(J Orthop Trauma[TA])
6,561 results
  • Outcomes of early vs delayed medial malleolar fixation in the treatment of open ankle fractures. [Journal Article]
    J Orthop Trauma. 2026 Sep 18. [Online ahead of print]Hughes IX, Baka DR, … Dolch HJJO
  • CONCLUSIONS: Early fixation was associated with a higher observed infection rate, particularly in bimalleolar and trimalleolar fractures, although this difference did not reach statistical significance in the overall cohort. Early fixation may be appropriate in select cases to reduce hospital resource utilization. However, surgeons should use caution when considering early fixation of higher energy injuries such as open bimalleolar and trimalleolar ankle fractures.
  • Publisher Full Text (DOI)
  • Intramedullary Bone Transport Nail for the Treatment of Segmental Tibial Bone Defect After Acute Traumatic Bone Loss. [Case Reports]
    J Orthop Trauma. 2026 Oct 01; 40(10S):S19-S23.Scolaro JAJO
  • CONCLUSIONS: Medullary bone transport is a valuable technique to perform distraction osteogenesis with all-internal components. This technique has notable advantages over other techniques which rely on external pins, wires, and frames. Preoperative templating and surgical planning are critical to the success of this procedure to ensure that movement of the segment across the defect can be performed based on the specifications of the nail. The case of a young patient with a 67 mm diaphyseal tibial defect after an open tibial shaft fracture who had successful reconstruction with a medullary bone transport nail is presented.
  • Publisher Full Text (DOI)
  • Transport Intramedullary Nail for Nonunion. [Review]
    J Orthop Trauma. 2026 Oct 01; 40(10S):S13-S18.Crist BD, Lee MAJO
  • CONCLUSIONS: Nonunions with bone defects create technical challenges for fracture healing. All-internal bone transport with an intramedullary nail offers benefits over the other bone segment transport options including being simpler for the patients, avoiding the associated soft tissue issues that externally based implants or techniques and minimizing residual deformity by maintaining the anatomical axis along the intramedullary nail. This article reviews preoperative planning, technical tricks and specific techniques for internal bone transport, including the corticotomy, distraction, docking site and regenerate management, and the available literature.
  • Publisher Full Text (DOI)
  • Advancements in Managing Bone Defects with Limb Length Discrepancies with a Motorized Intramedullary Combined Transport and Lengthening Nail. [Review]
    J Orthop Trauma. 2026 Oct 01; 40(10S):S7-S12.Collins AC, Marecek GSJO
  • CONCLUSIONS: Large bone defects that coexist with limb length discrepancy present a challenging problem in limb reconstruction. Historically, management has required complex circular fixation constructs, staged procedures, or separate devices to independently address each problem. However, the development of motorized intramedullary nails capable of performing both bone transport and limb lengthening with a single implant represent a paradigm shift. This review traces the evolution of internal bone transport technology from the initial foundational principles of distraction osteogenesis through first generation motorized lengthening nails and finally to newly available combination transport-lengthening implants. The biologic rational for a single-construct approach is examined, and clinical scenarios where single implant treatment is advantageous are emphasized. The mechanistic design that enables dual functionality is described, along with surgical technique principles including corticotomy, distraction protocols, and docking site management. Finally, recognized challenges specific to a combined approach are discussed and an illustrative case example is provided.
  • Publisher Full Text (DOI)
  • New Technology for the Treatment of Bone Defects and Limb Length Discrepancies with a Motorized Intramedullary Bone Transport Nail. [Journal Article]
    J Orthop Trauma. 2026 Oct 01; 40(10S):S1-S6.Frumberg DB, Vasudevan RS, Wellings EPJO
  • CONCLUSIONS: Bone defects are among the most challenging problems treated by limb reconstruction surgeons and orthopaedic traumatologists. Bone transport is a biological reconstruction technique which harnesses distraction osteogenesis to create new bone in critical bone defect. This technique has been successfully performed with a variety of internal and external solutions. This work introduces a newly available technology which provides a fully implantable, all-internal solution (eg, without the need for external fixation) for bone transport with the option to simultaneously address residual limb length discrepancy.
  • Publisher Full Text (DOI)