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Adverse outcomes following pelvic fracture: the critical role of frailty
ConclusionFrail pelvic fracture patients suffer from a disproportionately increased risk of mortality, complications, failure-to-rescue, and ICU admission. Additional measures are required to mitigate adverse events in this vulnerable patient population. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 29, 2023 Category: Emergency Medicine Source Type: research

Surgical considerations for glenoid bone loss in anterior glenohumeral instability: a narrative review
ConclusionFuture long-term outcome studies and randomized controlled trials comparing established techniques will be needed for new evidence-based treatment algorithms. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 29, 2023 Category: Emergency Medicine Source Type: research

Incidence of surgical rib fixation at chest wall injury society collaborative centers and a guide for expected number of cases (CWIS-CC1)
ConclusionAnticipated rate of SSRF can be calculated based on number of rib fractures, AIS-Chest, and age. The disproportionate rate of SSRF in patients age 50 –69 with AIS-Chest 3 and age 50–79 with AIS-Chest >  3 should be further investigated, as lower frequency of SSRF in the other age ranges may lead to care inequalities. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 25, 2023 Category: Emergency Medicine Source Type: research

Psychometric properties of trust in trauma care in an emergency department tool
ConclusionThe Trust in TTC-ED has been shown to be a valid and reliable test for assessing patients ’ trust in emergency room settings delivering trauma care. Future research may examine the validity in other contexts and create a TTC-ED instrument with a shorter version. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 21, 2023 Category: Emergency Medicine Source Type: research

It is (not) always on Friday: inter-hospital patient transfers in orthopedic and trauma surgery
ConclusionThere is currently no structured procedure or algorithm for transferring patients in orthopedics and trauma surgery. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 20, 2023 Category: Emergency Medicine Source Type: research

How does trauma secondary to unexpected extreme weather affect orthopaedic surgery departments? An epidemiological study on the Filomena snowstorm
ConclusionUnexpected snowstorms entail an exponential rise in orthopaedic care demand and OED pressures. A significant increment in orthopaedic trauma surgery, up to 168% more, particularly distal radius, proximal humerus and ankle fractures it is to be expected, which will imply elective surgery cancellation, damaging patients and increasing costs. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 14, 2023 Category: Emergency Medicine Source Type: research

Which risk factors significantly influence the outcome of traumatic brain injured patients with alcohol use disorder?
ConclusionsEarly identification of risk factors in patients with alcohol use disorder and traumatic brain injury is crucial to improve the outcome. In this regard, the occurrence of hydrocephalus or seizures during the inpatient stay should be considered as cause of neurological deterioration in this patient group. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 14, 2023 Category: Emergency Medicine Source Type: research

Influence of residency discipline and seniority on traumatic musculoskeletal radiographs interpretation accuracy: a multicenter study
ConclusionOrthopedic residents presented higher diagnosis accuracy of MSK imaging compared to EM and radiology residents. Seniority had a positive effect on diagnosis accuracy. The development of an educational program on MSK XR is necessary to enhance the competency of physicians in their daily practice. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 13, 2023 Category: Emergency Medicine Source Type: research

Concordance of bone culture and deep tissue culture during the operation of diabetic foot osteomyelitis and clinical characteristics of patients
ConclusionThe culture results of deep soft tissues near the bone cannot accurately represent the true pathogen of DFO. For DFO patients, bone culture should be taken as much as possible, and appropriate antibiotics should be selected according to the drug susceptibility results. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 10, 2023 Category: Emergency Medicine Source Type: research

Evaluation of the predictive effects of trauma scoring systems in colorectal injuries
ConclusionA significant relationship was observed between the increase in CIS and anastomotic leakage, morbidity, and mortality. The study suggests the need for a specific scoring system for evaluating the prognostic status in colon traumas, as ISS, RTS, and TRISS scores were not found to be significantly predictive of outcomes in this patient population. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 9, 2023 Category: Emergency Medicine Source Type: research

Substitutional semi-rigid osteosynthesis technique for treatment of unstable pubic symphysis injuries: a biomechanical study
ConclusionFrom a biomechanical perspective, the semi-rigid technique for fixation of unstable  pubic symphysis injuries demonstrated promising results with moderate to inferior behaviour compared to standard plating techniques regarding stiffness, cycles to failure and load at failure. This knowledge could lay the foundation for realization of further studies with larger sample sizes, fo cusing on the stabilization of the anterior pelvic ring. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 9, 2023 Category: Emergency Medicine Source Type: research

The absence of reporting standards and a lack of objective, performance-based outcomes following intramedullary nailing of tibial shaft fractures: findings from a scoping review into 179 articles
ConclusionThe heterogeneity of outcome tools reported limits comparison between studies and the most commonly reported patient outcomes may not be the most appropriate. Future studies should report the IM nailing approach and consider capturing both patient-reported and performance-based outcomes to help inform surgical decision making. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 9, 2023 Category: Emergency Medicine Source Type: research

Trauma registries: towards global standardisation and outcome evaluation
(Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 9, 2023 Category: Emergency Medicine Source Type: research

Comparison of different intraoperative reduction monitoring methods in a cadaveric intraarticular calcaneal fracture model: 3D scan vs arthroscopy vs nanoscopy
ConclusionIn order to optimize subtalar joint reduction and congruency, video-assisted techniques, especially NSC, provide superior visualization and thus can improve reduction in the surgical treatment of intraarticular calcaneal fractures. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 8, 2023 Category: Emergency Medicine Source Type: research

Near-infrared indocyanine green fluorescent cholangiography in urgent and emergency laparoscopic cholecystectomy: a preliminary study after propensity score-matched study
ConclusionsThe intra-operative use of NIFC showed a trend in the reduction of the rate of intra- and post-operative complications, the duration of surgery, and the length of hospital stay. ICG is a highly safe approach to urgent and emergency LC, as for elective LC, and could lead the surgeon to conduct the procedure more efficiently. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 4, 2023 Category: Emergency Medicine Source Type: research