Annotated Reviews of Fifty Significant Trauma Articles from the Past Year 10 SUMMARY OF: Sagi HC, Shah AR, Sanders RW. The Functional Consequence of Syndesmotic Joint Malreduction at a Minimum 2-Year Follow-up. J Orthop Trauma. 2012 Jul;26(7):439-43 and Dikos GD, Heisler J, Choplin RH, Weber TG. Normal Tibiofibular Relationships at the Syndesmosis on Axial CT Imaging. J Orthop Trauma. 2012 Jul;...

BACKGROUND Clinical guidelines from the National Institute for Health and Clinical Excellence recommend the use of an intramedullary nail for the treatment of subtrochanteric fractures.1 Reverse oblique fractures are associated with varus malunion,2 which defunctions the abductors by placing them at a mechanical disadvantage and increases the lever arm across the fracture. Most modern nails hav...

       Fractures through the sacroiliac joint are very challenging to treat, technically difficult to reduce through closed methods on account of the multiaxial displacement of fractures fragments, frequently occur in very unwell patients, and have poor outcomes if malreduction is present. We describe a technique utilising the lateral window and a short buttress plate to reduce and stabilize th...

BACKGROUND Rotational ankle fractures often have unstable syndesmotic injuries that require reduction and stabilization. Multiple studies have focused on methods to assess syndesmotic reduction; however, the clinical importance of anatomic syndesmotic reduction remains unclear. The purpose of this study was to determine whether the quality of syndesmotic reduction influenced clinical outcomes f...

Optimal initial care can reduce the occurrence of pelvic ring malreductions; however, nonunions and malunions may still occur.1-4 Tile5 estimated a 5% incidence of residual severe deformity in major disruptions of the pelvic ring. However, nonoperative management of vertically unstable pelvic ring injuries can lead to malunion and/or nonunion in 55% to 75% of cases.4,6 The factors that lead to ...

BACKGROUND Clinical guidelines from the National Institute for Health and Clinical Excellence recommend the use of an intramedullary nail for the treatment of subtrochanteric fractures.1 Reverse oblique fractures are associated with varus malunion,2 which defunctions the abductors by placing them at a mechanical disadvantage and increases the lever arm across the fracture. Most modern nails hav...

<p><strong>Background:</strong><strong> </strong>Appropriate distal tibiofibular syndesmotic reduction is crucial to restore ankle stability, guard against future arthrosis with worse functional outcome. Optimal technique for has been a matter of debate. This study aimed at radiological evaluation integrity following two methods (posterior malleolar fixation and tr...

fractures through the sacroiliac joint are very challenging to treat, technically difficult to reduce through closed methods on account of the multiaxial displacement of fractures fragments, frequently occur in very unwell patients, and have poor outcomes if malreduction is present. we describe a technique utilising the lateral window and a short buttress plate to reduce and stabilize the fragm...