Wu Chean Lee, Siaw Meng Chou, Chee Wei Tan, Li Sing Chng, Gui Jie Michael Yam, Tjun Huat Ivan Chua
INTRODUCTION: The lesser trochanter (LT) fragment in the multifragmentary intertrochanteric femur fracture (AO 31A2.2) may extend distally. If the fragment extends too distally, fixation with a short proximal femoral nail antirotation (PFNA-II) device may not be sufficient. The exact length of distal extension that can be tolerated by the short PFNA-II is not known, therefore it is our objective to determine it. MATERIALS AND METHODS: A finite element analysis was performed on AO 31A2...
October 14, 2020: Injury
Michael Rozenfeld, Moran Bodas, Michal Shani, Irina Radomislensky, Havi Murad, Doron Comaneshter, Avi Israeli, Kobi Peleg
OBJECTIVE: To estimate the potential influence of pre-operative patient condition on the benefit of earlier hip fracture surgery for elderly patients. BACKGROUND: Many studies emphasize the benefit of earlier hip fracture surgery for patient survival. However less is known regarding how this relationship is influenced by clinical factors which could serve as potential contra-indicators for earlier surgery. Rushed surgery of patients with contra-indications may even compromise their survival...
October 14, 2020: Injury
Deulle Min, Hye Sun Lee, Mikyong Shin
BACKGROUND: Few studies have investigated the consequences of fall-induced hip fractures among healthy, community-dwelling middle-aged adults. OBJECTIVES: To investigate the effects of fall-induced hip fractures on cognitive function, activities of daily living, and mortality from the time the fractures increase. DESIGN: A secondary data analysis based on data from the Korean Longitudinal Study of Aging (2006-2016). METHODS: Participants were 8,571 people over 45 years in South Korea who had never experienced a fall-induced hip fracture by 2006...
October 13, 2020: Injury
Takahisa Ogawa, Toshitaka Yoshii, Shingo Morishita, Mutsuko Moriwaki, Atsushi Okawa, Ara Nazarian, Kiyohide Fushimi, Takeo Fujiwara
BACKGROUND: As the aging population progresses, the number of elderly hip fracture patients is increasing. Elderly patients with hip fractures have a high risk of perioperative complications. One of the major complications after surgery is surgical site infection (SSI), which requires additional surgical interventions and is associated with increased mortality. Previous literature has shown that the risk of SSI is higher during the summer season in orthopedic surgery. However, little is known about the seasonal differences in the risk of SSI after hip fracture surgery...
October 13, 2020: Injury
Vivek Veeresh, Bismaya Sahoo, Buddhadev Chowdhury, Samarth Mittal, Vivek Trikha
No abstract text is available yet for this article.
October 13, 2020: Injury
Giovanni Vicenti, Davide Bizzoca, Raffaele Pascarella, Ferdinando Delprete, Federico Chiodini, Walter Daghino, Alessandro Casiraghi, Giulio Maccauro, Francesco Liuzza, Emanuele Boero, Alberto Belluati, Carlotta Pari, Marco Berlusconi, Filippo Randelli, Federico Bove, Ettore Sabbetta, Massimiliano Carrozzo, Giuseppe Solarino, Biagio Moretti
In recent years, there has been an increasing interest in the development of arthroplasty registries, therefore, in our country, the Italian Arthroplasty Registry (RIAP), was issued by the National Law No. 221/2012. In the last decade, however, some European countries -namely Sweden, Denmark, Norway, and Germany (in development)- have introduced another nationwide orthopaedic registry than arthroplasty registers: the fracture registry. The development of this new tool aims to improve quality and safety in fracture management, thus trying to provide a better postoperative quality of life in trauma patients...
October 12, 2020: Injury
Vivek Veeresh, Hemant Bansal, Samarth Mittal, Vivek Trikha
No abstract text is available yet for this article.
October 10, 2020: Injury
Chad Y Lewis, Richard H Carmona, Craig S Roberts
No abstract text is available yet for this article.
October 10, 2020: Injury
Joseph G Camarano, Hunter T Ratliff, Genevieve S Korst, Jaron M Hrushka, Daniel C Jupiter
BACKGROUND: Traumatic brain injury (TBI) prognostic prediction models offer value to individualized treatment planning, systematic outcome assessments and clinical research design but require continuous external validation to ensure generalizability to different settings. The Corticosteroid Randomization After Significant Head Injury (CRASH) and International Mission on Prognosis and Analysis on Clinical Trials in TBI (IMPACT) models are widely available but lack robust assessments of performance in a current national sample of patients...
October 10, 2020: Injury
Patrick Holweg, Jan Dauwe, Peter Grechenig, Magdalena Holter, Mario Staresinic, Georg Feigl, Bore Bakota
BACKGROUND: The aim of this study was to investigate proximal humerus plating regarding drill depth and over penetration of the glenohumeral joint and to find a relation between these findings and different areas of bone mineral density (BMD) in the humeral head. MATERIAL & METHODS: The study sample involved 45 upper extremities from human adult cadavers. Two different plates (HOFER; PHILOS) were applied to the proximal humerus. Each hole was drilled until the respective participant thought to have placed the drill bit subchondral...
October 10, 2020: Injury
Massimiliano Mosca, Mario Fuiano, Davide Censoni, Giulio Maria Marcheggiani Muccioli, Tommaso Roberti di Sarsina, Alberto Grassi, Silvio Caravelli, Stefano Zaffagnini
INTRODUCTION: Injuries involving the tarsometatarsal (TMT) joint are relatively uncommon, and the surgical treatment is potentially characterized by a high complications rate. The purpose of this study is to evaluate the results of the treatment of Lisfranc fracture-dislocations treated with closed reduction and percutaneous fixation with K-wires, considering complications and re-intervantion rate. MATERIALS AND METHODS: A retrospective review was performed on all patients undergone closed reduction and percutaneous fixation with K-wires of a Lisfranc fracture-dislocation...
October 8, 2020: Injury
Robert J McLoughlin, Max D Hazeltine, Jonathan Durgin, Alexander Schmidt, Michael P Hirsh, Muriel A Cleary, Jeremy T Aidlen
INTRODUCTION: Falls remain the leading cause of unintentional pediatric trauma in the United States. Identifying risk factors for pediatric building falls would influence public health policy. We hypothesized that building falls disproportionately affect low income communities. METHODS: We performed a cross-sectional analysis of the Kids' Inpatient Database for years 2006, 2009, and 2012. We identified cases (age <12 years) of falls from a building using external cause of injury codes...
October 8, 2020: Injury
Serkan Erkan, Oguzhan Cetinarslan, Guvenir Okcu
BACKGROUND: Spinopelvic dissociation (SPD) is difficult to manage and is associated with high mortality and morbidity, including concomitant orthopaedic polytrauma, spine injuries, pelvic ring disruptions, neurological, soft-tissue, and vascular injuries. The purpose of this study is to evaluate the functional and radiological outcomes; health related quality of life and complication rates of patients with traumatic spinopelvic dissociation underwent bilateral triangular osteosynthesis (TOS)...
October 8, 2020: Injury
Zachary T Sharfman, Afshin Parsikia, Ta'ir N Rocker, Mani D Kahn, Shima C Sokol, Melvin E Stone, John McNelis, Milan Sen, Apostolos Dimitroulias
INTRODUCTION: There is a paucity of research addressing the morbidity and mortality associated with polytrauma in elderly patients. This study aimed to compare the outcomes of elderly trauma patients with an isolated lower extremity fracture, to patients lower extremity fractures and associated musculoskeletal injuries. METHODS: This study is a retrospective review from the National Trauma Database (NTDB) between 2008 and 2014. ICD 9 codes were used to identify patients 65 years and older with lower extremity fractures...
October 8, 2020: Injury
Jiashen Shao, Huixin Zhang, Zhihong Wu
No abstract text is available yet for this article.
October 8, 2020: Injury
Javier González-Lázaro, Higinio F Arribas-Cubero, Jose A Rodríguez-Marroyo
INTRODUCTION: Mountain running races have grown in popularity in the recent years. Nonetheless, there are few studies on injuries and injury rates. Moreover, these studies have focused on long-distance events such as ultramarathons (>42 km). Therefore, the aim of the present study was to examine the severity, type, and body location of musculoskeletal injuries during 20-42 km mountain running races. In addition, the injury rates in this type of races were examined. METHODS: Data on injuries were collected during 36 mountain running races over 5 consecutive seasons from 2015 to 2019...
October 8, 2020: Injury
Krishna Kumar Mittal, Himanshu Gupta, Nitin Kaushik
INTRODUCTION: The aim is to re-unite post nail aseptic non-union of diaphyseal femoral fractures in an economical and safe way with almost certainty, reducing dependence on others with early rehabilitation. The cascade of fracture healing is dependent on mechanical stability and uninterrupted cellular and bio-chemical responses (biology). Intra-medullary nailing in fresh diaphyseal femoral fractures is gold standard treatment with high success rate, still non-union of these fractures is reported, though the incidence has declined considerably...
October 8, 2020: Injury
Umut Canbek, Esra Dibek, Ulas Akgun, Bekir Col, Tugba Dubektas Canbek, Nevres Hurriyet Aydogan, Nosirzhon Usmanov, Murat Kasap, Gurler Akpinar
INTRODUCTION: The origin and content of prolonged wound drainage (PWD) after arthroplasty remain uncertain. In this study, we performed the biochemical, biological and advanced proteomic analysis of the drainage fluid collected from PWD patients following hip hemiarthroplasty (HA). METHODS: Data of 28 patients who developed PWD after HA were prospectively analyzed. After examining the biochemical content of the drainage fluid collected on postoperative day 6, to find out if the drainage fluid was transudate or exudate, it was compared with the patient's serum values according to the Light criteria...
October 8, 2020: Injury
Dinesh Kumar Bagaria, Amit Gupta
No abstract text is available yet for this article.
October 8, 2020: Injury
Hao-Ming Chang, Wei-Yi Lu, Fa-Chuan Kuan, Wei-Ren Su, Pin-Ying Chen, Pei-Fang Su, Kai-Lan Hsu
INTRODUCTION: The effect of using closed suction drainage system with the proximal femoral nail antirotation (PFNA) system fixation on outcomes in treating intertrochanteric fractures (ITFs) is still unknown. This prospective randomized controlled trial aimed to examine whether routine drainage is useful for PFNA fixation in ITFs. METHODS: A total of 80 patients with acute ITFs were treated with closed or mini-open reduction with PFNA fixation at the National Cheng Kung University Hospital and 60 eligible patients were randomized for whether to receive suction drainage...
October 7, 2020: Injury
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