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Injury

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https://www.readbyqxmd.com/read/28219637/malreduction-of-syndesmosis-injury-associated-with-malleolar-ankle-fracture-can-be-avoided-using-weber-s-three-indexes-in-the-mortise-view
#1
Kentaro Futamura, Tomonori Baba, Atsuhiko Mogami, Itaru Morohashi, Akio Kanda, Osamu Obayashi, Kazuo Sato, Yasuhisa Ueda, Yoshiaki Kurata, Hideki Tsuji, Kazuo Kaneko
PURPOSE: Malalignment of syndesmosis is generally associated with a poor outcome, yet occurs at a high rate in malleolar ankle fractures. In this study, we examine whether malreduction of syndesmosis injury associated with malleolar ankle fracture can be avoided using Weber's three indexes in the mortise view. MATERIALS AND METHODS: Of 156 patients with malleolar ankle fracture who underwent surgery from December 2012 to March 2016 at two medical facilities, 24 patients who received syndesmotic screw fixation were included in the study...
February 14, 2017: Injury
https://www.readbyqxmd.com/read/28193445/endovascular-management-for-peripheral-arterial-trauma-the-new-norm
#2
Anand Ganapathy, Ahmed F Khouqeer, S Robb Todd, Joseph L Mills, Ramyar Gilani
BACKGROUND: Endovascular therapy is well studied in atraumatic conditions; and there appears to be a growing interest in its application to traumatic injuries. The objective of this study is to compare open and endovascular techniques in the management of peripheral arterial trauma. METHODS: This is a retrospective review of patients admitted to a Level I Trauma Center sustaining injuries to the subclavian, axillary, superficial femoral, and popliteal arteries. Demographics, surgical interventions, complications, and clinical outcomes were evaluated in patients requiring open or endovascular repair between 2009 and 2015...
February 4, 2017: Injury
https://www.readbyqxmd.com/read/28216064/internal-fixation-of-acetabular-fractures-in-an-older-population-using-the-timi-approach-midterm-results-of-a-prospective-study
#3
Rene Aigner, Ralf Hellige, Sabine Knippel, Ludwig Oberkircher, Steffen Ruchholtz, Benjamin Buecking
INTRODUCTION: The incidence of geriatric acetabular fractures continues to increase due to demographic changes. In the elderly, anterior column fractures are common, and standard approaches are associated with a considerable risk for surgery-associated complications. Therefore, a minimally invasive approach was developed in our department. The aim of this study was to examine early and mid-term results regarding the use of this novel two-incision minimally invasive (TIMI) approach in patients aged over 55 years with acetabular fractures...
February 3, 2017: Injury
https://www.readbyqxmd.com/read/28179058/corrective-osteotomy-is-an-effective-method-of-treating-distal-radius-malunions-with-good-long-term-functional-results
#4
M A M Mulders, P N d'Ailly, B I Cleffken, N W L Schep
INTRODUCTION: Malunion occurs in approximately 23% of non-operatively treated and 11% of operatively treated distal radius fractures. The decision whether to correct a malunion is primarily based on functional impairment and wrist pain. The purpose of this study was to assess the long-term functional outcomes of corrective osteotomies for symptomatic malunited distal radius fractures. METHODS: All consecutive corrective osteotomies of the distal radius performed in one centre between January 2009 and January 2016 were included...
January 31, 2017: Injury
https://www.readbyqxmd.com/read/28190582/correlation-of-parameters-on-preoperative-ct-images-with-intra-articular-soft-tissue-injuries-in-acute-tibial-plateau-fractures-a-review-of-132-patients-receiving-arif
#5
Hao-Che Tang, I-Jung Chen, Yu-Cheng Yeh, Chun-Jui Weng, Shih-Sheng Chang, Alvin Chao-Yu Chen, Yi-Sheng Chan
INTRODUCTION: Tibial plateau fractures often occur in conjunction with soft-tissue injuries of knees. The hypothesis of this study is that parameters of CT imaging can predict intra-articular soft-tissue injuries. PATIENTS AND METHODS: Patients who underwent arthroscopically assisted reduction and internal fixation (ARIF) for acute tibial plateau fractures performed by a single orthopedic surgeon between 2005 and 2015 were included in this retrospective study. Patients with concomitant ipsilateral femoral fractures, who had received revision surgery or who had undergone index surgery more than 30days from the event were excluded...
January 30, 2017: Injury
https://www.readbyqxmd.com/read/28173921/gunshot-wounds-resulting-in-hospitalization-in-the-united-states-2004-2013
#6
Alan Cook, Turner Osler, David Hosmer, Laurent Glance, Frederick Rogers, Brian Gross, Pamela Garcia-Filion, Ajai Malhotra
INTRODUCTION: The United States (US) leads all high income countries in gunshot wound (GSW) deaths. However, as a result of two decades of reduced federal support, study of GSW has been largely neglected. In this paper we describe the current state of GSW hospitalizations in the US using population-based data. PATIENTS AND METHODS: We conducted an observational study of patients hospitalized for GSW in the National (Nationwide) Inpatient Sample (NIS) 2004 -2013...
January 30, 2017: Injury
https://www.readbyqxmd.com/read/28168971/the-virtual-fracture-clinic-reducing-unnecessary-review-of-clavicle-fractures
#7
Rahul Bhattacharyya, Prem Ruben Jayaram, Robin Holliday, Paul Jenkins, Iain Anthony, Lech Rymaszewski
INTRODUCTION: We re-designed the outpatient management of trauma at our institution to eliminate appointments if there would be no change in management or information provision. All cases referred by the Emergency Department (ED) were reviewed at a Virtual Fracture Clinic (VFC) by an orthopaedic consultant and telephoned afterwards by a senior nurse. If face-to-face review was required, it was arranged at a specialist shoulder clinic. AIMS: The primary aim of this study was to evaluate the proportion of clavicle fractures that could be discharged without physical review...
January 27, 2017: Injury
https://www.readbyqxmd.com/read/28139213/the-treatment-strategies-of-intertrochanteric-fractures-nonunion-an-experience-of-23-nonunion-patients
#8
Deting Xue, Jiawei Yu, Qiang Zheng, Gang Feng, Weixu Li, Zhijun Pan, Jian Wang, Hang Li
BACKGROUND: Intertrochanteric femoral fractures are common, but the nonunion of intertrochanteric fractures is not. The purpose of this study was to divide intertrochanteric fracture nonunion into different types and give corresponding treatment strategies. METHODS: We retrospectively evaluated 23 patients with intertrochanteric fracture nonunion. The patients were divided into five groups and each group was treated with a different strategy. All patients had staged clinical and radiographic follow-ups and the mean follow-up was 16...
January 24, 2017: Injury
https://www.readbyqxmd.com/read/28131484/major-incident-triage-derivation-and-comparative-analysis-of-the-modified-physiological-triage-tool-mptt
#9
James Vassallo, John Beavis, Jason E Smith, Lee A Wallis
BACKGROUND: Triage is a key principle in the effective management at a major incident. There are at least three different triage systems in use worldwide and previous attempts to validate them, have revealed limited sensitivity. Within a civilian adult population, there has been no work to develop an improved system. METHODS: A retrospective database review of the UK Joint Theatre Trauma Registry was performed for all adult patients (>18years) presenting to a deployed Military Treatment Facility between 2006 and 2013...
January 23, 2017: Injury
https://www.readbyqxmd.com/read/28129880/construct-failure-after-open-reduction-and-plate-fixation-of-displaced-midshaft-clavicular-fractures
#10
M A Meeuwis, A F Pull Ter Gunne, M H J Verhofstad, F H W M van der Heijden
INTRODUCTION: Worldwide, implants mostly used for fixation of displaced midshaft clavicular fractures (DMCF) are the easily to bend reconstruction plate and the stiffer small fragment locking compression plate. Construct failure rates after plate fixation of DMCF are reported around 5 percent. Possible risk factors for construct failure are implant type and fracture type. However, little is known about the influence of fracture fixation method on construct failure. The aim of this study was to assess construct failure in plate fixation of DMCF and to identify possible risk factors...
January 23, 2017: Injury
https://www.readbyqxmd.com/read/28132729/malnutrition-an-underestimated-factor-in-the-inpatient-treatment-of-traumatology-and-orthopedic-patients-a-prospective-evaluation-of-1055-patients
#11
Christoph Ihle, Thomas Freude, Christian Bahrs, Eva Zehendner, Janick Braunsberger, Hans Konrad Biesalski, Christine Lambert, Ulrich Stöckle, Elke Wintermeyer, Julia Grünwald, Leonard Grünwald, Gunnar Ochs, Ingo Flesch, Andreas Nüssler
INTRODUCTION: Suboptimal nutritional status is often observed among hospitalized patients across all medical specialties. The objective of the present study was to (1) analyze the prevalence of malnutrition in hospitalized orthopedic and trauma patients and (2) to evaluate the relationship between malnutrition and selected clinical outcomes. MATERIALS AND METHODS: The prospective field study was conducted between 06/2014 and 06/2015 in a German level I trauma center (Department of Traumatology, Septic Trauma Surgery and Arthroplasty) with a total number of 1055 patients...
January 22, 2017: Injury
https://www.readbyqxmd.com/read/28187907/a-correlation-analysis-of-metacarpal-phalangeal-injury-pattern-from-improvised-explosive-devices-amongst-armed-force-personnel
#12
R M T Staruch, G E Glass, A Johnson, J Hodson, S P Hettiaratchy, A R Kay, D Chester
Injuries to the hand during military combat operations, particularly from improvised explosive devices (IEDs) have a significant impact on form, function, mental health and future employment but remain underreported amidst the life and limb-threatening emergencies that garner more attention. An understanding the patterns of hand injuries encountered from IEDs is crucial to optimizing reconstruction and rehabilitation. The aim of this study was to re-evaluate hand injury sustained from IED in order to understand the clinical burden for reconstruction and direct the focus for future hand protection...
January 19, 2017: Injury
https://www.readbyqxmd.com/read/28126318/exploring-spatial-autocorrelation-of-traffic-crashes-based-on-severity
#13
Ali Soltani, Sajad Askari
As a developing country, Iran has one of the highest crash-related deaths, with a typical rate of 15.6 cases in every 100 thousand people. This paper is aimed to find the potential temporal and spatial patterns of road crashes aggregated at traffic analysis zonal (TAZ) level in urban environments. Localization pattern and hotspot distribution were examined using geo-information approach to find out the impact of spatial/temporal dimensions on the emergence of such patterns. The spatial clustering of crashes and hotspots were assessed using spatial autocorrelation methods such as the Moran's I and Getis-Ord Gi* index...
January 19, 2017: Injury
https://www.readbyqxmd.com/read/28118983/twelve-month-work-related-outcomes-following-hip-fracture-in-patients-under-65-years-of-age
#14
Christina L Ekegren, Elton R Edwards, Andrew Oppy, Susan Liew, Richard Page, Richard de Steiger, Peter A Cameron, Andrew Bucknill, Raphael Hau, Belinda J Gabbe
INTRODUCTION: Recent research has highlighted the need for improved outcome reporting in younger hip fracture patients. For this population, return to work (RTW) is a particularly important measure against which to evaluate treatment outcomes. However, to date, only two small studies have reported RTW outcomes in young hip fracture patients and neither investigated factors predictive of RTW. The aims of this study were to report return to work (RTW) status and predictors of RTW 12 months after hip fracture in patients <65 years...
January 18, 2017: Injury
https://www.readbyqxmd.com/read/28126316/emotional-experiences-one-year-after-a-traffic-accident-an-exploratory-study-of-verbatim-accounts-of-the-esparr-cohort
#15
Barthélémy-Claude Tavernier, Laurence Paire-Ficout, Pierrette Charnay, Hélène Tardy, Marie Izaute, Laetitia Silvert, Martine Hours
The aim of this study was to characterize different possible profiles of emotional experiences of victims of traffic accident based on verbatim accounts collected one year after the accident, and to relate these profiles to various socio-demographic and health data. A hierarchical cluster analysis of the emotional lexicon was made by categorizing and quantifying the EMOTAIX© lexicon using Tropes© text analysis software. Out of the 751 selected subjects, 328 expressed one or more emotional experiences. A link appeared between quality of life (QoL), post-traumatic stress disorder (PTSD) and the valence of expressed emotions...
January 17, 2017: Injury
https://www.readbyqxmd.com/read/28122683/magnetic-resonance-imaging-for-verifying-hip-fracture-diagnosis-why-when-and-how
#16
Ana Pejic, Susanne Hansson, Cecilia Rogmark
INTRODUCTION: Hip fractures are commonly diagnosed by plain radiography. When a patient presents with negative radiographs and high clinical suspicion of fracture, guidelines recommend proceeding with magnetic resonance imaging (MRI) to diagnose the patient. The aim of this study was to assess the use of MRI in diagnosing hip fractures following trauma to the hip and describe clinical outcome after MRI-diagnosed hip fractures. The perspective was to develop new recommendations for MRI use...
January 17, 2017: Injury
https://www.readbyqxmd.com/read/28126317/predicting-intertrochanteric-extension-of-greater-trochanter-fractures-of-the-hip-on-plain-radiographs
#17
Rizwan Arshad, Osman Riaz, Adeel Aqil, Nikhil Bhuskute, Sudhi Ankarath
INTRODUCTION: It is important to distinct between isolated greater trochanter (GT) fractures and complete intertrochanteric (IT) extension to prevent unwanted morbidities. Aim of this study was to determine if there was any particular fracture pattern, of GT fractures on a plain radiograph of the hip which could predict IT extension. METHOD: Retrospective review of radiographs of 49 patients with a GT fracture who presented in the last 10 years (January 2005-December 2015)...
January 16, 2017: Injury
https://www.readbyqxmd.com/read/28122682/fibrinogen-level-on-admission-is-a-predictor-for-massive-transfusion-in-patients-with-severe-blunt-trauma-analyses-of-a-retrospective-multicentre-observational-study
#18
Yoshihiko Nakamura, Hiroyasu Ishikura, Shigeki Kushimoto, Fumiaki Kiyomi, Hiroshi Kato, Junichi Sasaki, Hiroshi Ogura, Tetsuya Matsuoka, Toshifumi Uejima, Naoto Morimura, Mineji Hayakawa, Akiyoshi Hagiwara, Munekazu Takeda, Naoyuki Kaneko, Daizoh Saitoh, Daisuke Kudo, Kunihiko Maekawa, Takashi Kanemura, Takayuki Shibusawa, Yasushi Hagihara, Shintaro Furugori, Atsushi Shiraishi, Kiyoshi Murata, Gou Mayama, Arino Yaguchi, Shiei Kim, Osamu Takasu, Kazutaka Nishiyama
INTRODUCTION: In the early phase of trauma, fibrinogen (Fbg) plays an important role in clot formation. However, to the best of our knowledge, few studies have analysed methods of predicting the need for massive transfusion (MT) based on Fbg levels using multiple logistic regression. Therefore, the present study aimed to evaluate whether Fbg levels on admission can be used to predict the need for MT in patients with trauma. METHODS: We conducted a retrospective multicentre observational study...
January 16, 2017: Injury
https://www.readbyqxmd.com/read/28109557/does-cutting-a-plaster-window-weaken-its-strength
#19
Nimesh Patel, Lance Wilson, Guy Wansbrough
INTRODUCTION: A plaster window is usually created over a pressure area, or in some cases a wound or suture line. This can relieve pressure at the site, and provide an opportunity to change dressings, check on drainage, and inspect a wound or ulcer. There is concern that this can have an effect on its function to provide fracture stability, and weakens the plaster. The biomechanical effects of windowing on plaster strength were therefore investigated, as it has not previously been reported...
January 16, 2017: Injury
https://www.readbyqxmd.com/read/28109555/surface-area-estimation-for-application-of-wound-care
#20
Dominik Spinczyk, Monika Wideł
Estimation of surface for application of wound care is one of the important prognostic factors for wound healing. The objective of this study is to measure a surface area estimation for application of wound care. Non-invasive, 3D surface reconstruction methodology using two monocular cameras was implemented and verified. The measurement environment was setup on 10 patients with different kind of wounds. Phantom measurements, with known dimensions, show accuracy of implemented method below 11 percent The patient's measurements has the same accuracy...
January 16, 2017: Injury
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