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Journals European Journal of Trauma and...

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society

https://read.qxmd.com/read/38878063/no-drains-versus-drains-after-perforated-peptic-ulcer-repair-a-randomized-controlled-trail
#1
JOURNAL ARTICLE
Mohammed Elshwadfy Nageeb, Wael Tobar, Ahmed Saqr, Amr Aly Ragab, Ahmed Mohammed Salah Eldeen Othman Elansary
PURPOSE: The study aimed to evaluate safety of omitting the intraabdominal drains after perforated peptic ulcer repairs. MATERIALS AND METHODS: We conducted a prospective, randomized, controlled trial from January 2022 to January 2024 at the Emergency surgery department. Patients with perforated peptic ulcers were evaluated for eligibility. They were randomly assigned into two groups. In group A: two intraabdominal drains (pelvic and hepatorenal). in group B: no intraabdominal drains...
June 15, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38874625/symmetry-of-the-left-and-right-tibial-plafond-a-comparison-of-75-distal-tibia-pairs
#2
JOURNAL ARTICLE
Joy Verbakel, Miriam R Boot, Nynke van der Gaast, Hans Dunning, Max Bakker, Ruurd L Jaarsma, Job N Doornberg, Michael J R Edwards, Sebastiaan A W van de Groes, Erik Hermans
PURPOSE: Tibia plafond or pilon fractures present a high level of complexity, making their surgical management challenging. Three-Dimensional Virtual Planning (3DVP) can assist in preoperative planning to achieve optimal fracture reduction. This study aimed to assess the symmetry of the left and right tibial plafond and whether left-right mirroring can reliably be used. METHODS: Bilateral CT scans of the lower limbs of 75 patients without ankle problems or prior fractures of the lower limb were included...
June 14, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38874624/role-of-low-pressure-negative-pleural-suction-in-patients-with-thoracic-trauma-a-randomized-controlled-trial
#3
JOURNAL ARTICLE
Amit Priyadarshi, Sahil Gupta, Pratyusha Priyadarshini, Abhinav Kumar, Junaid Alam, Dinesh Bagaria, Narendra Choudhary, Sushma Sagar, Amit Gupta, Biplab Mishra, Shivam Pandey, Subodh Kumar
BACKGROUND: Thoracic trauma frequently includes a pneumothorax, hemothorax, or hemopneumothorax, which may necessitate an Intercostal drainage (ICD) for air and fluid evacuation to improve breathing and circulatory function. It is a simple and life-saving procedure; nevertheless, it carries morbidity, even after its removal. Efforts have been made continuously to shorten the duration of ICD, but mostly in non-trauma patients. In this study, we evaluated the impact of negative pleural suction over the duration of ICD...
June 14, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38869511/impact-of-covid-19-pandemic-induced-surgical-restrictions-on-operational-performance-a-case-study-at-the-university-hospital-of-ulm
#4
JOURNAL ARTICLE
Thomas Datzmann, Lena Dörfer, Gregor Freude, Michael Hannemann, Gayathiri Tharmaratnam, Philipp Stangl, Walter Swoboda, Sylvia Schafmeister, Florian Gebhard, Udo X Kaisers, Markus Huber-Lang
INTRODUCTION: The operating room (OR) is a high-cost and high-revenue area in a hospital comprising extremely complex process steps to treat patients. The perioperative process quality can be optimized through an efficiency-oriented central OR management based on performance indices. However, during the COVID-19 pandemic with the corresponding OR restrictions, there was a significant nation- and worldwide decline in the performance, which may have a lasting impact. Therefore, we proposed the hypothesis that COVID-19 pandemic-related OR restrictions could reduce operative performance in the long term...
June 13, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38819683/shock-index-to-predict-outcomes-in-patients-with-trauma-following-traffic-collisions-a-retrospective-cohort-study
#5
JOURNAL ARTICLE
Te-Kai Liao, Chung-Han Ho, Ying-Jia Lin, Li-Chin Cheng, Hsuan-Yi Huang
PURPOSE: Taiwan, which has a rate of high vehicle ownership, faces significant challenges in managing trauma caused by traffic collisions. In Taiwan, traffic collisions contribute significantly to morbidity and mortality, with a high incidence of severe bleeding trauma. The shock index (SI) and the modified shock index (MSI) have been proposed as early indicators of hemodynamic instability. In this study, we aimed to assess the efficacy of SI and MSI in predicting adverse outcomes in patients with trauma following traffic collisions...
May 31, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38819682/treatment-of-unstable-forearm-fractures-at-the-metaphyseal-diaphyseal-junction-in-children-antegrade-esin-vs-transepiphyseal-intramedullary-k-wire-fixation
#6
JOURNAL ARTICLE
Markus Dietzel, Simon Scherer, Jakob Spogis, Hans Joachim Kirschner, Jörg Fuchs, Justus Lieber
BACKGROUND: Treatment of unstable forearm fractures in the metaphyseal-diaphyseal junction (MDJ) zone is still a matter of debate. Major drawbacks of all types of fixations include either invasiveness, technical impracticality, or lack of acceptance by patients. This study reports results after antegrade ESIN (a-ESIN) compared to transepiphyseal intramedullary K-wire (TIK) for unstable MDJ forearm fractures. METHODS: The MDJ of the forearm was defined as the square over the joints of both forearm bones subtracted with the square over the metaphysis of the radius alone...
May 31, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38819681/the-importance-of-predictive-markers-in-incarcerated-abdominal-wall-hernia
#7
JOURNAL ARTICLE
Mehmet Alperen Avci, Can Akgun, Omer Faruk Buk, Ahmet Can Sari
PURPOSE: Emergency abdominal wall hernia repairs play a significant role in general surgical emergencies. In such cases, the time taken to decide on surgery is crucial, as the situation may progress to necrosis, perforation, and organ resection due to strangulation following incarceration. To facilitate the early detection of this condition, studies have been conducted on various predictive markers, most of which are related to similar markers used in acute mesenteric ischemia. This study aims to assess the predictive significance of preoperative laboratory and imaging findings in incarcerated abdominal wall hernia with strangulation...
May 31, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38819680/incidence-and-predictors-of-dorsal-comminution-in-older-adults-with-low-energy-distal-radius-fracture
#8
JOURNAL ARTICLE
Hyoung-Seok Jung, Jeuk Lee, Kyu-Tae Kang, Jae-Sung Lee
PURPOSE: To identify the incidence of dorsal comminution using computed tomography (CT) images and identify predictors of this phenomenon in older adults with low-energy distal radius fractures (DRFs). METHODS: A total of 150 patients aged > 50 years with fall-induced dorsally angulated DRFs were enrolled in this study. Patients were divided into two groups based on the presence of dorsal comminution, defined as a metaphyseal void of greater than one-third of the maximum posterior to anterior depth of the bone on at least three cuts in the sagittal plane on post-reduction CT images...
May 31, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38819679/the-dynamic-locking-blade-plate-seven-year-follow-up-results-of-389-patients-with-a-femoral-neck-fracture
#9
JOURNAL ARTICLE
J H Kalsbeek, W H Roerdink, P Krijnen, C A S Berende, J T Winkelhorst, A D P van Walsum, I B Schipper
PURPOSE: This study aimed to investigate the long-term outcomes of patients with a femoral neck fracture (FNF), treated with the Dynamic Locking Blade Plate (DLBP). METHODS: Retrospective analysis of prospectively collected data of a multicentre cohort of patients with FNFs was conducted, regarding the long-term incidence of revision surgery after DLBP. Implant failure was evaluated using Kaplan-Meier and Cox regression analysis. Secondary outcomes were the indication for revision surgery, complications, time to revision surgery, rate of elective removal of the implant, potential predictors for revision surgery and mortality...
May 31, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38819678/variation-in-care-and-outcome-for-fragile-hip-fracture-patients-a-european-multicentre-study-benchmarking-fulfilment-of-established-quality-indicators
#10
JOURNAL ARTICLE
E Coeckelberghs, K Vanhaecht, A Akiki, P Castillón, B Cox, R El Attal, N B Foss, F Frihagen, T G Gerich, N K Kanakaris, M T Kristensen, M Mohaddes, M Panella, H C Pape, A Sermon, D Seys, S Nijs
PURPOSE: Despite the availability of clinical guidelines for hip fracture patients, adherence to these guidelines is challenging, potentially resulting in suboptimal patient care. The goal of this study was (1) to evaluate and benchmark the adherence to recently established quality indicators (QIs), and (2) to study clinical outcomes, in fragile hip fracture patients from different European countries. METHODS: This observational, cross-sectional multicenter study was performed in 10 hospitals from 9 European countries including data of 298 consecutive patients...
May 31, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38819677/translating-training-to-medical-practice-in-trauma-care-a-literature-review
#11
REVIEW
Alexandra Haută, Radu-Alexandru Iacobescu, Mihaela Corlade-Andrei, Paul Lucian Nedelea, Carmen Diana Cimpoeșu
Trauma, a global health challenge, remains a significant cause of mortality despite advances in trauma management. The establishment of trauma teams has revolutionized care in trauma resuscitation. The training of these teams is designed to promote self-trust and empower trainees in trauma care, enhance performance, and improve patient outcomes. Various training curricula have been developed, utilizing a plethora of teaching methods such as lectures, simulations, debriefings, skill workshops, and demonstrations...
May 31, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38806687/retrograde-intramedullary-nail-fixation-with-oblique-fixed-angle-screws-versus-locking-plates-in-periprosthetic-supracondylar-fractures-after-total-knee-arthroplasty
#12
JOURNAL ARTICLE
Franziska Rudolph, Alexander G Brand, Georg Osterhoff, Christian Kleber, Andreas Roth, Johannes K M Fakler
PURPOSE: Common surgical procedures in the treatment of periprosthetic distal femur fractures (PPFF) include osteosynthesis with fixed angle locking plates (LP) and retrograde intramedullary nails (RIN). This study aimed to compare LPs to RINs with oblique fixed angle screws in terms of complications, radiographic results and functional outcome. METHODS: 63 PPFF in 59 patients who underwent treatment in between 2009 and 2020 were included and retrospectively reviewed...
May 28, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38805038/periprosthetic-proximal-humerus-fractures-require-an-individualized-treatment-approach-results-of-a-multicenter-retrospective-study
#13
JOURNAL ARTICLE
Sandra Boesmueller, Greta Lorenz, Rudolf Maximilian Kinsky, Daniel Schallmayer, Christian Fialka, Rainer Mittermayr
BACKGROUND: In the last years, there has been increasing use of shoulder arthroplasty. As a result, an increasing incidence of periprosthetic humerus fractures (PPHF) is expected. Therefore, this retrospective, multicenter analysis aimed to collect demographic data from patients with PPHF, their treatment strategies, and associated complications. METHODS: Demographics of patients with PPHF were collected retrospectively from the database of six trauma hospitals between January 2000 and December 2020...
May 28, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38801465/tranexamic-acid-needs-to-be-implemented-in-mass-casualty-incident-protocols
#14
JOURNAL ARTICLE
Rafael Castro-Delgado, Gracia Garijo-Gonzalo, Tatiana Cuartas-Alvarez
No abstract text is available yet for this article.
May 27, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38789856/double-reverse-traction-repositor-assisted-closed-reduction-and-internal-fixation-versus-open-reduction-and-internal-fixation-for-treatment-of-lateral-tibial-plateau-fractures-among-the-elderly
#15
JOURNAL ARTICLE
Yuchuan Wang, Zhongzheng Wang, Siyu Tian, Junzhe Zhang, Wei Chen, Zhanle Zheng, Yingze Zhang
BACKGROUND: In elderly tibial plateau fractures (TPFs), the lateral condyles are involved frequently. This study aimed to compare the outcomes of open reduction and internal fixation (ORIF) and double reverse traction repositor (DRTR) assisted closed reduction and internal fixation (CRIF) in elderly patients with lateral TPFs. METHODS: From January 2015 to July 2020, we retrospectively reviewed 68 patients treated surgically at our trauma center for lateral TPFs (Schatzker type I-III)...
May 24, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38780783/follow-up-computed-tomography-and-unexpected-hemostasis-in-non-operative-management-of-pediatric-blunt-liver-and-spleen-injury
#16
JOURNAL ARTICLE
Ryo Yamamoto, Yukio Sato, Ramon F Cestero, Brian J Eastridge, Katsuya Maeshima, Morihiro Katsura, Yutaka Kondo, Hideto Yasuda, Shigeki Kushimoto, Junichi Sasaki
PURPOSE: While follow-up CT and prophylactic embolization with angiography are often conducted during non-operative management (NOM) for BLSI, particularly in a high-grade injury, the utility of early repeated CT for preventing unexpected hemorrhage remains unclear. This study aimed to elucidate whether early follow-up computerized tomography (CT) within 7 days after admission would decrease unexpected hemostatic procedures on pediatric blunt liver and spleen injury (BLSI). METHODS: A post-hoc analysis of a multicenter observational cohort study on pediatric patients with BLSI (2008-2019) was conducted on those who underwent NOM, in whom the timing of follow-up CT were decided by treating physicians...
May 23, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38780782/the-anesthesiologist-s-guide-to-swine-trauma-physiology-research-a-report-of-two-decades-of-experience-from-the-experimental-traumatology-laboratory
#17
JOURNAL ARTICLE
Mattias Renberg, Tomas Karlsson, Albin Dahlquist, Claire Luckhurst, Jenny Gustavsson, Ulf Arborelius, Mårten Risling, Mattias Günther
PURPOSE: Swine are one of the major animal species used in translational research, with unique advantages given the similar anatomic and physiologic characteristics as man, but the investigator needs to be familiar with important differences. This article targets clinical anesthesiologists who are proficient in human monitoring. We summarize our experience during the last two decades, with the aim to facilitate for clinical and non-clinical researchers to improve in porcine research. METHODS: This was a retrospective review of 337 swine with a mean (SD) weight 60 (4...
May 23, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38780781/paediatric-open-fractures-presenting-to-a-level-1-trauma-centre-a-10-year-epidemiological-study
#18
JOURNAL ARTICLE
Maheshi P Wijesekera, Patrick Foster, Peter V Giannoudis
PURPOSE: The epidemiology of paediatric fractures has been previously described, however there is limited data available on open fractures in this population. The purpose of this study was to investigate trends, mechanism of injury (MOI) and severity of paediatric open fractures and undertake an epidemiological study. METHODS: All children ≤ 16.0 years presenting with open fractures were identified between 01/04/2013 and 01/04/2023. Those with craniofacial, thoracic and distal phalangeal fractures were excluded...
May 23, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38780780/development-of-a-two-hit-lethal-liver-injury-model-in-swine
#19
JOURNAL ARTICLE
Emanuele Lagazzi, Helen S Wei, Vahe S Panossian, Jessica B Pallotta, Anet Calisir, Wardah Rafaqat, May Abiad, Ikemsinachi C Nzenwa, David R King, Celestine Hong, Paula Hammond, Bradley Olsen, Michael J Duggan, George C Velmahos
PURPOSE: Noncompressible truncal hemorrhage remains a leading cause of preventable death in the prehospital setting. Standardized and reproducible large animal models are essential to test new therapeutic strategies. However, existing injury models vary significantly in consistency and clinical accuracy. This study aims to develop a lethal porcine model to test hemostatic agents targeting noncompressible abdominal hemorrhages. METHODS: We developed a two-hit injury model in Yorkshire swine, consisting of a grade IV liver injury combined with hemodilution...
May 23, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38777887/weightbearing-versus-non-weight-bearing-in-geriatric-distal-femoral-fractures-a-systematic-review-and-meta-analysis
#20
REVIEW
Blaise Wardle, Joseph T Lynch, Thomas Staniforth, Thomas Ward, Paul Smith
BACKGROUND: Demographics of patients who sustain geriatric distal femoral fractures (DFF) match those of patients with neck-of-femur fractures but have limited evidence with which to support post-operative weightbearing protocols. PURPOSE: This systematic review sought to identify any difference in outcomes for elderly patients with DFF who were allowed early versus delayed weightbearing postoperatively. METHODS: DATA SOURCES: PubMed, Medline, Embase and The Cochrane Library, reference lists of retrieved articles...
May 22, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
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