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Orv Hetil 2019 Apr;160(17):679-682

Ortopédiai Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Üllői út 78/B, 1082.

The authors report the case of a 19-year-old male patient with inhibitor-positive factor VIII deficiency. The patient had painful, limited range of motion and swelling in the left toe, due to haemarthrosis 1-2 times a month. The MR images depicted a bone cyst penetrating into the tibiotalar joint space at the distal end of the left tibia. Read More

Aging Clin Exp Res 2019 Apr 16. Epub 2019 Apr 16.

Beit Rivka Geriatric Rehabilitation Center, 4 Hachamisha St, 49245, Petach Tikva, Israel.

Purpose: Various factors have been shown to affect the rehabilitation outcome of hip fractured patients. Considering the decrease in muscle mass with aging and its impact on mobility, we hypothesized that a relationship exists between hand grip strength and rehabilitation outcome.

Methods: We retrospectively studied 373 post-hip fracture patients, admitted for rehabilitation. Read More

Acta Ortop Bras 2019 Mar-Apr;27(2):95-99

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.

Objective: To evaluate the epidemiological profile of patients with osteoporotic fractures compared to patients with osteoarthritis (OA) and identify factors that diminish adherence to secondary prevention.

Methods: A total of 108 patients with osteoporotic fractures (OF) were compared to 86 patients with OA.

Results: Patients in the OF group were older (p < 0. Read More

J Pediatr Orthop 2019 May/Jun;39(5):222-225

Children's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA.

Background: Flexion injuries of the spine range from mild compression fractures to severe flexion-distraction injuries, that is, Chance fractures. Chance fractures are often unstable and Arkader and colleagues demonstrated improved outcomes when Chance fractures are treated operatively compared with those managed nonoperatively.

Methods: A retrospective review was conducted of all patients treated over a 5-year period (2008 to 2013) for a flexion injury, either a Chance or a compression fracture, of the thoracolumbar spine at our tertiary pediatric level I trauma center. Read More

Arch Pediatr 2019 Apr 18;26(3):168-170. Epub 2019 Mar 18.

Chirurgie orthopédique pédiatrique, hôpital Clocheville, 49, boulevard Beranger, 37000 Tours, France.

A 14-year-old boy was admitted to the hospital after an episode of blunt trauma to the thorax, resulting in a Chance fracture of L1 and a compressive chylothorax 72h after admission. After initial drainage in the operating room, conservative management was successful. This case study documents one of the rare complications of spinal fractures in the context of high-energy blunt trauma. Read More

J Biomed Phys Eng 2019 Feb 1;9(1):81-88. Epub 2019 Feb 1.

Department of Computer Engineering, Science and IT, Shiraz University, Shiraz, Iran.

Background: Osteoporosis is a systemic skeletal disease characterized by low bone mineral density (BMD) and micro-architectural deterioration of bone tissue, leading to bone fragility and increased fracture risk. Since Panoramic image is a feasible and relatively routine imaging technique in dentistry; it could provide an opportunistic chance for screening osteoporosis. In this regard, numerous panoramic derived indices have been developed and suggested for osteoporosis screening. Read More

Tohoku J Exp Med 2019 03;247(3):161-171

Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health.

Despite the wide variety of international evidence on the relationship between the socioeconomic status (SES) and health outcomes, less is known about the association between SES and healthcare provider practices. We assessed whether patients with a closed hip fracture were treated differently by hospital physicians according to the SES of their residential areas in Japan. Hip fracture is a common cause of hospitalization among the elderly, but the relationship between SES and hip fracture treatment remains unknown in Japan. Read More

J Pediatr Orthop 2019 Apr;39(4):202-208

Department of Orthopedic Surgery, Mayo Clinic, Rochester MN.

Background: Adjacent segment pathology is a known complication after spinal fusion, but little has been reported on junctional failure. A series of adolescent patients presented with acute distal junctional failure (DJF). We sought to determine any common features of these patients to develop a prevention strategy. Read More

Clin Med Insights Case Rep 2019 27;12:1179547619832282. Epub 2019 Feb 27.

Department of Cardiology and Vascular Medicine, Siloam Hospitals Lippo Village - Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia.

Introduction: Totally implantable venous device has a good safety profile, although certain complications may occur. Late mechanical complications include catheter fracture and cardiac migration which are rarely occurring in approximately 0.1% to 1% of patients. Read More

Trauma Case Rep 2019 Apr 15;20:100168. Epub 2019 Feb 15.

Joint Reconstruction Research Center, Tehran University of Medical Sciences, Iran.

Background: Floating metacarpal is a rare concurrent bipolar dislocation of metacarpal at both ends. Isolated dislocations of Carpo-metacarpal (CMC) or Metacarpo-phalangeal (MCP) have been previously reported, simultaneous dislocations of both joints is scarcely reported in literature and bares high chance of diagnosis being missed on presentation.

Patient: A 29-year-old male presented with pain, swelling in left hand and loss of movement in fifth and fourth finger following a motorcycle fall injury. Read More

Orthop Surg 2019 Feb 27;11(1):109-116. Epub 2019 Feb 27.

Center for Joint Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.

Objective: To evaluate the surgical results of V-Y tendon plasty in the treatment of chronic Achilles tendon rupture during medium and long-term follow-up.

Methods: Between June 2005 and September 2017, 20 patients with chronic Achilles tendon rupture underwent V-Y tendon plasty in our hospital. The mean injury-to-surgery time was 20. Read More

SAGE Open Med Case Rep 2018 20;6:2050313X18819617. Epub 2018 Dec 20.

Department of General Thoracic Surgery, Shiga University of Medical Science, Otsu, Japan.

Traumatic hemothorax is usually caused by thoracic organ damage. Cases of atypical bleeding sources may be difficult to diagnose. Here we present two surgical cases of vertebral fracture that caused hemothorax. Read More

Injury 2019 Feb 8. Epub 2019 Feb 8.

Department of Orthopedic Oncology, Azienda Ospedaliera Universitaria Careggi, Largo P. Palagi 1, 50134 Firenze, Italy. Electronic address:

Introduction: Displaced intra-articular calcaneal fractures (DIACF) represent a challenging and controversial issue in traumatology. Conservative treatment has been recommended to avoid surgical problems and complications. The final result, however, is often a painful malunioun of the calcaneus with peroneal impingement. Read More

J Neurosci Rural Pract 2019 Jan-Mar;10(1):151-153

Department of Neurological Surgery, University College Hospital, Ibadan, Nigeria.

Chance fracture occurs from flexion-distraction injury in motor vehicle road crash usually when the patient is on a seat belt. It is often associated with intra-abdominal injuries. We managed a 22-year old female unbelted rear seat passenger of a bus which was involved in a lone accident. Read More

J Orthop Case Rep 2018 Sep-Oct;8(5):54-56

Department of Spine, Aster MIMS Hospital, Govindapurasam, Calicut, Kerala, India.

Introduction: Pathological fractures resulting from trivial trauma may be overlooked, especially, when it is after a road traffic accident.

Case Report: A 56-year-old male was operated elsewhere for burst fracture L3 vertebra following a trivial road traffic accident. Due to the persistence of symptoms, he was reevaluated. Read More

Ned Tijdschr Geneeskd 2019 Jan 29;163. Epub 2019 Jan 29.

LUMC, afd. Traumachirurgie, Leiden.

There is an ongoing discussion about optimal timing of hip fracture surgery and much has been published about this subject. There is no literature-based consensus regarding the timeframe in which a hip fracture patient should be operated on; nonetheless, the National Health Care Institute in the Netherlands has been using 'time to operation' as a quality indicator since 2017. Analysis of the data from the Health and Youth Care Inspectorate on the quality indicator 'Percentage of patients operated on within one calendar day' showed that in Dutch hospitals 93% of the ASA grade 1-2 patients and 86% of the ASA grade > 2 patients were operated on within one calendar day. Read More

J Biol Regul Homeost Agents 2018 Nov-Dec;32(6 Suppl. 1):71-76

Department of Oncologic and Degenerative Spine Surgery, IRCCS Istituto Ortopedico Rizzoli - Bologna, Italy.

The use of pedicle screws in low bone quality patients implicates risks of secondary implant loosening for grip lack. In fact, the result is a reduced mechanical stability at bone-screw interface and consequently an increased chance of pullout and hardware failure. Augmentation techniques have been described for many years and fenestrated screws that allow cement injection is one of them. Read More

J Orthop Trauma 2019 May;33(5):e190-e195

Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

Objectives: To determine the correlation of Salter-Harris II fracture patterns with premature physeal closure (PPC) and resultant angular deformity of the ankle.

Design: Retrospective review.

Setting: Cincinnati Children's Hospital Medical Center (outpatient level of care). Read More

Chin J Traumatol 2018 Dec 19;21(6):329-332. Epub 2018 Oct 19.

University of Alabama at Birmingham, 1313 13th Street South, Suite 226, Birmingham, AL, 35205, United States.

Purpose: Periprosthetic fracture (PPF) is a serious complication that occurs in 0.3%-2.5% of all total knee arthroplasties used to treat end-stage arthritis. Read More

Injury 2018 Dec 3;49 Suppl 4:S48-S57. Epub 2018 Dec 3.

Hip Department - Orthopedic and Trauma v, I.R.C.C.S. Policlinico San Donato, 20097, San Donato Mil.se, Milan, Italy; Division of Orthopaedic Surgery, McMaster University, Canada.

An infected non-union is a major and potentially devastating complication following bone fractures. It is often debilitating for the patients, physically and psychologically, because of its long healing period and emotional toll on patient and caregivers. Different surgical procedures (in one or two stages) are described in literature for its treatment. Read More

Musculoskelet Surg 2018 Dec 4. Epub 2018 Dec 4.

Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Pathumwan, Bangkok, 10330, Thailand.

Purpose: Displaced pediatric supracondylar humerus fracture (SCHF) requires a reduction and instrumentation. The trend is to send the cases to a fellowship-trained pediatric orthopedist. This study reviewed the outcomes and complications of SCHF surgically managed by orthopedic surgeons with different backgrounds of subspecialty training. Read More

J Mech Behav Biomed Mater 2019 Feb 12;90:587-590. Epub 2018 Nov 12.

Post-graduate Program in Dentistry, Dental School, University of Passo Fundo, Campus I, BR285, Passo Fundo, RS 99052-900, Brazil. Electronic address:

Objective: To evaluate the edge chip resistance (R) of two CAD/CAM monolithic ceramics (GC- IPS e.max CAD and YZ- Zenostar Zr Translucent) bonded to a dentine analogue substrate (G10- NEMA G10).

Methods: Plate-shaped specimens were prepared from GC and YZ ceramics and were either bonded (B) to G10 or attached (NB) to a universal testing machine for edge chipping test. Read More

Clin Podiatr Med Surg 2019 Jan 25;36(1):83-102. Epub 2018 Oct 25.

Department of Psychiatry, Rutgers New Jersey Medical School, 185 South Orange Avenue, Newark, NJ 07103, USA.

Diabetes mellitus is a devastating disease that has reached epidemic proportions. The surgical patient with diabetes is at increased risk for developing complications when compared with patients without diabetes. A comprehensive preoperative work-up must be performed, including ancillary studies, with optimization of the patient's glucose levels during the perioperative period to decrease the chance of developing surgical complications. Read More

Korean J Neurotrauma 2018 Oct 31;14(2):169-172. Epub 2018 Oct 31.

Department of Neurosurgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.

Pediatric seat-belt fracture is a rare condition, and its management has not been well defined. The authors report a case of pediatric Chance fracture that was managed conservatively and that demonstrated rapid bone healing. A 7-year-old boy presented with back pain after a motor vehicle accident. Read More

Chin Med J (Engl) 2018 Nov;131(21):2589-2598

Department of Orthopaedic, Graduate School of Peking Union Medical College, China-Japan Friendship Hospital Institute of Clinical Medicine, Beijing 100029, China.

Objective: To propose a new definition of the pericollapse stage of osteonecrosis of the femoral head (ONFH) and review its significance in disease diagnosis and treatment selection.

Data Sources: A search for eligible studies was conducted in three electronic databases including PubMed, Cochrane Library, and Embase up to August 10, 2018, using the following keywords: "osteonecrosis", "prognosis", and "treatment".

Study Selection: Investigations appraising the clinical signs, symptoms, and imaging manifestations in different stages of ONFH were included. Read More

J Back Musculoskelet Rehabil 2019 ;32(2):269-276

University of Novi Sad, Faculty of Medicine Novi Sad, Serbia.

Objective: Vertebral fractures are the most common osteoporotic fractures occurring due to low bone mineral density, as well as other risk factors. The aim of the paper is to investigate risk factors for vertebral osteoporotic fracture occurrence in postmenopausal women.

Methods: Retrospective analysis of data pertaining to 651 postmenopausal women obtained from the National Osteoporosis Registry of Serbia was conducted. Read More

Asian J Neurosurg 2018 Jul-Sep;13(3):906-909

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

Cervical spine chance fracture (flexion-distraction) is a rare type of fracture, and the surgical management remains a dilemma to the neurosurgeons as there is a paucity of evidence accordingly. We herein report a traumatic chance fracture of C7 fractures and its surgical management. A 33-year-old male was transferred to our center after being hit as pedestrian and was diagnosed to have a chance fracture of C7 and bilateral C7 root injury. Read More

Arch Osteoporos 2018 Sep 28;13(1):103. Epub 2018 Sep 28.

Faculty of Medicine, University of Toronto, Toronto, Canada.

Overtreatment of osteoporosis increases costs and puts patients at unnecessary risk of experiencing adverse drug events. In the Patient Activation After DXA Receipt Notification (PAADRN) trial, we found that 8% of individuals with no indication for therapy were recommended a new osteoporosis medication or continuation of an existing medication.

Purpose: There is a robust body of literature addressing undertreatment in osteoporosis, but limited data addressing overtreatment. Read More

JBJS Essent Surg Tech 2018 Jun 23;8(2):e16. Epub 2018 May 23.

Department of Orthopaedic Surgery, Akershus University Hospital, Lørenskog, Akershus, Norway.

Background: The treatment of completely displaced midshaft clavicle fractures is still controversial, but surgical treatment provides a shorter recovery period and higher union rates than nonoperative treatment with a sling. Even though the literature does not clearly support surgery for these fractures, surgery is becoming more frequent. Elastic stable intramedullary nailing (ESIN) with a titanium nail is a well-documented mini-invasive procedure with functional outcomes comparable with those of plate fixation after 1 year but a high rate of implant removal of up to 80%. Read More

Eur J Trauma Emerg Surg 2018 Aug 24. Epub 2018 Aug 24.

Department of Neurosurgery, Western General Hospital, University of Edinburgh, Crewe Road South, Edinburgh, EH4 2XU, UK.

Purpose: Paediatric cervical spine injuries are fortunately a rare entity. However, they do have the potential for devastating neurological sequelae with lifelong impact on the patient and their family. Thus, management ought to be exceptional from the initial evaluation at the scene of the injury, through to definitive management and rehabilitation. Read More

Eur J Trauma Emerg Surg 2018 Aug 23. Epub 2018 Aug 23.

Orthopedic Department, Rabin Medical Center, Beilinson Hospital, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, 39 Jabotinsky St., Petah Tikva, 49100, Tel Aviv, Israel.

Purpose: To define risk factors for rehospitalization following fragility hip fractures and to create a predictive model.

Methods: A retrospective cohort study of patients 65 years and older, who were treated operatively following fragility hip fractures between 01.2011 and 06. Read More

J Child Orthop 2018 Aug;12(4):398-405

Department of Orthopaedic Surgery, Peterborough City Hospital, Bretton Gate, Peterborough, UK.

Purpose: To determine if the detection of musculoskeletal pathology in children with a limp or acute limb disuse can be optimized by screening with blood tests for raised inflammatory markers, followed by MRI.

Methods: This was a prospective observational study. Entry criteria were children (0 to 16 years of age) presenting to our emergency department with a non-traumatic limp or pseudoparalysis of a limb, and no abnormality on plain radiographs. Read More

JBJS Case Connect 2018 Jul-Sep;8(3):e64

Department of Orthopaedic Surgery, Division of Orthopaedic Trauma, Rutgers New Jersey Medical School, Newark, New Jersey.

Case: We present the case of a 10-year-old girl who sustained a transepiphyseal femoral neck fracture with posterior dislocation of the femoral epiphysis and an associated transverse posterior wall acetabular fracture, leading to complete separation of the capital femoral epiphysis. She underwent urgent operative intervention; she was followed for 13 years and achieved an excellent outcome.

Conclusion: Pediatric hip fracture-dislocations are complex injuries that should be managed by a competent pelvic reconstructive surgeon in a well-resuscitated patient. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(9):1157-1161

Department of Orthopedics, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Guangdong, 510120, P.R.China.

Objective: To evaluate the effectiveness of cemented polyethylene liner technique in hip revision.

Methods: Based on inclusion criteria, the clinical data of 26 patients who were undergone hip revision between January 2011 and December 2013, were retrospectively reviewed. Among them, 14 cases were treated with isolated liner exchange (group A) and 12 cases were treated with cemented polyethylene liner technique (group B). Read More

Ann Vasc Surg 2019 Feb 4;55:260-271. Epub 2018 Aug 4.

Department of Vascular Surgery, AXEPA University Hospital, Aristotle University of Thessaloniki, Greece.

Background: Pulseless hand after a supracondylar humeral fracture (SHF) in children is well known in the bibliography. Although things are clearer in the management of a "pale pulseless hand," controversy still exists about the "pink pulseless hand" (PPH).

Methods: We reviewed the literature from the electronic database PubMed for studies with main object the vascular injuries after SHF in children and especially the pulseless hand. Read More

J Investig Clin Dent 2018 Nov 13;9(4):e12348. Epub 2018 Jul 13.

Postgraduate Program in Dentistry, Faculty of Dentistry, Estácio de Sá University, Rio de Janeiro, Brazil.

Aim: The aim of the present study was to assess the association of sex, age, group of teeth, and type of accident (exposure) with dental fractures (outcome: enamel-dentine fracture without [EDF] or with pulp exposure [EDPF] and root fracture RF]).

Methods: In total, 1046 patients were selected. Logistic binary regression was used. Read More

Acta Ortop Bras 2018 Mar-Apr;26(2):117-122

. Osteometabolic Diseases Group, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, SP, Brazil.

Objective: To evaluate the profile of patients with osteoporotic fractures treated at a tertiary orthopedic hospital.

Methods: Using questionnaires, 70 patients with osteoporotic fractures (OF) were compared with 50 outpatients with multiple osteoarthritis (OA) followed through an outpatient clinic.

Results: The OF group was older (p <0. Read More

Ir J Med Sci 2018 Jul 4. Epub 2018 Jul 4.

Department of Orthopaedic Surgery, St. Vincent's University Hospital, Dublin, Ireland.

Background And Aims: Current best practice states that hip fracture patients should undergo surgery within 48 hours to minimise perioperative complications. There are 10 emergency departments (EDs) in Ireland that receive hip fracture patients without a trauma and orthopaedic surgery unit on site. Idle periods and duplicated preoperative investigations can lead to a prolonged time to surgery. Read More

J Am Med Dir Assoc 2018 Oct 27;19(10):840-845. Epub 2018 Jun 27.

Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden.

Objective: Systematic rehabilitation by geriatric interdisciplinary teams has been associated with favorable outcomes in frail older patients. The aim of the present meta-analysis was to evaluate the effects of interdisciplinary geriatric team rehabilitation in older patients with hip fracture.

Design, Setting, And Participants: Randomized controlled trials involving participants sustaining hip fractures at the age of 65 years or older were included. Read More

Cureus 2018 Apr 17;10(4):e2496. Epub 2018 Apr 17.

Department of Trauma and Orthopaedic Surgery, Galway University Hospital, Galway, IRL.

Lateral femoral prosthesis perforation is an uncommon periprosthetic fracture. Periprosthetic fractures may be fixed with open reduction and internal fixation, or with revision arthroplasty, depending on the type of fracture, the condition of the host bone in the proximal femur, the stability of the implant, and occasionally the medical co-morbidities of the patient. Proximal femoral replacement is a complex and challenging procedure but provides a better chance of early mobilisation. Read More

BMC Public Health 2018 Jun 15;18(1):744. Epub 2018 Jun 15.

Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, 38 Xueyuan Rd, Beijing, 100191, China.

Background: Understanding the correlates of self-rated health (SRH) can help public health professionals prioritize health-promotion and disease-prevention interventions. This study aimed to investigate the association between multiple comorbidities and global SRH and age-comparative SRH.

Methods: A total of 512,891 participants aged 30-79 years old were recruited into the China Kadoorie Biobank study from ten regions between 2004 and 2008. Read More

Arthrosc Tech 2018 May 16;7(5):e491-e497. Epub 2018 Apr 16.

Department of Orthopaedic Surgery, Mansoura University Hospital, Faculty of Medicine, Mansoura University, Mansoura, Dakahlia, Egypt.

Avulsion fractures of the tibial eminence, although generally a rare injury pattern, are more common in children and adolescents than in adults. Many open and arthroscopic techniques are available with variable degrees of satisfying results and incidence of complications and adverse effects. Arthroscopic fixation appeared to improve the functional outcomes with fewer complications than the open fixation. Read More

Ostomy Wound Manage 2018 05;64(5):47-52

The challenges of managing Gustilo IIIB tibial fractures (ie, high energy trauma with a contaminated wound >10 cm in length, severe comminution ["crumbling"] or segmental fractures, and periosteal stripping) in children are unique in part because no clear guidelines exist and the injuries may cause short-term and long-term complications. Repeated wound debridement and secondary reconstruction are required in approximately 20% of these cases in both adults and children. A 13-year-old girl presented with severe polytrauma including an open Gustilo type IIIB fracture of the left lower leg. Read More

Eur J Orthop Surg Traumatol 2018 Oct 11;28(7):1297-1303. Epub 2018 May 11.

Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.

Background: Our primary goal was to audit the incidence of erythrocyte blood transfusion (EBT) after hip fracture surgery and study the effects on perioperative complications and early and late mortality.

Methods: In a retrospective cohort study all patients 65 years old and above treated operatively for an acute hip fracture were included over a 48-month period with a 2-year follow-up period. Postoperative hemoglobin levels were used to investigate at what threshold EBT was used. Read More

Pediatr Emerg Care 2018 May 5. Epub 2018 May 5.

Lower extremity fractures (LEFs) caused by road traffic accidents (RTAs) can result in significant morbidity and account for a substantial part of nonfatal injuries requiring hospitalization. This study investigated the epidemiology of RTA-associated LEFs in the pediatric population. Based on the National Trauma Registry, data of 28,924 RTA hospitalized pediatric patients were reviewed. Read More

Eur Spine J 2018 07 7;27(Suppl 3):538-543. Epub 2018 May 7.

Department of Neurological Surgery, University of California, San Francisco, 505 Parnassus Ave. Room M779, San Francisco, CA, 94143, USA.

Purpose: Minimally invasive lateral approaches to the lumbar spine allow for interbody fusion with good visualization of the disk space, minimal blood loss, and decreased length of stay. Major neurologic, vascular, and visceral complications are rare with this approach; however, the steps in management for severe vascular injuries are not well defined. We present a case report of aortic injury during lateral interbody fusion and discuss the use of endovascular repair. Read More

Asian J Urol 2018 Apr 2;5(2):107-117. Epub 2018 Mar 2.

Department of Reconstructive Urology, Kulkarni Reconstructive Urology Centre, Pune, India.

Objectives: Pelvic fracture urethral injuries (PFUI) result from traumatic disruption of the urethra. A significant proportion of cases are complex rendering their management challenging. We described management strategies for eight different complex PFUI scenarios. Read More