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Physiologic Parameters and Radiologic Findings can Predict Pulmonary Complications and Guide Management in Traumatic Rib Fractures Injury (IF 2.5) Pub Date : 2024-03-13 Abdul Hafiz Al Tannir, Courtney J. Pokrzywa, Christopher Dodgion, Kelly A. Boyle, Savo Bou Zein Eddine, Elise A. Biesboer, David J. Milia, Marc A. de Moya, Thomas W. Carver
Traumatic rib fracture is associated with a high morbidity rate and identifying patients at risk of developing pulmonary complications (PC) can guide management and potentially decrease unnecessary intensive care admissions. Therefore, we sought to assess and compare the utility of a physiologic parameter, vital capacity (VC), with the admission radiologic findings (RibScore) in predicting PC in patients
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Prevalence of chronic pain after severe lower limb injury (SLLI): a systematic review and meta-analysis Injury (IF 2.5) Pub Date : 2024-03-12 Shareef Mahdi, Rebecca Stoner, James Wyatt, Henry De'Ath, Zane Perkins
Globally, severe lower limb injuries (SLLIs) are the predominant cause of long-term injury related disability and poor functional outcomes. Chronic pain is a major source of this morbidity, but the magnitude of the contribution is not clearly understood. The aim of this systematic review and meta-analysis was to determine the prevalence of chronic pain following SLLIs in civilian and military patients
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The Paediatric polytrauma CT-Indication (PePCI)-Score - Development of a prognostic model to reduce unnecessary CT scans in paediatric trauma patients Injury (IF 2.5) Pub Date : 2024-03-11 Strahl André, Willemsen Jan Fritjof, Schoof Benjamin, Reinshagen Konrad, Frosch Karl-Heinz, Wintges Kristofer
Whole-Body CT (WBCT) is frequently used in emergency situations for promptly diagnosing paediatric polytrauma patients, given the challenges associated with obtaining precise details about the mechanism and progression of trauma. However, WBCT does not lead to reduced mortality in paediatric patients, but is associated with high radiation exposure. We therefore wanted to develop a screening tool for
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The Economic and Resource Burden of E-Scooter-Related Orthopaedic Injuries: A District General Hospital's Experience Injury (IF 2.5) Pub Date : 2024-03-11 M. Antonik, S Sankar, J Shepherd, S Hassan
Electric scooters (e-scooters) are an increasingly popular method of transportation worldwide. However, there are concerns regarding their safety, specifically with regards to orthopaedic injuries. We aimed to investigate the overall burden and financial impact on orthopaedic services as a result of e-scooter-related orthopaedic injuries. We retrospectively identified all e-scooter-related injuries
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Effect of trauma quality improvement initiatives on outcomes and costs at community hospitals: A scoping review Injury (IF 2.5) Pub Date : 2024-03-11 Reba McIver, Mete Erdogan, Robin Parker, Allyson Evans, Robert Green, David Gomez, Tyler Johnston
Due to complex geography and resource constraints, trauma patients are often initially transported to community or rural facilities rather than a larger Level I or II trauma center. The objective of this scoping review was to synthesize evidence on interventions that improved the quality of trauma care and/or reduced healthcare costs at non-Level I or II facilities. A scoping review was performed to
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Modified medial gastrocnemius myocutaneous flap with extended anterior, inferior and/or posterior boundaries: Anatomical observation and report of a clinical series of 33 flaps Injury (IF 2.5) Pub Date : 2024-03-11 Shibin Tao, Zhonggen Dong, Jianwei Wei, Lihong Liu, Lijun Zhang, Shimu Shi
Reports on medial gastrocnemius myocutaneous (MGM) flaps with extended inferior and posterior boundaries are rare, and information about the MGM flaps with extended anterior boundaries is unavailable. Thus, this study aimed to investigate the vascular anatomical basis and clinical reliability of the modified MGM flap with extended anterior, inferior and/or posterior boundaries. Five fresh lower limb
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Pack the Chest: Damage Control Strategy for Management in Thoracic Trauma Injury (IF 2.5) Pub Date : 2024-03-08 Anthony D. Douglas II, Thaddeus J. Puzio, Patrick B. Murphy, Gabriel B. Kinnaman, Ashley D. Meagher
Damage control surgery aims to control hemorrhage and contamination in the operating room (OR) with definitive management of injuries delayed until normal physiology is restored in the intensive care unit (ICU). There are limited studies evaluating the use of damage control thoracotomy (DCT) in trauma, and the best method of temporary closure is unclear. A retrospective review of trauma patients at
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Corrigendum to “Improved documentation following the implementation of a trauma registry: A means of sustainability for trauma registries in low- and middle-income countries” [Injury, 52 (2021) pages 2672–2676] Injury (IF 2.5) Pub Date : 2024-03-07 Chantalle L. Grant, Christine Tumuhimbise, Consolet Ninsiima, Tessa Robinson, Dean Eurich, David Bigam, Martin Situma, Abdullah Saleh
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Do we try to salvage too many traumatic limb injuries with reconstruction and flaps when we should be doing more amputations? Injury (IF 2.5) Pub Date : 2024-03-06 Julian Rizos, Sarah Hebert-Seropian, Richard Buckley
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Epidemiology and factors associated with mortality among pediatric major trauma patients in Nova Scotia: A 17-year retrospective analysis Injury (IF 2.5) Pub Date : 2024-03-05 Andrea Sadoway, Renee Kinden, Mete Erdogan, Nelofar Kureshi, Michelle Johnson, Robert S. Green, Jason G. Emsley
Major traumatic injury in the pediatric population requires further evaluation to improve patient outcomes. Relatively few Canadian studies have investigated pediatric trauma using population-based data. Our objectives were to describe the epidemiology of pediatric major trauma in Nova Scotia and identify factors associated with in-hospital mortality. Retrospective cohort study of pediatric major trauma
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Techniques and results of reconstruction of femoral head fractures: An Update Injury (IF 2.5) Pub Date : 2024-03-05 Martin Kloub, Pavel Látal, Peter Giannoudis
A narrative review of the literature was conducted to examine the data on femoral head fractures, with a particular focus on their management, complications and clinical outcomes.
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Functional outcome and associations with prehospital time and urban-remote disparities in trauma: A Norwegian national population-based study Injury (IF 2.5) Pub Date : 2024-03-05 IMW Nilsbakken, T Wisborg, S Sollid, E Jeppesen
There is a lack of knowledge regarding the functional outcomes of patients after trauma. Remote areas in Norway has been associated with an increased risk of trauma-related mortality. However, it is unknown how this might influence trauma-related morbidity. The aim of this study was to assess the functional outcomes of patients in the Norwegian trauma population and the relationship between prehospital
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The Clinical Frailty Scale as a Predictor of Orthopaedic Outcomes: A Narrative Review Injury (IF 2.5) Pub Date : 2024-03-05 Harri G. Jones, Isaac Hathaway, Sean Glossop, Hari Bhachoo, Lucy Hoade, Joseph Froud, Lily Scourfield, Arwel T Poacher
The Clinical Frailty Scale (CFS) is a 9-point scaling system used to categorise the frailty of patients. The CFS is well-established as a prognostic tool for decision-making within healthcare settings. However, the relationship between the CFS as a predictor for orthopaedic outcomes is limited. This review aims to provide an overview of the efficacy of the CFS as a prognostic tool for predicting orthopaedic
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Nationwide study on open tibial fractures in the Netherlands: Incidence, demographics and level of hospital care Injury (IF 2.5) Pub Date : 2024-03-03 M.P. Noorlander-Borgdorff, A. Sekercan, D.A. Young-Afat, M. Bouman, M. Botman, G.F. Giannakópoulos
Open tibial fractures are relatively common injuries following traffic accidents. The vulnerability of the soft tissues surrounding the tibia increases the susceptibility to complications, including infection and nonunion. To minimize complications, a multidisciplinary, timely approach is crucial. To date, the Dutch incidence and level of hospital treatment remain unknown due to a lack of condition-specific
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Health-related quality of life following trauma: Prevalence of problems and factors associated with six-month outcomes in a New Zealand cohort Injury (IF 2.5) Pub Date : 2024-03-03 Brett Maclennan, Emma Wyeth, Sarah Derrett
Injury is a leading cause of health loss in Aotearoa me Te Waipounamu (New Zealand; NZ). The NZ Trauma Registry was established in 2015 to monitor outcomes in those experiencing severe injury and to identify ways of improving the quality of care for these patients. Few NZ studies have assessed outcomes in trauma patients using patient-reported outcome measures (PROMs) despite increasing recognition
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An evaluation of the management of severe open tibial fractures in the United Kingdom's major trauma centres Injury (IF 2.5) Pub Date : 2024-03-02 Elizabeth Wilson, Katie Young, Richard Kwasnicki, Shehan Hettiaratchy
To evaluate the management of patients with severe open tibial fractures at major trauma centres (MTCs) in the UK with respect to BOAST 4 guidelines. Data collected by the Trauma and Audit Research Network (TARN) for all severe open tibial fractures treated at the 23 adult MTCs were evaluated. Key performance indicators (KPIs) included MTC admission under orthoplastics, administration of antibiotics
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Fragility Fracture Network-Japan: The challenge of establishment of a national hip fracture database and successful achievement of nationwide health system change for hip fracture care in Japan Injury (IF 2.5) Pub Date : 2024-03-02 Noriaki Yamamoto, Takeshi Sawaguchi, Takashi Matsushita, Narutaka Katoh, Hidenori Arai, Masahiro Shirahama, Naoto Endo, Hiroshi Hagino, Satoshi Mori, Tamio Teramoto, Masashi Ookuro, Mineko Hiraoka, Hideaki E. Takahashi
In April 2022, a new reimbursement scheme for hip fracture was implemented by the Japanese health ministry. Japan is one of the world's most aged societies, facing a significant, rapidly growing burden of osteoporosis and fragility fractures. The incidence of hip fractures is projected to increase from 240,000 in 2020 to 320,000 by 2040. In 2015, Fragility Fracture Network-Japan (FFN-Japan) was formally
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Bicycle-related accidents in Rome: Investigating clinical patterns, demographics, injury contexts, and health outcomes for enhanced public safety Injury (IF 2.5) Pub Date : 2024-03-02 Francesca Cittadini, Giovanni Aulino, Martina Petrucci, Luigi Raguso, Elena Sofia Oliveri, Flavia Beccia, Angela Novelli, Sabina Strano-Rossi, Francesco Franceschi, Marcello Covino
This study aims to analyze the clinical characteristics, demographic features, and injury circumstances of patients admitted to the Emergency Department (ED) at Fondazione Policlinico Universitario A. Gemelli (IRCCS) in Rome, Italy, due to bicycle accidents. Data on clinical characteristics, accident timing, injury circumstances, and helmet use were collected for ED patients involved in bicycle accidents
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No difference in clinical and hospital quality outcomes in treatment of reverse obliquity intertrochanteric Hip fractures (AO/OTA 31.A3) based on Cephalomedullary nail length Injury (IF 2.5) Pub Date : 2024-03-02 Sanjit R. Konda, Lauren A. Merrell, Garrett W. Esper, Kester Gibbons, Rachel Ranson, Abhishek Ganta, Kenneth A. Egol
The purpose of this study was to evaluate outcomes following reverse obliquity (RO) intertrochanteric hip fractures based on the use of short cephalomedullary nails (CMNs) compared to long CMNs for fixation. An IRB-approved prospectively collected hip fracture registry at an urban academic medical center was queried for all AO/OTA 31A3.1–3 reverse obliquity intertrochanteric (RO) fractures. One hundred
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Very long-term effects of conservatively treated blunt thoracic trauma: A retrospective analysis Injury (IF 2.5) Pub Date : 2024-03-02 Indy Kelderman, Chris Dickhoff, Frank W. Bloemers, Wietse P. Zuidema
Despite the high incidence of blunt thoracic trauma and frequently performed conservative treatment, studies on very long-term consequences for these patients remain sparse in current literature. In this study, we identify prevalence of long-term morbidity such as chronic chest pain, shortness of breath, and analyze the effect on overall quality of life and health-related quality of life. Questionnaires
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The influence of hospital and home environments on physical activity and sedentary behaviour: Perceptions of people recovering from fractures Injury (IF 2.5) Pub Date : 2024-03-01 Asher G. Kirk, Lara A. Kimmel, Jason Pereira, Christina L. Ekegren
A lack of evidence exists contrasting the factors that influence physical activity and sedentary behaviour in both hospital and home settings before and after discharge from acute hospitalisation for fractures. To describe and compare perceptions of environmental influences on physical activity in hospital and home settings in people recovering from fractures. Semi-structured interviews were conducted
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ORIF or ORIF with primary subtalar arthrodesis (PSTA) for a Sanders IV fracture? Injury (IF 2.5) Pub Date : 2024-02-29 Gareth Ryan, Jeffrey Poon, Richard Buckley
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Management of traumatic spinal cord injury: A current concepts review of contemporary and future treatment Injury (IF 2.5) Pub Date : 2024-02-28 Makeen Baroudi, Anna Rezk, Mohammad Daher, Mariah Balmaceno-Criss, Jerzy George Gregoryczyk, Yatharth Sharma, Christopher L. McDonald, Bassel G. Diebo, Alan H. Daniels
Spinal Cord Injury (SCI) is a condition leading to inflammation, edema, and dysfunction of the spinal cord, most commonly due to trauma, tumor, infection, or vascular disturbance. Symptoms include sensory and motor loss starting at the level of injury; the extent of damage depends on injury severity as detailed in the ASIA score. In the acute setting, maintaining mean arterial pressure (MAP) higher
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The importance of interdigitating screw fixation of the trochlea in double plate osteosynthesis of low transcondylar distal humerus fractures: A biomechanical study Injury (IF 2.5) Pub Date : 2024-02-28 Sebastian Lappen, Sebastian Siebenlist, Tim Leschinger, Pavel Kadantsev, Stephanie Geyer, Kilian Wegmann, Lars-Peter Müller, Michael Hackl
The trochlea is of great importance for the stability of the elbow and its fixation in low transcondylar fractures of the distal humerus is especially challenging. The aim of this study was to determine the optimal trochlea fixation in double plate osteosynthesis of intraarticular distal humerus fractures. A low transcondylar, C3-type distal humerus fracture was created in 20 fresh-frozen human cadaveric
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Trends in incidence, health care use and costs for subtrochanteric femur fractures in the Netherlands 2000–2019 Injury (IF 2.5) Pub Date : 2024-02-28 Miliaan L. Zeelenberg, Esther M.M. Van Lieshout, Suzanne Polinder, Martien J.M. Panneman, Michael H.J. Verhofstad, Dennis Den Hartog
This study aimed to provide population based trends in incidence rate, hospital length of stay (HLOS), trauma mechanism, and costs for healthcare and lost productivity of subtrochanteric femur fractures in the Netherlands. Data on patients with subtrochanteric femur fractures sustained between January 1, 2000 and December 31, 2019 were extracted from the National Medical Registration of the Dutch Hospital
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A scientometric analysis of bone cutting tools & methodologies: Mapping the research landscape Injury (IF 2.5) Pub Date : 2024-02-28 Phanindra Addepalli, Worapong Sawangsri, Saiful Anwar Che Ghani
This study undertakes a Scientometric analysis of bone-cutting tools, investigating a corpus of 735 papers from the Scopus database between 1941 and 2023. It employs bibliometric methodologies such as keyword coupling, co-citation, and co-authorship analysis to map the intellectual landscape and collaborative networks within this research domain. The analysis highlights a growing interest and significant
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Exploring the impact of traumatic injury on mortality: An analysis of the certified cause of death within one year of serious injury in the Scottish population Injury (IF 2.5) Pub Date : 2024-02-28 Hannah A Craig, David J Lowe, Angela Khan, Martin Paton, Malcolm WG Gordon
Few studies effectively quantify the long-term incidence of death following injury. This retrospective cohort study assessed the one-year mortality of adult trauma patients with an Injury Severity Score ≥ 9 during 2020 using the Scottish Trauma Audit Group (STAG) registry linked to inpatient hospital data and death certificate records. Patients were divided into three groups: trauma death, trauma-contributed
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Post-injury long-term sickness absence and risk of disability pension: The role of socioeconomic status Injury (IF 2.5) Pub Date : 2024-02-28 Eyvind Ohm, Christian Madsen, Hans Magne Gravseth, Søren Brage, Else Karin Grøholt, Kari Alver, Kristin Holvik
Previous research has identified low socioeconomic status (SES) as a risk factor for long-term sickness absence (LTSA) and disability pension (DP) following trauma. However, most studies lack information on medical diagnoses, limiting our understanding of the underlying factors. To address this gap, we retrieved information about diagnostic causes for receipt of welfare benefits to explore the role
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Subtrochanteric femur nonunion - Chasing the elusive an analysis of two techniques to achieve union: Nail-plate fixation and plate-structural fibula graft fixation Injury (IF 2.5) Pub Date : 2024-02-28 Jayaramaraju Dheenadhayalan, Nandakumar Sanjana, Agraharam Devendra, Purnaganapathi Sundaram Velmurugesan, Perumal Ramesh, Shanmuganathan Rajasekaran
The subtrochanteric region is known for its unique biomechanical properties that contribute to challenges in fracture reduction. To ensure optimal fracture healing, achieving robust mechanical stability is essential. There are very few studies in the literature describing the treatment of subtrochanteric fracture nonunion. To analyze the outcomes of two techniques of revision fixation of nonunion in
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Electrical injuries in children—a 6-year retrospective study Injury (IF 2.5) Pub Date : 2024-02-28 Nan Hu, Ji-gang Chen, Jing Liu, Yan-ni Wang, Yi-ning Wang, Jing Yu, Hong-yan Qi
This study aimed to assess the clinical epidemiological characteristics of children with electrical injuries and discuss the countermeasures for the prevention of electrical injuries in children. The children with electrical injuries were grouped according to whether or not they were admitted to the hospital for treatment into inpatient and outpatient groups. Clinical data such as gender, causes of
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Reply to Letter to the Editor “Cervical spine trauma – Evaluating the diagnostic power of CT, MRI, X-ray and Lodox” Injury (IF 2.5) Pub Date : 2024-02-27 Sebastian F. Bigdon, Martin Müller, Niklas Rutsch
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The Impact of Anticoagulant Medications on Fragility Femur Fracture Care: The Hip and Femoral Fracture Anticoagulation Surgical Timing Evaluation (Haste) Study Injury (IF 2.5) Pub Date : 2024-02-27 MM Farhan-Alanie, R Chinweze, R Walker, WGP Eardley
Due to their hypocoagulable state on presentation, anticoagulated patients with femoral fragility fractures typically experience delays to surgery. There are no large, multicentre studies previously carried out within the United Kingdom (UK) evaluating the impact of anticoagulant use in this patient population. This study aimed to evaluate the current epidemiology and compare the perioperative management
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Antiplatelets versus anticoagulants in the treatment of blunt cerebrovascular injury (BCVI) – A systematic review and meta-analysis Injury (IF 2.5) Pub Date : 2024-02-27 Jovana Momic, Nouf Yassin, Mella Y. Kim, Eric Walser, Shane Smith, Ian Ball, Bradley Moffat, Neil Parry, Kelly Vogt
Blunt cerebrovascular injury (BCVI) occurs in 1–3% of blunt traumas and is associated with stroke, disability, and mortality if unrecognized and untreated. Early detection and treatment are imperative to reduce the risk of stroke, however, there is significant variation amongst centers and trauma care providers in the specific medical management strategy used. This study compares antiplatelets vs.
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Utility of severity scoring systems for mangled upper limb salvage: A systematic review and meta-analysis Injury (IF 2.5) Pub Date : 2024-02-24 Hidemasa Yoneda, Shinsuke Takeda, Masaomi Saeki, Katsuyuki Iwatsuki, Michiro Yamamoto, Masahiro Tatebe, Hitoshi Hirata
The purpose of scoring systems is to aid in the decision-making process of whether to salvage or amputate mangled extremities, but their efficacy for upper limbs is uncertain. In this study, we examined the predictive potential of scoring systems for upper limb salvage. Two investigators undertook a systematic search of 3 leading databases for English or Japanese literature from 1985, when the first
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Comparable results of superior vs antero-inferior plating for the treatment of displaced midshaft clavicle fractures. A comparative study Injury (IF 2.5) Pub Date : 2024-02-23 Alessandro Sangiorgio, Davide Previtali, Lorenzo Massimo Oldrini, Stamen Roumenov Milev, Giuseppe Filardo, Christian Candrian
Clavicle fractures represent up to 10 % of all fractures, affecting mainly a young population. Open reduction and internal plate fixation provide good results, but evidence on the best plate positioning is still unclear. Aim of this retrospective study was to compare superior and antero-inferior plating positioning in the surgical treatment of displaced midshaft clavicle fractures. 104 patients aged
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Nail fixation of unstable trochanteric fractures with or without cement augmentation: A cost-utility analysis in the United States Injury (IF 2.5) Pub Date : 2024-02-20 Alexander Joeris, Mina Kabiri, Thibaut Galvain, Mollie Vanderkarr, Chantal E. Holy, Javier Quintana Plaza, Julia Schneller, Christian Kammerlander
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Does delay from injury to surgery increase the risk of dislocation of a hip hemiarthroplasty? Injury (IF 2.5) Pub Date : 2024-02-20 Neville Jacob, Marios Ghobrial, Martyn Parker
Dislocation of a hip hemiarthroplasty used to treat a hip fracture is a serious complication. The aim of this study was to identify whether a delay in the time from fracture to surgery causes an increase in the rate of post-operative hip dislocation. From a single center, data from intracapsular neck of femur patients treated with hip hemiarthroplasty was collected between October 1986 to August 2021
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Acetabular fractures in the elderly. what is the current evidence for optimal treatment? Injury (IF 2.5) Pub Date : 2024-02-19 Costas Papakostidis, PV Giannoudis
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Feasibility of using bacteriophage therapy to treat Staphylococcal aureus fracture-related infections Injury (IF 2.5) Pub Date : 2024-02-18 James B. Doub, Ashley E. Levack, Lauren Sands, Joseph Blommer, Joseph Fackler, Robert V. O'Toole
fracture-related infections (FRIs) are associated with significant morbidity in part because conventional antibiotic therapies have limited ability to eradicate in sessile states. Therefore, the objective of this study was to assess the feasibility of using Staphylococcal bacteriophages for FRI by testing the activity of a library of Staphylococcal bacteriophage therapeutics against historically preserved
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Choosing the proper implant for extra-articular fractures of proximal phalanges: A study on 75 cases Injury (IF 2.5) Pub Date : 2024-02-18 A. Del Chiaro, Chiara Suardi, A.M. Nucci, A. Grassi, S. Pfanner, A. Poggetti
Phalangeal fractures are the most common fractures of the hand and in particular the proximal phalanx of the long fingers is the most involved. These fractures can ben conservatively managed but, when the fracture pattern is considered unstable, surgical treatment is recommended. However, there is no consensus in literature about the proper surgical option for extra-articular proximal phalanx fractures
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Low Energy Gunshot Injuries: Does Removal of Retained Bullet Fragmentation at the Time of Internal Fixation Reduce the Risk of Fracture Related Infection? Injury (IF 2.5) Pub Date : 2024-02-16 Adrian Olson, Usher Khan, Lianne Wagner, Valarie Davidson, Benjamin Diedring, Ivan Bandovic, Paul Knapp, Adam Fahs, Alan Afsari, Benjamin Best
To examine the effects of RBF (Retained Bullet Fragment) removal at the time of long bone fixation on FRI (fracture related infection) rates in low energy GSI (Gunshot Injury) related fractures. Retrospective Cohort Study Level 1 Academic Trauma Center Retrospective review of the impact of RBFs on the risk of FRI when employing internal fixation in low energy GSI (Gunshot Injury) related fractures
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Single-stage transcutaneous osseointegrated prosthesis for above-knee amputations including an antibiotic-loaded hydrogel. Preliminary results of a new surgical protocol Injury (IF 2.5) Pub Date : 2024-02-15 Pablo S. Corona, Enrique A. Vargas Meouchi, Jesús Manuel García Hernández, Rosa Fraile Soriano, Almudena Crespo-Fresno, Daniela Issa-Benítez, Munjed al Mudaris, Francisco Soldado
Patients with above-knee amputations (AKA) are normally treated with the traditional socket-mounted prosthesis (SMP), which is associated with a high incidence of problems. Osseointegration has been proposed as a promising option for avoiding many common SMP drawbacks. Several concerns have arisen regarding amputee osseointegration, however, mainly with respect to infection. We report on the safety
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Surgical and non-surgical treatment for fully displaced lateral clavicle fractures have similar outcomes: An observational register study of 113 patients Injury (IF 2.5) Pub Date : 2024-02-15 Caroline Kihlström, Nils P. Hailer, Olof Wolf
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Association between Out-of-Hospital Cardiac Arrest Quality Indicator and Prehospital Management and Clinical Outcomes for Major Trauma Injury (IF 2.5) Pub Date : 2024-02-15 Hyouk Jae Lim, Jeong Ho Park, Ki Jeong Hong, Kyoung Jun Song, Sang Do Shin
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Custom injury prevention priority scoring: Local ranking procedures to assess unique community needs Injury (IF 2.5) Pub Date : 2024-02-15 Allison L. Mak Croughan, Kevin Rix, Sage R. Myers, Douglas Wiebe, Michael L. Nance
Trauma is the leading cause of morbidity and mortality in children. Many traumatic injuries are preventable and trauma centers play a major role in directing population-level injury prevention strategies. Given the constraint of finite resources, calculating priorities for injury prevention at an institutional level is essential. The Injury Prevention and Priority Score (IPPS) is a widely applicable
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What Can They Expect? Decreased Quality of Life and Increased Postoperative Complication Rate in Patients with a Fracture-Related Infection Injury (IF 2.5) Pub Date : 2024-02-14 M.A.S. Buijs, S. Haidari, F.F.A. IJpma, F. Hietbrink, G.A.M. Govaert
By gaining insight into the Quality of Life (QoL) status and occurrence of complications, critical facets in the care for patients with Fracture-Related Infection (FRI) can be mitigated and measures can be taken to improve their outcome. Therefore, the aims of this study were to 1) determine the QoL in FRI patients in comparison to non-FRI patients and 2) describe the occurrence of other complications
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Assessing the prediction of arterial CO2 from end tidal CO2 in adult blunt trauma patients Injury (IF 2.5) Pub Date : 2024-02-14 Nicholas M. Petrakis, Daniel Harris, Daniel Y. Ellis, Daniel Haustead
The control of PaCO2 in ventilated patients is known to be of particular importance in the management and prognosis of trauma patients. Although EtCO2 is often used as a continuous, non-invasive, surrogate marker for PaCO2 in ventilated trauma patients in the emergency department (ED), previous studies suggest a poor correlation in this cohort. However, previous data has predominantly been collected
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Clinical Epidemiology of Extracranial Injuries in Severe Pediatric Traumatic Brain Injury in South America Injury (IF 2.5) Pub Date : 2024-02-10 Miguel Castro, Lauren L. Agoubi, Julia Velonjara, Claudia Lutkevicius, Nahuel Guadagnoli, Silvia Lujan, Gustavo Petroni, Michael J. Bell, Monica S. Vavilala, Charles Mock
Severe traumatic brain injury (TBI) is a leading cause of pediatric mortality, with a disproportionate burden on low- and middle-income countries. The impact of concomitant extracranial injury (ECI) on these patients remains unclear. This study is the first to characterize the epidemiology and clinical course of severe pediatric TBI with extracranial injuries in any South American country. We conducted
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The real time to surgery: Limited delay after medical optimization does not impact hip fracture surgery outcomes Injury (IF 2.5) Pub Date : 2024-02-10 Mitchell K. Ng, Jordan B. Pasternack, Paul G. Mastrokostas, Lucas Voyvodic, Kevin K. Kang
Current U.S./Canadian guidelines recommend hip fracture surgery within 48 h of injury to decrease morbidity/mortality. Multiple studies have identified medical optimization as the key component of time to surgery, but have inherent bias as patients with multiple co-morbidities often take longer to optimize. This study aimed to evaluate time from medical optimization to surgery (TMOS) to determine if
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Comparing short vs. intermediate and long nails in elderly patients with unstable multifragmental femoral trochanteric fractures (AO type A2): Multicenter (TRON group) retrospective study Injury (IF 2.5) Pub Date : 2024-02-10 Hidetoshi Tsugeno, Yasuhiko Takegami, Katsuhiro Tokutake, Kenichi Mishima, Hiroaki Nakashima, Kazuyoshi Kobayashi, Shiro Imagama
Unstable femoral trochanteric fractures (FTFs), especially Arbeitsgemeinschaft für Osteosynthesefragen/ the Orthopedic Trauma Association (AO/OTA) 31-A2 fractures, which are multifragment fractures, occur in elderly individuals with osteoporosis and are associated with high mortality and complication rates due to prolonged immobilization. Longer nails (LNs) were developed to obtain superior fracture
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Range of Motion Measurements Do Not Correlate with Patient Reported Outcome Measures in the Early Post-Operative Period Following Ankle Fracture Injury (IF 2.5) Pub Date : 2024-02-08 Christian Calderon, Yousi A. Oquendo, Noelle Van Rysselberghe, Andrea K. Finlay, Anastasia A. Hunt, Micah J. San Agustin, Michael J. Gardner
Early mobilization following ankle fracture open reduction and internal fixation (ORIF) improves long-term patient functionality. Because of this, numerous resources have been spent to increase patient adherence to post-operative mobilization, with range of motion (ROM) measurements generally considered an important outcome in patient recovery. In this study we investigated how ankle ROM correlates
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MicroRNAs in osteoblast differentiation and fracture healing: From pathogenesis to therapeutic implication Injury (IF 2.5) Pub Date : 2024-02-07 Jilong Yao, Ruiwen Xin, Chao Zhao, Chunfu Yu
The term "fracture" pertains to the occurrence of bones being either fully or partially disrupted as a result of external forces. Prolonged fracture healing can present a notable danger to the patient's general health and overall quality of life. The significance of osteoblasts in the process of new bone formation is widely recognized, and optimizing their function could be a desirable strategy. Therefore
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Which implant is better for the fixation of posterior wall acetabular fractures: A conventional reconstruction plate or a brand-new calcaneal plate? Injury (IF 2.5) Pub Date : 2024-02-06 Hakan Koray Tosyalı, Fatma Kübra Erbay Elibol, Sertan Hancıoğlu, Suat Emre Kaçmaz, Özde İrem Çalışkan, Tolga Tolunay, Teyfik Demir, Güvenir Okçu
Increased posterior wall acetabular fractures among older adults, require precise treatment to restore stability to the joint, lower the risk of degenerative arthritis, and enhance overall functional recovery. The purpose of this study was to compare the fixation stability and mechanical characteristics of calcaneal buttress plate and conventional reconstruction plate under different loading condition
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Management of vascular injuries on ICU patients: KZN experience Injury (IF 2.5) Pub Date : 2024-02-06 VC Ntola, TC Hardcastle, NM Nkwanyana
Vascular injury management remains an extremely challenging task. The fundamental principles of management are bleeding arrest and flow restoration, to avoid death and amputation. With advances in medicine, there has been a shift from ligation to primary repair which has resulted in a fall in amputation rate from 50 % in World War II to less than 2 % in civilian injuries. A retrospective cross-sectional
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The role of public policy in reducing moped and scooter injuries in South Carolina Injury (IF 2.5) Pub Date : 2024-02-04 John Sharpe, Yianni Bakaes, Chase Gauthier, Richard Bidwell, Deborah M. Hurley, Kevin Murr
Mopeds and electric scooters have grown in popularity in recent years. A South Carolina (SC) law was passed on November 19, 2018, aimed to regulate mopeds and scooters. This study aims to evaluate whether this SC law was associated with a decrease in the moped injury rate in a Level 1 Trauma Center. A retrospective review of trauma registry data was used to identify a cohort of patients 14 years and
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Early posterior column internal fixation: A staged treatment of type C3 tibial pilon fracture Injury (IF 2.5) Pub Date : 2024-02-03 Yanchun Gao, Xiaoyuan Peng, Chengchen Wang, Chengyi Jiang, Xingang Yu
Pilon fractures represent a challenging subset of tibial fractures. The management of AO/OTA Type C3 fractures remains complex due to associated complications and lack of clear guidelines for surgical timing and methods. A prospective cohort study was conducted to evaluate two staged treatment strategies for AO/OTA Type C3 tibial pilon fractures. The study focused on assessing surgical difficulty,
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Does improved patient care lead to higher treatment costs? A multicentre cost evaluation of a blunt chest injury care bundle Injury (IF 2.5) Pub Date : 2024-02-03 Sarah Kourouche, Kate Curtis, Julie Considine, Margaret Fry, Rebecca Mitchell, Ramon Z. Shaban, Prabhu Sivabalan, David Bedford
Blunt chest injury is associated with significant adverse health outcomes. A chest injury care bundle (ChIP) was developed for patients with blunt chest injury presenting to the emergency department. ChIP implementation resulted in increased health service use, decreased unplanned Intensive Care Unit admissions and non-invasive ventilation use. In this paper, we report on the financial implications
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Surgeon reported treatment choices for AO type B and C thoracolumbar fractures without neurological deficits: An expert survey Injury (IF 2.5) Pub Date : 2024-02-03 J. Kitzen, W.M. Bakker, E. Jacobs, M.T. Kuijper, F.C. Öner
Less invasive spine surgery (LISS) has become well-established for thoracolumbar burst fractures without neurological deficits. However, notable controversy persists regarding the adequacy of LISS for more unstable AO type B and C injuries, as it does not allow for formal open fusion. In this cross-sectional survey experienced spine surgeons of the Dutch Spine Society were invited to participate (56
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Comprehensive analysis of power tool injuries: implications for safety and injury prevention Injury (IF 2.5) Pub Date : 2024-02-03 Gurbinder Singh, Aish Thamba, Varun Rao, Dylan Roth, Mohamed A. Zaazoue
Power tools are essential for productivity but carry significant injury risks. Addressing power tool injuries across diverse age groups is vital, as existing research predominantly focuses on specific occupational or non-occupational groups, leaving a gap in understanding various age cohorts within the diverse American population. This study aims to comprehend power tool injury epidemiology, raising