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Jesse B Jupiter - One of the best experts on this subject based on the ideXlab platform.

  • traumatic laceration of the long head of the biceps brachii from a displaced surgical neck fracture of the humerus case report
    Journal of surgical orthopaedic advances, 2011
    Co-Authors: Jaehon M Kim, Jesse B Jupiter
    Abstract:

    This case report identifies a traumatic laceration of the long head of the biceps brachii associated with a displaced surgical neck fracture of the humerus in a 37-year-old woman who sustained a fall while skiing. At the time of surgery, the tendon was found sharply divided and repaired primarily. The fracture was fixed with a proximal humeral Blade Plate. Followup revealed nearly full glenohumeral motion and a functional biceps muscle by 4 months.

  • salvage of distal tibia metaphyseal nonunions with the 90 degrees cannulated Blade Plate
    Clinical Orthopaedics and Related Research, 2003
    Co-Authors: Kingsley R Chin, Durgesh G Nagarkatti, Michael A Miranda, Vincent M Santoro, Michael R Baumgaertner, Jesse B Jupiter
    Abstract:

    Abstract Nonunion of distal tibia metaphyseal fractures after trauma is a major problem. Treating these nonunions is made more challenging by the presence of symptomatic ipsilateral tibiotalar arthrosis. The current study examined the use of the 90 degrees cannulated Blade Plate as an alternative method of stable internal fixation for 13 distal tibia metaphyseal nonunions and simultaneous fusion of three arthritic tibiotalar joints in 13 patients (seven males and six females) with an average age of 42.4 years (range, 21-73 years). Each patient had an average of three prior procedures (range, 2-6). Patients were followed up for an average of 34.2 months (range, 24-55 months). All 13 patients achieved radiographic and clinical union an average of 15.6 weeks (range, 12-20 weeks) from the date of the definitive procedure. There were two broken screws, but no secondary procedures were required to obtain fusion. All patients were ambulatory without support at the last followup. The implant proved effective for stable internal fixation of distal tibia metaphyseal nonunions alone or with simultaneous fusion of the tibiotalar joint.

  • the use of a Blade Plate and autogenous cancellous bone graft in the treatment of ununited fractures of the proximal humerus
    Journal of Shoulder and Elbow Surgery, 2001
    Co-Authors: David Ring, Michael D Mckee, Bertrand H Perey, Jesse B Jupiter
    Abstract:

    Stable internal fixation is essential to obtain healing of an ununited fracture of the proximal humerus. Standard Plate and screw fixation may be inadequate to secure a small, osteopenic proximal fragment. We used Blade Plates and autogenous cancellous bone graft to repair ununited fractures of the proximal humerus in 25 patients (19 women and 6 men) with a mean age of 61 years. Healing was documented in 23 of 25 patients (92%). Objective and subjective instruments documented substantial functional improvement in patients with healed fractures. The results were classified as good or excellent in 20 of 25 patients, and few complications were encountered. Blade Plate fixation facilitates successful treatment of ununited fractures of the proximal humerus.

  • Blade Plate reconstruction of metaphyseal nonunion of the tibia
    Clinical Orthopaedics and Related Research, 1996
    Co-Authors: Creg Carpenter, Jesse B Jupiter
    Abstract:

    Sixteen patients with nonunion of the metaphyseal region of the proximal or distal tibia after fracture or reconstructive procedures were surgically treated using a fixed angle Blade Plate and autogenous bone grafting. Eight of these nonunions were complicated by prior sepsis. The average time of followup assessment was 23 months. Fourteen of these 16 nonunions went on to uncomplicated union after the index procedure. Failure of the tibial fracture to unite in 2 patients required further surgical intervention with a ring external fixator. The authors recommend Blade Plate reconstruction for metaphyseal nonunion of the proximal and distal tibia, especially when complicated by angular deformity, small osteopenic metaphyseal fragments, and stiff adjacent joints.

  • Blade Plate fixation of proximal humeral non unions
    Injury-international Journal of The Care of The Injured, 1994
    Co-Authors: Jesse B Jupiter, A B Mullaji
    Abstract:

    Abstract Non-union of fracture of the proximal humerus is unusual and can be difficult to treat. It is found more often than not in the elderly patient with weak bone, resorption at the fracture site, contracture of the glenohumeral joint and associated medical conditions. A Blade Plate, designed specifically for the treatment of these non-unions, was used in nine patients — seven females and two males (mean age 66 years) — who had painful non-union with a mean duration of 22.5 months. Autologous bone grafting was used in all cases. Eight non-unions followed displaced two-part proximal humeral fractures: five had been initially treated conservatively and four with medullary nails. Five patients had associated medical illness. After a mean of 6.5 months (range 4–28 months), union had been achieved in all but one patient. Functional evaluation revealed good results in five patients, fair results in three and one poor result. Use of the Blade Plate offered a successful method of stable internal fixation in these complex cases.

W H Roerdink - One of the best experts on this subject based on the ideXlab platform.

  • study protocol for the defendd trial an rct on the dynamic locking Blade Plate dlbp versus the dynamic hip screw dhs for displaced femoral neck fractures in patients 65 years and younger
    BMC Musculoskeletal Disorders, 2020
    Co-Authors: J H Kalsbeek, W H Roerdink, Pieta Krijnen, M E Van Den Akkervan Marle, Inger B Schipper
    Abstract:

    The Dynamic Locking Blade Plate (DLBP) was recently introduced for fixation of displaced femoral neck fractures (FNF) and has been well received. Although the results of this implant in young patients are promising, the DLBP has not yet been compared to a standard device such as the Dynamic Hip Screw (DHS). The aim of this study is to compare the clinical outcome and costs of displaced FNF treated with internal fixation by means of either the DLBP or the DHS in patients up to 65 years of age. We hypothesize that the DLBP is superior compared to the DHS in terms of revision surgery rate, union rate, incidence of avascular necrosis and implant related failure. The DEFENDD (DisplacEd Femoral Neck fractures Dlbp versus Dhs) trial is a multicentre randomized controlled trial that will include 266 patients of 18–65 years with a displaced FNF. Patients will be randomized to receive either a DLBP or a DHS with a 1:1 allocation using a random block size, stratified for centre. Clinical follow up will last 1 year and questionnaires will be obtained up to 2 years. The main outcome parameter is the incidence of revision surgery within 1 year, due to either non-union, avascular necrosis (AVN) or cut out of the implant. Secondary study parameters are the incidence of avascular necrosis, non-union, (implant related) complications, functional outcome, elective removal of the implant and health-related quality of life and costs. The outcome of the DEFENDD trial will provide high-level evidence of which implant is favourable for the treatment of femoral neck fractures in young patients (≤65 years). Netherlands Trial Register, NL7300 Registration date 25-09-2018.

  • displaced femoral neck fractures in patients 60 years of age or younger results of internal fixation with the dynamic locking Blade Plate
    Journal of Bone and Joint Surgery-british Volume, 2018
    Co-Authors: J H Kalsbeek, A D P Van Walsum, J P A M Vroemen, H M J Janzing, J T Winkelhorst, B P Bertelink, W H Roerdink
    Abstract:

    Aims The objective of this study was to investigate bone healing after internal fixation of displaced femoral neck fractures (FNFs) with the Dynamic Locking Blade Plate (DLBP) in a young patient population treated by various orthopaedic (trauma) surgeons. Patients and Methods We present a multicentre prospective case series with a follow-up of one year. All patients aged ≤ 60 years with a displaced FNF treated with the DLBP between 1st August 2010 and December 2014 were included. Patients with pathological fractures, concomitant fractures of the lower limb, symptomatic arthritis, local infection or inflammation, inadequate local tissue coverage, or any mental or neuromuscular disorder were excluded. Primary outcome measure was failure in fracture healing due to nonunion, avascular necrosis, or implant failure requiring revision surgery. Results In total, 106 consecutive patients (mean age 52 years, range 23 to 60; 46% (49/106) female) were included. The failure rate was 14 of 106 patients (13.2%, 95% conf...

  • the dynamic locking Blade Plate a new implant for intracapsular hip fractures biomechanical comparison with the sliding hip screw and twin hook
    Injury-international Journal of The Care of The Injured, 2009
    Co-Authors: W H Roerdink, A M M Aalsma, G Nijenbanning, A D P Van Walsum
    Abstract:

    Internal fixation of intracapsular hip fractures results in a high failure rate with non-union and avascular necrosis being the two most important complications. In order to prevent these possible complications treatment should consist of an anatomical reduction and stable fixation by insertion of a low volume, dynamic implant, providing angular and rotational stability to the femoral head. According to these principles a new implant, the dynamic locking Blade Plate (DLBP) was designed for the fixation of intracapsular hip fractures. We performed a biomechanical analysis in synthetic bone to compare the rotational stability and cut out resistance of the DLBP with a conventional sliding hip screw (SHS) and the more recently developed Twin Hook. The rotational stability of the DLBP proved to be three times higher than the rotational stability of a SHS and two times higher than the Twin Hook. There was no major difference in cut out resistance between the different implants. The design of the DLBP and possible advantages with regard to the healing of an intracapsular hip fracture are discussed.

A D P Van Walsum - One of the best experts on this subject based on the ideXlab platform.

  • displaced femoral neck fractures in patients 60 years of age or younger results of internal fixation with the dynamic locking Blade Plate
    Journal of Bone and Joint Surgery-british Volume, 2018
    Co-Authors: J H Kalsbeek, A D P Van Walsum, J P A M Vroemen, H M J Janzing, J T Winkelhorst, B P Bertelink, W H Roerdink
    Abstract:

    Aims The objective of this study was to investigate bone healing after internal fixation of displaced femoral neck fractures (FNFs) with the Dynamic Locking Blade Plate (DLBP) in a young patient population treated by various orthopaedic (trauma) surgeons. Patients and Methods We present a multicentre prospective case series with a follow-up of one year. All patients aged ≤ 60 years with a displaced FNF treated with the DLBP between 1st August 2010 and December 2014 were included. Patients with pathological fractures, concomitant fractures of the lower limb, symptomatic arthritis, local infection or inflammation, inadequate local tissue coverage, or any mental or neuromuscular disorder were excluded. Primary outcome measure was failure in fracture healing due to nonunion, avascular necrosis, or implant failure requiring revision surgery. Results In total, 106 consecutive patients (mean age 52 years, range 23 to 60; 46% (49/106) female) were included. The failure rate was 14 of 106 patients (13.2%, 95% conf...

  • the dynamic locking Blade Plate a new implant for intracapsular hip fractures biomechanical comparison with the sliding hip screw and twin hook
    Injury-international Journal of The Care of The Injured, 2009
    Co-Authors: W H Roerdink, A M M Aalsma, G Nijenbanning, A D P Van Walsum
    Abstract:

    Internal fixation of intracapsular hip fractures results in a high failure rate with non-union and avascular necrosis being the two most important complications. In order to prevent these possible complications treatment should consist of an anatomical reduction and stable fixation by insertion of a low volume, dynamic implant, providing angular and rotational stability to the femoral head. According to these principles a new implant, the dynamic locking Blade Plate (DLBP) was designed for the fixation of intracapsular hip fractures. We performed a biomechanical analysis in synthetic bone to compare the rotational stability and cut out resistance of the DLBP with a conventional sliding hip screw (SHS) and the more recently developed Twin Hook. The rotational stability of the DLBP proved to be three times higher than the rotational stability of a SHS and two times higher than the Twin Hook. There was no major difference in cut out resistance between the different implants. The design of the DLBP and possible advantages with regard to the healing of an intracapsular hip fracture are discussed.

Steve Krikler - One of the best experts on this subject based on the ideXlab platform.

  • proximal femoral fracture after hip resurfacing managed with Blade Plate fixation a case report
    Faculty of Built Environment and Engineering; Institute of Health and Biomedical Innovation, 2008
    Co-Authors: Patrick C Weinrauch, Steve Krikler
    Abstract:

    Internal fixation of an intertrochanteric proximal femoral fracture distal to a hip resurfacing implant using a fixed angle Blade Plate is presented.

  • proximal femoral fracture after hip resurfacing managed with Blade Plate fixation a case report
    Journal of Bone and Joint Surgery American Volume, 2008
    Co-Authors: Patrick C Weinrauch, Steve Krikler
    Abstract:

    Periprosthetic and proximal femoral fractures that occur after hip resurfacing are a challenging problem which, with the increasing popularity of resurfacing arthroplasty, is likely to increase in frequency. In the presence of a well-fixed acetabular component, periprosthetic femoral neck fractures about a hip resurfacing implant may be successfully managed by isolated revision of the femoral component and retention of the socket. However, successful internal fixation of the fracture would allow retention of the femoral implant and salvage of a previously well-functioning resurfacing prosthesis. When the resurfacing femoral component is retained, however, the presence of the implant stem, which is centrally located in the femoral neck, causes difficulty in placing the typical implants (e.g., a screw-Plate device or a cephalomedullary nail) that are used in the management of intertrochanteric and proximal femoral fractures. We present the case of a patient in whom an intertrochanteric femoral fracture distal to a hip resurfacing implant was successfully managed by internal fixation with use of an angled Blade Plate. The patient was informed that data concerning the case would be submitted for publication, and he consented. A sixty-seven-year-old man with end-stage osteoarthritis underwent left hip resurfacing through a posterior approach and with use of a Cormet (Corin Group, Cirencester, United Kingdom) metal-on-metal resurfacing prosthesis. The femoral component was fixed with Simplex polymethylmethacrylate cement (Stryker, Limerick, Ireland), which was poured into the prosthesis early …

Amit Kumar Singh - One of the best experts on this subject based on the ideXlab platform.