Justin M Haller, Hunter Ross, Kimberly Jacobson, Zhining Ou, David Rothberg, Michael Githens
BACKGROUND: Supination adduction (SAD) fractures are rotational ankle fractures with a characteristic vertical medial malleolus fracture and tension failure fibula fracture. While these fractures are considered rotational injuries, they can have joint impaction that could lead to early joint degeneration. The purpose of this study was to characterize SAD ankle fractures and compare these injuries with partial articular pilon fractures. METHODS: Following IRB approval, we retrospectively reviewed ankle and pilon fractures (OTA 43 & 44) treated at two academic level-1 trauma centers from 2008-2016...
January 8, 2020: Injury
Louise McMenemy, Arul Ramasamy, Kate Sherman, Alan Mistlin, Rhodri Phillip, Demetrius Evriviades, Jon Kendrew
AIMS: The aim of the study is to evaluate the clinical outcome and complications from the initial cohort of blast injured bilateral lower limb, above knee amputees who underwent Direct Skeletal Fixation (DSF). PATIENTS AND METHODS: We undertook a retrospective analysis of a prospective data base identifying patients who had undergone implantation with the Australian Osseointegration Group of Australia-Osseointegration Prosthetic Limb (OGAP-OPL) prosthesis, with minimum 24 months follow up...
January 7, 2020: Injury
Ye Xie, Haibin Zhou
OBJECTIVE: To evaluate the outcome of unstable intertrochanteric fractures with primary cemented hemiarthroplasty (HA) in elderly severe osteoporotic patients. MATERIAL AND METHODS: In January 2009 to July 2017, 277 patients were selected according to inclusion criteria and results were analyzed prospectively. According to AO/OTA Classification, only type 31-A2.2(148 cases) and 31-A2.3(129cases) were included. 53 cases were males and 224 cases were females. The mean age was 75...
January 7, 2020: Injury
Anna-Marie R Leemeyer, Esther M M Van Lieshout, Maneka Bouwens, Wim Breeman, Michael H J Verhofstad, Mark G Van Vledder
BACKGROUND: Despite improving survival of patients in prehospital traumatic cardiac arrest (TCA), initiation and/or discontinuation of resuscitation of TCA patients remains a subject of debate among prehospital emergency medical service providers. The aim of this study was to identify factors that influence decision making by prehospital emergency medical service providers during resuscitation of patients with TCA. METHODS: Twenty-five semi-structured interviews were conducted with experienced ambulance nurses, HEMS nurses and HEMS physicians individually, followed by a focus group discussion...
January 7, 2020: Injury
Michael Bender, Marco Stein, Bennet Schoof, Malgorzata Anna Kolodziej, Eberhard Uhl, Karsten Schöller
OBJECTIVE: Cardiopulmonary (CP) complications are well-known phenomena after an isolated traumatic brain injury (iTBI) and they may be associated with an elevated serum troponin I (TnI) value. However, the influence of an elevated TnI level on CP parameters within the first 24 h after an iTBI is still unknown. The current study was conducted to assess the associations between the initial TnI value on admission and CP parameters during the first 24 h of intensive care unit (ICU) treatment in iTBI patients...
January 7, 2020: Injury
Kate Curtis, Belinda Gabbe, Kirsten Vallmuur, Katherine Martin, Shizar Nahidi, Ramon Z Shaban, Cliff Pollard, Grant Christey
INTRODUCTION: The availability and implementation of evidence-based care is essential to achieving safe, quality trauma patient outcomes. Little is documented, however, about the challenges trauma clinicians face in their day-to day practice, or their views on the availability of evidence. This paper presents the most significant clinical practice challenges reported by multidisciplinary trauma care professionals in Australia and New Zealand, in particular those that may be resolved with focussed research or enhanced implementation activity...
January 7, 2020: Injury
L Rocchi, G Merendi, G Cazzato, D Caviglia, S Donsante, A Tulli, F Fanfani
INTRODUCTION: In carpal scaphoid fractures, the surgical treatment with screw is considered the gold standard; shape memory staple however presents substantial advantages. The authors report a study on unstable fractures of the scaphoid waist (type B1, B2, B5, according to Herbert classification) treated with shape memory staple on a large sample of patients, with the aim to confirm the usefulness of this method, the quality of reduction and fixation, the functional results, the time of union and the possible complications...
December 28, 2019: Injury
Kerstin de Wit, Zahra Merali, Yoan Kagoma, Éric Mercier
INTRODUCTION: Seniors who fall are an increasing proportion of the patients who are treated in emergency departments (ED). Falling on level-ground is the most common cause of traumatic intracranial bleeding. We aimed to determine the incidence of intracranial bleeding among all senior patients who present to ED after a fall. METHOD: We performed a systematic review. Medline, EMBASE, Cochrane, and Database of Abstracts of Reviews of Effects databases, Google Scholar, bibliographies and conference abstracts were searched for articles relevant to senior ED patients who presented after a ground-level fall...
December 26, 2019: Injury
(no author information available yet)
No abstract text is available yet for this article.
December 24, 2019: Injury
J Whitaker, D Nepogodiev, A Leather, J Davies
BACKGROUND: Most deaths from injury occur in Low and Middle Income Countries (LMICs) with one third potentially avoidable with better health system access. This study aimed to establish consensus on the most important barriers, within a Three Delays framework, to accessing injury care in LMICs that should be considered when evaluating a health system. METHODS: A three round electronic Delphi study was conducted with experts in LMIC health systems or injury care...
December 21, 2019: Injury
Meng Mi, Costas Papakostidis, Xinbao Wu, Peter V Giannoudis
No abstract text is available yet for this article.
December 19, 2019: Injury
Gareth Chan, Madeleine F Bates, Ahmed T Kaddah, Jack Hurst, Caroline Witney-Lagen
No abstract text is available yet for this article.
December 17, 2019: Injury
Katherine P MacCallum, Stanley Kalata, David Darcy, Afshin Parsikia, Edward Chao, Melvin E Stone, Sheldon Teperman, Srinivas H Reddy
BACKGROUND: Patients who experience traumatic spine injuries remain in spinal precautions (SP) to minimize the risk of devastating cord injury while awaiting definitive management. This study examines the incidence of pneumonia (PNA), urinary tract infection (UTI), deep vein thrombosis (DVT), or pulmonary embolism (PE) in this population. STUDY DESIGN: From 2014 to 2016, 344 patients aged 18 and older with spinal column injuries were identified in a prospectively-collected registry at an urban, level 1 trauma center...
December 17, 2019: Injury
L Piccone, V Cipolloni, L A Nasto, C Pripp, F C Tamburrelli, G Maccauro, E Pola
INTRODUCTION: Surgical management of thoracolumbar burst fractures is controversial. While the goals of surgical treatment are well accepted (i.e., fracture reduction and stabilization, neural elements decompression, and segmental angular deformity correction), the choice of the best surgical approach (i.e., posterior vs. anterior vs. combined approach) remains controversial. Several studies have debated the advantages of each surgical approach but there is no definitive evidence available to date, particularly in young adult patients...
December 17, 2019: Injury
Stamatios A Papadakis, Dimitrios Pallis, Spyridon Galanakos, Dimitrios Florin Georgiou, Konstantinos Kateros, George Macheras, George Sapkas
BACKGROUND: Falls from height are a common cause of death and disability. Falls from height can be divided between accidental and suicide attempts. The aim of this study is to ascertain the demographic characteristics of these patients, and to identify the fracture patterns. METHODS: In this retrospective cross sectional comparative study we present 244 patients who sustained injuries as a result of a fall from height. They were divided into those with accidental falls (n = 180, group I) and those with suicide attempts (n = 64, group II)...
December 17, 2019: Injury
Katherine Douglass, Nino Paichadze, Emmanuel Ankrah Odame, Wilfred Addo, Adnan A Hyder
No abstract text is available yet for this article.
December 17, 2019: Injury
Hakan Kinik, Mahmut Kalem
OBJECTIVES: To evaluate the results of one stage radical debridement and segmental bone transport with circular fixator in the treatment of infected tibial non-union requiring extensive debridement with an average defect size of 8 cm and distraction length of 9,5 cm. DESIGN: Retrospective study. SETTING: Level I trauma centre at an academic university hospital. PATIENTS: Thirty patients with infected tibial non-union with an average of 2,9 previous failed operations after a mean 12,5 months post-injury were treated consecutively...
December 17, 2019: Injury
Marko Gjorgjievski, Bill Ristevski
INTRODUCTION: The elderly population is rapidly increasing, corresponding to an increase in orthopaedic surgical procedures for this group of patients. Current guidelines mostly concentrate on the patient's age when considering surgical fitness in the elderly. However, patient frailty may be a more significant factor when assessing postoperative risk in surgical management. In this article, we will analyse some of the factors associated with the postoperative care of the geriatric population after orthopaedic surgery...
December 17, 2019: Injury
Rachel W Li, Yi Deng, Hai Nam Pham, Steven Weiss, Mingming Chen, Paul N Smith
INTRODUCTION: Skeletal muscle ischaemia-reperfusion injury (IRI) can be a life threatening condition. It is relevant to various aspects of the management of trauma and surgical patients. Currently there lacks a pharmacological agent that can be used to dampen the effects of IRI. Riluzole has been shown to reduce the effects of IRI on various organ systems, but there have yet to be any studies on the effects in IRI of skeletal muscle. Our aim was to investigate the effects of Riluzole on IRI in the skeletal muscle of pigs...
December 17, 2019: Injury
Timothy A Moore, Natasha M Simske, Heather A Vallier
Timing and type of fracture fixation in the multiply-injured trauma patient have been important and controversial topics. Ideal care for these patients come from providers who communicate well with one another in a team fashion and view the whole person, rather than focusing on injury to individual systems. This group encompasses a wide range of musculoskeletal and other injuries, further complicated by the broad spectrum of patients, with variability in age, medical and social comorbidities, all of which may have profound impact upon outcomes...
December 17, 2019: Injury
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