Trends in the incidence of rib and sternal fractures: a nationwide study of the Global Burden of Disease database, 1990-2019
Rib and sternal fractures present serious challenges to healthcare systems and trauma clinicians. One of the most common types of clinically significant blunt trauma, over 86,000 patients were affected by such injuries in England and Wales alone from 2008-2018.[1] Rib and sternal fractures are grouped on account of close anatomical and therapeutic relations and have been associated with significant morbidity and mortality primarily due to pulmonary complications.[2 –4] With mean financial costs exceeding €25,000 per patient, this subset of injuries is of substantial interest to policymakers, particularly as an increasi...
Source: Injury - February 1, 2024 Category: Orthopaedics Authors: Dominic W Proctor, Richard Goodall, Kim Borsky, Justin D Salciccioli, Dominic C Marshall, Joseph Shalhoub Source Type: research

Comparison of patient positions without traction table for proximal femoral nailing: Supine, semilithotomy and lateral decubitus positions
Intertrochanteric fractures have a bimodal distribution and are most commonly seen in elderly patients following ground-level falls or high-energy injuries in young patients. The treatment aims to achieve early mobilization and weight bearing. Surgical fixation is usually performed in treatment. Although sliding hip screws and plates are also used in the treatment, the cephalomedullary nail (CN) is most commonly preferred because it is performed by closed reduction, biologically and biomechanically better than other methods, with less blood loss and short hospital stays [1]. (Source: Injury)
Source: Injury - February 1, 2024 Category: Orthopaedics Authors: Melih Unal, Yusuf Alper Kat ı, Muhammed Ergun, Cemil Aktan, Ömer Faruk Celik, Ferhat Guler Source Type: research

Age-related trends in unintentional injuries among children and adolescents in an urban Danish population 1980 –2021. A cohort study of 292,737 children and adolescents
Unintentional injuries among children and adolescents are common and remain a public health problem in many countries [1]. One-third of all children will sustain a fracture before the age 17 years [2 –4]. In 2018, approximately 300,000 children and adolescents aged 0–19 years were treated at the emergency departments (EDs) in Denmark because of injuries [5]. In 2006, a report from Denmark stated that 94 % of these visits to the EDs were due to unintentional injuries in children's spare time or at home [6]. (Source: Injury)
Source: Injury - January 31, 2024 Category: Orthopaedics Authors: Frederik Haller, Jens Martin Lauritsen, Christian Faergemann Source Type: research

Age-related trends in unintentional injuries among children and adolescents in an urban XXX population 1980-2021. A cohort study of 292,737 children and adolescents
Unintentional injuries among children and adolescents are common and remain a public health problem in many countries [1]. One-third of all children will sustain a fracture before the age 17 years [2,3,4]. In 2018, approximately 300,000 children and adolescents aged 0-19 years were treated at the emergency departments (EDs) in XXX because of injuries [5]. In 2006, a report from XXX stated that 94% of these visits to the EDs were due to unintentional injuries in children's spare time or at home [6]. (Source: Injury)
Source: Injury - January 31, 2024 Category: Orthopaedics Authors: Frederik Haller, Jens Martin Lauritsen, Christian Faergemann Source Type: research

Effect of Damage Control Strategy Combining Pre-Hospital Emergency Treatment with In-Hospital Treatment on Pelvic Fracture Complicated by Multiple Injuries
To analyze the application value of damage control strategies combining pre-hospital emergency treatment with in-hospital treatment for multiple injuries in treating pelvic fracture complicated by multiple injuries. (Source: Injury)
Source: Injury - January 31, 2024 Category: Orthopaedics Authors: Bijun Chen Source Type: research

The effects of allogeneic and xenogeneic lyophilized leukocyte-and platelet-rich fibrin on bone healing in rat
This study aims to evaluate the effects of allogeneic and xenogeneic lyophilized L-PRF on bone healing in a critical defect of radius bone in rat. (Source: Injury)
Source: Injury - January 31, 2024 Category: Orthopaedics Authors: MH Khanbazi, A Bigham-Sadegh, A Oryan, A Meimandi-Parizi, AM Jannesar Source Type: research

Retrospective Analysis of the Effects of Hypocalcemia in Severely Injured Trauma Patients
It has been suggested that the Lethal Triad be modified to include hypocalcemia, coined as the Lethal Diamond. Hypocalcemia in trauma has been attributed to multiple mechanisms, but new evidence suggests that traumatic injury may result in the development of hypoCa independent of blood transfusion. We hypothesize that hypocalcemia is associated with increased blood product requirements and mortality. (Source: Injury)
Source: Injury - January 30, 2024 Category: Orthopaedics Authors: Angelo Ciaraglia, Derek Lumbard, Michael DeLeon, Lauran Barry, Maxwell Braverman, Steven Schauer, Brian Eastridge, Ronald Stewart, Donald Jenkins, Susannah Nicholson Source Type: research

A national multicentre study of outcomes and patient satisfaction with the virtual fracture clinic and the influence of the covid-19 pandemic: the mavcov study
Since the inception of the virtual fracture clinic (VFC) in 2011, the concept has been widely adopted throughout United Kingdom (UK) orthopaedic practice[1]. The VFC model, utilising early review of records and radiographs by senior orthopaedic care providers, has been shown to save money, minimise complications and is widely accepted by patients[2 –4]. With the 2013 British Orthopaedic Association Standards for Trauma (BOAST) guideline on fracture clinic services recommending review of all orthopaedic trauma patients within 72 hours[5], the VFC has been an increasingly popular alternative to face-to-face review in order...
Source: Injury - January 30, 2024 Category: Orthopaedics Authors: Zhan H. Ng, Samantha Downie, Navnit S. Makaram, Shivam N. Kolhe, Samuel P. Mackenzie, Nick D. Clement, Andrew D. Duckworth, Tim O. White, MAVCOV collaborative authors Source Type: research

Results of a Simple Treatment Protocol for Aseptic Femoral Shaft Nonunion in 330 patients
Femoral shaft fractures occur usually in young adults and are the result of high energy injuries like road traffic accidents or fall from height. Interlocking nailing is considered the gold standard in treating such fractures with good results [1]. Despite its high success rate, nonunion of upto 12.5% has been reported [2]. Nonunion occurs mainly due to lack of adequate stability, avascular bony edges and bone loss at the fracture site [3,4]. Management of aseptic femoral shaft nonunion (AFNU) is a challenge to any orthopedic surgeon. (Source: Injury)
Source: Injury - January 30, 2024 Category: Orthopaedics Authors: Dr. Agraharam Devendra, Dr. Sudipta kumar Patra, Dr. P Velmurugesan, Dr. Mohd Zackariya, Dr. P Ramesh, Dr. Arun Kamal C, Dr. Jayaramaraju Dheenadhayalan, Dr. Shanmuganathan Rajasekaran Source Type: research

Letter to editor - Modified gastrocnemius splitting anatomic approach to the tibial plateau. Medium-term evaluation
We read with interest your article titled “Modified gastrocnemius splitting anatomic approach to the tibial plateau. Medium-term evaluation” [1]. In our experience, published earlier, we found ‘Gastrocnemius splitting approach’ very useful for management of the shear fractures involving the posterior column of the tibial plateau. Th is was published as an article entitled “Gastrocnemius raphe split approach for complex proximal tibia fractures—Applicability and advantages” [2], in the same journal in 2018. (Source: Injury)
Source: Injury - January 30, 2024 Category: Orthopaedics Authors: Devendra Kumar Chouhan, Mandeep Singh Dhillon Tags: Letter to the Editor Source Type: research

Characteristics of femoral neck fractures in osteogenesis imperfecta: Series of four-teen consecutive hips in twelve patients
While long bone fractures are commonly seen in individuals with osteogenesis imperfecta (OI), femoral neck fractures are exceedingly rare. there is a lack of comprehensive data regarding the etiology of femoral neck fractures (FNF), their characteristics, and the treatment protocols. Our aim was to determine the characteristics of femoral neck fractures in children with OI. (Source: Injury)
Source: Injury - January 29, 2024 Category: Orthopaedics Authors: Arman Vahabi, H üseyin Kaya, Zeynep Çağıran, Murat Celal Sözbilen, Cengizhan Kurt, Hüseyin Günay Source Type: research

Does a prehospital applied pelvic binder improve patient survival?
Pelvic fractures can result in serious and life-threatening injuries that require immediate medical attention. Pelvic binders are mechanical devices that have become a crucial tool in the management of pelvic injuries, particularly in the prehospital setting [1,2]. (Source: Injury)
Source: Injury - January 29, 2024 Category: Orthopaedics Authors: Alonja Reiter, Andr é Strahl, Sarina Kothe, Markus Pleizier, Karl-Heinz Frosch, Konrad Mader, Annika Hättich, Jakob Nüchtern, Christopher Cramer Source Type: research

State of the art of Trauma Teams in Italy: a nationwide study
Trauma teams are widely used worldwide as the standard of care in trauma reception and stabilization.[1] As traumatic injuries are a leading cause of death and disability worldwide, they require prompt and specialized care to maximize the chances of survival and recovery. A trauma team should be trained to work together seamlessly and efficiently to recognize and treat critical injuries and stabilize the patients.[2 –4] Trauma teams are assembled rapidly by people who might work together infrequently in a time-critical situation. (Source: Injury)
Source: Injury - January 26, 2024 Category: Orthopaedics Authors: Luca CARENZO, Cesare MERCALLI, Elisa REITANO, Marco TARTAGLIONE, Martina CEOLIN, Stefania CIMBANASSI, Daniele DEL FABBRO, Fabrizio SAMMARTANO, Maurizio CECCONI, Carlo CONIGLIO, Osvaldo CHIARA, Lorenzo GAMBERINI Source Type: research

Modified Chinese Disabilities of Arm, Shoulder and Hand Tool: Validity and Reliability for Upper Extremity Injuries
Clinimetric evaluation study. (Source: Injury)
Source: Injury - January 26, 2024 Category: Orthopaedics Authors: Rui-Hao Bian, Kai-Yi Qiu, Yi-Fan Jiang, Xue-Yi Li, Maryam Zoghi, Xue Zhang, Shao-Zhen Chen Source Type: research

Fifty Years - A Lifetime of Change
Turning fifty in the summer of 2023 has given me the opportunity to reflect on all that has changed during my lifetime, not only in general terms but also within trauma care. (Source: Injury)
Source: Injury - January 25, 2024 Category: Orthopaedics Authors: Sharon Scott Tags: Editorial Source Type: research