Influence of a temporary stabilization device on respiratory status in patients with severe trauma with a femoral shaft fracture treated by damage control strategy
ConclusionThe prolonged use of an ST device in the present cohort was associated with a higher incidence of impaired respiratory function. Therefore, our findings suggest that EF is preferable to ST in the DCO setting for femoral shaft fracture, especially in trauma patients at high risk of developing delayed respiratory failure. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 17, 2020 Category: Emergency Medicine Source Type: research

Outcome after treatment of distal radius fractures in the elderly using the IlluminOss ® System
ConclusionsThe IlluminOss® System is a feasible option to treat distal radius fractures with seemingly good clinical and functional outcome. One out of seven complications required surgical intervention. These outcomes justify more detailed prospective research. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 16, 2020 Category: Emergency Medicine Source Type: research

Ligamentous Lisfranc injuries: analysis of CT findings under weightbearing
ConclusionsUnequivocal instability is observed with simultaneous transection of the Lisfranc ligament with both plantar ligaments. On CT used as diagnostic tool, plantar injuries at the basis of the second and the third metatarsal are indirect signs of violation of the ligaments and represent an indication for surgical treatment. When using magnetic resonance imaging as diagnostic tool, a ruptured Lisfranc ligament alone without dislocation does not necessarily need surgical intervention. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 16, 2020 Category: Emergency Medicine Source Type: research

Trauma risk adjustment in geriatric trauma
(Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 16, 2020 Category: Emergency Medicine Source Type: research

From two stages to one: acceleration of the induced membrane (Masquelet) technique using human acellular dermis for the treatment of non-infectious large bone defects
In this study, the effect of a human acellular dermis (hADM, Epiflex, DIZG gGmbH) was evaluated for the treatment of a large (5 mm), plate-stabilised femoral bone defect.Material and MethodsIn an established rat model, hADM was compared to the two-stage induced membrane technique and a bone defect without membrane cover. Syngeneous spongiosa from donor animals was used for defect filling in all groups. The group size in each case wasn = 5, the induction time of the membrane was 3 –4 weeks and the healing time after filling of the defect was 8 weeks.ResultsThe ultimate loads were increased to levels comparable with na...
Source: European Journal of Trauma and Emergency Surgery - January 13, 2020 Category: Emergency Medicine Source Type: research

Team-based learning for teaching musculoskeletal ultrasound skills: a prospective randomised trial
AbstractObjectiveThe aim of this prospective randomised trial was to assess the impact of the team-based learning approach on basic musculoskeletal ultrasound skills in comparison to both peer-assisted and conventional teaching and to examine the influence of gender and learning style on learning outcomes.MethodsIn this prospective randomised trial, we randomly assigned 88 students to 3 groups: team-based learning (n = 19), peer-assisted learning (n = 36) and conventional teaching (n = 33). Pre-existing knowledge was assessed using a multiple-choice (MC) exam. Student performance a...
Source: European Journal of Trauma and Emergency Surgery - January 10, 2020 Category: Emergency Medicine Source Type: research

Distribution of radiation exposure in patients with partially stable and unstable pelvic ring fractures: first-time use of highly accurate assessment by Monte Carlo calculations
ConclusionsThis study showed that a substantial number of patients with partially stable and unstable pelvic ring fractures have an increased cancer risk due to trauma-related medical imaging. Physicians should be aware of the amount of radiation their patients are exposed to, and minimize imaging related increase of cancer risks during initial assessment, treatment and follow-up. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 9, 2020 Category: Emergency Medicine Source Type: research

Validation of the scandinavian guidelines for initial management of minor and moderate head trauma in children
ConclusionChildren with minimal head injuries can be safely discharged with oral and written instructions. Use of the SNC-G will potentially reduce the use of CT. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 6, 2020 Category: Emergency Medicine Source Type: research

Rehabilitation protocols in unstable trochanteric fractures treated with cephalomedullary nails in elderly: current practices and outcome
ConclusionWith evidence available to date, there is no clear agreement on the postoperative rehabilitation protocol following fixation of an unstable trochanteric fracture by cephalomedullary nail in the elderly. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 3, 2020 Category: Emergency Medicine Source Type: research

Correlation of procalcitonin to positive blood culture results in a sample of South African trauma ICU patients between 2016 and 2017
ConclusionsIncreased PCT levels were associated with bacteremia in this study. PCT  >  31.0 ng/mL may be used to rule in suspected bacteremia in this trauma ICU setting. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 2, 2020 Category: Emergency Medicine Source Type: research

Targeted prevention of road traffic deaths in Greece: a multifactorial 5-year census-based study
AbstractBackgroundBetween 2012 and 2016, Greece suffered yearly more than 800 deaths from road traffic incidents (RTIs), holding one of the worst performances in the European Union for RTI-related deaths per population. Our primary aim is to identify risk factors associated with mortality to set a targeted policy framework on road safety.MethodsThis is a retrospective analysis of data collected prospectively from Traffic Police. A correlation of 29 factors with adult drivers ’ mortality was made, applying multivariate logistic regression models. At a second stage, a scoping literature review identified the best possi...
Source: European Journal of Trauma and Emergency Surgery - January 2, 2020 Category: Emergency Medicine Source Type: research

‘Acute Masquelet technique’ for reconstructing bone defects of an open lower limb fracture
ConclusionThe ‘acute Masquelet technique’ was quite useful for reconstructing bone defects of open lower limb fractures as the primary treatment in the acute phase. We believe that this is one of the options that might be successful in the treatment of open lower limb fractures. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 2, 2020 Category: Emergency Medicine Source Type: research

Influence of syndesmotic injuries and posterior malleolar ankle fractures on fibula position in the ankle joint: a cadaveric study
ConclusionNeither the dissection of the syndesmosis nor the osteotomy of the posterior malleolus significantly influenced the position of the fibula in the incisura tibiofibularis in the cadaveric model. However, in the nonweight-bearing situation, a lesion of the syndesmotic complex might not be evident in intraoperative three-dimensional imaging. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 2, 2020 Category: Emergency Medicine Source Type: research

Thromboelastometry assessment of the effects of fibrinogen, activated prothrombin complex concentrate, and tranexamic acid on clot formation and fibrinolysis in a model of trauma-induced coagulopathy
ConclusionsBlood clotting stimulation and fibrinolysis inhibition in the TIC model was enough combining subthreshold concentrations of fibrinogen, prothrombin complex and tranexamic acid. Further experiments are warranted in both in vitro and in vivo conditions with minimally effective concentrations of both pro-coagulant and anti-fibrinolytic drugs assuming that this combinatorial approach may not only improve coagulopathy but also minimize the risk of thrombotic complications. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 1, 2020 Category: Emergency Medicine Source Type: research

Enhanced pro-inflammatory response and higher mortality rates in geriatric trauma patients
AbstractBackgroundAge has been associated with increased morbidity and mortality after traumatic injury. Disregarding trauma-related factors, this may be caused by the diminished ability to cope with stressors due to limited reserve, the so-called frailty. Inflammation is assumed to promote frailty, and thus, pro-inflammatory markers may constitute as being predictive factors in geriatric trauma patients (TP). Here, we analyzed the influence of age on systemic inflammatory markers and outcome parameters in TP.Patients and methods204 TP with injury severity score (ISS)  ≥ 16 were included and grouped to you...
Source: European Journal of Trauma and Emergency Surgery - December 24, 2019 Category: Emergency Medicine Source Type: research

Injury patterns and outcomes associated with fractures of the native distal femur in adults
AbstractPurposePrevious studies on distal femur fractures had a high degree of inclusion criteria in their sample populations, some even including pre-existing implants. The authors look to define an injury pattern unique to fractures of the distal femur by detailing demographics, associated injuries, and outcomes.MethodsThis retrospective chart review identified 171 patients who presented to our Level 1 academic trauma center with a distal femur fracture, of which 91 injuries met inclusion for final analysis. For each patient, demographics, fracture classification, associated injuries, hospital outcomes, union rate, and c...
Source: European Journal of Trauma and Emergency Surgery - December 23, 2019 Category: Emergency Medicine Source Type: research

Perception of quality of intraoperative fluoroscopy and the influence on postoperative management: an international survey
AbstractPurposeIntraoperative precise visualization of fractures and assessment of the quality of reduction is essential in orthopedic trauma surgery. Fluoroscopic skills will lead to an increased detection rate of minimal abnormalities needing revision intraoperatively. The definition of fluoroscopic skills and the interpretation of acceptable “minimal abnormalities” remains somehow unclear. The purpose of this study was to analyze the subjective quality assessment of intraoperative radiographs (IR) and whether they are influenced by cultural and demographic factors. Furthermore, we aimed to answer the questio...
Source: European Journal of Trauma and Emergency Surgery - December 20, 2019 Category: Emergency Medicine Source Type: research

Timing to perform VATS for traumatic-retained hemothorax (a systematic review and meta-analysis)
AbstractPurposeIn this systematic review, we analyzed the optimal time range to evacuate traumatic-retained hemothorax using video-assisted thoracoscopic surgery (VATS).MethodsWe searched PubMed, EMBASE, the Cochrane Register of Controlled Trials, Google Scholar, and the U.S. National Library of Medicine clinical trials database up to February 2019. Randomized controlled trials (RCTs) and observational studies with relevant data were included. Data were extracted from studies that reported the success, mortality, or length of hospital stay (LOS) after using VATS during at least two out of three of our time-ranges of intere...
Source: European Journal of Trauma and Emergency Surgery - December 17, 2019 Category: Emergency Medicine Source Type: research

Do elderly trauma patients receive the required treatment? Epidemiology and outcome of geriatric trauma patients treated at different levels of trauma care
ConclusionPatients above the age of 65  years represent a second group with high risk for traumatic injuries besides younger adults. Despite low-energy trauma mechanisms, these patients are prone to suffer from severe injuries, which require specialised care. Current admission practice appears adequate, as pre-clinical available symptom s did not correlate with injuries that demanded an early inter-hospital transfer. Specialised geriatric triage scores might further improve admission practice. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - December 16, 2019 Category: Emergency Medicine Source Type: research

Intermediate-term evaluation of interval appendectomy in the pediatric population
This study aimed to determine the effects of interval appendectomy from the perspective of long-term follow-up.MethodsA retrospective review of patients with complicated appendicitis between 2010 and 2017 was performed. The medical records of 471 patients with initial non-operative therapy and 377 patients treated with emergency appendectomy who served as controls were reviewed. Propensity score matching was performed to adjust for any potential selection bias in the two strategies. A comparison of the clinical outcomes, including short- and long-term postoperative complications, was conducted in the 348 matched patients.R...
Source: European Journal of Trauma and Emergency Surgery - December 10, 2019 Category: Emergency Medicine Source Type: research

Hemi-hamate osteochondral autograft for acute dorsal proximal interphalangeal fracture-dislocations
AbstractPurposeOur aim was to investigate the clinical and radiological results of a hemi-hamate autograft arthroplasty method in patients with acute trauma who had a fragmented fracture of the proximal palmar joint surface of the middle phalanx and dorsal PIP subluxation.MethodsA total of 13 fingers from 13 patients who met the criteria were included in the study (11 men and 2 women) and prospectively reviewed. The mean age of the patients was 39.5  years. The mean interval between the injury and surgery was 6.3 days. The active movement of the DIP, PIP, MP and wrist joints was started on postoperative day. Foll...
Source: European Journal of Trauma and Emergency Surgery - December 6, 2019 Category: Emergency Medicine Source Type: research

International survey evaluating treatment of primary superficial skin abscesses
ConclusionTreatment and aftercare of simple primary skin abscesses are processed heterogeneously throughout the world. Focus should be on optimal patient focused treatment with minimal socio-economic impact. Future studies should focus on the validation of the different postoperative treatment options with the aim to develop a socio-economically accepted algorithm. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - December 6, 2019 Category: Emergency Medicine Source Type: research

The effect of steroid treatment on whiplash associated syndrome: a controlled randomized prospective trial
ConclusionSteroid treatment of patients with whiplash might be harmful to those who present with low cortisol concentrations (
Source: European Journal of Trauma and Emergency Surgery - December 6, 2019 Category: Emergency Medicine Source Type: research

Major vascular trauma
(Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - December 6, 2019 Category: Emergency Medicine Source Type: research

Predictors of 30-day mortality in orthogeriatric fracture patients aged 85  years or above admitted from the emergency department
ConclusionOrthopaedic trauma patients aged 85  years or above who are admitted to the hospital with a fracture are at high risk for mortality. This study identified older age, male sex, and decreased BMI as predictors of 30-day mortality in admitted geriatric fracture patients and in geriatric hip fracture patients undergoing surgery. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - December 4, 2019 Category: Emergency Medicine Source Type: research

Identifying risk factors of cerebrovascular injuries following blunt mandible fracture; a retrospective study from a national data base
AbstractBackgroundThe purpose of this study was to determine the risk factors of cerebrovascular injury (CVI) in patients with blunt mandible fractures.MethodsAll patients who sustained a mandible fracture as a result of blunt force trauma from the 2012 –2014 National Trauma Data Bank from the United State of America were included in the study. A CVI was noted as having occurred if there was an injury to the vertebral or carotid artery in the neck. Patients’ demography, injury mechanism, and additional fractures were compared between the groups of patients with and without CVI using univariate analyses. In addi...
Source: European Journal of Trauma and Emergency Surgery - November 30, 2019 Category: Emergency Medicine Source Type: research

Immune capacity determines outcome following surgery or trauma: a systematic review and meta-analysis
ConclusionThe associations of elevated LPS-induced cytokine production capacity with the risk of developing inflammatory complications are consistent with previous theories that proposed excessive inflammation is accompanied by anti-inflammatory mechanisms that results in a period of immunosuppression and increased risk of secondary complications. However, immunological biomarkers for risk stratification is still a developing field of research where further investigations and validations are required. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 28, 2019 Category: Emergency Medicine Source Type: research

The evaluation of pulmonary function after rib fixation for multiple rib fractures and flail chest: a retrospective study and systematic review of the current evidence
ConclusionThe present study demonstrates that rib fixation for multiple rib fractures or flail chest results in adequate recovery of the pulmonary function within 3  months after surgery. In addition, based on the current literature, further gradual improvement to maximum pulmonary values appears to occur during the first 12 months after rib fixation. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 25, 2019 Category: Emergency Medicine Source Type: research

Nationwide enumeration of emergency operations performed in Ghana
ConclusionsEmergency operations make up nearly half of all operations performed in Ghana. Most are performed at district hospitals, many of which do not have fully trained surgeons. Obstetric procedures make up a large portion of emergency operations, indicating a need for improved provision of non-obstetric emergency surgical care. These data are useful for future benchmarking efforts to improve availability of emergency surgical care in Ghana and other low- and middle-income countries. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 25, 2019 Category: Emergency Medicine Source Type: research

Correction to: Intramedullary screw fixation for simple displaced olecranon fractures
The original version of this article unfortunately contained some mistakes. The spelling of the Willem Maarten P. F. Bosmans ’ name was incorrect. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 25, 2019 Category: Emergency Medicine Source Type: research

The evolution of trauma care in the Netherlands over 20  years
ConclusionFurther centralisation to a limited number of level 1 trauma centres in the Netherlands is necessary to consolidate experience and knowledge for the trauma surgeon. The future trauma surgeon, as specialist for injured patients, should be able to provide the vast majority of trauma care in this system. For the remaining part, intramural, regional and national collaboration is essential (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 23, 2019 Category: Emergency Medicine Source Type: research

Glutamine supplementation in trauma ICU patients
(Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 22, 2019 Category: Emergency Medicine Source Type: research

The outcome of observation of acute traumatic extradural hemorrhage in pediatric age group
ConclusionThe conservative management is applicable in carefully selected pediatric patients with acute traumatic extradural hematoma provided that the observation is accomplished in a well-established and equipped neurosurgical unit. These results are congruent with similar earlier studies. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 20, 2019 Category: Emergency Medicine Source Type: research

Impact of pathologic body composition assessed by CT-based anthropometric measurements in adult patients with multiple trauma: a retrospective analysis
ConclusionCT-based assessment of abdominal fat and muscle mass is a simple method in revealing pathologic body composition in trauma patients. Our study suggests that obesity influences pre-hospital and ED treatment and early immune response in multiple trauma. Nevertheless, we could not demonstrate any significant effect of abdominal fat and muscle tissue parameters on the course of treatment, in particular the duration of mechanical ventilation, ICU length of stay and neurologic outcome. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 19, 2019 Category: Emergency Medicine Source Type: research

Polytrauma outcome: implementation of health-related quality of life assessment into the German Trauma Registry
ConclusionThe data collection of HRQoL and the additional variables started in 2017 in participating clinics as a part of the regular data collection of the TraumaRegister DGU®. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 19, 2019 Category: Emergency Medicine Source Type: research

Increased risk for postoperative periprosthetic fracture in hip fracture patients with the Exeter stem than the anatomic SP2 Lubinus stem
AbstractBackgroundThe purpose of this study was to compare the cumulative incidence of postoperative periprosthetic fracture (PPF) in a cohort of femoral neck fracture (FNF) patients treated with two commonly used cemented stems: either a collarless, polished, tapered Exeter stem or the anatomic Lubinus SP2 stem.MethodsIn this retrospective multicenter cohort study of a consecutive series of patients, we included 2528 patients of age 60  years and above with an FNF who were treated with either hemiarthroplasty or total hip arthroplasty using either a polished tapered Exeter stem or an anatomic Lubinus SP2 stem. The in...
Source: European Journal of Trauma and Emergency Surgery - November 18, 2019 Category: Emergency Medicine Source Type: research

Correction to: Factors influencing the results of surgical therapy of non ‑acute subdural haematomas
The original version of this article unfortunately contained some mistakes. The sequence of the author names was incorrect. The correct information is given above. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 18, 2019 Category: Emergency Medicine Source Type: research

Treatment of typical trampoline fracture of the proximal tibia in children: results of minimum 1 year follow-up
ConclusionJumping with companion with a large difference in body weight, the first experience of jumping on trampoline and state of extension of knee at the time of injury was revealed to be risk factors for trampoline fractures. During a follow-up period of 1 year or longer, it was concluded that valgus deformity of lower extremity or leg length discrepancy were not noticeable. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 16, 2019 Category: Emergency Medicine Source Type: research

Injury-related variation in patient-reported outcome after musculoskeletal trauma: a systematic review
ConclusionsBased on the included studies, we propose a framework where musculoskeletal injuries occur in one of 4 scenarios that is associated with a different context-dependent outcome: (1) polytrauma with neurotrauma, (2) polytrauma without neurotrauma, (3) high-energy monotrauma, and (4) low-energy monotrauma. Our results suggest that standardization of outcome instruments is needed to facilitate future meta-analyses that assess PROs in this population. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 13, 2019 Category: Emergency Medicine Source Type: research

Factors influencing the results of surgical therapy of non-acute subdural haematomas
ConclusionThe risk factors for the surgical treatment of NASH included preoperative intake of antithrombotic drugs and evacuation of NASH through craniotomy. Craniotomy resulted in a significantly lower incidence of recurrence. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 8, 2019 Category: Emergency Medicine Source Type: research

Correction to: Surgeon-performed point-of-care ultrasound for acute cholecystitis: indications and limitations: a European Society for Trauma and Emergency Surgery (ESTES) consensus statement
Unfortunately, the author Luca Ponchietti was omitted in the original publication. Please find the correct author list here. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 8, 2019 Category: Emergency Medicine Source Type: research

Correction to: The Amsterdam Wrist Rules to reduce the need for radiography after a suspected distal radius fracture: an implementation study
The original version of this article unfortunately contained a mistake. The spelling of the J. Carel Goslings ’ name was incorrect. The correct information is given above. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 8, 2019 Category: Emergency Medicine Source Type: research

Distal pressure monitoring and titration with percent balloon volume: feasible management of partial resuscitative endovascular balloon occlusion of the aorta (P-REBOA)
ConclusionMonitoring distal pressure and titrating percent balloon volume is feasible to manage P-REBOA. In this experiment, 60% balloon volume was enough inflation to elevate central pressure allowing distal perfusion. The intra-balloon pressure was not reliable due to the strong influence of proximal MAP and uneven change of the balloon shape. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - November 6, 2019 Category: Emergency Medicine Source Type: research

Thyroid-stimulating hormone (TSH) is associated with 30-day mortality in hip fracture patients
AbstractPurposeThe aim of this study is to assess the possible association between thyroid-stimulating hormone (TSH) and mortality in hip fracture patients.Patients and methodsThe study is based on a hip fracture database from Bispebjerg University Hospital (Copenhagen, Denmark). This database includes all hip fracture patients (ICD-10 codes DS720 (femoral neck), DS721 (pertrochanteric), and DS722 (subtrochanteric)) admitted to Bispebjerg Hospital from 1996 to 2012. From this database, we identified all surgically treated hip fracture patients aged>  60 years with available plasma TSH-measurements at admissi...
Source: European Journal of Trauma and Emergency Surgery - November 6, 2019 Category: Emergency Medicine Source Type: research

Traumatic brain injury among two-wheeled motor vehicle riders in Utsunomiya, Japan: a comparison between mopeds and motorcycles
AbstractPurposeTwo-wheeled motor vehicles are dichotomized into mopeds and motorcycles (MCs) based on their engine capacity. While efforts have been made, mostly by European researchers, to evaluate the possible difference in the frequency/severity of riders ’ traumatic brain injury (TBI) between the two categories, the results have been inconsistent.MethodsTo evaluate whether such differences exist in Japan, a single-center, retrospective observational study was conducted on two-wheeled motor vehicle riders wearing a helmet during high-energy road traffic accident (RTA). Between January 2011 and December 2017, 127 m...
Source: European Journal of Trauma and Emergency Surgery - November 4, 2019 Category: Emergency Medicine Source Type: research

Nailing of proximal ulna fractures: biomechanical comparison of a new locked nail with angular stable plating
AbstractPurposeProximal ulna fractures are common injuries and frequently treated with angular stable plating. This surgical option shows good functional results. Relevant drawbacks such as large soft tissue exposure, compromised blood supply of fracture fragments and disturbing osteosynthetic material are described. The aim of this study was to compare a new locked proximal ulna nail with angular stable plating in a biomechanical testing setup for extraarticular proximal ulna fractures.MethodsTen pairs of sawbones with a Jupiter type IIB proximal ulna fracture (OTA 2U1A3.1) were tested after osteosynthesis with the mentio...
Source: European Journal of Trauma and Emergency Surgery - November 1, 2019 Category: Emergency Medicine Source Type: research

Determinants of long-term health-related quality of life in adult patients with mild traumatic brain injury
ConclusionsThis study emphasizes on the clinical significance of early executive function and PCS examination in mTBI population, as well as optimal management of the victims regardless of the initial brain CT findings, especially in high-risk populations. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - October 31, 2019 Category: Emergency Medicine Source Type: research

PFNA and DHS for AO/OTA 31-A2 fractures: radiographic measurements, morbidity and mortality
ConclusionsDHS with or without TSP was associated with significantly higher rates of implant-related complications based on inferior radiographic measurements. Therefore, we only recommend PFNA for the treatment of proximal type AO/OTA 31-A2 femoral fractures.Level of evidenceTherapeutic level III. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - October 31, 2019 Category: Emergency Medicine Source Type: research

Associations between cardiovascular comorbidities and mortality, length of hospital stay, and total charges among traumatic injury patients
ConclusionsCardiovascular comorbidities are related to higher risk of negative outcomes among patients hospitalized due to traumatic injury. Screening for these comorbidities on admission may help to improve patient outcomes. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - October 30, 2019 Category: Emergency Medicine Source Type: research

Muscle fat content in the intact infraspinatus muscle correlates with age and BMI, but not critical shoulder angle
ConclusionMuscle fat content in the healthy infraspinatus muscle does correlate with age and BMI, but not with the CSA. Muscle fat content measurement in the rotator cuff using Dixon MRI showed a high reliability between slice Y and the entire muscle.Level of evidenceIII. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - October 30, 2019 Category: Emergency Medicine Source Type: research