Modern osteosynthesis of periarticular fractures: The role of provisional fixation revisited
Periarticular fractures are complex injuries affecting the joint articular surface, the subchondral area, the metaphyseal region, the surrounding soft tissue envelope and not infrequently the ligamentous structures.The management of these injuries has evolved over the years, from one stage to two stage procedures thus facilitating soft tissue resuscitation, adequate pre-operative planning and the use of biologics optimizing the conditions for definitive fixation for a successful long-term outcome. (Source: Injury)
Source: Injury - December 1, 2023 Category: Orthopaedics Authors: Thomas A. Russell, Tracy J. Watson, Alicja Bojan, Hassan Mir, Peter V. Giannoudis Tags: Editorial Source Type: research
Global management of fracture-related infections: Two different perspectives
Patients ’ somatic health in high-income countries is mainly challenged by chronic life-style associated diseases, such as diabetes mellitus type II, obesity, cardiac disorders etc. In most cases, a tailored treatment is offered and paid by public health care insurances. In contrast, infections are one of leading health burdens in low-income countries (LIC) [1], for which often only limited treatment options are available or affordable for the vast majority of people in these countries with dysfunctional public health care systems. (Source: Injury)
Source: Injury - December 1, 2023 Category: Orthopaedics Authors: Volker Alt, Markus Rupp, Susanne B ärtl, Nike Walter Tags: Editorial Source Type: research
Editorial Board
(Source: Injury)
Source: Injury - December 1, 2023 Category: Orthopaedics Source Type: research
Patterns of major trauma admissions to a level 1 trauma centre: A five year database analysis
It is well established in the literature that major trauma is linked to patterns of human behaviour. Our behaviour is affected by factors such as temperature, rainfall, day and time of day. It may vary by rural or urban setting, or be affected by local events or cultural phenomena [1 –6]. If we are able to detect, define and quantify these influences at a local level, we can predict demand for our trauma services. This would have implications for resource allocation, training and trauma prevention. (Source: Injury)
Source: Injury - December 1, 2023 Category: Orthopaedics Authors: Abigail Durston, James Chapman, Daniel Marshall, Lyndon Mason Source Type: research
Anterior Hip Dislocation: A Current Concepts Review and Proposal of Management Algorithm
Anterior hip dislocations as compared to posterior, rarely occurs. Nevertheless, it is important to be prepared to manage it. Physical examination and imaging are crucial in detecting this type of dislocation and ruling out any associated fractures. The most important thing is not delaying reduction which is done in a closed manner preferably in the operating room and under general anesthesia. Post-operative complications should be monitored. As for rehabilitation it is still debated and no consensus was reached. (Source: Injury)
Source: Injury - December 1, 2023 Category: Orthopaedics Authors: Jean Tarchichi, Mohammad Daher, Itala Sakr, Ali Ghoul, Jad Zalaket, Ismat Ghanem, Toni Mansour Tags: Review Source Type: research
Morphological characteristics and a new classification system of the inferior pole fracture of the patella: a computer-tomography –based study
The objective of this study was to measure the morphological characteristics of inferior pole fracture of the patella (IPFP) and develop a practical classification system to determine the corresponding treatment protocols for different IPFPs with specific patterns. (Source: Injury)
Source: Injury - December 1, 2023 Category: Orthopaedics Authors: Chen-dong Liu, Sun-jun Hu, Shi-Min Chang, Shou-chao Du, Yong-qian Chu Source Type: research
Letter to the Editor concerning “Structure-mechanical analysis of various fixation constructs for basicervical fractures of the proximal femur and clinical implications; finite element analysis”
We read the recent paper published in your journal entitled “Structure-mechanical analysis of various fixation constructs for basicervical fractures of the proximal femur and clinical implications; finite element analysis” by Kim JW et al.[1].The authors present an interesting study that compares the stability of five internal fixations in basicervical f ractures of the femoral neck fracture using finite element analysis (FEA). However, we have a concern regarding the selected femoral neck fracture surface contact type and its potential impact on the results. (Source: Injury)
Source: Injury - November 30, 2023 Category: Orthopaedics Authors: Hui Lu, Xi Tan, Hongquan Shen Source Type: research
Reply to the Letter to the Editor: “Poorly controlled diabetes: Glycosylated hemoglobin (HA1c) levels > 8% are the tipping point for significantly worse outcomes following hip fracture in the geriatric population ”
We thank Bhakhar et al. for their interest and thoughtful critique of our paper. We appreciate their suggestions to enhance our investigation and future study. Below we have provided our responses to their points: (Source: Injury)
Source: Injury - November 30, 2023 Category: Orthopaedics Authors: Lauren A. Merrell, Garrett W. Esper, Kester Gibbons, Abhishek Ganta, Kenneth A. Egol, Sanjit R. Konda Source Type: research
Factors predictive of poor visual outcome in indirect traumatic optic neuropathy: A retrospective cohort study
Traumatic optic neuropathy (TON) is a type of optic nerve injury that occurs as a result of trauma. It can be categorized into two types: direct and indirect TON. The leading causes of TON are motor vehicle accidents and falls [1]. Indirect TON (ITON) is the more prevalent form and is observed in approximately 0.5 –5 % of all closed head trauma cases [2]. It is caused by the transmission of blunt forces from the periorbital soft tissues and optic canal to the optic nerve, which can result in vision loss. (Source: Injury)
Source: Injury - November 29, 2023 Category: Orthopaedics Authors: Thansit Srisombut, Paradee Ittipanichpong, Niracha Arjkongharn, Duanghathai Tangon, Rinrada Kreesang, Parinee Kemchoknatee Source Type: research
Improved Physical Disability and Nutritional Status by Bovine Colostrum Supplementation in Adults with Traumatic Peri-trochanteric Femoral Fracture: A randomized, controlled, clinical trial
Patients with femur fracture after surgery are at risk of malnutrition, weight loss, disability, and mobility complications. In the present study the role of colostrum supplementation on physical disability, and some nutritional variables after surgery has been investigated. (Source: Injury)
Source: Injury - November 29, 2023 Category: Orthopaedics Authors: Faezeh Gouhari, Reza Zandi, Amir Mehrvar, Shahin Talebi, Zahra Vahdat-Shariatpanahi Source Type: research
Wearable activity data can predict functional recovery after musculoskeletal injury: feasibility of a machine learning approach
The personal and socioeconomic burden after musculoskeletal injury is high, despite ever evolving treatment options and aftercare methods [1,2]. A significant factor contributing to this burden is that patients are unable to return to work within an optimal timeframe due in part to incomplete functional recovery [3,4]. Prolonged rehabilitation, complications, and delayed revision procedures add to the personal and societal financial burden [5]. Studies on musculoskeletal injury conducted in Germany, show that over 50 percent of all injuries occur in patients of working age between 18 and 69 [6]. (Source: Injury)
Source: Injury - November 29, 2023 Category: Orthopaedics Authors: Benedikt J Braun, Tina Histing, Maximilian M Menger, Steven C Herath, Gustav A Mueller-Franzes, Bernd Grimm, Meir T Marmor, Daniel Truhn, the AO Smart Digital Solutions Task Force(Andrew M Hanflik, Peter H Richter, Sureshan Sivananthan, Seth R Yarboro) Source Type: research
“Factors predictive of poor visual outcome in indirect traumatic optic neuropathy: a retrospective cohort study.”
Traumatic optic neuropathy (TON) is a type of optic nerve injury that occurs as a result of trauma. It can be categorized into two types: direct and indirect TON. The leading causes of TON are motor vehicle accidents and falls [1]. Indirect TON (ITON) is the more prevalent form and is observed in approximately 0.5-5% of all closed head trauma cases [2]. It is caused by the transmission of blunt forces from the periorbital soft tissues and optic canal to the optic nerve, which can result in vision loss. (Source: Injury)
Source: Injury - November 29, 2023 Category: Orthopaedics Authors: Thansit Srisombut, Paradee Ittipanichpong, Niracha Arjkongharn, Duanghathai Tangon, Rinrada Kreesang, Parinee Kemchoknatee Source Type: research
Letter-only discharge process for virtual fracture clinic, a safe alternative to telephone discharge, outcomes and 12 month follow up for 1140 patients.
Orthopaedic fracture services have faced year-on-year increasing referrals. Throughout a typical month service demand can see peaks and troughs where demand may exceed capacity resulting in prolonged waiting times and the potential for patient harm due to delays in treatment. To mitigate these risks the British Orthopaedic Association Standards for Trauma (BOAST) 7 guidelines recommend a senior review for all fractures within a 72-hour timeframe from presentation [1]. It is generally accepted that a virtual fracture clinic service is the only effective model by which this standard can be achieved. (Source: Injury)
Source: Injury - November 29, 2023 Category: Orthopaedics Authors: Geraint Williams, Aravindan Tharakad, Ameya Kanitkar, Albert Tang Source Type: research
Resource implications of managing paediatric femoral fractures in a major trauma centre: Analysis of 98 cases.
We read with interest the publication by Wijesekera and colleagues [1]. Wijesekera et al [1] stated that they have discontinued using flexible intramedullary nailing (FIN) because of its complication profile and poor cost effectiveness, incurring additional costs of 23.7% compared to subcutaneous plating and rigid intramedullary nailing. The authors [1] admitted that some of the surgeons were probably not familiar with FINs, which is reflected in the provided radiographic images, showing multiple surgical technique failures. (Source: Injury)
Source: Injury - November 29, 2023 Category: Orthopaedics Authors: Andreas Rehm, Pinelopi Linardatou Novak, Tam ás Kobezda, Joshua C.Y. Ong, Azeem Thahir, Elizabeth Ashby Source Type: research
Speed Kills? Quantifying the association between police traffic stops, types of stops, and motor vehicle collisions.
This study examined the relationship of PTS subtypes among municipal police patrols on non-interstate roads and MVCs and MVC-related deaths. (Source: Injury)
Source: Injury - November 28, 2023 Category: Orthopaedics Authors: Allison Gasnick, Anuja L. Sarode, Avanti Badrinathan, Vanessa P. Ho, Daniel J. Tisch, Christopher W. Towe Source Type: research
