Skeletal Trauma: Basic Science, Management, and Reconstruction

Pathophysiology and Early Management of Spinal Cord Injury

Introduction Traumatic spinal cord injury (SCI) is a devastating neurologic entity and a life-altering event. SCI affects approximately 1.4 million North Americans, with a disproportionate number of patients who are younger than 30 years of age. Injury results in the…

Nonunions: Evaluation and Treatment

Introduction Fracture nonunions may represent a very small percentage of the traumatologist's case load but can account for a high percentage of a surgeon's stress, anxiety, and frustration. A fracture nonunion may be anticipated after a severe traumatic injury, such…

Understanding and Treating Chronic Osteomyelitis

History Osteomyelitis can occur for a variety of reasons and is often a result of open fractures. Therefore it is quite obvious that osteomyelitis has accompanied humankind and also animals over thousands or even millions of years. The most likely…

Diagnosis and Treatment of Complications

We define a complication as a disease process that occurs in addition to a principal illness. In the lexicon of diagnosis-related groupings, complications are comorbidities. However, a broken implant complicating the healing of a radius shaft fracture hardly seems to…

Surgical Site Infection Prevention

Introduction Surgical site infection (SSI) is one of the most common and devastating complications of orthopaedic surgical procedures. In its most recent estimate, the Centers for Disease Control and Prevention (CDC) reported that SSIs accounted for 36.4% of all healthcare-associated…

Osteoporotic Fragility Fractures

Demographics of Osteoporotic Fragility Fractures Fragility fracture refers to those fractures that result from a fall from standing height or less and frequently occur in the hip, wrist, and spine. Osteoporosis is characterized by a combination of both a decrease…

Pathologic Fractures

Introduction Pathologic fractures can be a source of diagnostic and therapeutic challenge to the practicing orthopaedic surgeon. These fractures can be a significant cause of anxiety for patients, who are told they have a tumor, as well as for surgeons,…