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Jared A Warren, Kavin Sundaram, Robert Hampton, Damien Billow, Brendan Patterson, Nicolas S Piuzzi
BACKGROUND: Venous thromboembolism (VTE) is a serious complication that contributes to morbidity, mortality, and healthcare costs during the surgical care of patient with lower extremity fractures. Despite this, few recommendations on the topic exist and the literature on VTE incidence is incomplete. Therefore, this study will attempt to estimate annual incidence and trends in 30-day thrombotic events and mortality for the following fractures: (1) hip, (2) femur, (3) patella, (4) tibia and/or fibula, and (5) ankle...
September 4, 2019: Injury
Atsuhiro Tano, Yoto Oh, Kazuyuki Fukushima, Yoshiro Kurosa, Yoshiaki Wakabayashi, Koji Fujita, Toshitaka Yoshii, Atsushi Okawa
INTRODUCTION: The authors previously reported a CT-based nonlinear finite element analysis (nonlinear CT/FEA) model to investigate loading stress distribution in the femoral shaft of patients with atypical femoral fractures (AFFs). This showed that stress distribution, influenced primarily by femoral bowing, may determine the location of AFF. Here, we demonstrate the locational characteristics associated with AFFs in an Asian, specifically Japanese, population regarding bone strength...
September 3, 2019: Injury
Selim Safali, Bahattin Kerem Aydin, Alaaddin Nayman, Ceyhan Ugurluoglu
OBJECTIVE: To determine the radiologic, histologic and biomechanical effects of curcumin on bone healing using a total rat femur fracture injury model. MATERIALS AND METHODS: Sixty four male Wistar-Albino rats weighing 170-210 g were used in this study. The animals were randomly divided into eight groups and 5 or 6 animals were placed in each cage. A transverse femur shaft fracture model used. The animals in study groups received oral curcumin at a dose of 200 mg/kg for 14 days or 28 days...
September 3, 2019: Injury
K Treskes, M J A M Russchen, L F M Beenen, V M de Jong, S Kolkman, I G J M de Bruin, M G W Dijkgraaf, E M M Van Lieshout, T P Saltzherr, J C Goslings
INTRODUCTION: Evaluation of immediate total-body CT (iTBCT) scouts during primary trauma care could be clinically relevant for early detection and treatment of specific major injuries. The aim of this study was to determine the diagnostic usefulness of TBCT scouts in detecting life-threatening chest and pelvic injuries. METHODS: All patients who underwent an iTBCT during their primary trauma assessment in one trauma center between April 2011 and November 2014 were retrospectively included...
August 28, 2019: Injury
P M Rommens, C Arand, C Hopf, I Mehling, S O Dietz, D Wagner
Fragility fractures of the pelvis (FFP) are an increasing entity among elderly persons. Characteristics are different from high-energy pelvic trauma. Little is known about the natural course of FFP in conservative and after operative treatment. MATERIALS AND METHODS: Medical charts and radiologic data of 148 patients with an FFP, who were admitted in a 3-year period, were analysed retrospectively. Incidence and characteristics of fracture progression (FP) were noted. RESULTS: Patients presenting early after a traumatic event had more often non-displaced fractures, fractures with lower FFP Type classification and were more frequently treated conservatively...
August 27, 2019: Injury
Hagen Schmal, Morten Schultz Larsen, Fabian Stuby, Peter C Strohm, Kilian Reising, Kelly Goodwin Burri
BACKGROUND AND PURPOSE: Unstable pelvic fractures frequently require emergency stabilization using a C-clamp or external (CC/EF) fixation. However, the effectiveness of this intervention and associated complications are still a matter of debate. PATIENTS AND METHODS: The analysis used data available from the German Pelvic Trauma Registry to study general complications, infections and mortality after primary stabilization using CC/EF in 5,499 patients (n = 957 with vs n = 4,542 without)...
August 26, 2019: Injury
D Sawadogo, L Moore, P A Tardif, I Farhat, F Lauzier, A F Turgeon
BACKGROUND: Traumatic brain injuries (TBI) are the leading cause of death for people aged <40 years. In Canada, the structure of trauma care has evolved independently across provinces during the last decade. However, little is known about the evolution of clinical outcomes. We aimed to compare trends in hospital mortality, unplanned readmission, hospital length of stay (LOS) and intensive care unit (ICU) LOS for TBI between 2006 and 2012 across Canadian provinces. METHODS: We conducted a retrospective multicentre cohort study based on TBI admissions across Canadian level I and II trauma centres...
August 23, 2019: Injury
Guillaume L Hoareau, Emily M Tibbits, Meryl A Simon, Anders J Davidson, Erik S DeSoucy, E Robert Faulconer, J Kevin Grayson, Ian J Stewart, Lucas P Neff, Timothy K Williams, M Austin Johnson
INTRODUCTION: Trauma patients are predisposed to kidney injury. We hypothesized that in shock, zone 3 REBOA would increase renal blood flow (RBF) compared to control and that a period of zone 3 occlusion following zone 1 occlusion would improve renal function compared to zone 1 occlusion alone. MATERIALS AND METHODS: Twenty-four anesthetized swine underwent hemorrhagic shock, 45 min of zone 1 REBOA (Z1, supraceliac), zone 3 REBOA (Z3, infrarenal), or no intervention (control) followed by resuscitation with shed blood and 5 h of critical care...
August 22, 2019: Injury
Britt-Isabelle Berg, Emanuel Flury, Florian M Thieringer, Marcello Augello, Miodrag Savic, Andreas Schötzau, Christoph Kunz, David Goldblum
AIM: The present retrospective study aimed to evaluate the frequency and distribution of retrobulbar haematoma (RBH) among 26 patients (12 male/14 female) who had suffered maxillofacial trauma/surgery, with special focus on anticoagulants, causes of accidents, treatment, and outcome. METHODS: Patient ages ranged from 8 to 94 years, with a mean of 65 years. Among all patients, 43% had received anticoagulant therapy at admission; 92.3% had a previous history of maxillofacial trauma...
August 20, 2019: Injury
Dilan Demir, Pınar Kuru Bektaşoğlu, Türkan Koyuncuoğlu, Cansu Kandemir, Dilek Akakın, Meral Yüksel, Erhan Çelikoğlu, Berrak Ç Yeğen, Bora Gürer
OBJECTIVE: Traumatic brain injury (TBI) is one of the most common preventable causes of mortality and morbidity. Inflammation, apoptosis, oxidative stress, and ischemia are some of the important pathophysiological mechanisms underlying neuronal loss after TBI. Mildronate is demonstrated to be beneficial in various experimental models of ischemic diseases via anti-inflammatory, antioxidant, and neuroprotective mechanisms. This study aimed to investigate possible antioxidant, anti-inflammatory, antiapoptotic, and neuroprotective effects of mildronate in a rat model of TBI...
August 20, 2019: Injury
Omer Subasi, Atacan Oral, Ismail Lazoglu
A novel Ti6Al4V adjustable locking plate (ALP) is designed to provide enhanced bone stability for segmental bone fractures and to allow precise positioning of disconnected segments. The design incorporates an adjustable rack and pinion mechanism to perform compression, distraction and segment transfer during plate fixation surgery. The aim of this study is to introduce the advantages of the added feature and computationally characterize the biomechanical performance of the proposed design. Structural strength of the novel plate is analyzed using numerical methods for 4-point bending and fatigue properties, following ASTM standards...
August 20, 2019: Injury
Oscar J F van Waes, Anna-Marie R Leemeyer, Fabian O Kooij, Nico Hoogerwerf, Mark G van Vledder
No abstract text is available yet for this article.
August 19, 2019: Injury
Christian Konrads, Thomas Schewior
No abstract text is available yet for this article.
August 19, 2019: Injury
Georgios Kakavas, Nikolaos Malliaropoulos, Ricard Pruna, Nicola Maffulli
Injuries exert an enormous impact on athletes and teams. This is seen especially in professional soccer, with a marked negative impact on team performance and considerable costs of rehabilitation for players. Existing studies provide some preliminary understanding of which factors are mostly associated with injury risk, but scientific systematic evaluation of the potential of statistical models in forecasting injuries is still missing. Some factors raise the risk of a sport injury, but there are also elements that predispose athletes to sports injuries...
August 19, 2019: Injury
Ke Lu, Hong-Zhen Wang, Chong Li, Qi-Rong Dong
No abstract text is available yet for this article.
August 19, 2019: Injury
Ke Lu, Hong-Zhen Wang, Hui-Qiang Shan, Qi-Rong Dong
No abstract text is available yet for this article.
August 19, 2019: Injury
Jia Li, Pengbin Yin, Licheng Zhang, Hua Chen, Peifu Tang
BACKGROUND: Displaced femoral neck fractures in young adults are most likely to result from high energy trauma that causes a vertically-oriented shearing injury through the femoral neck. The optimal strategy for treatment of displaced femoral neck fractures remains an unsolved challenge in orthopedic surgery. METHODS: our group has previously designed a medial anatomical buttress plate (MABP) based on the analysis of the computed tomography (CT) data of anatomical structures derived from a large sample population...
August 19, 2019: Injury
Zhen Zhang, Guanglin Wang
No abstract text is available yet for this article.
August 19, 2019: Injury
Nissim Sadan, Pnina Sabag, Ktzia Cohen, Naiel Bisharat
OBJECTIVE: Improved pain assessment and management in the emergency department (ED) is warranted. We aimed to determine the impact on pain management, of adding symptoms and signs to pain assessment. PATIENTS AND METHODS: A single center before-and-after study was conducted, supplemented by an interrupted time series analysis. The intervention included the addition of clinical presentation (CP) of the injury and facial expression (FE) of the patient to pain assessment scales of patients with soft tissue injures...
August 17, 2019: Injury
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