeal or joint displacement, in order to achieve the therapeutic goals.
Cite this article: EFORT Open Rev 2021;6:593-606. DOI: 10.1302/2058-5241.6.200042
Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, LEGEC Expert Group, Davos, Switzerland
Search for other papers by Matías Sepulveda in
Google Scholar
PubMed
Hospital Base de Valdivia, Valdivia, Chile
Search for other papers by Gabriel Orellana in
Google Scholar
PubMed
Clínica Puerto Montt, Puerto Montt, Chile
Search for other papers by Francisco Sanchez in
Google Scholar
PubMed
Hospital Base de Valdivia, Valdivia, Chile
Search for other papers by Estefania Birrer in
Google Scholar
PubMed
-
Brachymetatarsia involves a reduction in length of one or more metatarsals.
-
The affected metatarsal is shortened by 5 mm or more, altering the normal metatarsal parabola.
-
In addition to being an aesthetic deformity, it can present with pain due to transfer metatarsalgia.
-
A possible association with genetic disorders needs to be investigated during clinical evaluation.
-
Surgical treatment may involve a one-stage lengthening procedure or progressive distraction, each having its advantages and limitations.
Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark
Search for other papers by Signe Steenstrup Jensen in
Google Scholar
PubMed
Search for other papers by Niels Martin Jensen in
Google Scholar
PubMed
Search for other papers by Per Hviid Gundtoft in
Google Scholar
PubMed
Search for other papers by Søren Kold in
Google Scholar
PubMed
Search for other papers by Robert Zura in
Google Scholar
PubMed
Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark
Search for other papers by Bjarke Viberg in
Google Scholar
PubMed
nonunion: open/closed fractures, fracture complexity (i.e. AO classification), diabetes, smoking, and age. According to the Social Security Administration final rules for evaluating musculoskeletal disorders in 2021, nonunion is defined as ‘a fracture that
Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.
Search for other papers by Amer Sebaaly in
Google Scholar
PubMed
Search for other papers by Maroun Rizkallah in
Google Scholar
PubMed
Search for other papers by Guillaume Riouallon in
Google Scholar
PubMed
Search for other papers by Zhi Wang in
Google Scholar
PubMed
Search for other papers by Pierre Emmanuel Moreau in
Google Scholar
PubMed
Search for other papers by Falah Bachour in
Google Scholar
PubMed
Search for other papers by Ghassan Maalouf in
Google Scholar
PubMed
fixation with open reduction and fusion in patients with type A (according to AO classification 57 ) fractures where the fracture is inherently stable. Type B fractures, especially B2, where ligamentous instability is present, leads to a weak scar
Search for other papers by Salvi Prat-Fabregat in
Google Scholar
PubMed
Search for other papers by Pilar Camacho-Carrasco in
Google Scholar
PubMed
who suffered a low-energy trauma and sustained a partial articular fracture (Schatzker 3/ AO OTA 41B2). Does age matter in determining management? The age of the patient and his/her previous functional status can be critical in deciding
Search for other papers by Michael J. Raschke in
Google Scholar
PubMed
Search for other papers by Christoph Kittl in
Google Scholar
PubMed
Search for other papers by Christoph Domnick in
Google Scholar
PubMed
Introduction Partial tibial plateau fractures may occur as a consequence of a valgus or varus trauma combined with a rotational and axial compression component. In the following article, we focus mainly on unicompartmental AO type B1-B3
Search for other papers by T. Fintan Moriarty in
Google Scholar
PubMed
Search for other papers by Richard Kuehl in
Google Scholar
PubMed
Search for other papers by Tom Coenye in
Google Scholar
PubMed
Search for other papers by Willem-Jan Metsemakers in
Google Scholar
PubMed
Search for other papers by Mario Morgenstern in
Google Scholar
PubMed
Search for other papers by Edward M. Schwarz in
Google Scholar
PubMed
Search for other papers by Martijn Riool in
Google Scholar
PubMed
Search for other papers by Sebastian A.J. Zaat in
Google Scholar
PubMed
Search for other papers by Nina Khana in
Google Scholar
PubMed
Search for other papers by Stephen L. Kates in
Google Scholar
PubMed
Search for other papers by R. Geoff Richards in
Google Scholar
PubMed
-
Orthopaedic and trauma device-related infection (ODRI) remains one of the major complications in modern trauma and orthopaedic surgery.
-
Despite best practice in medical and surgical management, neither prophylaxis nor treatment of ODRI is effective in all cases, leading to infections that negatively impact clinical outcome and significantly increase healthcare expenditure.
-
The following review summarises the microbiological profile of modern ODRI, the impact antibiotic resistance has on treatment outcomes, and some of the principles and weaknesses of the current systemic and local antibiotic delivery strategies.
-
The emerging novel strategies aimed at preventing or treating ODRI will be reviewed. Particular attention will be paid to the potential for clinical impact in the coming decades, when such interventions are likely to be critically important.
-
The review focuses on this problem from an interdisciplinary perspective, including basic science innovations and best practice in infectious disease.
Cite this article: Moriarty TF, Kuehl R, Coenye T, et al. Orthopaedic device related infection: current and future interventions for improved prevention and treatment. EFORT Open Rev 2016;1:89-99. DOI: 10.1302/2058-5241.1.000037.
Search for other papers by Ignacio Rodriguez in
Google Scholar
PubMed
AO Foundation, PAEG Expert Group, Davos, Switzerland
Hospital Base de Valdivia, Valdivia, Chile
Search for other papers by Matías Sepúlveda in
Google Scholar
PubMed
Hospital Base de Valdivia, Valdivia, Chile
Search for other papers by Estefanía Birrer in
Google Scholar
PubMed
Universidad del Desarrollo, Santiago, Chile
Hospital Clínico Mutual de Seguridad, Santiago, Chile
Search for other papers by María Jesús Tuca in
Google Scholar
PubMed
-
Fractures of the anterior tibial tuberosity during childhood are an infrequent pathology (around 3% of all proximal tibial fractures), but the incidence of this injury has risen over recent years, likely due to the increased involvement of this age group in sports activities.
-
This fracture is more commonly seen in children 12–14 years old.
-
It is vital to identify the anatomical structures associated with this type of fracture, along with the pathophysiological mechanisms involved.
-
Treatment includes non-operative and operative options, with the goal of achieving articular congruency, restoring the extensor mechanism function, and avoiding damage to the proximal tibial physis.
-
Understanding the management of this fracture, and the complications that might arise, is critical. The provision of an appropriate clinical management plan and the avoidance of complications are vital in the prevention of disability.
Cite this article: EFORT Open Rev 2020;5:260-267. DOI: 10.1302/2058-5241.5.190026
