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T Buranaphatthana, T Apivatthakakul, V Apivatthakakul
INTRODUCTION: The purpose of this study was to evaluate the feasibility of the anteromedial minimally invasive plate osteosynthesis (MIPO) approach for distal third humeral shaft fractures and identify neurovascular structures at risk with this approach. METHODS: Twenty cadaveric arms were fixed with 12-hole precontoured narrow locking compression plates (LCP) with the anteromedial approach using MIPO technique. The proximal approach was done between the biceps and deltoid muscle directly to the bone...
May 6, 2019: Injury
Kim Foster, Rebecca Mitchell, Connie Van, Alexandra Young, Andrea McCloughen, Kate Curtis
INTRODUCTION: The psychological distress and risk of mental health problems for parents of children with critical injury is well-established. There has been little exploration, however, of parent experiences and psychosocial trajectories over time following child critical injury. To address this knowledge gap, a longitudinal qualitative study was conducted to explore parent experiences and support needs and identify parent psychosocial trajectories in the 12 months following child critical injury...
May 4, 2019: Injury
Craig D Newgard, Amber Lin, N David Yanez, Eileen Bulger, Susan Malveau, Aaron Caughey, K John McConnell, Dana Zive, Denise Griffiths, Rahill Mirlohi, Elizabeth Eckstrom
INTRODUCTION/OBJECTIVE: Little is known about the long-term outcomes of injured older adults cared for in trauma systems. We sought to describe mortality and causes of death over time, and the independent association of injury severity, comorbidities, and other factors on 12-month mortality among injured older adults transported by emergency medical services (EMS). MATERIALS AND METHODS: This was a population-based cohort study of injured adults ≥ 65 years in the United States transported by 44 EMS agencies to 51 hospitals from January 1, 2011 to December 31, 2011, with 12-month follow-up through December 31, 2012...
May 2, 2019: Injury
Nick A Johnson, J J Dias
INTRODUCTION: Social deprivation is associated with many adult fractures including distal radius fractures but the mechanisms for this are unclear. The aim of this study was to identify if social deprivation was associated with falls risk, mechanism of injury or osteoporosis in patients with a fragility fracture of the distal radius. METHOD: Details of all patients aged 50 years and over presenting with a radiographically confirmed fracture of the distal radius over a one year period, were prospectively recorded...
April 29, 2019: Injury
Soon Hyuck Lee, Seul Gi Kim, Donghee Kwak, Seok Ha Hong, Young Keun Lee, Woo Young Jang
INTRODUCTION: A pulled elbow is a common cause of acute elbow pain that is generally managed by a reduction maneuver without radiographic examination. However, children with atypical presentation with no history of abrupt longitudinal traction should undergo elbow imaging. This study aimed to investigate plain radiography findings and determine the usefulness of ultrasonography (US) in atypical pulled elbow. MATERIALS AND METHODS: We retrospectively reviewed the medical records and images of 37 (22 males) consecutive patients with pulled elbow who presented with an atypical history or failed reduction between April 2015 and September 2018...
April 29, 2019: Injury
David W Lowenberg, Malcolm DeBaun, Gina A Suh
The prevalence of chronic osteomyelitis due to trauma and surgical complications does not seem to be diminishing in our society. In many African Nations, with the urbanization and shift to the larger cities that has been occurring, Trauma has been classified as the number one disease problem plaguing such societies. This brings along with it the ensuing infections. With our better understanding of how microbes gain attachment to sites in our body and morph from a planktonic state to the slow growing sessile phase of growth, combined with their formation of a highly structured biofilm colony, we have come to realize that we must resort to other forms of treatment...
April 27, 2019: Injury
Shijie Liao, Jie Pan, Huahao Lin, Yaofeng Xu, Rongbin Lu, Jianping Wu, Manjun Zhao, Huilin Chen, Ming Cai, Xiaofei Ding, Jinmin Zhao
PURPOSE: The aim of the study was to investigate the clinical outcomes of a combined anterior and posterior approach for the surgical treatment of chronic Monteggia fractures in children. MATERIALS AND METHODS: From November 2010 to January 2018, 33 patients (27 boys and 6 girls) with chronic Monteggia fracture who were treated surgically by one surgeon of our department were retrospectively analyzed. In the surgical procedure, open reduction and excision of fibrous scar were performed with the anterior Henry's approach, while ulnar osteotomy was carried out with a posterior approach...
April 27, 2019: Injury
Daniel M Gessner, Jean-Louis Horn, David W Lowenberg
When treating pain in the orthopaedic trauma patient opioids have classically represented the mainstay of treatment. They are relatively inexpensive and modestly effective for basic pain management. However, they are fraught with considerable side effects as well as the very high risk of addiction. Their use in pain management has been implicated in the opioid epidemic. For this reason, as well as their only moderate efficacy, alternative modes of treatment have been sought for both the patient with isolated limb trauma and the patient with poly trauma...
April 25, 2019: Injury
B L S Borger van der Burg, B Kessel, J J DuBose, T M Hörer, R Hoencamp
BACKGROUND: To further strengthen the evidence base on the use of Resuscitative Endovascular Balloon occlusion of the Aorta (REBOA) we performed a Delphi consensus. The aim of this paper is to establish consensus on the indications and contraindications for the use of REBOA in trauma and non-trauma patients based on the existing evidence and expertise. STUDY DESIGN: A literature review facilitated the design of a three-round Delphi questionnaire. Delphi panelists were identified by the investigators...
April 24, 2019: Injury
Ian A Harris
No abstract text is available yet for this article.
April 23, 2019: Injury
Zahra Hassannejad, Shayan Abdollah Zadegan, Alexander R Vaccaro, Vafa Rahimi-Movaghar, Omid Sabzevari
No abstract text is available yet for this article.
April 23, 2019: Injury
Chul Hyun Park, Gi Beom Kim
INTRODUCTION: This study aimed to assess the tibiofibular relationships of normal syndesmosis on axial computed tomography (CT) images and evaluate the measurement differences by gender, age, and body sides. PATIENTS AND METHODS: The cases of 120 volunteers who underwent bilateral ankle CT were retrospectively reviewed. Volunteers were divided into three groups of 40 (20 men and 20 women) as follows: 20-40, 40-60, and 60-80 years old. Radiographic evaluation included the anterior tibiofibular clear space (ATFCS), posterior tibiofibular clear space (PTFCS), anterior tibiofibular interval (ATFI), length of incisura (LI), depth of incisura (DI), and fibular width (FW)...
April 22, 2019: Injury
Thomas J Martin, Ashley Szabo Eltorai, Ryan Dunn, Andrew Varone, Maurice F Joyce, Tareq Kheirbek, Charles Adams, Alan H Daniels, Adam E M Eltorai
Rib fractures are common injuries associated with significant morbidity and mortality, largely due to pulmonary complications. Despite equivocal effectiveness data, incentive spirometers are widely utilized to reduce pulmonary complications in the postoperative setting. Few studies have evaluated the effectiveness of incentive spirometry after rib fracture. Multiple investigations have demonstrated incentive spirometry to be an important screening tool to identify high-risk rib fracture patients who could benefit from aggressive, multidisciplinary pulmonary complication prevention strategies...
April 22, 2019: Injury
Jun-Ho Kim, Dae-Hee Lee
BACKGROUND: Severe open tibia fractures are disastrous injuries associated with a high incidence of complications. Negative pressure wound therapy (NPWT) is a novel treatment for open tibia fractures; however, its efficacy remains unclear. This is a systematic review and meta-analysis performed to evaluate the effect of NPWT on decreasing the infection rate, amputation rate, nonunion rate, and flap-related complications in open tibia fractures. METHODS: The MEDLINE, EMBASE, and Cochrane Library databases were systematically searched...
April 22, 2019: Injury
Adeel Anwar, Yufang Zhang, Zhi Zhao, Yanming Gao, Lin Sha, Decheng Lv, Zhen Zhang, Gang Lv, Yufen Zhang, Muhammad Umar Nazir, Wasim Qasim, Yanfeng Wang
PURPOSE: In this era of life highly comminuted and multi planar tibial plateau fractures involving the posterior corners are more commonly seen and addressed in the literature than before. Among these several types have not been described in the currently used classification systems. In fact simple classification systems ignore several fracture types and leniently grouped the fractures with different mechanism, morphology, treatment modalities and prognosis in same category. On the other hand, more extensive nature classifications with detailed subdivisions are difficult to remember for clinicians...
April 22, 2019: Injury
Theofylaktos Kyriakidis, Eustathios Kenanidis, Maheswara R Akula, David Zorman, Eleftherios Tsiridis
INTRODUCTION: Biomechanical studies demonstrated the superiority of retrograde supracondylar intramedullary nails (RIN) against locking plates (LP) for the treatment of periprosthetic supracondylar femoral fractures (PSFs); however, clinical results are still conflicting. This study aimed to compare LP and RIN, as well as, cemented and uncemented nails in the treatment of PSFs regarding fracture healing, complications and functional results. MATERIALS AND METHODS: A retrospective multicenter analysis of 60 PSFs classified as Rorabeck type I or II was performed...
April 22, 2019: Injury
Torsten Pastor, Simon Tiziani, Cla Duri Kasper, Hans-Christoph Pape, Georg Osterhoff
INTRODUCTION: Posttraumatic pelvic deformity is associated with pain and loss of function. This study aimed to test the correlation of functional outcome in patients with pelvic fractures with the postoperative radiographic quality of reduction. METHODS: Consecutive patients with an isolated traumatic pelvic fracture that required closed or open reduction between 07/2015 and 07/2017 and had a completed follow-up of at least 6 months were included (N = 31, mean age 50 years, SD 21 years, range, 16 to 88 years)...
April 22, 2019: Injury
Jan Puetzler, Charalampos Zalavras, Thomas F Moriarty, Michael H J Verhofstad, Stephen L Kates, Michael-J Raschke, Steffen Rosslenbroich, Willem-J Metsemakers
INTRODUCTION: Open fractures are still a challenge in orthopaedic trauma surgery, and compared to closed fractures, the rate of complications including fracture-related infection (FRI) remains significantly higher. Although different guidelines on prevention of FRI have been published in past decades, the current recommendations vary significantly. The objectives of this international questionnaire were to evaluate clinical practice procedures for the prevention of FRI in open fractures and to evaluate adherence to available guidelines...
April 21, 2019: Injury
Nicolas Cazes, Aurélien Renard
No abstract text is available yet for this article.
April 19, 2019: Injury
Jianming Chen, Ding Xu, Peng Luo
No abstract text is available yet for this article.
April 19, 2019: Injury
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