Kevin T Monahan, Athan G Zavras, Gregory W Angelides, Gregory T Altman, Daniel T Altman, Edward R Westrick
OBJECTIVES: This study compared outcomes of locked plating (LP) versus intramedullary nailing (IMN) techniques for treatment of extra-articular proximal-third tibia fractures. METHODS: Data Sources: PubMed, Ovid MEDLINE STUDY SELECTION: Studies were included if they compared LP and IMN fixation for proximal one third tibial shaft fractures without articular extension or with simple articular extension into the tibial plateau. Minimum 1 year of clinical and radiographic follow up was used...
July 6, 2024: Injury
Alexis Brinkemper, Silvia Jasmin Hufnagel, Jana Cibura, Dina Maria Sträter, Charlotte Cibura, Thomas Armin Schildhauer, Christiane Kruppa
INTRODUCTION: Purpose of the study was to answer the question, if there are common fracture or injury characteristics, which help to identify patient at risk for a secondary compartment syndrome. MATERIALS AND METHODS: Between 2003 and 2022 all children and adolescents who were treated for a traumatic compartment syndrome in a lower extremity were retrospectively evaluated. Patient's demographics were recorded, the underlying trauma mechanism identified. Fractures were classified, treatment and complications were analyzed...
July 2, 2024: Injury
Anna Granström, Anna Schandl, Johan Mårtensson, Lovisa Strömmer
BACKGROUND: New Injury Severity Score (NISS) and Glasgow Coma Scale, Age and Pressure (GAP) scoring systems have cutoffs to define severe injury and identify high-risk patients. This is important in trauma quality monitoring and improvement. The overall aim was to explore if GAP scoring system can be a complement or an alternative to the traditional NISS scoring system. METHODS: Adults exposed to trauma between 2017 and 2021 were included in the study, using data from The Swedish Trauma Registry...
June 28, 2024: Injury
Xingchen Yan, Liuyin Yang, Xiaofei Ye, Jun Chen, Tao Wang, Mingyang Du
The rapid growth of urban instant delivery, facilitated by digital platforms and characterized by on-demand, short-term, task-based labor, has raised concerns about safety, particularly with the increasing frequency of instant delivery crashes (IDCs). This study addresses knowledge gaps in understanding injury patterns and risk factors associated with IDCs. Utilizing data extracted from judicial verdicts on IDC disputes in China, encompassing demographic, contextual, crash, and injury information, the research employs ordered logit regression to identify significant factors affecting injury patterns, the number of injuries per person (IPP), and injury severity...
June 27, 2024: Injury
Max R van Diepen, Suzanne F M van Wijck, Emmalee Vittetoe, Angela Sauaia, Mathieu M E Wijffels, Fredric M Pieracci
BACKGROUND: Surgical stabilization of rib fractures (SSRF) is increasingly performed, however the outcome of patients undergoing SSRF while on pre-injury antithrombotic therapy remains unknown. We compared surgical variables and outcomes of patients who were and were not on antithrombotic therapy. We hypothesize pre-injury anticoagulation is associated with delay in SSRF and worse outcomes. METHODS: For this retrospective cohort study, we queried the Chest Injury International Database, for patients undergoing SSRF between 08/2018 and 03/2022...
June 27, 2024: Injury
Wei Hou, Jingbo Kong, Liguo Liu, Yue Han, Fuji Ren, Shugang Yin, Mei Huang, Yajing Deng, Jinhong Zhang, Bin Dai, Xin Feng
OBJECTIVE: Deep vein thrombosis (DVT) provoked by orthopedic trauma is increasing in pediatric hospitalized patients. The purpose of our study is to identify the prevalence of acute DVT in pediatric and adolescent orthopedic trauma hospitalized patients and focus on evaluating the anticoagulation strategies and the clinical outcomes after a confirmed acute DVT. METHODS: Patients (age ≤18 years) with a confirmed acute DVT admitted for orthopedic trauma between September 2017 and December 2023 were included...
June 26, 2024: Injury
Craig Follette, Heidi L Roeber, Gregory R Lombana, Madison A Simas, Sophia M Alvarado, Mary Alyce McCullough, Amy N Hildreth, Preston R Miller, Martin D Avery
OBJECTIVES: Nonoperative management (NOM) of blunt splenic injury (BSI) is well accepted in appropriate patients. Splenic artery embolization (SAE) in higher-grade injuries likely plays an important role in increasing the success of NOM. We previously implemented a protocol requiring referral of all BSI grades III-V undergoing NOM for SAE. It is unknown the risk of complications as well as longitudinal outcomes. We aimed to examine the splenic salvage rate and safety profile of the protocol...
June 25, 2024: Injury
Chitta Ranjan Mohanty, Rakesh Vadakkethil Radhakrishnan, Amiya Kumar Barik, Mantu Jain, Samata Chororia, Manas Ranjan Sahu, Sudharshan Behera, P Poornima, Ranjan Kumar Patel, Suma Rabab Ahmad
BACKGROUND: Human-elephant conflicts (HECs) are becoming a disturbing public health concern in eastern India. This study highlights the pattern of injuries, epidemiological factors, and outcomes among the victims who survived an elephant attack (EA). METHODS: This retrospective observational study was conducted in a tertiary care hospital. Data were retrieved from the medical records of EA victims who presented to the emergency department of the hospital over five years (January 2019-January 2024)...
June 24, 2024: Injury
Corinne Vennitti, Mallory Maza, C Jayson Esdaille, Seth Yarboro
INTRODUCTION: Alteration of sagittal alignment during fracture fixation directly impacts ankle motion in dorsiflexion and plantarflexion. Previously research measured the anterior distal tibia angle (ADTA) in a normal healthy population. The null hypothesis for this study is that ADTA is restored to normal range following unstable pilon fractures. The aim of this study is to identify the range of the ADTA in distal tibia fractures after surgical fixation, compared to a previously published normal population...
June 22, 2024: Injury
Varun J Sharma, Robyn Summerhayes, Yantong Wang, Christina Kure, Silvana F Marasco
INTRODUCTION: Rib fixation for ventilator dependent flail chest patients has become a mainstay of management in major trauma centres. However, the expansion of rib fixation for fractured ribs beyond this remains largely in the hands of enthusiasts with the benefits in non ventilator dependent groups largely unproven. Previous meta-analyses have largely included non-randomised and retrospective data, much of which is now more than two decades out of date. We wanted to perform an updated meta-analysis including only rigorous prospective trials which were randomised...
June 22, 2024: Injury
Y D Hailer, L A Larsson, T Hellström, J E Chaplin, O Wolf
BACKGROUND AND PURPOSE: Pediatric pelvic fractures are uncommon, representing 0.2-3% of total pediatric fractures. The long-term patient-reported outcome in the pediatric population has not been evaluated yet. The purpose of the study was to describe the epidemiology of pelvic and acetabular fractures in pediatric patients including long-term patient-reported outcomes. PATIENTS AND METHODS: The Swedish Fracture Register (SFR) was used to identify all patients aged 6-17 years at injury with a pelvic fracture between 2015 and 2021...
June 22, 2024: Injury
Doris Sarmiento-Altamirano, Paula Pauta-Barros, Megan Docksey
BACKGROUND: Women in surgery face distinctive challenges, barriers, and obstacles in the workplace. The objective of this work was to evaluate perceptions toward female surgeons from a personal, cultural, and professional perspective in a tertiary hospital in Cuenca (Ecuador). METHODS: Qualitative ethnographic study based on the SRQR guidelines. Fourteen participants took part and were split into two groups: health personnel who work closely with surgeons and patients and family members...
June 22, 2024: Injury
Shinshiro Mineta, Takeshi Koyama, Shota Yamaguchi, Honoka Inagaki, Yuta Sekine
BACKGROUND: Epidemiological research highlights the need to understand sports injuries for effective prevention. Yet, detailed knowledge about lateral ankle sprain (LAS) in soccer, especially related to indirect contact mechanisms and specific sports movements, remains scarce. This study aimed to determine the prevalence of LAS by examining injury mechanisms, focusing on indirect contact, and analyzing sports-related movements. STUDY DESIGN: Prospective study. METHODS: In this prospective study, 304 high-school and college soccer players (age: 19...
June 21, 2024: Injury
Jason Silvestre, Jaimo Ahn, Niloofar Dehghan, Ida L Gitajn, Gerard P Slobogean, Mitchel B Harris
INTRODUCTION: There is a lack of research on the state of racial, ethnic, and gender diversity in the emerging orthopedic trauma workforce. The purpose of this study was to analyze the training pathway for diverse candidates in orthopedic trauma as it relates to race, ethnicity, and sex. METHODS: Self-reported demographic data were compared among allopathic medical students, orthopedic surgery residents, orthopedic trauma fellows, and the general population in the United States (2013-2022)...
June 21, 2024: Injury
Jason Silvestre, Michael J Weaver, Jaimo Ahn, Samir Mehta, Gerard P Slobogean, Kristoff R Reid, Mitchel B Harris
INTRODUCTION: Case volumes of trauma centers and surgeons influence clinical outcomes following orthopaedic trauma surgery. This study quantifies surgical volume benchmarks for Orthopaedic Trauma Association (OTA)-accredited fellowship training in the United States. METHODS: This was a retrospective cross-sectional study of orthopaedic trauma fellows graduating between 2018 and 2019 to 2022-2023. Case volume percentiles were calculated across categories and variability defined as the fold-difference between 90th and 10th percentiles...
June 21, 2024: Injury
Zhenxing Yang, Botian Ouyang, Jing Yang, Dapeng Liu, Xin Kang
INTRODUCTION: Humeral shaft fractures are a common injury of the upper limb, with the primary surgical treatment modality being the locking compression plate (LCP) technique. The advent of Anterior medial minimally invasive plate osteosynthesis (MIPO) technology has led to its gradual implementation in clinical practice. However, the efficacy and long-term outcomes of MIPO require further investigation. The objective of this study is to compare the therapeutic effects of LCP and MIPO in the management of humeral shaft fractures...
June 21, 2024: Injury
Malcolm R DeBaun, Mari Vanderkarr, Chantal E Holy, Jill W Ruppenkamp, Anjani Parikh, Mollie Vanderkarr, Paul M Coplan, Christian A Pean, Toni M McLaurin
INTRODUCTION: Racial and ethnic disparities in orthopaedic surgery are well documented. However, the extent to which these persist in fracture care is unknown. This study sought to assess racial disparities in the postoperative surgical and medical management of patients after diaphyseal tibia fracture fixation. METHODS: Patients with surgically treated tibial shaft fractures from October 1, 2015, to December 31, 2020, were identified in the MarketScan® Medicaid Database...
June 21, 2024: Injury
Maria Berg von Linde, Stefan Acosta, Ardavan M Khoshnood, Carl Johan Wingren
INTRODUCTION: Homicides using knives or other sharp objects are the most common type of homicide in Europe, and the second most common type of homicide worldwide. In contrast, suicides using sharp objects are rarer, constituting only a few per cent of all suicides in western countries. We investigated single stab injuries to the trunk in both homicides and suicides to assess differences in extent of injuries and in medical care, which could be of value for trauma management, public health and forensic assessment...
June 21, 2024: Injury
Kara J Kallies, Laura D Cassidy, Constance A Kostelac, Terri A deRoon-Cassini, Carissa W Tomas
BACKGROUND: Predisposing factors for traumatic injuries are complex and variable. Neighborhood environments may influence injury mechanism or outcomes. The Social Vulnerability Index (SVI) identifies areas at risk for emergencies; Area Deprivation Index (ADI) measures socioeconomic disadvantage. The objective was to assess the impact of SVI or ADI on hospital length of stay (LOS) and mortality for injured patients to determine whether SVI or ADI indicated areas where injury prevention may be most impactful...
June 21, 2024: Injury
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