Rapid reference review in orthopedic trauma : pivotal papers by David J. Hak MD MBA

By David J. Hak MD MBA

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42 Chapter 4 Conclusions ▶ A surprisingly high complication rate was identified in the treatment of tibial pilon fractures. ARTICLE EXAMINING THE SAFETY OF EARLY (NONSTAGED) PILON ORIF Authors: White TO, Guy P, Cooke CJ, et al. C-type tibial pilon fractures: a cohort study. Journal Information: J Orthop Trauma. 2010;24(12):757–763. ▶ While most surgeons have advocated a staged approach to fixation of tibial pilon fractures, this group of surgeons reported on a single-stage urgent ORIF of these injuries.

23 Hak DJ. Rapid Reference Review in Orthopedic Trauma: Pivotal Papers Revealed (pp 23-33). © 2013 SLACK Incorporated. 24 Chapter 3 Hawkins Classification ▶ ▶ ▶ ▶ Group I: vertical undisplaced fracture of the talar neck. Group II: displaced vertical fracture of talar neck with subluxation or dislocation of subtalar joint but normal ankle joint. Group III: displaced vertical talar neck fracture with talus dislocated from both subtalar and ankle joints. Note that a fourth type was added by Canale in 1978, which is a group III injury plus dislocation/subluxation of the talonavicular joint.

Title: Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation. A prospective, randomized study. Journal Information: J Bone Joint Surg Am. 2006;88(3):514–520. 005) ≫ 62% at 6 months, 86% at 1 year, and 92% at 2 years Conclusions ▶ Investigators concluded that treatment of Lisfranc injuries by primary arthrodesis of medial 2 or 3 rays results in better short- and mediumterm outcomes compared with traditional ORIF. FEATURED ARTICLE Authors: Henning JA, Jones CB, Sietsema DL, Bohay DR, Anderson JG.

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