Comparison of single bicycle crashes and collisions among severely injured cyclists – a 16-year analysis based on the Helsinki Trauma Registry (HTR)
Finland has recently completed a national Traffic Safety Strategy for the years 2022 –2026 [1]. The strategy states a “Vision Zero”, according to which no one is killed or seriously injured in traffic crashes. The aim is to halve the number of road fatalities and seriously injured persons from 2020 to 2030. To achieve this goal, the strategy implementation plan proposes over 1 00 measures. (Source: Injury)
Source: Injury - November 22, 2023 Category: Orthopaedics Authors: Noora Airaksinen, Kia Kemppainen, Lauri Handolin, Christian Espro, Kaisa Virtanen, Mikko Hein änen Source Type: research
Combining Non-Vascularized Fibula and Cancellous Graft in the Masquelet Technique: A Promising Approach to Distal Femur Compound Fracture Management with large defects
Compound fractures of the distal femur with large defects pose a significant challenge in management, with several options available, including external fixators, bone grafting, the Masquelet-induced membrane technique, and free vascularized fibular grafts. The Masquelet-induced membrane technique involves placing a cement spacer in the defect to create a biologically active membrane. In the second stage, the gold standard for filling the defect is an autologous cancellous bone graft of 1-2mm in size. (Source: Injury)
Source: Injury - November 22, 2023 Category: Orthopaedics Authors: Subramaniam Gannamani, Kamalakar Rao Rachakonda, Yeseswi Tellakula, Harsha Takkalapally, Venkateshwar Reddy Maryada, A.V. Gurava Reddy Source Type: research
Enhanced recovery for acute open lower limb fracture ‘fix and flap’
Enhanced Recovery (ER) after surgery is the concept of taking a multidisciplinary approach toward standardised protocols to minimise peri-operative variation and achieve the highest quality of post-operative rehabilitation [1 –3]. First pioneered in Denmark in the 1990’s [4–6], ER has rapidly developed into a world-wide concept used across a number of surgical specialties[7–10]. Within the sphere of Ortho-Plastic trauma, there exists potential for ER to enhance the care and recovery of acute lower limb open fract ure (ALLOF) patients. (Source: Injury)
Source: Injury - November 22, 2023 Category: Orthopaedics Authors: Guang Hua YIM, Jurga PIKTURNAITE, Lorraine HARRY, Rhys CLEMENT, Sophie POPE-JONES, Ahmed EMAM, Nicholas MARSDEN Source Type: research
Risk of peri ‑implant femoral fracture after cephalomedullary nailing in older patients with trochanteric fractures
With aging populations, the global incidence of hip fractures has been increasing and the global number of hip fractures is expected to increase from 1.26 million in 1990 to 4.5 million by the year 2050 [1,2]. Surgical outcomes in older patients with hip fractures have improved over recent years with a 30-day mortality of 7.7 % and a 1-year mortality of 26 % [3]. With more patients surviving this injury, the risks of further falls and the potential to sustain a peri‑implant femoral fracture (PIFF) around the existing fixation are increased [4]. (Source: Injury)
Source: Injury - November 20, 2023 Category: Orthopaedics Authors: Takuya Yamanaka, Tomohiro Matsumura, Ryusuke Ae, Shuhei Hiyama, Katsushi Takeshita Source Type: research
Risk of peri-implant femoral fracture after cephalomedullary nailing in older patients with trochanteric fractures
With aging populations, the global incidence of hip fractures has been increasing and the global number of hip fractures is expected to increase from 1.26 million in 1990 to 4.5 million by the year 2050 [1 –2]. Surgical outcomes in older patients with hip fractures have improved over recent years with a 30-day mortality of 7.7% and a 1-year mortality of 26% [3]. With more patients surviving this injury, the risks of further falls and the potential to sustain a peri-implant femoral fracture (PIFF) ar ound the existing fixation are increased [4]. (Source: Injury)
Source: Injury - November 20, 2023 Category: Orthopaedics Authors: Takuya Yamanaka, Tomohiro Matsumura, Ryusuke Ae, Shuhei Hiyama, Katsushi Takeshita Source Type: research
Identifying the severely injured benefitting from a specific level of trauma care in an inclusive network: a multicentre retrospective study
Since the implementation of trauma networks, care for the most severely injured patients is much more organized and in-hospital mortality has been reduced.[1] Severely injured patients treated in level I trauma centres (TC) have a survival benefit as compared to non-level I TC's.[2 –6] The Dutch trauma system consists of regionalized inclusive trauma networks, in which hospitals have designated levels of trauma care following specific criteria established by the Dutch Trauma Society. Level III facilities are intended for stable patients with isolated or minor injuries. (Source: Injury)
Source: Injury - November 18, 2023 Category: Orthopaedics Authors: L.A. Rojer, J.C. van Ditshuizen, T.A.J. van Voorden, E.M.M. Van Lieshout, M.H.J. Verhofstad, D. Den Hartog, C.A. Sewalt, Dutch Trauma Registry Southwest Source Type: research
Injury patterns and outcomes in motorcycle driver crashes in the United States: the effect of helmet use
Motorcycle crashes remain a significant public health problem worldwide. According to the World Health Organization (WHO), approximately 1.25 million people die annually as a result of road traffic crashes globally, with motorcyclists accounting for almost one third of these deaths (28%) [1]. In many countries, motorcyclists are involved in a higher proportion of road traffic crashes than any other type of vehicle. In the United States (US), motorcycles account for only 3% of all registered vehicles, but are involved in 14% of all traffic fatalities [2]. (Source: Injury)
Source: Injury - November 17, 2023 Category: Orthopaedics Authors: Lara A. Brockhus, Panagiotis Liasidis, Meghan Lewis, Dominik A. Jakob, Demetrios Demetriades Source Type: research
Current trauma team activation processes at Canadian trauma centres: A national survey ✰
An effective trauma system facilitates an organized approach to care, coordinating a multidisciplinary, specialized, timely, system response to care for the most severely injured [1]. This trauma system approach encompasses a continuum of care, from pre-hospital, acute trauma care, surgical intervention, rehabilitation, community reintegration and outpatient trauma follow up, along with prevention and research activities. It provides the greatest likelihood of returning an injured person back to their previous, pre-injury level of functioning within society [1,2]. (Source: Injury)
Source: Injury - November 16, 2023 Category: Orthopaedics Authors: Tanya Charyk Stewart, Nasira Lakha, Lori Milton, M élanie Bérubé Source Type: research
Biomechanics of Internal Fixation in Hoffa Fractures – A comparison of four different constructs
Coronal plane fractures of the distal femur occur because of axial shearing forces applied to the femoral condyles with the knee joint in flexion.[1 –6] Nork et al. 2 observed that over 80% of coronal plane fractures of the distal femur occur due to either motor vehicle or motorcycle accidents. (Source: Injury)
Source: Injury - November 16, 2023 Category: Orthopaedics Authors: Robinson Esteves Pires, Jo ão Marcos Guimarães Rabelo, Carlos Alberto Cimini, Estevam Barbosa de Las Casas, Antônio Tufi Neder Filho, Vincenzo Giordano, Mauricio Kfuri, Marco Antônio Percope de Andrade Source Type: research
Stress Fractures of the Hand and Wrist in Athletes
Repetitive stress injuries are common in the pediatric population. Such injuries negatively affect an athlete's physical performance and can be severely debilitating if allowed to progress. These injuries are attributable to periods of overuse and fatigue of the surrounding musculature and repeated submaximal loading of bone.[1] This repetitive microtrauma is believed to damage the microvasculature of the structures involved, causing a decrease in blood supply and subsequent weakening to the overall structure noted about the physis. (Source: Injury)
Source: Injury - November 16, 2023 Category: Orthopaedics Authors: Ezekial Koslosky, Gregory Elder, David Heath, Christina Brady, Anil Dutta Tags: Review Source Type: research
Current trauma team activation processes at Canadian trauma centres: a national survey
An effective trauma system facilitates an organized approach to care, coordinating a multidisciplinary, specialized, timely, system response to care for the most severely injured. [1] This trauma system approach encompasses a continuum of care, from pre-hospital, acute trauma care, surgical intervention, rehabilitation, community reintegration and outpatient trauma follow up, along with prevention and research activities. It provides the greatest likelihood of returning an injured person back to their previous, pre-injury level of functioning within society [1,2]. (Source: Injury)
Source: Injury - November 16, 2023 Category: Orthopaedics Authors: Tanya Charyk Stewart, Nasira Lakha, Lori Milton, M élanie Bérubé Source Type: research
Epidemiology of ophthalmic trauma in the United States from 2009 –2018: A Nationwide Emergency Department Sample Analysis
Ophthalmic trauma is a leading cause of visual impairment in the developed world and is associated with significant morbidity and reduced quality of life. [1,2] In the United States, trauma comprises a substantial proportion of emergency department [ED] visits as well as inpatient admissions for ophthalmic problems. [3,4] However, while there have been relatively recent studies regarding ophthalmic trauma hospitalizations, [5] studies regarding ED visits for ophthalmic trauma are outdated, with no data from the last decade [3,6]. (Source: Injury)
Source: Injury - November 15, 2023 Category: Orthopaedics Authors: Mustafa Iftikhar, Joseph K. Canner, Asad Latif, Syed M.A. Shah, Grant A. Justin, Fasika A. Woreta Source Type: research
Community Opioid Dispensing after Injury (CODI): Cohort characteristics and opioid dispensing patterns
Increasing opioid prescribing and the associated harms, such as dependence, accidental overdose, hospitalisation or death, are a major concern for many countries worldwide [1 –4]. Despite extensive opioid-related research, there is limited understanding of long-term opioid use in adults following an injury-related hospitalisation and subsequent ongoing medical management. Of the available studies, most are restricted to specific injury types such as orthopaedic [5,6], spinal cord injury [7,8], traumatic brain injury [9], focus on major trauma only [10–12], or specific sub-populations of trauma such as paediatric or the...
Source: Injury - November 15, 2023 Category: Orthopaedics Authors: CM Cameron, R Shibl, S Cramb, V McCreanor, M Proper, J Warren, T Smyth, HE Carter, K Vallmuur, N Graves, N Bradford, B Loveday Source Type: research
Safer Neighborhoods? Violent Crime and Trauma Volume Pre/Post Targeted Police Interventions in Dallas, Texas
The United States has over 85,000 non-fatal firearm injuries and 34,000 firearm-related deaths annually, and firearms are the leading cause of years of potential life lost in trauma.[1,2] While intentional assaults/homicides only account for 35% of firearm deaths, they account for approximately 70% of firearm injuries treated in emergency departments (EDs) and hospitals.[3] Numerous interventions have targeted the longstanding public health and law enforcement issue of firearm-related violence. One federally funded attempt to address this issue is the Project Safe Neighborhoods (PSN) program. (Source: Injury)
Source: Injury - November 15, 2023 Category: Orthopaedics Authors: Jacob W. Roden-Foreman, Morgan Adkins, Philip M. Edmundson, Catherine Glenn, Brian Tibbs Source Type: research
[Blinded] ([BLINDED]): cohort characteristics and opioid dispensing patterns
Increasing opioid prescribing and the associated harms, such as dependence, accidental overdose, hospitalisation or death, are a major concern for many countries worldwide [1 –4]. Despite extensive opioid-related research, there is limited understanding of long-term opioid use in adults following an injury-related hospitalisation and subsequent ongoing medical management. Of the available studies, most are restricted to specific injury types such as orthopaedic [5,6], spinal cord injury [7,8], traumatic brain injury [9], focus on major trauma only [10–12], or specific sub-populations of trauma such as paediatric or the...
Source: Injury - November 15, 2023 Category: Orthopaedics Authors: CM Cameron, R Shibl, S Cramb, V McCreanor, M Proper, J Warren, T Smyth, HE Carter, K Vallmuur, N Graves, N Bradford, B Loveday Source Type: research
