keyword
https://read.qxmd.com/read/38533518/borderline-case-in-reconstructive-plastic-surgery-of-the-lower-limb-treated-with-bone-drilling-and-use-of-dermal-regeneration-template
#1
Vincenzo Verdura, Luigi Cagiano, Marcello Molle, Pasquale Bisceglia, Nicola Fini, Luigi Annacontini, Vincenzo Mazzarella, Domenico Parisi, Aurelio Portincasa
The traumatic pathology of the lower limb represents a very complex branch of medicine, which, despite the wide presence of guidelines, aimed at regulating the various therapeutic procedures, and is still greatly influenced by random variables and by the multiple responses to treatments. In this report, we present our experience with a borderline case, where the timing of the trauma and the patient's characteristics made it difficult to use the most recommended procedures in trauma management.
March 2024: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/38533359/vacuum-sealing-drainage-technique-combined-with-carbon-nanomaterial-dressings-applied-in-the-treatment-of-skin-wounds
#2
JOURNAL ARTICLE
Yan Li, Guiqiu Dong, Yun Xie, Jie Wang
INTRODUCTION: Limb trauma (LT) encompasses a variety of conditions and currently poses certain therapeutic challenges in clinical practice. AIM: To assess the effectiveness of applying the vacuum sealing drainage (VSD) technique combined with carbon nanomaterial (CNM) dressings in the nursing treatment of LT patients. MATERIAL AND METHODS: Eighty-six LT patients were enrolled into a control (Ctrl) group and an experimental (Exp) group. Patients in the Ctrl group underwent conventional wound cleansing and drainage methods with regular dressings, while those in the Exp group received VSD combined with CNM dressings...
February 2024: Postȩpy Dermatologii i Alergologii
https://read.qxmd.com/read/38532248/injury-patterns-of-electric-scooter-related-trauma-a-systematic-review-with-proportion-meta-analysis
#3
REVIEW
Andrea Spota, Stefano Granieri, Luca Ferrario, Beatrice Zamburlini, Simone Frassini, Elisa Reitano, Stefano Pb Cioffi, Michele Altomare, Roberto Bini, Francesco Virdis, Osvaldo Chiara, Stefania Cimbanassi
Electric scooter (ES)-related injuries are increasing but poorly described. Clinicians need more information to be prepared for these patients. We supposed two prevalent patterns of patients: mildly injured (predominant upper-limb injuries) and severely injured (predominant head trauma). This study aims to understand the frequency of ES-related injuries and patients' characteristics despite the heterogeneity of data currently available. A systematic review with a proportion meta-analysis was conducted on studies with a multidisciplinary description of ES-related injuries in adult patients (PROSPERO-ID: CRD42022341241)...
March 26, 2024: American Surgeon
https://read.qxmd.com/read/38531046/experience-with-laparoscopic-and-robotic-colon-surgery-together-with-other-major-minimally-invasive-procedures-for-unrelated-pathologies
#4
JOURNAL ARTICLE
Hugo J R Bonatti
Background: Indications for combined colon surgery together with other procedures include oncologic multivisceral resections and abdominal trauma. It is unclear if combining minimally invasive (MI) colon surgery with unrelated other procedures increases the risk for complications. Patients and Methods: The surgical database from two institutions during a 10-year period was queried for combined colon surgeries together with other interventions. All open cases, combined cases performed for one pathology and MI colectomies together with a minor procedure, were excluded...
March 27, 2024: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/38530503/retrograde-intramedullary-nailing-of-ao-ota-33c-femur-fractures-in-patients-with-below-knee-amputations-technical-note-and-case-series
#5
JOURNAL ARTICLE
Mitchel R Obey, Jack W Weick, Christian G Falgons, Timothy S Achor, Stephen J Warner
PURPOSE: Intra-articular distal femur fractures in patients with a lower extremity amputation can present a technical challenge for the treating surgeon in what may be otherwise considered a routine procedure in non-amputees. Difficulties with positioning, fracture reduction, limb contractures, and stump osteoporosis can present challenges with treatment. Here, we describe the surgical technique and outcome of a case series of amputee patients with AO/OTA 33C femur fractures. METHODS: Retrospective case series of five patients with a comminuted supracondylar distal femur fracture with intercondylar extension proximal to a below-knee amputation treated with retrograde intramedullary nail at a single Level 1 trauma center from January 1, 2021, to January 1, 2023...
March 26, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38529448/functional-outcome-of-lower-limb-long-bone-trauma-management-in-pregnant-mothers-a-prospective-study-of-30-cases-from-a-tertiary-care-centre-in-north-india
#6
JOURNAL ARTICLE
Dharm Pal, Nitesh Kumar, Ashim Sharma, Kuldip Sandhu, Ajay Sharma, Dharminder Singh
INTRODUCTION: The occurrence of orthopedic injuries during pregnancy carries considerable morbidity and mortality for both the mother and fetus. Successful care of lower limb fractures during pregnancy requires a multidisciplinary approach. Both operative and non-operative treatments must be taken into account by the treating orthopedic physician. There is limited literature available on the management of these lower limb fractures in pregnancy, and peri-operative management of this obstetric and orthopedic trauma is largely unclear...
February 2024: Curēus
https://read.qxmd.com/read/38528846/efficacy-of-orthoplastic-management-in-the-treatment-of-traumatic-popliteal-artery-injury
#7
JOURNAL ARTICLE
Yuta Izawa, Kentaro Futamura, Hiroko Murakami, Kazuo Sato, Yoshihiko Tsuchida
BACKGROUND: Popliteal artery injury (PAI) is a challenging condition. Even with appropriate initial treatment and reconstruction of the associated injuries, extensive soft-tissue necrosis may occur, requiring lower leg amputation. There are no reports on the effectiveness of orthoplastic surgery in treating traumatic PAI. However, orthoplastic surgery is also considered very effective in PAI treatment, which requires delicate handling of soft-tissue and blood vessels. This study aimed to examine the treatment outcomes of traumatic PAI at a trauma center with the capacity for orthoplastic management...
March 2024: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/38525516/pediatric-peripheral-vascular-trauma-incidence-and-outcomes
#8
JOURNAL ARTICLE
Candice L Dunn, Sathyaprasad Burjonrappa
Peripheral vascular trauma (PVT) is rare in children, with an incidence estimated below 1%. We studied pediatric PVT and risk factors for major amputation by accessing the 2019 National Trauma Data Bank (NTDB). Demographics, injury type and location, trauma center capability, injury severity score (ISS), length of stay (LOS), and major amputation rates were evaluated. Statistical analysis included chi-square testing for categorical variables and t-tests for continuous variables. Of 130,554 pediatric trauma patients, 1196 (...
March 25, 2024: American Surgeon
https://read.qxmd.com/read/38524678/pirogoff-amputation-is-a-viable-option-to-maintain-ambulation-in-chronic-limb-threatening-ischemia-with-extensive-midfoot-tissue-loss-a-report-of-two-cases
#9
Masaya Sano, Hokuto Morii, Takashi Endo, Masaru Kimura, Satoshi Yamamoto, Takuya Hashimoto, Juno Deguchi
Eliminating necrotic and infected tissues is crucial for limb salvage in patients with chronic limb-threatening ischemia (CLTI). However, extensive lesions that involve the midfoot frequently result in transtibial amputation, restricting ambulation and independent life. The Modified Pirogoff amputation, which includes a 90° rotation of the calcaneus and fixation with the tibia, has good functional outcomes in trauma cases. Here, we report two patients with CLTI successfully managed by a combination of revascularization and modified Pirogoff amputation, resulting in preserved ambulation without a prosthesis...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38523964/unveiling-the-surge-a-comprehensive-analysis-of-e-scooter-related-injuries-at-an-urban-level-1-trauma-center-in-vilnius-lithuania-2018-2021
#10
JOURNAL ARTICLE
Kristupas A Suslavičius, Simonas Utkus, Valentinas Uvarovas, Tomas Sveikata, Sigitas Ryliškis
Background The surge in electric scooter (e-scooter) adoption in 2019 fueled by sharing platforms has raised safety concerns, leading to an increased incidence of e-scooter-related injuries. Despite regulatory efforts, there has been a notable rise in accidents, prompting a comprehensive investigation. This study conducted at the Republican Vilnius University Hospital (RVUH), a level 1 trauma center, is one of the first in the Baltic States aiming to analyze the causes, severity, and frequency of e-scooter injuries from 2018 to 2021...
February 2024: Curēus
https://read.qxmd.com/read/38519856/a-hybrid-approach-that-may-facilitate-the-repair-of-traumatic-popliteal-artery-pseudoaneurysms
#11
JOURNAL ARTICLE
Areti Vassiliou, Michail Peroulis, Vassilios Tatsis, Vangelis G Alexiou
PURPOSE: Traumatic popliteal pseudoaneurysms may occur in accidents or as an iatrogenic complication of a total knee arthroplasty. Complications often arise in open repair because of distorted anatomy. Up to 22% of the patients may suffer above-knee amputation. Endovascular treatment has proven to be an effective solution. However, the long-term performance of stents at the hinge point of the popliteal artery is questionable. We present a hybrid technique that was used successfully in 2 cases...
March 22, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38516934/consensus-on-managing-open-ankle-fractures-in-the-frail-patient
#12
JOURNAL ARTICLE
Enis Guryel, Jo McEwan, Amir A Qureshi, Alastair Robertson, Raju Ahluwalia, Mark Baxter, Lyndon Mason, Will Eardley, Iain McFadyen, Alex Trompeter, Anna V Giblin, Bob Handley, Om Lahoti
AIMS: Ankle fractures are common injuries and the third most common fragility fracture. In all, 40% of ankle fractures in the frail are open and represent a complex clinical scenario, with morbidity and mortality rates similar to hip fracture patients. They have a higher risk of complications, such as wound infections, malunion, hospital-acquired infections, pressure sores, veno-thromboembolic events, and significant sarcopaenia from prolonged bed rest. METHODS: A modified Delphi method was used and a group of experts with a vested interest in best practice were invited from the British Foot and Ankle Society (BOFAS), British Orthopaedic Association (BOA), Orthopaedic Trauma Society (OTS), British Association of Plastic & Reconstructive Surgeons (BAPRAS), British Geriatric Society (BGS), and the British Limb Reconstruction Society (BLRS)...
March 22, 2024: Bone & joint open
https://read.qxmd.com/read/38515192/a-usability-study-on-mobile-emg-guided-wrist-extension-training-in-subacute-stroke-patients-myoguide
#13
JOURNAL ARTICLE
Hao-Ping Lin, Yang Xu, Xue Zhang, Daniel Woolley, Lina Zhao, Weidi Liang, Mengdi Huang, Hsiao-Ju Cheng, Lixin Zhang, Nicole Wenderoth
BACKGROUND: Effective stroke rehabilitation requires high-dose, repetitive-task training, especially during the early recovery phase. However, the usability of upper-limb rehabilitation technology in acute and subacute stroke survivors remains relatively unexplored. In this study, we introduce subacute stroke survivors to MyoGuide, a mobile training platform that employs surface electromyography (sEMG)-guided neurofeedback training that specifically targets wrist extension. Notably, the study emphasizes evaluating the platform's usability within clinical contexts...
March 21, 2024: Journal of Neuroengineering and Rehabilitation
https://read.qxmd.com/read/38512987/do-transtibial-amputations-outperform-amputations-of-the-hind-and-midfoot-following-severe-limb-trauma-a-secondary-analysis-of-the-outlet-study
#14
JOURNAL ARTICLE
Brianna R Fram, Michael J Bosse, Susan M Odum, Lisa Reider, Joshua L Gary, Wade T Gordon, David Teague, Dana Alkhoury, Ellen J MacKenzie, Rachel B Seymour, Madhav A Karunakar
BACKGROUND: The purpose of this study was to compare 18-month clinical and patient-reported outcomes between patients with severe lower-limb injuries treated with a transtibial amputation or a hind- or midfoot amputation. Despite the theoretical benefits of hind- and midfoot-level amputation, we hypothesized that patients with transtibial amputations would report better function and have fewer complications. METHODS: The study included patients 18 to 60 years of age who were treated with a transtibial amputation (n = 77) or a distal amputation (n = 17) and who were enrolled in the prospective, multicenter Outcomes Following Severe Distal Tibial, Ankle, and/or Foot Trauma (OUTLET) study...
March 21, 2024: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/38512460/mid-term-results-of-an-anatomic-total-knee-replacement-design
#15
JOURNAL ARTICLE
Fahd Mahmood, Fraser Rae, Sophie Rae, Alistair Ewen, Nicholas Holloway, Jon Clarke
INTRODUCTION: A significant proportion of patients remain dissatisfied following total knee arthroplasty (TKA) surgery. Reasons for this are unclear. Contemporary implants seek to mirror innate anatomy. Such innovations are necessarily subject to scrutiny to validate their use. The Zimmer-Biomet Persona® Personalized Knee system is such an anatomic TKA. This work seeks to establish medium term survival data and patient reported outcomes for this implant. METHODS: This was a cohort study of prospectively collected data on all patients undergoing Persona TKA at our institution...
March 21, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38510805/alterations-in-the-white-matter-structure-of-major-depressive-disorder-patients-and-their-link-to-childhood-trauma
#16
JOURNAL ARTICLE
Haomian Zhao, Bei Rong, Guoqing Gao, Mingzhe Zhou, Junhua Huang, Ning Tu, Lihong Bu, Ling Xiao, Gaohua Wang
OBJECTIVES: Major Depressive Disorder (MDD) is significantly influenced by childhood trauma (CT), affecting brain anatomy and functionality. Despite the unique disease trajectory in MDD patients with CT, the underlying neurobiological mechanisms remain unclear. Our objective is to investigate CT's impact on the white matter structure of the brain in patients with MDD. METHODS: This research employed tract-based spatial statistics (TBSS) to detect variations between groups in Fractional Anisotropy (FA) throughout the whole brain in 71 medication-free MDD patients and 97 HCs...
2024: Frontiers in Psychiatry
https://read.qxmd.com/read/38509563/repetitive-temporal-interference-stimulation-improves-jump-performance-but-not-the-postural-stability-in-young-healthy-males-a-randomized-controlled-trial
#17
RANDOMIZED CONTROLLED TRIAL
Suwang Zheng, Tianli Fu, Jinlong Yan, Chunyue Zhu, Lu Li, Zhenyu Qian, Jiaojiao Lü, Yu Liu
BACKGROUND: Temporal interference (TI) stimulation, an innovative non-invasive brain stimulation technique, has the potential to activate neurons in deep brain regions. The objective of this study was to evaluate the effects of repetitive TI stimulation targeting the lower limb motor control area (i.e., the M1 leg area) on lower limb motor function in healthy individuals, which could provide evidence for further translational application of non-invasive deep brain stimulation. METHODS: In this randomized, double-blinded, parallel-controlled trial, 46 healthy male adults were randomly divided into the TI or sham group...
March 20, 2024: Journal of Neuroengineering and Rehabilitation
https://read.qxmd.com/read/38508773/combat-injury-is-associated-with-adverse-mental-health-outcomes-among-deployed-personnel-but-not-for-amputees-is-there-a-hierarchy-of-wounding
#18
EDITORIAL
Darren Minshall
No abstract text is available yet for this article.
March 20, 2024: BMJ military health
https://read.qxmd.com/read/38506344/predictors-for-anaemia-blood-transfusion-and-outcome-in-plastic-surgery-patients
#19
JOURNAL ARTICLE
Ioana Țichil, Teodora Țichil, Ionuț Stefan Haplea, Ciprian Ionuț Tomuleasa, Lucian Fodor, Ileana Mitre
OBJECTIVE: In patients undergoing plastic surgery, to identify specific risk factors for anaemia and use of blood products, and assess their impact on patient outcome. METHOD: For this retrospective study, data were analysed from patients who attended the Plastic Surgery Department at our hospital over a three-year period (2018 to 2020). Adult patients who presented with traumatic injuries, oncologic patients who underwent reconstructive procedures, and patients with soft tissue infections (STIs) who required plastic surgery for tissue coverage were included...
March 2024: Journal of International Medical Research
https://read.qxmd.com/read/38505346/operative-treatment-results-of-posterior-malleolar-fractures-in-trimalleolar-fractures-with-screw-fixation-and-plate-fixation-short-term-results
#20
JOURNAL ARTICLE
Mehdi Teimouri, Hossein Akbari Aghdam, Reza Alipoor, Sahar Sadat Lalehzar
BACKGROUND: Ankle fractures are among the most common lower limb fractures. There is no agreement about the best treatment for these fractures. This study compared the short-term results of screw and plate fixation methods. METHODS: In this prospective study, 32 patients that underwent screw fixation for posterior malleolar fracture and 32 patients that underwent plate fixation for posterior malleolar fracture were assessed 1, 3, and 6 months after surgery. RESULTS: The mean age in group 1 (screw fixation) and group 2 (plate fixation) was 32...
2024: International Journal of Burns and Trauma
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