Union Rates and Reported Range of Motion Are Acceptable After Open Forearm Fractures in Military Combatants

Clinical Orthopaedics and Related Research
Kyle E NappoElizabeth M Polfer

Abstract

High-energy open forearm fractures are unique injuries frequently complicated by neurovascular and soft tissue injuries. Few studies have evaluated the factors associated with nonunion and loss of motion after these injuries, particularly in the setting of blast injuries. (1) In military service members with high-energy open forearm fractures, what proportion achieved primary or secondary union? (2) What is the pronation-supination arc of motion as stratified by the presence or absence of heterotopic ossification (HO) and synostosis? (3) What are the risks of heterotopic ossification and synostosis? (4) What factors may be associated with forearm fracture nonunion? A retrospective study of all open forearm fractures treated at a tertiary military referral center from January 2004 to December 2014 was performed. In all, 76 patients were identified and three were excluded, leaving 73 patients for inclusion. All 73 patients had serial radiographs to assess for HO and union. Only 64 patients had rotational range of motion (ROM) data. All patients returned to the operating room at least once after initial irrigation and débridement to ensure the soft tissue envelope was stable before definitive fixation. The indication for repeat ir...Continue Reading

References

Jan 1, 1991·Journal of Orthopaedic Trauma·J A Jones
Jan 1, 1991·Archives of Orthopaedic and Trauma Surgery·G BauerW Mutschler
Jan 12, 1999·Journal of Shoulder and Elbow Surgery·A D ArmstrongG J King
Mar 19, 2005·The Journal of Bone and Joint Surgery. British Volume·C A GoldfarbJ Borrelli
Sep 28, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Benjamin K PotterDonald Gajewski
Mar 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Benjamin K PotterDonald A Gajewski
Dec 7, 2007·The Journal of Bone and Joint Surgery. American Volume·Kurt P DrollMichael D McKee
Dec 3, 2009·Annals of Surgery·Jason S HawksworthEric A Elster
Dec 9, 2010·The Journal of Bone and Joint Surgery. American Volume·Benjamin K PotterEric A Elster
Mar 4, 2011·The Journal of Bone and Joint Surgery. American Volume·Matthew SardelliBruce A MacWilliams
Mar 18, 2011·The Journal of Bone and Joint Surgery. American Volume·Arjan G J BotC Niek van Dijk
Sep 25, 2012·Orthopaedics & Traumatology, Surgery & Research : OTSR·P DohnJ-N Goubier
Apr 24, 2013·Bone & Joint Research·K A AlfieriB K Potter
Dec 20, 2013·The Journal of Bone and Joint Surgery. American Volume·Elizabeth M PolferBenjamin K Potter
Mar 29, 2014·The Journal of Hand Surgery·Justin W ZumstegNick D Pappas
Apr 1, 2012·Trauma Monthly·Seyed Abdolhossein Mehdi NasabSaeed Sabahi
Jun 27, 2014·The Journal of the American Academy of Orthopaedic Surgeons·Leah M SchulteRobert J Neviaser
Jul 30, 2014·Archives of Orthopaedic and Trauma Surgery·Ahmet KöseTugay Tipi
Feb 28, 2015·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Marcos Almeida MatosLuiz Antonio Alcântara de Oliveira

❮ Previous
Next ❯

Citations

Aug 20, 2020·Hand Surgery and Rehabilitation·E UygurF Akpınar

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.