Deleterious effects of plasma-derived cellular debris in a porcine model of hemorrhagic shock
Recent studies identify large quantities of inflammatory cellular debris within Fresh Frozen Plasma (FFP). As FFP is a mainstay of hemorrhagic shock resuscitation, we used a porcine model of hemorrhagic shock and ischemia/reperfusion to investigate the inflammatory potential of plasma-derived cellular debris administered during resuscitation. (Source: Injury)
Source: Injury - December 23, 2023 Category: Orthopaedics Authors: Colin T. Buckley, Yannleei L. Lee, A. Michele Schuler, Raymond J. Langley, Matthew E. Kutcher, Robert Barrington, Jonathon P. Audia, Jon D. Simmons Source Type: research
The Effect of Traumatic Head Injuries on the Outcome of Middle-Aged and Geriatric Orthopedic Trauma Patients
Traumatic Head Injury (THI) is one of the major causes of morbidity, mortality and disability in the United States (US). [1] Especially in the older populations, patients with a THI have been shown to have a greater than 80% chance of long-term disability and/or mortality. [2] A subgroup of THI, traumatic brain injuries, or TBIs, are also associated with significant morbidity and mortality. As TBI often occurs amidst THI, these 2 injury classifications are often intertwined. A large number of survivors of TBI are currently living with significant disabilities, resulting in an outstanding socioeconomic burden. (Source: Injury)
Source: Injury - December 22, 2023 Category: Orthopaedics Authors: Rachel Ranson, Garrett W. Esper, Robert Woodruff, Sara J. Solasz, Kenneth A. Egol, Sanjit R. Konda Source Type: research
Management of severe defects of humerus in combat patients injured in Russo-Ukrainian war
The full-scale war of Russia against Ukraine is associated with application of high-energy weapon, causing severe injuries to the military personnel and civilians in Ukraine, ecocide, humanitarian disaster and nuclear escalation [1 –7]. According to our observations and investigations, Russians frequently apply such high-energy weapons as artillery shells, cruise missiles, drones, as well as prohibited by international humanitarian law expansive bullets [2,8-10]. Because of such a weapon, the gunshot injuries frequently affe ct the limbs, causing severe combined trauma of soft tissues and segmental defect to the bones or...
Source: Injury - December 22, 2023 Category: Orthopaedics Authors: Igor Lurin, Oleksandr Burianov, Yurii Yarmolyuk, Yurii Klapchuk, Serhii Derkach, Maksym Gorobeiko, Andrii Dinets Source Type: research
Dissemination and Implementation Science for the Trauma Provider: What you need to know to start doing and/or undoing the thing
Implementation is a new ‘science’, gaining recognition with the first national conference in 2007 and publication of Implementation Science the journal, in 2006 [1]. The core purpose of defining and growing this body of work, is to more effectively bridge the ‘know-do’ gap. That is, not to define the gold standard of what we know we should be doing, but to figure out how we get from knowing we should be doing a thing, to actually doing the thing [2]. Human behaviour change on the individual, or the system level, is hard. (Source: Injury)
Source: Injury - December 21, 2023 Category: Orthopaedics Authors: Lacey N. LaGrone, Russell E. Glasgow, Elliott R. Haut Tags: Editorial Source Type: research
Editorial Board
(Source: Injury)
Source: Injury - December 21, 2023 Category: Orthopaedics Source Type: research
Secular Trends in the Incidence and Severity of Injuries Sustained by Riders of Electric Bikes and Powered Scooters: The Experience of a Level 1 Adult Trauma Center
Electric bicycles (E-bikes) and powered scooters (P-scooters) are novel, rapid, environmentally friendly, and convenient modes of transportation [1]. There continues to be a worldwide increase in the popularity of E-bikes and P-scooters, with 31 million units sold in 2012 rising to 47.6 million in 2018 in United States alone [2]. This trend has been accompanied by a parallel increase in the number and severity of injuries associated with their use [2–4], involving riders, other road users, and pedestrians [5]. (Source: Injury)
Source: Injury - December 21, 2023 Category: Orthopaedics Authors: Eyal Hashavia, Shachar Shimonovich, Noa Shopen, Aya Finkelstein, Neta Cohen Source Type: research
Standard imaging in the emergency department in geriatric patients with immobilizing pelvic pain after low-energy trauma or without trauma: X-ray vs. computed tomography
The incidence of geriatric pelvic ring injuries has been increasing for decades due to the global aging population phenomenon. These fractures differ significantly from pelvic ring fractures in younger patients due to: mechanism of injury; clinical presentation; fracture morphology and management [1 –3]. (Source: Injury)
Source: Injury - December 21, 2023 Category: Orthopaedics Authors: Hisham Abdalmaqsoud, Stephan Sehmisch, Vassilis Giannoudis, Emmanouil Liodakis Source Type: research
The Diagnosis and Treatment of Criss-Cross Injury of The Forearm: A Retrospective Analysis
Simultaneous dislocation of the radial head and distal radio-ulnar joint in the adult is extremely rare[1]. It was first introduced by Leung et al in 2002 as a ‘Criss-Cross’ injury of the forearm based on the Criss-Cross appearance on the lateral radiograph of the forearm formed by the ulna and radius[2]. Leung et al further classified it into two types: Type I refers to anterior displacement of the radial head at the radio-capitellar articulation and proximal radial-ulnar joint (PRUJ) with anterior displacement of the ulnar head at the distal radial-ulnar joint (DRUJ); Type II is a posterior displacement of the radial...
Source: Injury - December 20, 2023 Category: Orthopaedics Authors: Tan Jie, Xiong Jie, Zhang Xigong, Yang Minghui, Li Ting, Gong Maoqi Source Type: research
Long-term outcome after surgical management of symptomatic non-union rib fractures
Chest wall injuries with rib fractures are common in thoracic trauma [1] and are generally managed with pain control and physiotherapy although extensive injuries with multiple displaced fractures or flail chest may require surgery [2,3]. Rib fractures can also occur due to repeatedly induced stress through coughing causing injury in the greater curvature of the rib [4] and the costochondral junction [5,6], the most vulnerable parts of the rib. Risk factors for cough-induced rib fractures are chronic obstructive pulmonary disease (COPD), rheumatoid arthritis, osteoporosis, and medication with corticosteroids [7 –9]. (Source: Injury)
Source: Injury - December 20, 2023 Category: Orthopaedics Authors: Julia Nilsson, Eva-Corina Caragounis Source Type: research
Comparison of antegrade and retrograde cross pin fixation in the surgical treatment of pediatric supracondylar femur fractures: a biomechanical study
The incidence of pediatric supracondylar femur fractures has been reported at different rates in the literature and this rate varies between 1% and 12%. Approximately 57% of these fractures are displaced [1 –3]. The medial and lateral heads of the gastrocnemius muscle, which attach just behind the femoral condyles, the medial hamstring muscles, the adductor magnus muscle which attach to the adductor tubercle, and the quadriceps femoris muscle, create a deforming force on the fracture. In particular, the extension deformity of the distal part is caused by the pulling effect of the gastrocnemius muscle, and the varus defor...
Source: Injury - December 17, 2023 Category: Orthopaedics Authors: Tugrul Bulut, Osman Nuri Eroglu, Bugra Husemoglu, Yilmaz Onder, Ali Turgut Source Type: research
Early versus delayed weight bearing after internal fixation for femoral neck fracture in younger adults: A multicenter retrospective study
Femoral neck fractures (FNFs) are among the most common and devastating injuries encountered by orthopedic surgeons. However, the incidence of FNF in younger adults is lower than that in elderly adults [1]. FNF is treated by surgery, including internal fixation, which is reported to be the optimal approach [2]. (Source: Injury)
Source: Injury - December 17, 2023 Category: Orthopaedics Authors: Kanta Hasegawa, Yasuhiko Takegami, Katsuhiro Tokutake, Hiroaki Nakashima, Kenichi Mishima, Kazuyoshi Kobayashi, Shiro Imagama Source Type: research
Associations of Musculoskeletal Dysfunction, Time to Brake, and Patient Reported Outcomes Following Lower Extremity Trauma
Lower extremity injuries often pose an additional challenge a patient has to overcome in their recovery process: return to driving. Currently, time to break (TTB) is a reliable metric that may be used to assess ability to drive. It is defined as the sum of the time necessary to react to an unexpected hazard entering the road by moving the foot from the accelerator to the brake pedal and applying enough pressure to halt the vehicle. TTB objectively measures “reaction” time to an object on the road while driving and is considered the current standard for measurement. (Source: Injury)
Source: Injury - December 16, 2023 Category: Orthopaedics Authors: Andrew L. Alejo, Alexander Rascoe, Chang-Yeon Kim, Isabella M. Heimke, Heather A. Vallier Source Type: research
Reply to Letter to the Editor: A retrospective validation study of the STUMBL score for emergency department patients with blunt thoracic trauma
Dear Editor (Source: Injury)
Source: Injury - December 15, 2023 Category: Orthopaedics Authors: Jacopo Davide Giamello, Remo Melchio, Giuseppe Lauria, Ceri Elisabeth Battle Tags: Author's Reply Source Type: research
Evolving Trends in Hip Fracture Patterns Among the Elderly from 2001 to 2022
Hip fractures among the elderly exhibit diverse patterns. Differences regarding treatment and prognosis of displaced versus undisplaced intracapsular fractures are well established. Unstable extracapsular fractures are associated with considerably higher rates of complications than stable fractures, including cutout failures, non-unions, wound complications and hardware related problems.The purpose of this study was to identify trends in the distribution of various types of hip fractures and their complexity between 2001 to 2022. (Source: Injury)
Source: Injury - December 14, 2023 Category: Orthopaedics Authors: Dror Lakstein, Nugzar Oren, Yaron Haimovich, Vasily Kharchenkov Source Type: research
Reverse Shock Index multiplied by Glasgow Coma Scale score as a point-of-care severity assessment for initial trauma management: a nationwide cohort study
There has been a disproportionate increase in the number of deaths from road traffic accidents in low- and middle-income countries as a result of rapid motorisation [1]. Road traffic injuries also cause an enormous loss of disability-adjusted life years in low- and middle-income countries and substantial economic loss in high-income countries [2]. Furthermore, the number of civilian and military trauma casualties is expected to increase further as a result of Russia's invasion of Ukraine in 2022. (Source: Injury)
Source: Injury - December 13, 2023 Category: Orthopaedics Authors: Tatsuki Uemura, Akio Kimura, Wataru Matsuda, Hiroki Yamamoto, Ryo Sasaki Source Type: research
