Influencing factors and early predictive model of acute stress disorder in traumatic patients: a clinical comparative cohort study
Trauma refers to the destruction of the structure and function of tissues and organs caused by external forces acting on the body. It can be divided into open and closed trauma according to the skin integrity after injury [1]. With the rapid development of agriculture, manufacturing industry and transportation industry, the number of casualties caused by various accidents has gradually increased. Because of the sudden feature of trauma, its severity can sometimes not be accurately judged, and the severe patients are at any time exposed to the risk of massive hemorrhage, shock and asphyxia. (Source: Injury)
Source: Injury - April 18, 2024 Category: Orthopaedics Authors: Guojia Qi, Xiahong Li, Ping Yuan, Xiangyuan Chu, Xiu Dai, Xiuquan Shi Source Type: research

Comparison of single and double incision leg fasciotomy in disaster settings —Experience from 2023 Türkiye earthquakes
Although there are studies comparing methods for leg fasciotomy in compartment syndrome after fractures, choice of single or double fasciotomies in disasters was not investigated. The aim of this study was to compare the efficacy of single and double incision leg fasciotomy in the setting of disaster. (Source: Injury)
Source: Injury - April 17, 2024 Category: Orthopaedics Authors: Fatih Bar ça, Halis Atıl Atilla, Ekin Barış Demir, Kadir Çevik, Bünyamin Uğur Ilgın, Osman Yağız Atlı, Sinan Yüksel, Kemal Şibar, Serhan Ünlü, Evrim Duman, Ahmet Fırat, Mutlu Akdoğan Source Type: research

Medico-legal evaluation of burn trauma injuries. Epidemiological features and predictors of mortality and other adverse outcomes
Sagah G.A. et al recently reported the results of a prospective study addressing the adverse outcomes of acute burn trauma and the implications for an integrated medico-legal evaluation in the realm of severe thermal injury [1]. Despite annual estimates of about 11 million burn injuries worldwide that can be associated with substantial morbidity and mortality, burns are yet considered an underappreciated form of trauma [2,3]. Recent advances in treatment and prevention of burns however show promise, with declining burn incidence and severity of the injury, mostly in highly developed countries [4]. (Source: Injury)
Source: Injury - April 17, 2024 Category: Orthopaedics Authors: Daphne J. Theodorou, Stavroula J. Theodorou, Ioannis D. Gelalis Tags: Letter to the Editor Source Type: research

Comparison of Single and Double Incision Leg Fasciotomy in Disaster Settings - Experience From 2023 T ürkiye Earthquakes
Although there are studies comparing methods for leg fasciotomy in compartment syndrome after fractures, choice of single or double fasciotomies in disasters was not investigated. The aim of this study was to compare the efficacy of single and double incision leg fasciotomy in the setting of disaster. (Source: Injury)
Source: Injury - April 17, 2024 Category: Orthopaedics Authors: Fatih Bar ça, Halis Atıl Atilla, Ekin Barış Demir, Kadir Çevik, Bünyamin Uğur Ilgın, Osman Yağız Atlı, Sinan Yüksel, Kemal Şibar, Serhan Ünlü, Evrim Duman, Ahmet Fırat, Mutlu Akdoğan Source Type: research

Identifying prehospital trauma patients from ambulance patient care records; comparing two methods using linked data in New South Wales, Australia
Injury results from tissue damage caused by acute exposure to energy (mechanical, thermal, electrical, chemical, or radiant). Trauma is the consequence of such injury, which can range from life-threatening to the need for pre-hospital, in-hospital, or post-discharge care [1 –3]. Severely injured trauma patients benefit from treatment at major or level-one trauma centres, possibly transferred there by Helicopter Emergency Medical Service (HEMS) teams. Therefore, trauma networks and transport protocols (field triage guidelines) have been developed to identify which pat ients should be transported directly to a Major Trauma...
Source: Injury - April 16, 2024 Category: Orthopaedics Authors: Matthew Miller, Louisa Jorm, Chris Paryka, Brian Burns, Karel Habig, Carissa Oh, Sam Immens, Neil Ballard, Blanca Gallego Source Type: research

Arthroscopically assisted closed reduction for displaced lateral humeral condyle fractures over 4 mm in children.
We read with interest the publication by Weng and colleagues1. The same authors2 reported in 2022 that open reduction and percutaneous pinning (ORPP) remained their “gold standard” for displaced and rotated lateral humeral condyle fractures (LHCF), whilst the authors2 encouraged readers to be prepared for the time-consuming learning process of closed reduction and percutaneous pinning (CRPP) for these fractures, without mentioning that Weng et al1 themselve s had already abandoned ORPP and CRPP by September 2020 in favour of the arthroscopically assisted procedure1 (AAPP). (Source: Injury)
Source: Injury - April 16, 2024 Category: Orthopaedics Authors: Andreas REHM, Ayla C. NEWTON, Katerina HATZANTONI, Pinelopi LINARDATOU NOVAK, Joshua C.Y. ONG, Elizabeth ASHBY Source Type: research

Improvement in quality of trauma care at non-tertiary hospitals in Ghana during on-hours and off-hours with a trauma intake form: A stepped-wedge cluster randomized trial
Trauma is a significant health problem globally, especially in low- and middle-income countries (LMICs). Improvements in trauma care in LMICs must overcome considerable resource restrictions. Hence, improvements in the organization and process of care are important options in light of their affordability. The World Health Organization's (WHO) Trauma Care Checklist (TCC) has been shown to improve the process of care and lower mortality for seriously injured patients at tertiary centers in both high-income countries and LMICs [1]. (Source: Injury)
Source: Injury - April 16, 2024 Category: Orthopaedics Authors: Adam Gyedu, Lord Loglo, Kofi Ablorh, Isaac Asenso Brobbey-Kyei, Peter Donkor, Charles Mock Source Type: research

Transverse Patella Fracture Fixation: A Cadaveric Biomechanical Comparison of Cannulated Screws and Anterior Tension Band versus Low-Profile, Multiplanar Mesh Plating
Despite advances in internal fixation design and technique, fractures of the patella continue to have poor clinical outcomes and high reoperation rates[1 –5]. Rigid anatomic fixation and early motion remains the standard for most periarticular fractures, yet few anatomic regions of the body experience forces as large as those transmitted across the patella during daily activities[6–9]. Treatment of patella fractures is highly variable and ranges from patellectomy, to tension band wiring, to a hybrid of tension wires and cannulated screws to fragment specific fixation and multiplanar plate fixation[2,10-22]. (Source: Injury)
Source: Injury - April 16, 2024 Category: Orthopaedics Authors: Matthew R. Garner, Brittany Homcha, Trevin Cowman, Madison Goss, J. Spence Reid, Gregory S. Lewis Source Type: research

Reinforced predeployment training of European military surgical teams: the key requirements are technical, non-technical, and also tactical skills.
Dear Editor, we read with great interest the study by Haverkamps et al. which examined the perceived readiness, training needs, deployment experience and post-deployment impact of Danish, Dutch and Finnish military surgical teams deployed between 2013 and 2020.[1] The survey showed a very good perception of pre-deployment readiness, with a median score of four on a five-point scale for all military surgical team professions: surgeons, anesthesiologists, and nurses. Although pre-deployment medical training was only mandatory for Dutch military surgical teams, half of those surveyed reported preparation activities such as a ...
Source: Injury - April 16, 2024 Category: Orthopaedics Authors: N Py, A Jarrassier, E Meaudre, P Pasquier Tags: Letter to the Editor Source Type: research

In Memoriam: David V. Feliciano (1944 - 2024) - Pioneer, Master Surgeon, Mentor, Friend, Ally
David Feliciano was born into an Italian family in New York City.[1] He initially grew up in New York, but when his father left to serve in World War II, his mother moved to the family hometown in New Jersey. [1,2] Dr Feliciano's involvement with the medical profession started early, a result of his father's vocation – a community surgeon. Even as early as a five-year-old, he volunteered at the hospital, collecting samples and accompanying his father on rounds. During high school, over five consecutive summers, young David interned as a surgical tech in hospitals across New York City, cementing his interest an d passion ...
Source: Injury - April 16, 2024 Category: Orthopaedics Authors: Amir Humza Sohail, Muhammad Hassaan Arif Maan, Aman Goyal, Muhammad Mursaleen Ahmad, Abu Baker Sheikh Tags: Letter to the Editor Source Type: research

Letter to the editor in response to a “Does a prehospital applied pelvic binder improve patient survival?”
Dear editor, (Source: Injury)
Source: Injury - April 16, 2024 Category: Orthopaedics Authors: Paolo Pallavicini, Ewoud Ter Avest Tags: Letter to the Editor Source Type: research

Comment on “Biomechanics of internal fixation in Hoffa fractures - A comparison of four different constructs”
We read the article by Pires et al.[1] regarding the biomechanics of Hoffa fractures and find it beneficial as it is throwing light on the possible spectrum of fixation to achieve stable reconstruction of the Hoffa fractures, especially in type 1 Letenneur.[2] We have few concerns and it will be very useful for all the readers if authors respond to following comment: (Source: Injury)
Source: Injury - April 16, 2024 Category: Orthopaedics Authors: Dr. Mehar Dhillon, Dr. Devendra Chouhan Tags: Letter to the Editor Source Type: research

Letter to the editor regarding " Comparison of single bicycle crashes and collisions among severely injured cyclists –A 16-year analysis based on the Helsinki Trauma Registry (HTR)"
We read with great interest the recent article published by Airaksinen et al. that analyzed the characteristics of 326 severely injured cyclists in Finland from 2006 to 2021 to describe patient demographics, injuries, injury severity, alcohol use of the injured cyclists, helmet use, and need for intensive care of severe cycling trauma [1]. The study was conducted retrospectively utilizing data from the Helsinki Trauma Registry (HTR), which comprises patient demographic information, injury details, pre-hospital and in-hospital physiological variables, treatment methods, and outcomes. (Source: Injury)
Source: Injury - April 16, 2024 Category: Orthopaedics Authors: Giovanni Aulino, Francesca Cittadini, Marcello Covino Tags: Letter to the Editor Source Type: research

Letter to the Editor regarding “Does delay from injury to surgery increase the risk of dislocation of a hip hemiarthroplasty?”
We read with great interest the article entitled “Does delay from injury to surgery increase the risk of dislocation of a hip hemiarthroplasty?” by Jacob et al1. They conducted an important study to extrapolate the effect of delay in surgical time on the occurrence of postoperative dislocation in hemiarthroplasty (HA) and concluded that a dela y in surgical time increases the risk of dislocation, with a delay of more than four days after injury being statistically significant. However, after extensive discussion with our panel of professional peers, we have several salient and pertinent questions that we hope you will ...
Source: Injury - April 16, 2024 Category: Orthopaedics Authors: Xinjie Wang, Xiaowei Zhao Tags: Letter to the Editor Source Type: research

Implementation of a Pediatric Trauma Registry at a National Referral Center in Kenya: Utility and Concern for Sustainability
Pediatric trauma is a global problem that disproportionately affects low- and middle-income countries (LMICs) with high death rates. The uneven distribution of morbidity and mortality is partially a result of unsafe living, working and travel environments as well as decreased access to timely, coordinated emergency care [1,2]. One main limitation to developing interventions and attracting funding streams is the paucity of published data on the epidemiology of pediatric trauma in many LMICs. Public health literature promotes use of trauma registries to inform policy priorities and quality improvement effort to strengthen tr...
Source: Injury - April 15, 2024 Category: Orthopaedics Authors: Manisha B. Bhatia, Connie H. Keung, Jessica Hogan, Eunice Chepkemoi, Helen W. Li, Emmy J. Rutto, Robert Tenge, Joshua Kisorio, JoAnna L. Hunter-Squires, Peter W. Saula Source Type: research