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Jonas Noser, Michael Dietrich, Simon Tiziani, Clément M L Werner, Hans-Christoph Pape, Georg Osterhoff
INTRODUCTION: Early operative treatment of fragility fractures of the pelvis (FFP) has been suggested to reduce pain and allow for earlier mobilization. The aim of this study was to determine mortality and functional outcome after operative treatment. PATIENTS AND METHODS: Patients aged ≥60 years (n = 60; mean age 79 years, 53 female) who had operative treatment of a FFP and a follow-up of at least 2 years were identified and mortality was assessed using a national social insurance database...
September 11, 2018: Injury
Mickaël Cardinale, Pierre Esnault, Erwan d'Aranda, Eric Meaudre, Guillaume Lacroix
BACKGROUND: Brain injury is a leading cause of death and disabilities worldwide. The severity of brain damage is of course related to the primary injury. Secondary brain insults are the most powerful determinants of outcome from severe head injury. To improve the outcome, it needs to be well detected to be controlled. The detection of these factors can be difficult among numerous data. The objective of this work was to validate a monitoring matrix to help this screening. We hypothesise that a monitoring matrix will improve the detection rate of factors linked to secondary brain injury (SBI)...
September 9, 2018: Injury
Junbo Liang, Qingguo Zhang, Peihong Liu, Bin Wang, Xiaobo Zhou, Guofu Chen, Chuanyi Zhang, Youjia Xu
AIM: Our study aimed to assess the safety and efficacy of an innovative arthroscopic-assisted inflatable tamp reduction technique for the treatment of posterolateral tibial plateau fractures. PATIENTS AND METHODS: Twenty-six patients with posterolateral tibial plateau fractures were treated with arthroscopy through inflation reduction technique were enrolled. Arthroscopy was used to observe the reduction of articular surface to avoid over-reduction or de-reduction...
September 8, 2018: Injury
David Wennergren, Carl Bergdahl, Jan Ekelund, Hans Juto, Mikael Sundfeldt, Michael Möller
INTRODUCTION: There is a lack of epidemiological studies of fractures in all segments of the tibia classified by orthopaedic surgeons according to the AO/OTA classification. Since 2011, the Swedish Fracture Register (SFR) has provided prospectively collected, population-based data on fractures of all types, treated both surgically and non-surgically. The aim of this study was to describe the epidemiology and incidence of fractures in all segments of the tibia in a cohort of consecutive tibia fractures over a period of five years at Sahlgrenska University Hospital, Gothenburg, Sweden...
September 7, 2018: Injury
Lachlan Huntington, Jasamine Coles-Black, Martin Richardson, Tony Sobol, Jonathon Caldow, Jason Chuen, David C Ackland
BACKGROUND: Rotator cuff repair surgery aims to create a secure, pressurized tendon-bone footprint to permit re-establishment of the fibrovascular interface and tendon healing. Flat-braided suture-tape is an alternative suture material to traditional suture-wire that has potential to reproduce a larger repair construct contact area. The objective of this study was to compare contact pressure, area as well as the mechanical fatigue strength between suture-wire and suture-tape Suture-bridge repair constructs in an ovine model...
September 6, 2018: Injury
Jessica van Trigt, Niels Schep, Rolf Peters, Carel Goslings, Tim Schepers, Jens Halm
INTRODUCTION: There is no consensus on how pelvic X-rays should be ordered selectively in blunt trauma patients which may save time, reduce radiation exposure and costs. The aim of this systematic review and meta-analysis was to assess the need for routine pelvic X-rays in awake, respiratory and hemodynamically (HD) stable blunt trauma patients without signs of pelvic fracture. Criteria to identify patients who could safely forgo pelvic X-ray were evaluated. METHODS: A literature search was performed for prospective comparative cohort studies...
September 6, 2018: Injury
Mohammad Reza Khajehaminian, Ali Ardalan, Abbasali Keshtkar, Sayed Mohsen Hosseini Boroujeni, Amir Nejati, Omid Mahdi Ebadati Ebadati E, Abbas Rahimi Foroushani
INTRODUCTION: Mass casualty incidents impose a large burden on the emergency medical systems, hospitals and community infrastructures. The pre-hospital and hospital capacities are usually bear the burden of casualties large numbers. One of the challenging issues in mass casualty incidents is the distribution of casualties among the suitable health care facilities. OBJECTIVE: To review models and criteria affecting the distribution of casualties during the trauma-related mass causality incidents...
September 6, 2018: Injury
Laura Montes-Medina, Alberto Hernández-Fernández, Araika Gutiérrez-Rivera, Purificación Ripalda-Cemboráin, Nerea Bitarte, Virginia Pérez-López, Froilán Granero-Moltó, Felipe Prosper, Ander Izeta
Acceleration of the consolidation of the distracted bone is a relevant medical need. As a platform to improve in vivo bone engineering, we developed a novel distraction osteogenesis (DO) model in a rabbit large bone (femur) and tested if the application of cultured bone marrow stromal cells (BMSCs) immediately after the osteotomy promotes the formation of bone. This report consists of two components, an animal study to evaluate the quality of the regenerate following different treatments and an in vitro study to evaluate osteogenic potential of BMSC cultures...
September 6, 2018: Injury
Mohamed A K B Rached, John G Gaudet, Cecile Delhumeau, Bernhard Walder
INTRODUCTION: The subscale motor score of Glasgow Coma Scale (msGCS) and the Abbreviated Injury Score of head region (HAIS) are validated prognostic factors in traumatic brain injury (TBI). The aim was to compare the prognostic performance of a HAIS-based prediction model including HAIS, pupil reactivity and age, and the reference prediction model including msGCS in emergency department (ED), pupil reactivity and age. METHODS: Secondary analysis of a prospective epidemiological study including patients after severe TBI (HAIS > 3) with follow-up from the time of accident until 14 days or earlier death was performed in Switzerland...
September 3, 2018: Injury
Hemanth Raj, Vivek Tiwari, Manoj Nagar, Ankur Joshi, John A Santoshi
No abstract text is available yet for this article.
September 3, 2018: Injury
Anna E Sharrock, Kyle N Remick, Mark J Midwinter, Rory F Rickard
BACKGROUND: Haemorrhage is the leading cause of death on the battlefield. Seventy percent of injuries are due to explosive mechanisms. Anecdotally, these patients have had poorer outcomes when compared to those with penetrating mechanisms of injury (MOI). We wished to test the hypothesis that outcomes following vascular reconstruction were worse in blast-injured than non blast-injured patients. METHODS: Retrospective cohort study. British and American combat casualties with arterial injuries sustained in Iraq or Afghanistan (2003-2014) were identified from the UK Joint Theatre Trauma Registry (JTTR)...
September 1, 2018: Injury
Yong Zhao, Bai-Wen Qi, Yao-Qing Wang, Di Liu, Fan Chen, Zhen Huang, Zhen-Yu Pan
Hardware exposure following open reduction and internal fixation (ORIF) surgery is a tricky problem. It is always hard for surgeons to decide whether to keep or remove the hardware. In this study, a rating scale and corresponding clinical path is developed based on former published paper as well as our own experience. New admitted patients are first evaluated and scored once they enter the department. Based on the score they get, patients are assigned to different therapeutic schedule, i.e. (1) hardware preservation with pedicel flap transplantation, (2) debridement for further reevaluation and (3) hardware removal with external fixation...
August 31, 2018: Injury
Krister P Freese, L Wade Faulk, Claire Palmer, Robin M Baschal, Sarah E Sibbel
INTRODUCTION: The purpose of this study was to compare both bone diaphyseal forearm fractures in adolescent patients treated with plate fixation to patients treated with intramedullary fixation to identify differences in complications and outcomes. MATERIALS & METHODS: A retrospective study was performed on all adolescent patients with age between 10 and16 year and treated with intramedullary fixation or plate fixation for a diaphyseal both bone forearm fracture between 2005 and 2014...
August 30, 2018: Injury
Uthman Alao, Ignatius Liew, Jonathan Yates, Cronan Kerin
AIM: To determine whether there is a correlation between the length of forearm to the distal interphalangeal joint (DIPJ) of the little finger and length of antegrade intramedullary (IM) femoral nails in adults. STUDY DESIGN AND METHODS: Measurements from the tip of the olecranon to the DIPJ of the ipsilateral upper limb was taken in 30 patients undergoing antegrade IM femoral nails. The length of the IM nails inserted was determined by intra-operative measurements using a guide wire...
August 30, 2018: Injury
Turner Osler, Dekang Yuan, Jeremy Holden, Zihao Huang, Alan Cook, Laurent G Glance, Jeffrey S Buzas, David W Hosmer
INTRODUCTION: Readmission following hospital discharge is both common and costly. The Hospital Readmission Reduction Program (HRRP) financially penalizes hospitals for readmission following admission for some conditions, but this approach may not be appropriate for all conditions. We wished to determine if hospitals differed in their adjusted readmission rates following an index hospital admission for traumatic injury. PATIENTS AND METHODS: We extracted from the AHRQ National Readmission Dataset (NRD) all non-elderly adult patients hospitalized following traumatic injury in 2014...
August 27, 2018: Injury
Carlos A Pelaez, Sarah K Spilman, Christopher T Bell, Darla K Eastman, Richard A Sidwell
INTRODUCTION: Antiplatelet medication use continues to rise in an aging population, and these agents can have a deleterious effect for patients with traumatic intracranial hemorrhage (tICH). The purpose of the current investigation is to assess the safety and efficacy of using platelet reactivity testing (PRT) to direct platelet transfusion for tICH patients. PATIENTS AND METHODS: A Level I trauma center adopted a targeted platelet transfusion guideline using PRT to determine whether platelets were inhibited by an antiplatelet medication (aspirin or P2Y12 inhibitors)...
August 27, 2018: Injury
N Kruithof, J A Haagsma, M Karabatzakis, M C Cnossen, L de Munter, C L P van de Ree, M A C de Jongh, S Polinder
INTRODUCTION: While the number of trauma patients surviving their injury increase, it is important to measure Quality of Life (QoL). The Abbreviated World Health Organization Quality of Life (WHOQOL-BREF) questionnaire can be used to assess QoL. However, its psychometric properties in trauma patients are unknown and therefore, we aimed to investigate the validity and reliability of the WHOQOL-BREF for the hospitalized trauma population. METHODS: Data were derived from the Brabant Injury Outcome Surveillance...
August 23, 2018: Injury
Soo Min Cha, Hyun Dae Shin, Soong Hyun Lee
PURPOSE: Weperformed a retrospective case-control study to explore the hypothesis that conditions adjacent to Lister's tubercle (LT) in patients with distal radial fractures (DRFs) exhibiting dorsal comminution would influence the extent of the delayed extensor pollicis longus (EPL) rupture. METHODS: Among patients treated by volar locking plates (VLPs) were placed between March 2011 and December 2015, 314 met inclusion/exclusion criteria and were analyzed. We designated group 1 as the "EPL rupture" and group 2 as the "no EPL rupture"...
August 22, 2018: Injury
Christopher M Reid, Angel Rivera-Barrios, Marion Tapp, Aladdin H Hassanein, Fernando A Herrera
BACKGROUND: All terrain vehicle accidents are a common cause of trauma admission and often associated with extremity injuries. However specifics of injury patterns to the upper extremity has not previously been described. A multicenter, retrospective study was conducted to determine the frequency and distribution of upper extremity injuries sustained from ATV accidents. METHODS: Medical records of all patients presenting to two trauma centers with ATV related upper extremity trauma from 2001 to 2013 were reviewed...
August 22, 2018: Injury
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