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

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https://www.readbyqxmd.com/read/30229338/contrast-induced-nephropathy-following-ct-scan-for-trauma-is-not-rare-and-is-associated-with-increased-mortality-in-south-african-trauma-patients
#1
Asma Abubaker Bashir, Victor Kong, David Skinner, John Bruce, Grant Laing, Petra Brysiewicz, Damian Clarke
PURPOSE: Acute trauma patients are at risk for the development of acute kidney injury (AKI). One potential nephrotoxic agent, which a trauma patient may be exposed to, is iodinated contrast media (ICM). We aim to review the incidence and outcome of contrast-induced nephropathy (CIN) in trauma patients in a busy trauma service, and to identify potentially modifiable risk factors. METHODS: During the period from December 2012 to April 2017, all patients who underwent a contrast-enhanced CT scan for trauma were included...
September 18, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30229337/long-term-follow-up-after-rib-fixation-for-flail-chest-and-multiple-rib-fractures
#2
Reinier B Beks, Mirjam B de Jong, Roderick M Houwert, Arthur A R Sweet, Ivar G J M De Bruin, Geertje A M Govaert, Karlijn J P Wessem, Rogier K J Simmermacher, Falco Hietbrink, Rolf H H Groenwold, Luke P H Leenen
PURPOSE: Rib fixation for flail chest has been shown to improve in-hospital outcome, but little is known about treatment for multiple rib fractures and long-term outcome is scarce. The aim of this study was to describe the safety, long-term quality of life, and implant-related irritation after rib fixation for flail chest and multiple rib fractures. METHODS: All adult patients with blunt thoracic trauma who underwent rib fixation for flail chest or multiple rib fractures between January 2010 and December 2016 in our level 1 trauma facility were retrospectively included...
September 18, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30225555/resource-use-and-clinical-outcomes-in-blunt-thoracic-injury-a-10-year-trauma-registry-comparison-between-southern-finland-and-germany
#3
Mikko Heinänen, Tuomas Brinck, Rolf Lefering, Lauri Handolin, Tim Söderlund
PURPOSE: Serious thoracic injuries are associated with high mortality, morbidity, and costs. We compared patient populations, treatment, and survival of serious thoracic injuries in southern Finland and Germany. METHODS: Mortality, patient characteristics and treatment modalities were compared over time (2006-2015) in all patients with Abbreviated Injury Scale (AIS) thorax ≥ 3, Injury Severity Score (ISS) > 15, age > 15 years, blunt trauma mechanism, and treatment in Intensive Care Unit (ICU) in Level 1 hospitals included in the Helsinki Trauma Registry (HTR) and the TraumaRegister DGU® (TR-DGU)...
September 17, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30209526/translational-research-what-is-the-value-of-experimental-studies-in-comparison-with-clinical-studies-to-help-understand-clinical-problems
#4
EDITORIAL
Paolo Cinelli, Katrin Rauen, Sascha Halvazishadeh, Hans Christoph Pape
No abstract text is available yet for this article.
September 12, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30209525/digital-templating-without-a-calibration-marker-is-accurate-at-predicting-implant-size-for-hip-hemiarthroplasty
#5
Mina Derias, Muhammad A Khan, Jamie Buchanan
INTRODUCTION: This study aims to assess the accuracy of digital templating for hip hemiarthroplasty using radiographs without calibration. METHODS: Two independent, blinded observers retrospectively utilised digital software to template 50 consecutive patients who had hip hemiarthroplasty. The templated parameters (head size, offset and stem size) derived from pre-operative radiographs were compared to the actual prosthetic sizes used intra-operatively. Inter and intra-observer variabilities were calculated...
September 12, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30191292/management-of-liver-hydatid-cyst-with-cystobiliary-communication-and-acute-cholangitis-a-27-year-experience
#6
Omar Toumi, Houssem Ammar, Rahul Gupta, Sadok Ben Jabra, Badii Hamida, Faouzi Noomen, Khadija Zouari, Mondher Golli
PURPOSE: The rupture of the hydatid cyst into the bile ducts is a common and serious complication. The rupture can be latent or revealed after a complication such as acute cholangitis. The objective of this study was to discuss the clinical features, radiographic findings, and surgical treatment of this rare complication. METHODS: A retrospective analysis of patients operated for acute cholangitis caused by hydatid cyst between January 1990 and May 2016 was conducted...
September 6, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30159662/increased-extracellular-ubiquitin-in-surgical-wound-fluid-provides-a-chemotactic-signal-for-myeloid-dendritic-cells
#7
Maximilian Leiblein, Norbert Ponelies, Theresa Johnson, Julian Marzi, Kerstin Kontradowitz, Emanuel Geiger, Ingo Marzi, Dirk Henrich
PURPOSE: Myeloid dendritic cells (MDC) decline significantly after multiple traumas which might be due to an increased migration into injured regions. Ubiquitin is released from dying cells and is increased in serum after trauma. Ubiquitin can bind to the chemokine receptor CXCR4. Thus, we hypothesized that elevated ubiquitin provides a chemotactic signal for MDC to injured regions. METHODS: Surgical wound fluid (SWF) and serum from patients with mono-trauma (n = 20) were used to simulate the humoral situation in injured tissue...
August 30, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30167742/management-of-cervical-spine-trauma-in-children
#8
REVIEW
Phillip Correia Copley, Vicky Tilliridou, Andrew Kirby, Jeremy Jones, Jothy Kandasamy
PURPOSE: Paediatric cervical spine injuries are fortunately a rare entity. However, they do have the potential for devastating neurological sequelae with lifelong impact on the patient and their family. Thus, management ought to be exceptional from the initial evaluation at the scene of the injury, through to definitive management and rehabilitation. METHODS: We set out to review cervical spine injuries in children and advise on current best practice with regards to management...
August 24, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30143808/outcomes-after-unstable-pertrochanteric-femur-fracture-intermediate-versus-long-cephalomedullary-nails
#9
Sorawut Thamyongkit, James S MacKenzie, Norachart Sirisreetreerux, Babar Shafiq, Erik A Hasenboehler
PURPOSE: Optimal cephalomedullary nail (CMN) length for unstable pertrochanteric femur fractures is controversial. Long CMNs (L-CMNs) are currently recommended; however, intermediate-length CMNs (I-CMNs) may provide stable fixation without the additional surgical steps required by L-CMNs. We analyzed outcomes after unstable pertrochanteric femur fractures treated with L-CMNs or I-CMNs to determine whether functional outcomes, perioperative measures, complications, and mortality and reoperation rates differ by CMN length...
August 24, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30167741/percutaneous-versus-open-pedicle-screw-fixation-for-treatment-of-type-a-thoracolumbar-fractures
#10
Jan Kocis, Martin Kelbl, Tomas Kocis, Tomas Návrat
BACKGROUND: The purpose of this study was to evaluate the effectiveness between percutaneous and open pedicle screw fixation without fusion for treating type A3 and A4 thoracolumbar fractures. Traumatic thoracolumbar burst fracture is a common pathology without a consensus on the best treatment approach. Percutaneous pedicle screw fixation (PPSF) systems have been recently introduced in the treatment of spinal fractures to reduce the adverse effects associated with the conventional open approaches, such as iatrogenic muscle denervation and pain...
August 23, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30167740/prediction-of-readmissions-in-the-first-post-operative-year-following-hip-fracture-surgery
#11
Tal Frenkel Rutenberg, Ran Rutenberg, Maria Vitenberg, Nir Cohen, Yichayaou Beloosesky, Steven Velkes
PURPOSE: To define risk factors for rehospitalization following fragility hip fractures and to create a predictive model. METHODS: A retrospective cohort study of patients 65 years and older, who were treated operatively following fragility hip fractures between 01.2011 and 06.2016. Patients were allocated into two study groups based on the occurrence of recurrent hospitalizations in the year following surgery. Demographic information, comorbidities, and in-hospital characteristics were collected, as was information regarding 1-year readmissions...
August 23, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30167739/burn-first-aid-knowledge-and-its-determinants-among-general-population-of-rawalpindi
#12
Sanjay Kumar Mishra, Shafaq Mahmood, Muhammad Ashfaq Baig
OBJECTIVE: To assess the general knowledge and practices related to burn first aid treatment (BFAT) and to examine age, gender, socioeconomic status, education and previous history of exposure to burn (self/family member) as factors influencing burn first aid knowledge among the general population of Rawalpindi. STUDY DESIGN: A cross-sectional, descriptive survey. PLACE AND DURATION OF STUDY: Three major tertiary care hospitals of Rawalpindi, from August 2017 to May 2018...
August 22, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30167738/health-related-quality-of-life-in-trauma-patients-at-12-months-after-injury-a-prospective-cohort-study
#13
Nobuichiro Tamura, Akira Kuriyama, Toshie Kaihara
PURPOSE: Health-related quality of life (HRQOL) is increasingly recognized as a benchmark in trauma outcome research, with few studies having evaluated the HRQOL in trauma patients. The aim of our study was to assess the change in trauma patients' HRQOL at 12 months post-injury and to describe their living situation and return to work status. METHODS: A prospective cohort study was performed at a Japanese tertiary care hospital from September 2013 to September 2015...
August 22, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30167737/terminal-position-of-a-tibial-intramedullary-nail-a-computed-tomography-ct-based-study
#14
Adam Phillip Schumaier, Frank Roman Avilucea, Brendan Ryan Southam, Preetha Sinha, Theodore Toan Le, John Dwight Wyrick, Michael Thomas Archdeacon
PURPOSE: The purpose of this study is to characterize the distal anatomic end-point of a tibial intramedullary nail placed using modern surgical techniques. The goal is to improve reduction of distal tibia fractures. METHODS: An intramedullary nail was placed in 14 skeletally mature legs. This included 8 patients with mid-shaft tibial fractures and 6 intact cadaveric legs. Each nail was a titanium cannulated tibial nail, size 10- or 11-mm. The nails were placed using a suprapatellar or transpatellar approach with an ideal starting point...
August 22, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30159661/early-local-microcirculation-is-improved-after-intramedullary-nailing-in-comparison-to-external-fixation-in-a-porcine-model-with-a-femur-fracture
#15
Yannik Kalbas, Zhi Qiao, Klemens Horst, Michel Teuben, René H Tolba, Frank Hildebrand, Hans-Christoph Pape, Roman Pfeifer
INTRODUCTION: The local circulatory changes induced by intramedullary reaming are not fully understood. This study aimed to analyse the short-term local microcirculation associated with different surgical strategies in a porcine model with a mid-shaft fracture. METHODS: German landrace pigs were subjected to a standardised femoral fracture under standard anaesthesia and intensive care monitoring. One group was subjected to intramedullary reaming and nailing (nail group), while a second group was stabilised with external fixation (fix ex group)...
August 22, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30132024/evaluation-of-patients-with-surgically-stabilized-rib-fractures-by-different-scoring-systems
#16
Joanna Wycech, Alexander Alexei Fokin, Ivan Puente
PURPOSE: Surgical Stabilization (SSRF) is gaining popularity as an alternative to non-operative management (NOM) of patients with rib fractures, however, there are no established guidelines for patients' quantifiable evaluation and for SSRF recommendation. Known rib scoring systems include: Rib Fracture Score (RFS), Chest Wall Trauma Score (CWTS), Chest Trauma Score (CTS) and RibScore (RS), but are underutilized. The purpose was to provide values of scoring systems in SSRF and NOM patients and correlate them with treatment assignment...
August 21, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30094611/development-of-the-utrecht-score-for-clavicle-fractures-a-short-and-complete-clavicle-score-with-patient-reported-and-objective-measures
#17
Martijn Hulsmans, Steven Ferree, Marijn Houwert, Marcel Dijkgraaf, Egbert Jan Verleisdonk, Mark van Heijl
PURPOSE: The purpose of this study was to develop a clavicle-specific questionnaire with patient-reported and objective measures. METHODS: The present study used data of DASH and Constant scores from a previously performed randomized-controlled trial comparing plate and intramedullary pin fixation of clavicle fractures. Exploratory factor analysis was used to identify the most relevant items and the underlying structure of the questionnaires. To optimize the applicability to patients with a clavicle fracture, the selected items were reformulated...
August 9, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30054668/a-novel-method-to-assess-the-severity-and-prognosis-in-crush-syndrome-by-assessment-of-skin-damage-in-hairless-rats
#18
Isamu Murata, Ryota Kawanishi, Syo Inoue, Moeko Iwata, Jun Kobayashi, Yutaka Inoue, Ikuo Kanamoto
PURPOSE: Crush syndrome (CS), a serious medical condition characterised by damage to the muscle cells due to pressure, is associated with high mortality, even when patients receive fluid therapy during transit to the hospital or admission to the hospital. There is no standard triage approach for earthquake victims with crush injuries due to the scarcity of epidemiologic and quantitative data. We examined whether mortality can be predicted based on the severity of skin damage so that assess the severity and prognosis in crush syndrome by assessment of skin damage in hairless rats because we have previously observed that CS results in oedema and redness of the skin in rats...
July 27, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30039307/comparison-of-three-different-approaches-for-anterior-knee-pain-after-tibia-intramedullary-nailing
#19
Cagri Ozcan, Ismail Turkmen, Sami Sokucu
PURPOSE: The aim of this study was to compare anterior knee pain and functional outcomes in patients who underwent intramedullary tibial nailing using transpatellar, medial parapatellar or suprapatellar nail entry methods. METHODS: We retrospectively reviewed patients who underwent tibial fracture repair in our clinic between January 2010 and March 2017. After applying the exclusion criteria, 58 patients were included in the study. Patients were divided into 3 groups based on the nailing approach: medial parapatellar, transpatellar or suprapatellar...
July 23, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30032348/traumatic-cardiac-arrest-and-resuscitative-endovascular-balloon-occlusion-of-the-aorta-reboa-a-preliminary-analysis-utilizing-high-fidelity-invasive-blood-pressure-recording-and-videography
#20
Philip J Wasicek, Shiming Yang, William A Teeter, Peter Hu, Deborah M Stein, Thomas M Scalea, Megan L Brenner
PURPOSE: Aortic occlusion (AO) increases proximal perfusion and may improve rates of return of spontaneous circulation (ROSC). The objective of this study was to investigate the hemodynamic effects of cardiopulmonary resuscitation (CPR) and AO by REBOA on patients in traumatic cardiac arrest. METHODS: Patients admitted between February 2013 and May 2017 at a tertiary center who suffered traumatic arrest, had an arterial line placed during resuscitation, and received CPR and REBOA which were included...
July 21, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
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