We have three trauma articles in the current issue of the Orthopedic Clinics of North America, which I think you will enjoy reading. Periprosthetic fractures of the lower extremity will continue to challenge orthopedic surgeons as more baby boomers with total joint replacements sustain fragility fractures. Drs Kancherla and Nwachuku discuss the treatment principles of periprosthetic fractures of the femur after total knee arthroplasty.
In another article, Drs Amorosa, Kloen, and Helfet share their clinical experience and review the evaluation and management of high-energy pediatric pelvic and acetabular fractures. Although these are injuries that often present to pediatric hospitals, the surgeons who usually manage these types of injuries typically treat adults. I think that both pediatric orthopedic surgeons at trauma centers and orthopedic trauma surgeons who treat mostly adult patients can learn quite a bit from this article.
The management of traumatic bone loss in the lower extremities continues to be a topic of interest to orthopedic surgeons who manage open fractures. I frequently get asked, “which bone graft should I use for this?”, or “how should we address the bone loss in this patient?” from my colleagues. Dr Pipitone and I have attempted to address the basic principles and strategies for the management of bone loss in our article in this issue.