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| 1 | Complex ankle arthrodesis: Review of the literature显示文摘Complex ankle arthrodesis is defined as an ankle fusion that is at high risk of delayed and nonunion secondary to patient comorbidities and/or local ankle/hindfoot factors. Risk factors that contribute to defining this group of patients can be divided into systemic factors and local factors pertaining to co-existing ankle or hindfoot pathology. Orthopaedic surgeons should be aware of these risk factors and their association with patients' outcomes after complex ankle fusions. Both external and internal fixations have demonstrated positive outcomes with regards to achieving stable fixation and minimizing infection. Recent innovations in the application of biophysical agents and devices have shown promising results as adjuncts for healing. Both osteoconductive and osteoinductive agents have been effectively utilized as biological adjuncts for bone healing with low complication rates. Devices such as pulsed electromagnetic field bone stimulators, internal direct current stimulators and low-intensity pulsed ultrasound bone stimulators have been associated with faster bone healing and improved outcomes scores when compared with controls. The aim of this review article is to present a comprehensive approach to the management of complex ankle fusions, including the use of biophysical adjuncts for healing and a proposed algorithm for their treatment. | Remy V Rabinovich Amgad M Haleem S Robert Rozbruch | 2015 | World Journal of Orthopedics2015,6,8: | 7 |
| 2 | Distraction arthroplasty in osteoarthritis of the foot and ankle显示文摘Post-traumatic osteoarthritis(PTOA)is a complex and painful problem in the foot and ankle.Ninety percent of osteoarthritis cases in the foot and ankle can be classified as post-traumatic.PTOA can affect any of the 33 joints in the foot and the ankle.Distraction arthroplasty is a method for treatment of early arthritic joints without fusing or replacing them and its effectiveness has been well documented.The purpose of this case series is to present our successful experiences and positive results using distraction arthroplasty to treat PTOA in the ankle,subtalar,first metatarsophalangeal,and second tarsometatarsal joints,and to present distraction arthroplasty as a viable alternative to invasive joint sacrificing procedures such as arthrodesis or arthroplasty.Distraction Arthroplasty effectively and safely treats PTOA and improves the stability of joints in the Foot and Ankle.Additionally,the use of bone marrow aspirate concentrate as an adjuvant can improve the long-term functional and structural outcomes of the joint,and can prolong the need for further,more aggressive surgical interventions such as fusion or arthroplasty. | Sherif Dabash Joshua R Buksbaum Austin Fragomen S Robert Rozbruch | 2020 | World Journal of Orthopedics2020,11,3: | 3 |
| 3 | Simultaneous treatment of tibial bone and soft-tissue defects with the Ilizarov method显示文摘 | Robert Rozbruch S Weitzman AM Tracey Watson J | 2006 | J Orthop Trauma2006,20,: | 1 |
| 4 | Limb lengthening and then insertion of an intramedullary nail: a case - matched comparison显示文摘 | Rozbruch SR Kleinman D Fragomen AT | 2008 | Clin Orthop2008,12,: | 1 |
| 5 | Simultaneous treatment of tibial bone and soft-tissue defects with the llizarov method 显示文摘 | Robert Rozbruch S Weitzman AM Tracey Watson J | 2006 | J Orthop Trauma2006,20,3: | 1 |
| 6 | The evolution of femoral shaft plating technique显示文摘 | Rozbruch SR Muller U Gautier E | 1998 | Clin Orthop1998,354,: | 1 |
| 7 | Simultaneous treatment of tibial bone and soft-tis- sue defects with the Ilizarov method显示文摘 | Robert Rozbruch S Weitzman AM Tracey Watson J | 2006 | J Orthop Trauma2006,20,3: | 1 |
| 8 | Proximal tibial osteotomy for genu varum:Radiological evaluation of deformity correction with a plate vs external fixator显示文摘BACKGROUND High tibial osteotomy(HTO)is a well-known procedure for the correction of knee varus.The purpose of this study was to compare the radiological results and accuracy of deformity correction performed using two different techniques:acute opening wedge correction using a plate and gradual correction with a monolateral external fixator.AIM To compare of the radiological results of two different techniques:acute opening wedge correction(a plate and screw)and gradual correction(external fixator).METHODS A total of 43 patients with plates and 36 patients with external fixators were included.All patients had moderate uniplanar varus deformities.We measured radiographic parameters,including the mechanical axis deviation(MAD),medial proximal tibial angle(MPTA),Caton-Deschamps Index(CDI),posterior proximal tibial angle,and joint line obliquity angle(JLOA).The accuracy of MAD correction was calculated based on a correction goal of neutral or overcorrection for medial compartment arthritis.RESULTS Demographics including age,body mass index,sex,and preoperative deformities were similar between the groups.The MAD significantly improved from 23.6 mm medial to the midline(SD=8.2 mm)to 6.9 mm lateral to the midline(SD=5.4 mm)(P<0.001).The accuracy of MAD correction did not differ between the groups and was 96.1%(SD=8.1%)in the plate group and 98.2%(SD=5.2%)in the external fixator group(P=0.18).The MPTA significantly improved from 83.9°(SD=2.9°)to 90.9°(SD=3.3°)(P<0.001),and the change was similar between the groups.Differences were noted in patella height,with a CDI change of-19.2%(SD=13.7%)and 3.1%(SD=8.0%)for the plate and external fixator groups,respectively(P<0.001).The change in JLOA was 1.6 degrees(SD=1.1 degrees)and 0.9 degrees(SD=0.9 degrees)for the plate and external fixator groups,respectively(P=0.04).CONCLUSION Reliable correction of moderate varus alignment was achieved with both the acute opening wedge technique with a plate and the gradual monolateral external fixator technique.The patellar height decreased with the open wedge plate technique.Joint line obliquity decreased to a greater degree with the open wedge plate technique,perhaps as a result of medial collateral ligament release.The appropriate technique should be selected based on surgeon and patient preferences;however,external fixation may be a better choice when the preservation of patellar height is deemed important. | S Ali Ghasemi David T Zhang Austin Fragomen S Robert Rozbruch | 2021 | World Journal of Orthopedics2021,12,3: | 1 |
| 9 | Dis- traction osteogenesis for nonunion after high tibial oste- otomy显示文摘 | Rozbruch SR Herzenberg JE Tetsworth K | 2002 | Clin Orthop2002,,394: | 1 |
| 10 | Lengthening of tibia after transtibial amputation:use of a weight bearing external fixator-prosthesis composite显示文摘 | Lam A Garrison G Rozbruch SR | 2016 | HSS J2016,12,1: | 1 |
| 11 | The evolution of femoral shaft plating technique显示文摘 | Rozbruch S R Muller U Gautieh E | 1998 | Clin Orthop1998,20,: | 1 |
| 12 | Simulta- neous treatment of tibial bone and soft -tissue defects with the Ilizarov method显示文摘 | Robert Rozbruch S Weitzman AM Tracey Watson J | 2006 | J Orthop Trauma2006,20,3: | 1 |
| 13 | Letter to the editor显示文摘 | Rozbruch SR | 2003 | J Orthop Trauma2003,17,4: | 1 |
| 14 | The evolution of femoral shaft plating technique显示文摘 | Rozbruch S R Mú ller U Gautier E | 1998 | Clin Orthop Relat Res1998,354,: | 1 |
| 15 | Intraoperative measurement of mounting parameters for the Taylor Spatial Frame显示文摘 | Gantsoudes GD Fragomen AT Rozbruch SR | 2010 | J Orthop Trauma2010,4,: | 1 |
| 16 | Temporary intentional leg shorting and deformation to facilitate wound closure using the II- izarov/Taylor spatial frame 显示文摘 | Nho S J Helfet D L Rozbruch S R | 2006 | J Orthop Trauma2006,20,6: | 1 |
| 17 | The evolution of femoral shaft plating technic显示文摘 | Rozbruch SR Mūller U Gawtier E | 1998 | Clin Orthop1998,354,: | 1 |
| 18 | Simultaneous treatment of tibial bone and soft-tissue defects with the Ilizarov method显示文摘 | Robert Rozbruch S Weitzman AM Tracey Watson J | 2006 | J Orthop Trauma2006,20,3: | 1 |
| 19 | Temporary intentional leg shortening and deformation to facilitate wound closure using the Ilizarov/Taylor spatial frame显示文摘 | Nho SJ Helfet DL Rozbruch SR | 2006 | J Orthop Trauma2006,6,: | 1 |
| 20 | The evolution of femoral shaftplating technique显示文摘 | Müller U Gautier E | 1998 | Clin Orthop1998,354,: | 1 |