Very long-term effects of conservatively treated blunt thoracic trauma: a retrospective analysis
Trauma is the third largest proportion of mortalities in all age groups after cardiovascular disease and cancer, and is the main cause of death in patients aged under 40. Thoracic trauma is present in nearly half of polytrauma patients [1,2]. Absolute incidence varies greatly depending on geographical location, but blunt thoracic trauma is more common with relative incidence being estimated at 72%-83,5% versus penetrating trauma at 16,5%-28% [3,4]. A large part of managing blunt thoracic trauma consists of analgesia, achieving respiratory stability, early mobilization and chest physiotherapy. (Source: Injury)
Source: Injury - March 2, 2024 Category: Orthopaedics Authors: Indy Kelderman, Chris Dickhoff, Frank W. Bloemers, Wietse P. Zuidema Source Type: research
Bicycle-related accidents in Rome: Investigating Clinical Patterns, Demographics, Injury Contexts, and Health Outcomes for Enhanced Public Safety
This study aims to analyze the clinical characteristics, demographic features, and injury circumstances of patients admitted to the Emergency Department (ED) at Fondazione Policlinico Universitario A. Gemelli (IRCCS) in Rome, Italy, due to bicycle accidents. (Source: Injury)
Source: Injury - March 2, 2024 Category: Orthopaedics Authors: Francesca Cittadini, Giovanni Aulino, Martina Petrucci, Luigi Raguso, Elena Sofia Oliveri, Flavia Beccia, Angela Novelli, Sabina Strano Rossi, Francesco Franceschi, Marcello Covino Source Type: research
An Evaluation of the Management of Severe Open Tibial Fractures in the United Kingdom's Major Trauma Centres
Trauma networks in England were established in 2012, creating a web of trauma centres to which traumatic injuries can be triaged and managed using polytrauma principles. Open fractures of the lower limb are common injuries, often occurring as part of a polytrauma presentation, that can have significant consequences on the long-term function and quality of life of the affected patients. [1] The Gustilo and Anderson (GA) grading system is one of several classifications used to grade these injuries, ranging from Grade I to Grade IIIC. (Source: Injury)
Source: Injury - March 2, 2024 Category: Orthopaedics Authors: Elizabeth Wilson, Katie Young, Richard Kwasnicki, Shehan Hettiaratchy Source Type: research
The influence of hospital and home environments on physical activity and sedentary behaviour: Perceptions of people recovering from fractures
Injury is a leading contributor to morbidity in developed and developing countries, contributing to 10% of global disease burden [1]. Orthopaedic injuries (e.g. fractures), often a consequence of trauma, are costly to treat and can negatively impact patients ’ quality of life [2,3]. Although hospitalisation is often essential following a fracture, hospitalisation itself can be associated with adverse outcomes including hospital-acquired complications and functional decline [4–6]. Hospital acquired functional decline, defined as a loss of independenc e, from admission to discharge, in one or more activities of daily liv...
Source: Injury - March 1, 2024 Category: Orthopaedics Authors: Mr Asher G Kirk, Dr Lara A Kimmel, Mr Jason Pereira, Dr Christina L Ekegren Source Type: research
ORIF or ORIF with Primary Subtalar Arthrodesis (PSTA) for a Sanders IV fracture?
HISTORY – A 35-year-old male was working on a roof when he fell about 6 meters. He hit the pavement on the side of the house. He was not injured other than his Left leg, but it was badly injured, and he was taken to the Emergency unit. At the nearest trauma center, he was found to have no injuries except to his Lt leg. He had a very swollen Lt foot but no blisters. He had normal sensation and movement to his 5 toes. He had normal pulses. X-rays and CT scans were done. Experienced orthopedic trauma surgeons called his injury a Sanders IV fracture (Figures 1-5). (Source: Injury)
Source: Injury - February 28, 2024 Category: Orthopaedics Authors: Gareth Ryan, Jeffrey Poon, Richard Buckley Tags: Orthopaedic Trauma Guidance Source Type: research
Engaging and following physical injury survivors at risk for developing posttraumatic stress disorder symptoms: A 25 site US national study
Traumatic physical injuries are highly prevalent and have become a major public health concern worldwide [1]. Approximately 1.5 –2.5 million individuals are so severely injured each year in the United States that they require inpatient hospital admissions [2–4]. (Source: Injury)
Source: Injury - February 28, 2024 Category: Orthopaedics Authors: Jake Shoyer, Kenneth J. Ruggiero, Khadija Abu, Navneet Birk, Cristina Conde, Paige Ryan, Tanya Knutzen, Allison Engstrom, Joan Russo, Jin Wang, Douglas F Zatzick Source Type: research
Can Locking plate fixation and Free Vascularised Fibular Transfer with Skin Island achieve Good Functional Outcome in the Treatment of Large Bone Defects of Tibia ? A Study of 26 Cases
Bone loss in long bones can occur primarily during the initial injury or as a result of debridement when loosely attached comminuted bony fragments without soft tissue attachment are removed. Secondary bone loss arises when avascular and necrotic exposed bone segments are excised due to posttraumatic osteomyelitis [1]. Alongside bone loss, challenges are posed by soft tissue loss or scarred and contracted soft tissues [2]. Various treatment options are available in the literature [3 –6]. (Source: Injury)
Source: Injury - February 28, 2024 Category: Orthopaedics Authors: Jayaramaraju Dheenadhayalan, Asif Imran, Agraharam Devendra, Hari Venkatramani, Purnaganapathi Sundaram Velmurugesan, Shanmuganathan Rajasekaran, Shanmuganathan Raja Sabapathy Source Type: research
Trends in incidence, health care use and costs for subtrochanteric femur fractures in the Netherlands 2000-2019
Hip fractures are the most common fracture to cause hospital admission in the Netherlands, with over 20,000 fractures each year [1,2]. Hip fractures are generally classified into three categories: femoral neck, trochanteric, and subtrochanteric fractures [3]. The first two, or typical hip fractures; they are the most common, are mostly seen in the elderly population, and are generally associated with osteoporosis and/or low-energy trauma [4]. Subtrochanteric fractures are located up to 5 cm distal from the lesser trochanter and occur in an area between trabecular and cortical bone where high levels of mechanical stress can...
Source: Injury - February 28, 2024 Category: Orthopaedics Authors: Miliaan L. Zeelenberg, Esther M.M. Van Lieshout, Suzanne Polinder, Martien J.M. Panneman, Michael H.J. Verhofstad, Dennis Den Hartog Source Type: research
The Importance of Interdigitating Screw Fixation of the Trochlea in Double Plate Osteosynthesis of Low Transcondylar Distal Humerus Fractures: A Biomechanical Study
The trochlea is of great importance for the stability of the elbow and its fixation in low transcondylar fractures of the distal humerus is especially challenging. The aim of this study was to determine the optimal trochlea fixation in double plate osteosynthesis of intraarticular distal humerus fractures. (Source: Injury)
Source: Injury - February 28, 2024 Category: Orthopaedics Authors: Sebastian Lappen, Sebastian Siebenlist, Tim Leschinger, Pavel Kadantsev, Stephanie Geyer, Kilian Wegmann, Lars-Peter M üller, Michael Hackl Source Type: research
Subtrochanteric Femur Nonunion - Chasing the elusive An analysis of two techniques to achieve union: nail-plate fixation and plate-structural fibula graft fixation
Subtrochanteric femur fractures are the fractures of the proximal femur involving the area between the lesser trochanter and 5 cm distal to it [1,2]. The strong deforming forces of the muscles attached in this region create displacements of fracture fragments that hinder accurate reduction. There is a risk of suboptimal bone healing due to the poorly vascularized cortical bone in this area [2]. This often leads to problems in union with the incidence of nonunion reported to be as high as 7-34% [3]. (Source: Injury)
Source: Injury - February 27, 2024 Category: Orthopaedics Authors: Dheenadhayalan Jayaramaraju, Sanjana Nandakumar, Devendra Agraharam, Velmurugesan Purnaganapathi Sundaram, Ramesh Perumal, Rajasekaran Shanmuganathan Source Type: research
Exploring the Impact of Traumatic Injury on Mortality: An analysis of the certified cause of death within one year of serious injury in the Scottish population
Accounting for approximately 8% of global deaths annually[1], traumatic injury is recognised as a significant public health challenge and cause of death worldwide. Current literature focuses on in-hospital and 30-day mortality following trauma in accordance with the Utstein criteria[2] for trauma analysis. However, several studies evaluating trauma systems have demonstrated a persistent increased risk of mortality for years following injury[3 –10]. (Source: Injury)
Source: Injury - February 27, 2024 Category: Orthopaedics Authors: Hannah A. Craig, David J Lowe, Angela Khan, Martin Paton, Malcolm WG. Gordon Source Type: research
Electrical injuries in children —a 6-year retrospective study
This study aimed to assess the clinical epidemiological characteristics of children with electrical injuries and discuss the countermeasures for the prevention of electrical injuries in children. (Source: Injury)
Source: Injury - February 27, 2024 Category: Orthopaedics Authors: Nan Hu, Ji-gang Chen, Jing Liu, Yan-ni Wang, Yi-ning Wang, Jing Yu, Hong-yan Qi Source Type: research
Influence of centroid acceleration acquisition and filtering class on Head Injury Criterion evaluation
Traumatic brain injury (TBI) is a major public challenge in today's society due to high incidence rates and the significant impact on individuals and society[1,2,3]. In order to prevent TBI, scholars have proposed many kinematic-based predictors of head injury, such as Head Injury Criterion(HIC)[4], Generalized Acceleration Model for Brain Injury Threshold(GAMBIT)[5], Head Impact Power(HIP)[6], Kleiven's Linear Combination(KLC)[7], Principal Component Score(PCS)[8], Rotational Injury Criterion(RIC)[9], Power Rotational Head Injury Criterion(PRHIC)[9], Brain Injury Criteria(BrIC)[10], etc. (Source: Injury)
Source: Injury - February 27, 2024 Category: Orthopaedics Authors: Da Teng, Zexuan Chen, Zekang Wu, Yuting Zhang, Bao Yang, Liqun Tang, Zhenyu Jiang, Yiping Liu, Zejia Liu, Licheng Zhou Source Type: research
The Impact of Anticoagulant Medications on Fragility Femur Fracture Care: The Hip and Femoral Fracture Anticoagulation Surgical Timing Evaluation (Haste) Study
The benefits of expedited surgery to patients with fragility femoral fractures is established and underpins guidelines for their care [1,2]. Despite this, patients who take anticoagulant medications such as Vitamin K antagonists (VKA) and Direct Oral AntiCoagulants (DOAC) typically experience longer surgical delay greater than those that don't [3]. Anecdotally, delay is driven by concerns of complications despite the fact that prompt surgery is both safe and feasible [4 –9] and evidence for increased complications is scarce. (Source: Injury)
Source: Injury - February 27, 2024 Category: Orthopaedics Authors: MM Farhan-Alanie, R Chinweze, R Walker, WGP Eardley, HASTE collaborators Source Type: research
A Scientometric Analysis of Bone Cutting Tools & Methodologies: Mapping the Research Landscape
This study undertakes a Scientometric analysis of bone-cutting tools, investigating a corpus of 735 papers from the Scopus database between 1941 and 2023. It employs bibliometric methodologies such as keyword coupling, co-citation, and co-authorship analysis to map the intellectual landscape and collaborative networks within this research domain. The analysis highlights a growing interest and significant advancements in bone-cutting tools, focusing on their design, the materials used, and the cutting processes involved. (Source: Injury)
Source: Injury - February 27, 2024 Category: Orthopaedics Authors: Phanindra Addepalli, Worapong Sawangsri, Saiful Anwar Che Ghani Tags: Review Source Type: research
