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LETTER
Andreas Rehm, Ayla C Newton, Katerina Hatzantoni, Pinelopi Linardatou Novak, Joshua C Y Ong, Elizabeth Ashby
No abstract text is available yet for this article.
April 17, 2024: Injury
#2
JOURNAL ARTICLE
Fatih Barça, Halis Atıl Atilla, Ekin Barış Demir, Kadir Çevik, Bünyamin Uğur Ilgın, Osman Yağız Atlı, Sinan Yüksel, Kemal Şibar, Serhan Ünlü, Evrim Duman, Ahmet Fırat, Mutlu Akdoğan
INTRODUCTION: Although there are studies comparing methods for leg fasciotomy in compartment syndrome after fractures, choice of single or double fasciotomies in disasters was not investigated. The aim of this study was to compare the efficacy of single and double incision leg fasciotomy in the setting of disaster. METHODS: Patients that have undergone fasciotomy after 2023 Kahramanmaraş earthquakes were retrospectively analyzed. The cases were separated into two groups as single incision and double incision according to the method of the first fasciotomy...
April 17, 2024: Injury
#3
LETTER
Paolo Pallavicini, Ewoud Ter Avest
No abstract text is available yet for this article.
April 16, 2024: Injury
#4
JOURNAL ARTICLE
Kabytto Chen, Bayan Minasian, Evangeline Woodford, Pranav Shivashankar, Kah Ann Ho, Saimurooban Muralidaran, James Elhindi, Jeremy Hsu
BACKGROUND: Optimal treatment of patients with rib fractures requires identification of those patients at risk of pulmonary complications. It is also important to determine which patients would benefit from Surgical Stabilisation of Rib Fractures (SSRF). This study aims to validate two scoring systems (RibScore and SCARF score) in predicting complications and association with SSRF in an Australian trauma population. Clinical observation suggests that complications and criteria for SSRF is associated with anatomical and physiological factors...
April 13, 2024: Injury
#5
JOURNAL ARTICLE
Shunze Zheng, Dongze Lin, Peisheng Chen, Chaohui Lin, Bin Chen, Ke Zheng, Fengfei Lin
BACKGROUND: The purpose of this study was to compare the outcomes of femoral neck shortening between the femoral neck system (FNS) and the cannulated cancellous screws (CCS) for displaced femoral neck fractures in young adults PATIENTS AND METHODS: In this retrospective analysis, 225 patients aged 18-65 years with displaced femoral neck fracture were divided into two groups according to internal fixation: 135 patients in the FNS group and 90 patients in the CCS group. The length of hospital stay, duration of surgery, intraoperative blood loss, quality of reduction, extent of femoral neck shortening, incidence of femoral neck shortening, femoral neck shortening at each follow-up visit, Harris hip score (HHS), reoperation, and complications were compared between the two groups...
April 12, 2024: Injury
#6
JOURNAL ARTICLE
Soo Min Cha, Sang Hyun Lee, In Ho Ga, Yong Hwan Kim
BACKGROUND: We have attempted to restore the arc of motion by considering trochlear-coronoid articulation as a complete circle during fixation of the coronoid, even for comminuted coronoid fractures with partial loss of articular cartilage (CCFPLAC), using various kinds of locking plates. Herein, we report the radiological and clinical outcomes after fixation of the basal-1 type of CCFPLAC (O'Driscoll classification) using our method. METHODS: Thirty-one patients diagnosed with CCFPLAC were admitted between January 2012 and December 2020...
April 9, 2024: Injury
#7
JOURNAL ARTICLE
Asanthi M Ratnasekera, Sirivan S Seng, Daniel Kim, Wenyan Ji, Christina L Jacovides, Elinore J Kaufman, Hannah M Sadek, Lindsey L Perea, Christina Monaco Poloni, Ilya Shnaydman, Alexandra Jeongyoon Lee, Victoria Sharp, Angela Miciura, Eric Trevizo, Martin G Rosenthal, Lawrence Lottenberg, William Zhao, Alicia Keininger, Michele Hunt, John Cull, Chassidy Balentine, Tanya Egodage, Aleem T Mohamed, Michelle Kincaid, Stephanie Doris, Robert Cotterman, Sara Seegert, Lewis E Jacobson, Jamie Williams, Melissa Moncrief, Brandi Palmer, Caleb Mentzer, Nichole Tackett, Tjasa Hranjec, Thomas Dougherty, Shawna Morrissey, Lauren Donatelli-Seyler, Amy Rushing, Leah C Tatebe, Tiffany J Nevill, Michel B Aboutanos, David Hamilton, Diane Redmond, Daniel C Cullinane, Carolyne Falank, Mark McMellen, Chris Duran, Jennifer Daniels, Shana Ballow, Kevin M Schuster, Paula Ferrada
BACKGROUND: In patients with severe traumatic brain injury (TBI), clinicians must balance preventing venous thromboembolism (VTE) with the risk of intracranial hemorrhagic expansion (ICHE). We hypothesized that low molecular weight heparin (LMWH) would not increase risk of ICHE or VTE as compared to unfractionated heparin (UH) in patients with severe TBI. METHODS: Patients ≥ 18 years of age with isolated severe TBI (AIS ≥ 3), admitted to 24 level I and II trauma centers between January 1, 2014 to December 31, 2020 and who received subcutaneous UH and LMWH injections for chemical venous thromboembolism prophylaxis (VTEP) were included...
April 9, 2024: Injury
#8
JOURNAL ARTICLE
Gregory R Roytman, Motasem Salameh, Sarah E Rizzo, Meera M Dhodapkar, Steven M Tommasini, Daniel H Wiznia, Brad J Yoo
BACKGROUND: Fixation of sustentaculum tali fractures is important to maintain the biomechanical function of the subtalar joint. A common method of fixation is securing the sustentacular fragment by way of a laterally based locking plate (LP). A medial approach with a single screw (MS) has been proposed as an alternative method of fixation. METHODS: Five pairs of formalin-preserved cadaveric ankles with the subtalar joint and interosseous ligaments intact ("osseous cadavers") and four pairs of fresh-frozen cadaveric ankles with soft-tissue preserved dissected from mid-tibia down ("soft tissue cadavers") were used in the study...
April 9, 2024: Injury
#9
REVIEW
Anastasia A Hunt, Clayton Maschhoff, Noelle Van Rysselberghe, Christian A Gonzalez, Henry Goodnough, Michael Gardner, Julius A Bishop
INTRODUCTION: The indications for reduction and fixation of the posterior malleolus component of rotational ankle fractures have been controversial for nearly a century. This study aims to identify the historical basis for surgical intervention and trace trends in management strategies over time. METHODS: In March 2023, a systematic review of full-text, English-language articles providing indications for surgical fixation of the posterior malleolus component of rotational ankle fractures was performed...
April 6, 2024: Injury
#10
JOURNAL ARTICLE
Charlotte Brookes, Ruby Callister, Jennifer Robinson, Simon Smith, Paul Gillespie, Nikolaos Papadakos, Adrian Day, Ross Coomber
INTRODUCTION: Post-operative pelvic & acetabular fixation patients are conventionally imaged using 3-view radiographs (AP, inlet and outlet). The efficacy of such radiographs is inconsistent due to technical difficulties capturing an adequate view, often necessitating repeat radiographs and therefore increasing radiation exposure. Radiographs can be difficult to interpret, limiting the assessment of fracture reduction and fixation, especially with respect to metalwork positioning around articular surfaces...
April 6, 2024: Injury
#11
JOURNAL ARTICLE
Jack Stewart Davey, Randi Rotne, Glenn Edwards
BACKGROUND: The early identification of delayed bone healing or a non-union is vital for prompt treatment and superior patient outcomes. Current techniques rely heavily on operator skill for interpretation and hence their reliability and repeatability may be inconsistent. This study assessed the application of computed tomography (CT) derived densiometric measurements as a quantitative tool for the assessment of bone healing. METHODS: This prospective, longitudinal, method comparison study was performed using a recognised sheep tibial ostectomy model...
April 6, 2024: Injury
#12
JOURNAL ARTICLE
Pengyuan Leng, Yuhang Zhu, Yilong Dong, Huihui Li, Aili Du, Chunyuan Cai, Zhan Zhang, Xiaosai Zhou, Min Liu
PURPOSE: Morel-Lavallée lesion (MLL) is a closed soft-tissue degloving injurie resulting from shear forces. With the advent of endoscopic technology and advancements in surgical techniques, innovative solutions are now available. However, there are few data on mid-term results after treatment of MLL, especially regarding arthroscopic method. The objective of this study is to evaluate the clinical outcomes of endoscopic debridement combined with percutaneous cutaneo-fascial suture in treating MLL...
April 6, 2024: Injury
#13
JOURNAL ARTICLE
Arda Selin Tunç, Nazlı Ercan
BACKGROUND: In this study, the effects of topical sildenafil applications on oxidative damage levels and antioxidative metabolism and their contribution to wound healing and treatment were investigated. MATERIALS AND METHODS: A total of 24 healthy male rats aged 16-18 weeks, each weighing 200-250 g, were randomly divided into three groups: Group A received a saline solution, Group B received an epithelializing cream, and Group C received sildenafil cream. Following skin preparation and anesthesia, 6 mm diameter punch biopsies created wounds on the rats' backs...
April 5, 2024: Injury
#14
REVIEW
Devendra Pathrot, Sunil Mannual, Srinath K M, Chidendra M Shettar
Diaphyseal fractures of the tibia is a common injury with an incidence of 16.9/100,000 population. Surgical treatment with intramedullary interlocking nail is the treatment of choice in closed diaphyseal tibial injuries. Removal of the nail is required in non-union, infected implant, implant failure or during exchange nailing procedure. Implant removal surgery presents some unique challenges to the Orthopaedic surgeons like broken nails, broken screws and failure of the extraction devices to engage with the threads of the nail due to stripping of the threads in the proximal part of the nail...
April 4, 2024: Injury
#15
JOURNAL ARTICLE
Sencai Lin, Xiaobo Yang
OBJECTIVE: To clarify the prognosis effect between body surface area (BSA) and patients with acute kidney injury (AKI), we attempted to analyze the association between BSA and 90-day all-cause mortality in critically ill patients with AKI. METHODS: Clinical data of 9195 critically ill patients with AKI were retrieved from the Medical Information Mart for Intensive Care III database were then retrospectively analyzed. BSA were calculated using the Mosteller formula...
April 4, 2024: Injury
#16
JOURNAL ARTICLE
C Manya, J H Solomon, M I Inoh, S S Yikawe, R Mainasara, A A Abdulmumini
INTRODUCTION: Wound irrigation has been employed as an important surgical step to remove bacteria, devitalized tissues, and foreign bodies from surgical sites to prevent infection and confer to the wound maximum potential of healing. METHOD: A prospective study was conducted at Federal Medical Centre, Gusau, between January 2019- August 2023 to assess the benefit of antibiotics as additives in irrigation of dirty wounds. Seven (7) patients in total were presented with severe cut-throat injuries that require laryngopharyngoplasty...
April 4, 2024: Injury
#17
JOURNAL ARTICLE
Daniel J Cunningham, Joshua E Lawrence, Murali Kovvur, Kristin E Turner, Giovanni Oppizzi, Dali Xu, Li-Qun Zhang, Daniel J Johnson, Peter Mittwede, Aresh Sepehri, Jordan Brand, Robert V O'Toole, Mark J Gage
OBJECTIVES: In far-distal extra-articular tibia fracture "extreme" nailing, debate surrounds the relative biomechanical performance of plating the fibula compared with extra distal interlocks. This study aimed to evaluate several constructs for extreme nailing including one interlock (one medial-lateral interlock), one interlock + plate (one medial-lateral interlock with lateral fibula compression plating), and two interlocks (one medial-lateral interlock and one anterior-posterior interlock)...
April 4, 2024: Injury
#18
JOURNAL ARTICLE
Kumiko Yotsuya, Junichiro Sarukawa, Kaoru Yamazaki, Tatsuya Yasuda, Takato Oishi, Hiroki Ushirozako, Hideyuki Arima, Yukihiro Matsuyama
BACKGROUND: Spinal anesthesia is used for femoral trochanteric fracture surgery, but frequently induces hypotension and the causative factors remain unclear. We examined background factors for the use of an intraoperative vasopressor in elderly patients receiving spinal anesthesia for femoral trochanteric fracture surgery. METHODS: We retrospectively analyzed 203 patients >75 years (mean age, 87.9 years) with femoral trochanteric fractures who underwent short nail fixation under orthopedically managed spinal anesthesia at our hospital between April 2020 and July 2023...
April 4, 2024: Injury
#19
LETTER
Rory Cuthbert, Ashley I Simpson
No abstract text is available yet for this article.
April 4, 2024: Injury
#20
JOURNAL ARTICLE
S Kourouche, T Wiseman, M K Lam, R Mitchell, P Sarrami, M Dinh, H Singh, K Curtis
INTRODUCTION: Blunt chest injuries result in up to 10 % of major trauma admissions. Comorbidities can complicate recovery and increase the mortality rate in this patient cohort. A better understanding of the association between comorbidities and patient outcomes will facilitate enhanced models of care for particularly vulnerable groups of patients, such as older adults. AIMS: i) compare the characteristics of severely injured patients with blunt chest injury with and without comorbidities and ii) examine the relationship between comorbidities and key patient outcomes: prolonged length of stay, re-admission within 28 days, and mortality within 30 days in a cohort of patients with blunt chest injury admitted after severe trauma...
April 4, 2024: Injury
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