Comparable results of Superior vs Antero-inferior plating for the treatment of displaced midshaft clavicle fractures. A comparative study
Clavicle fractures represent up to 10% of all fractures, involving the midshaft, or middle third, in over the 80% of all cases [1 –3]. Circulation accidents and sport injuries are the most common cause of clavicle fractures in developed countries, affecting mainly a young population with a male to female predominance of 2-3:1 [4–7]. Treatment options to address displaced midshaft clavicle fractures include intramedullary n ailing and open reduction and internal plate fixation, both efficient in lowering the risk of non-unions and complications [8–11]. (Source: Injury)
Source: Injury - February 23, 2024 Category: Orthopaedics Authors: Alessandro Sangiorgio, Davide Previtali, Lorenzo Massimo Oldrini, Stamen Roumenov Milev, Giuseppe Filardo, Christian Candrian Source Type: research
Nail fixation of unstable trochanteric fractures with or without cement augmentation: A cost-utility analysis in the United States
Trochanteric hip fractures account for 42% of all hip fracture types [1]. Compared with femoral neck fractures, trochanteric fractures are associated with older age, osteoporosis, multiple comorbidities, longer hospital stay, poorer function, and higher mortality [2 –4]. In the United States (US), trochanteric hip fractures account for 44% of total healthcare costs for all hip fracture types, with most costs being incurred during the first 90 days following fracture for inpatient hospitalization and skilled nursing facility services [1,2]. (Source: Injury)
Source: Injury - February 20, 2024 Category: Orthopaedics Authors: Alexander Joeris, Mina Kabiri, Thibaut Galvain, Mollie Vanderkarr, Chantal E. Holy, Javier Quintana Plaza, Julia Schneller, Christian Kammerlander Source Type: research
Does delay from injury to surgery increase the risk of dislocation of a hip hemiarthroplasty?
Dislocation of a hip hemiarthroplasty used to treat a hip fracture is a serious complication. The aim of this study was to identify whether a delay in the time from fracture to surgery causes an increase in the rate of post-operative hip dislocation. From a single center, data from intracapsular neck of femur patients treated with hip hemiarthroplasty was collected between October 1986 to August 2021. The time from both fall to surgery and admission to surgery was recorded. Surviving patients were followed up for one year. (Source: Injury)
Source: Injury - February 20, 2024 Category: Orthopaedics Authors: Neville Jacob, Marios Ghobrial, Martyn Parker Source Type: research
Feasibility of using bacteriophage therapy to treat Staphylococcal aureus fracture-related infections
Fracture-related infections (FRIs) are one of the most challenging complications of fracture fixation surgery resulting in additional unplanned surgical interventions, increased loss of productivity, prolonged morbidity, and functional compromise [1]. Unfortunately, treatment failure occurs in approximately 25 % –40 % of cases [2–5]. The main reason for the unacceptably high failure rates is the propensity of FRI pathogens to form biofilms on the implants, bone and soft tissue surrounding the fracture [6,7]. (Source: Injury)
Source: Injury - February 17, 2024 Category: Orthopaedics Authors: James B. Doub, Ashley E. Levack, Lauren Sands, Joseph Blommer, Joseph Fackler, Robert V. O'Toole Source Type: research
Choosing the proper implant for extra-articular fractures of proximal phalanges: a study on 75 cases.
Phalangeal fractures are the most common fractures of the hand and in particular the proximal phalanx of the long fingers is the most involved. These fractures can ben conservatively managed but, when the fracture pattern is considered unstable, surgical treatment is recommended. However, there is no consensus in literature about the proper surgical option for extra-articular proximal phalanx fractures. (Source: Injury)
Source: Injury - February 17, 2024 Category: Orthopaedics Authors: Del Chiaro A, Nucci AM, Grassi A, Suardi C, Pfanner S, Poggetti A Source Type: research
Feasibility of using bacteriophage therapy to treat Staphylococcal aureus fracture-relatedinfections
Fracture-related infections (FRIs) are one of the most challenging complications of fracture fixation surgery resulting in additional unplanned surgical interventions, increased loss of productivity, prolonged morbidity, and functional compromise [1]. Unfortunately, treatment failure occurs in approximately 25% –40% of cases [2–5]. The main reason for the unacceptably high failure rates is the propensity of FRI pathogens to form biofilms on the implants, bone and soft tissue surrounding the fracture [6,7]. (Source: Injury)
Source: Injury - February 17, 2024 Category: Orthopaedics Authors: James B. Doub, Ashley E. Levak, Lauren Sands, Joseph Blommer, Joseph Fackler, Robert V. O'Toole Source Type: research
Low Energy Gunshot Injuries: Does Removal of Retained Bullet Fragmentation at the Time of Internal Fixation Reduce the Risk of Fracture Related Infection?
To examine the effects of RBF (Retained Bullet Fragment) removal at the time of long bone fixation on FRI (fracture related infection) rates in low energy GSI (Gunshot Injury) related fractures. (Source: Injury)
Source: Injury - February 15, 2024 Category: Orthopaedics Authors: Adrian Olson, Usher Khan, Lianne Wagner, Valarie Davidson, Benjamin Diedring, Ivan Bandovic, Paul Knapp, Adam Fahs, Alan Afsari, Benjamin Best Source Type: research
Association between Out-of-Hospital Cardiac Arrest Quality Indicator and Prehospital Management and Clinical Outcomes for Major Trauma
It is unclear whether emergency medical service (EMS) agencies with good out-of-hospital cardiac arrest (OHCA) quality indicators also perform well in treating other emergency conditions. We aimed to evaluate the association of an EMS agency's non-traumatic OHCA quality indicators with prehospital management processes and clinical outcomes of major trauma. (Source: Injury)
Source: Injury - February 14, 2024 Category: Orthopaedics Authors: Hyouk Jae Lim, Jeong Ho Park, Ki Jeong Hong, Kyoung Jun Song, Sang Do Shin Source Type: research
Custom Injury Prevention Priority Scoring: Local Ranking Procedures to Assess Unique Community Needs
Traumatic injuries are consistently the leading cause of morbidity and mortality in the pediatric population [1]. Effective injury prevention strategies are crucial to mitigate the burden of pediatric trauma, which is often preventable if the injury mechanisms are well understood. To address this issue, accurate and evidence-based rankings of injury mechanisms are essential. Ranking injury mechanisms based on frequency alone has limitations, as prevention efforts should maximize well-being of children by considering the immediate and long-term impact of injuries in addition to their numbers. (Source: Injury)
Source: Injury - February 14, 2024 Category: Orthopaedics Authors: Allison L. Mak Croughan, Kevin Rix, Sage R. Myers, Douglas Wiebe, Michael L. Nance, Allison Mak Croughan Source Type: research
Surgical and non-surgical treatment for fully displaced lateral clavicle fractures have similar outcomes: An observational register study of 113 patients
Whether displaced lateral clavicle fractures should be treated surgically remains controversial, and their management has considerable heterogeneity (1). The goal of treatment is to optimize functional outcome and avoid unnecessary surgery. When deciding on treatment, the most important factors that surgeons consider are the degree of displacement, impending open fracture, and patient age (1). While undisplaced lateral clavicle fractures are almost always treated non-surgically, displaced lateral clavicle fractures are often treated surgically because non-surgical treatment may cause nonunion in 6 –44% of patients (2-7). (Source: Injury)
Source: Injury - February 14, 2024 Category: Orthopaedics Authors: Caroline Kihlstr öm, Nils P. Hailer, Olof Wolf Source Type: research
Single-stage transcutaneous osseointegrated prosthesis for above-knee amputations including an antibiotic-loaded hydrogel. Preliminary results of a new surgical protocol.
Patients with above-knee amputations (AKA) are typically treated with traditional socket-mounted prostheses (SMP); these are associated with a high incidence of discomfort, sweating, skin irritation and ulcers [1]. (Source: Injury)
Source: Injury - February 14, 2024 Category: Orthopaedics Authors: Pablo S. Corona, Enrique A. Vargas Meouchi, Jes ús Manuel García Hernández, Rosa Fraile Soriano, Almudena Crespo-Fresno, Daniela Issa-Benítez, Munjed al Mudaris, Francisco Soldado Source Type: research
Assessing the prediction of arterial CO2 from end tidal CO2 in adult blunt trauma patients
The control of PaCO2 in ventilated patients is known to be of particular importance in the management and prognosis of trauma patients. Although EtCO2 is often used as a continuous, non-invasive, surrogate marker for PaCO2 in ventilated trauma patients in the emergency department (ED), previous studies suggest a poor correlation in this cohort. However, previous data has predominantly been collected retrospectively, raising the possibility that the elapsed time between PaCO2 sampling and EtCO2 recording may contribute to the poor correlation. (Source: Injury)
Source: Injury - February 13, 2024 Category: Orthopaedics Authors: Nicholas M. Petrakis, Daniel Harris, Daniel Y. Ellis, Daniel Haustead Source Type: research
What Can They Expect? Decreased Quality of Life and Increased Postoperative Complication Rate in Patients with a Fracture-Related Infection
Fracture-Related Infections (FRIs) are one of the most challenging complications after fracture surgery [1]. As a result of extens0ive treatment and long-term consequences of the infection, FRI tend to impact the economy substantially due to high healthcare costs and increased absenteeism from work [2]. Besides these socioeconomic effects, FRI also affects the patient's daily life and functioning status [3]. (Source: Injury)
Source: Injury - February 13, 2024 Category: Orthopaedics Authors: M.A.S. Buijs, S. Haidari, F.F.A. IJpma, F. Hietbrink, G.A.M. Govaert Source Type: research
Clinical Epidemiology of Extracranial Injuries in Severe Pediatric Traumatic Brain Injury in South America
Traumatic brain injury (TBI) contributes significantly to the global injury burden, affecting an estimated 69 million individuals each year. [1] For children, TBI remains a leading cause of death and long-term disability, affecting 3 million children worldwide every year, with pediatric TBI incidence rates as high as 486 per 100,000 children in some populations. [2] In combination with an increasing incidence rate, the considerable mortality and disability, high health care costs, and preventable nature of TBIs have led to the prioritization of TBI research in global health. (Source: Injury)
Source: Injury - February 10, 2024 Category: Orthopaedics Authors: Miguel Castro, Lauren L. Agoubi, Julia Velonjara, Claudia Lutkevicius, Nahuel Guadagnoli, Silvia Lujan, Gustavo Petroni, Michael J. Bell, Monica S. Vavilala, Charles Mock, the PEGASUS Argentina Study Group Source Type: research
The Real Time to Surgery: Limited Delay after Medical Optimization Does Not Impact Hip Fracture Surgery Outcomes
Hip fractures are common orthopaedic injuries in the geriatric population and associated with high levels of patient morbidity and mortality [1,2]. With the continued growth of the elderly population in the United States, the incidence of hip fractures is estimated to double from 250,000 in 1990 to a projected 500,000 in 2040 [3]. The rising number of annual hip fractures is costly and expected to double in the same time period to $16 billion [4]. Over 90% of these fractures occur in patients aged 65 and older, and each decade after the age of 50, a person's fracture risk doubles [2]. (Source: Injury)
Source: Injury - February 10, 2024 Category: Orthopaedics Authors: Mitchell K. Ng, Jordan B. Pasternack, Paul G. Mastrokostas, Lucas Voyvodic, Kevin K. Kang Source Type: research
