1,418 results match your criteria European Journal of Trauma and Emergency Surgery[Journal]


Surgical treatment strategies in pediatric trauma patients: ETC vs. DCO-an analysis of 316 pediatric trauma patients from the TraumaRegister DGU.

Eur J Trauma Emerg Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Trauma and Reconstructive Surgery, RWTH Aachen University, Pauwelsstreet 30, 52074, Aachen, Germany.

Purpose: External fixation within the damage control concept in unstable multiple trauma patients is widely accepted. Literature about its usage in the pediatric trauma population, however, is rare. The aim of the present study was to elucidate the factors associated with the application of external fixation in the severely injured child. Read More

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http://dx.doi.org/10.1007/s00068-019-01092-7DOI Listing
February 2019

Minute-to-minute urine flow rate variability: a retrospective survey of its ability to provide early warning of acute hypotension in critically ill multiple trauma patients.

Eur J Trauma Emerg Surg 2019 Feb 13. Epub 2019 Feb 13.

General Intensive Care Unit, Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, Beersheba, Israel.

Purpose: Dynamic changes in urine output and neurological status are the recognized clinical signs of hemodynamically significant hemorrhage. In the present study, we analyzed the dynamic minute-to-minute changes in the UFR and also the changes in its minute-to-minute variability in a group of critically ill multiple trauma patients whose blood pressures were normal on admission to the ICU but who subsequently developed hypotension within the first few hours of their ICU admission.

Patients And Methods: The study was retrospective and observational. Read More

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http://dx.doi.org/10.1007/s00068-019-01090-9DOI Listing
February 2019

Severe head injury in elderly: 6-year comparison of treatment and outcome between southern Finland and Navarra (Spain).

Eur J Trauma Emerg Surg 2019 Feb 12. Epub 2019 Feb 12.

Accident and Emergency Department, Complejo Hospitalario de Navarra, Health service of Navarra-Osasunbidea, 31011, Pamplona, Spain.

Purpose: To compare the profile, treatment and outcome of elderly patients with severe traumatic brain injuries (TBI) between southern Finland and Navarra (Spain).

Methods: Data collected from, 2010 to 2015, in the Major Trauma Registry of Navarra (MTR-N) and the Helsinki Trauma Registry (HTR) were compared. Patients with New Injury Severity Score (NISS) ≥ 16 and age ≥ 65 with isolated severe TBI were considered. Read More

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http://dx.doi.org/10.1007/s00068-019-01091-8DOI Listing
February 2019

Fracture patterns in patients with multiple fractures: the probability of multiple fractures and the most frequently associated regions.

Eur J Trauma Emerg Surg 2019 Feb 12. Epub 2019 Feb 12.

St. Vincent Hospital-Metabolic Bone Diseases Unit, The VINFORCE Study Group, Vienna, Austria.

Introduction: Multiple fractures are of high clinical relevance, as a significant increase in mortality rate has been described. The purpose of this study was to evaluate differences in age and gender distribution in multiple fractures dependent on severity of trauma. Furthermore, affected anatomic regions and frequently associated fracture regions were investigated. Read More

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http://dx.doi.org/10.1007/s00068-019-01087-4DOI Listing
February 2019

Differences between primary and secondary definitive osteosynthesis for fractures of the lower leg with concomitant acute compartment syndrome.

Eur J Trauma Emerg Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Germany.

Purpose: To analyze the differences in outcomes between primary and secondary definitive osteosynthesis for fractures of the lower leg with concomitant acute compartment syndrome (ACS).

Methods: From our trauma database, we identified a total of 107 patients with 126 fractures of AO/OTA type 41-44 and 120 ACS from January 01, 2001 to December 31, 2015 who were treated with primary or secondary definitive osteosynthesis after concomitant fasciotomy.

Results: Seventy-one patients with 77 fractures of AO/OTA classification type 41-44 suffering ACS received primary definitive osteosynthesis at the time of compartmental incision (POCI) and were compared to 36 patients with 49 fractures of AO/OTA type 41-44 and ACS, who received secondary definitive osteosynthesis after compartmental incision and soft tissue coverage (SOCI). Read More

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http://dx.doi.org/10.1007/s00068-019-01089-2DOI Listing
February 2019

Road traffic injuries in Poland: magnitude and risk factors.

Eur J Trauma Emerg Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Emergency Medicine, Medical University of Lublin, Lublin, Poland.

Introduction: The article presents the epidemiology of road traffic injuries and fatalities in Poland in the years 2004-2014. In Poland, every fourth death caused by external reasons is the result of a road traffic crash and Poland has one of the highest road fatality rates in relation to vehicle ownership in Europe, with an average 23 deaths per million residents. This rate is two times higher than most other European Union countries. Read More

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http://dx.doi.org/10.1007/s00068-019-01093-6DOI Listing
February 2019

Computed tomography in suspected anastomotic leakage after colorectal surgery: evaluating mortality rates after false-negative imaging.

Eur J Trauma Emerg Surg 2019 Feb 8. Epub 2019 Feb 8.

Department of Surgery, San Gerardo Hospital, Monza, Italy.

Purposes: We sought to investigate the accuracy of abdominal CT scanning for anastomotic leakage and the effect of false-negative scans on the delay in therapeutic intervention and clinical outcome.

Method: Data from a prospectively bi-institutionally maintained database of all patients who underwent elective colorectal surgery with primary anastomosis for malignant or benign disease between 2010 and 2017 were reviewed. Patients with confirmed anastomotic dehiscence at reintervention who underwent a postoperative CT scan for suspected leakage were identified and radiological reports were retrieved. Read More

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http://dx.doi.org/10.1007/s00068-019-01083-8DOI Listing
February 2019

Paradigm shift in geriatric fracture treatment.

Eur J Trauma Emerg Surg 2019 Feb 6. Epub 2019 Feb 6.

Department of Orthopaedics and Traumatology, University Medical Center of Johannes Gutenberg-University Mainz, Mainz, Germany.

The number of geriatric patients is increasing. These patients exhibit specific characteristics, which influence the type of fracture care. Many patients have comorbidities, which make them more vulnerable to surgical procedures. Read More

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http://dx.doi.org/10.1007/s00068-019-01080-xDOI Listing
February 2019
1 Read

Extra-parenchymal splenic abnormalities not vascular injury predict need for primary splenectomy.

Eur J Trauma Emerg Surg 2019 Feb 5. Epub 2019 Feb 5.

Division of Trauma and Critical Care, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Greene St, Baltimore, MD, 21201, USA.

Purpose: Radiographic indications for primary splenectomy (PS) in blunt splenic injury (BSI) after radiographic diagnosis are unknown. Improved understanding of radiographic characteristics of patients requiring splenectomy will help to appropriately triage patients to PS or non-operative management (NOM).

Methods: A retrospective, single-center review was performed of BSI diagnosed with computerized tomography (CT). Read More

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http://dx.doi.org/10.1007/s00068-019-01085-6DOI Listing
February 2019

A differentiated approach to repeat small-bowel anastomoses in patients with postoperative peritonitis: a prospective cohort study.

Eur J Trauma Emerg Surg 2019 Feb 4. Epub 2019 Feb 4.

Chair of Neymark Departmental Surgery and Hospital Surgery, Altai State Medical University, Prospect Lenina 40, Barnaul, Altai Krai, 656038, Russia.

Background: Postoperative peritonitis still remains the cause of a high mortality rate in emergency abdominal surgery. Here we aimed to evaluate the efficacy of different surgical strategies for small-bowel perforations that resulted in postoperative peritonitis.

Methods: Surgical management results for 140 patients with postoperative peritonitis due to small-bowel perforations, necrosis and anastomotic leakage were comparatively analyzed. Read More

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http://dx.doi.org/10.1007/s00068-019-01084-7DOI Listing
February 2019
1 Read

Compartment pressures in children with normal and fractured lower extremities.

Eur J Trauma Emerg Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Pediatric Surgery, General and Thoracic Surgery, University Children's Hospital Zurich, Steinwiessstrasse 75, 8032, Zurich, Switzerland.

Purpose: Needle manometry is a tool to confirm suspected acute compartment syndrome (ACS). There is scarce evidence of normal pressure values of the lower extremities in children. The aim of this study is to assess the normal compartment pressures in non-injured lower extremities of children. Read More

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http://link.springer.com/10.1007/s00068-019-01082-9
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http://dx.doi.org/10.1007/s00068-019-01082-9DOI Listing
February 2019
6 Reads

Does lack of thoracic trauma attenuate the severity of pulmonary failure? An 8-year analysis of critically injured patients.

Eur J Trauma Emerg Surg 2019 Feb 2. Epub 2019 Feb 2.

Department of Surgery, University of Tennessee Health Science Center, 910 Madison Ave. #225, Memphis, TN, 38163, USA.

Purpose: Patients with thoracic trauma are presumed to be at higher risk for pulmonary dysfunction, but adult respiratory distress syndrome (ARDS) may develop in any patient, regardless of associated chest injury. This study evaluated the impact of thoracic trauma and pulmonary failure on outcomes in trauma patients admitted to the intensive-care unit (ICU).

Methods: All trauma patients admitted to the ICU over an 8-year period were identified. Read More

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http://dx.doi.org/10.1007/s00068-019-01081-wDOI Listing
February 2019
1 Read

A clinical comparison of laparoscopic versus open appendectomy for the treatment of complicated appendicitis: historical cohort study.

Eur J Trauma Emerg Surg 2019 Feb 2. Epub 2019 Feb 2.

Department of General Surgery, Kishiwada Tokushukai Hospital, 4-27-1 Kamoricho, Kishiwada, Osaka, 596-0042, Japan.

Background: Appendectomy is one of the most common operations. Laparoscopic appendectomy (LA) is considered first-line treatment, but the use of LA for treatment of complicated appendicitis remains controversial. Here, we performed a retrospective analysis to compare clinical outcomes between patients treated with LA and those who underwent open appendectomy (OA). Read More

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http://dx.doi.org/10.1007/s00068-019-01086-5DOI Listing
February 2019
1 Read

Focus on non-union of fractures.

Authors:
Ingo Marzi

Eur J Trauma Emerg Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Trauma, Hand, and Reconstructive Surgery, University Hospital, Johann Wolfgang Goethe University, Frankfurt am Main, Germany.

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http://dx.doi.org/10.1007/s00068-019-01079-4DOI Listing
January 2019

Examining the impact of small bowel resection procedure timing in patients with blunt traumatic injury: a propensity-matched analysis.

Eur J Trauma Emerg Surg 2019 Jan 25. Epub 2019 Jan 25.

Department of Research Administration, Jersey Shore University Medical Center, Neptune, NJ, USA.

Objective: The purpose of this study was to evaluate the impact of the timing of small bowel resection in small bowel injury on patients' outcomes.

Methods: This study was performed using data from patients included in the National Trauma Data Bank (2007-2010) who sustained blunt injuries and underwent a small bowel resection (SBR) within 24 h of arrival to the hospital. The patients' characteristics and outcomes were compared between two groups: SBR within 4 h (Group 1) and SBR between 4 and 24 h (Group 2) using Chi-square, Fisher exact, and Wilcoxon rank-sum tests. Read More

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http://dx.doi.org/10.1007/s00068-018-1056-yDOI Listing
January 2019

Limited value of the column concept in the operative management of posterior column tibial plateau fractures.

Eur J Trauma Emerg Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Trauma Surgery, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.

Introduction: The three-column concept has been proposed as tool in surgical decision-making for treating tibial plateau fractures. Recent studies have underscored the negative effect of posterior column tibial plateau fractures on clinical outcome. The purpose of this study was to assess the value of the three-column concept and posterior plating in posterior column fractures. Read More

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http://dx.doi.org/10.1007/s00068-019-01078-5DOI Listing
January 2019
1 Read

Reoperations after surgery for acute subdural hematoma: reasons, risk factors, and effects.

Eur J Trauma Emerg Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Neurosurgery, Faculty of Medicine, St. Anne's Hospital Brno, Masaryk University, Pekařská 53, 656 91, Brno, Czech Republic.

Purpose: To analyze the reasons and patient-related and injury-related risk factors for reoperation after surgery for acute subdural hematoma (SDH) and the effects of reoperation on treatment outcome.

Methods: Among adult patients operated on for acute SDH between 2013 and 2017, patients reoperated within 14 days after the primary surgery were identified. In all patients, parameters were identified that related to the patient (age, anticoagulation, antiplatelet, and antiepileptic treatment, and alcohol intoxication), trauma (Glasgow Coma Score, SDH thickness, midline shift, midline shift /hematoma thickness rate, other surgical lesion, primary surgery-trephination, craniotomy, or decompressive craniotomy), and Glasgow Outcome Score (GOS). Read More

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http://dx.doi.org/10.1007/s00068-019-01077-6DOI Listing
January 2019
2 Reads

An observational study evaluating the demand of major trauma on different surgical specialities in a UK Major Trauma Centre.

Eur J Trauma Emerg Surg 2019 Jan 19. Epub 2019 Jan 19.

University of Bristol, Bristol, UK.

Introduction: Major Trauma Centres (MTCs) should ideally have all key surgical specialities on site. This may not always be the case since trauma is only one factor influencing speciality location. The implications of this can only be understood when the demands on specific specialities are established and this is not well documented. Read More

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http://dx.doi.org/10.1007/s00068-019-01075-8DOI Listing
January 2019
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Mid-term results of minimally invasive deltoid-split versus standard open deltopectoral approach for PHILOS™ (proximal humeral internal locking system) osteosynthesis in proximal humeral fractures.

Eur J Trauma Emerg Surg 2019 Jan 14. Epub 2019 Jan 14.

Department of Surgery, Limmattal Hospital, Urdorferstrasse 100, 8952, Zurich-Schlieren, Switzerland.

Purpose: Only a few reports compare the mid- and long-term outcome of the minimally invasive deltoid split (MIDS) with the classic anterior deltopectoral (DP) approach for osteosynthesis in proximal humeral fractures. This study compared the mid-term functional and the radiological results in patients with proximal humeral fractures undergoing osteosynthesis with the proximal humeral internal locking system (PHILOS™).

Methods: All patients undergoing osteosynthesis between 2008 and 2015 were clinically and radiologically examined with a minimal follow-up period of 1 year. Read More

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http://link.springer.com/10.1007/s00068-019-01076-7
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http://dx.doi.org/10.1007/s00068-019-01076-7DOI Listing
January 2019
10 Reads

Observed versus expected mortality in pediatric patients intubated in the field with Glasgow Coma Scale scores < 9.

Eur J Trauma Emerg Surg 2019 Jan 10. Epub 2019 Jan 10.

Department of Trauma, Hand and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.

Purpose: A Glasgow Coma Scale (GCS) score of 8 or less in patients suffering from severe traumatic brain injury (TBI) represents a decision-making marker in terms of intubation. This study evaluated the impact of prehospital intubation on the mortality of these TBI cases among different age groups.

Methods: This study included the data from patients predominantly suffering from severe TBI [Abbreviated Injury Scale (AIS) of the head ≥ 3, GCS score < 9, Injury Severity Score (ISS) > 9] who were registered in TraumaRegister DGU from 2002 to 2013. Read More

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http://link.springer.com/10.1007/s00068-018-01065-2
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http://dx.doi.org/10.1007/s00068-018-01065-2DOI Listing
January 2019
8 Reads

Eighteen years' experience of traumatic subclavian vascular injury in a tertiary referral trauma center.

Eur J Trauma Emerg Surg 2019 Jan 9. Epub 2019 Jan 9.

Division of Trauma and Emergency Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, No.5, Fuxing St., Guishan Dist., Linkou, Taoyuan, 333, Taiwan.

Purpose: Traumatic subclavian vascular injury (TSVI) is rare but often fatal. The precise diagnosis of TSVI remains challenging mainly because of its occult nature, less typical presentations, and being overlooked in the presence of polytrauma. Compared to penetrating injuries, it is even more difficult to identify TSVI in patients who have blunt injuries and no visible bleeding. Read More

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http://dx.doi.org/10.1007/s00068-018-01070-5DOI Listing
January 2019
9 Reads

Novel transcatheter arterial embolization method for hemodynamically unstable pelvic fractures to prevent complications of gluteal necrosis.

Eur J Trauma Emerg Surg 2019 Jan 8. Epub 2019 Jan 8.

Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0375, Japan.

Purpose: To validate our previously designed transcatheter arterial embolization (TAE) technique for bilateral iliac arteries in unstable pelvic fractures, which is designed to also prevent gluteal necrosis and avoid vasopressors.

Methods: We retrospectively analyzed the data of patients with pelvic fractures who underwent our new TAE procedure to determine the incidence of subsequent gluteal necrosis. We also compared certain variables between patients who underwent TAE before 2005 using a different technique and developed gluteal necrosis and patients who underwent TAE in 2005 and onward using our technique. Read More

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http://link.springer.com/10.1007/s00068-018-01066-1
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http://dx.doi.org/10.1007/s00068-018-01066-1DOI Listing
January 2019
9 Reads

Deceleration thoracic aortic ruptures in trauma center level I areas: a 6-year retrospective study.

Eur J Trauma Emerg Surg 2019 Jan 8. Epub 2019 Jan 8.

Department of Surgery, University Hospital in Hradec Kralove, Sokolska Street 581, 500 05, Hradec Králové, Czech Republic.

Objectives: This retrospective study aimed to analyze the trend of mortality due to thoracic aortic ruptures caused by deceleration injuries that occurred within the catchment area of Hradec Kralove University Hospital.

Materials And Methods: The study sample comprised 175 patients who had sustained thoracic aortic ruptures caused by deceleration injuries and were transported to Hradec Kralove University Hospital in 2009-2014. The small proportion of patients enrolled in this retrospective study were diagnosed and treated at the emergency department (ED). Read More

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http://dx.doi.org/10.1007/s00068-018-01063-4DOI Listing
January 2019
2 Reads

Epidemiologic trends for isolated tibia shaft fracture admissions in The Netherlands between 1991 and 2012.

Eur J Trauma Emerg Surg 2019 Jan 7. Epub 2019 Jan 7.

Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.

Introduction: Population-based knowledge on the occurrence of specific injuries is essential for the allocation of health care services, optimization of preventive measures, and research purposes. Therefore, the aim of this study was to examine long-term nation-based trends in the incidence rate, trauma mechanism, hospital length of stay (HLOS), treatment, and outcome of hospital-admitted patients with an isolated tibia shaft fracture between 1991 and 2012 in The Netherlands.

Methods: All hospital-admitted patients in The Netherlands between 1991 and 2012 with an isolated tibia shaft fracture were included. Read More

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http://dx.doi.org/10.1007/s00068-018-01072-3DOI Listing
January 2019
3 Reads

The relationship between injury mechanism and sexual dysfunction in surgically treated pelvic fractures.

Eur J Trauma Emerg Surg 2019 Jan 7. Epub 2019 Jan 7.

Department of Orthopedics and Traumatology, Bakırköy Dr. Sadi Konuk Education and Research Hospital, Tevfik Sağlam St. Number 11, 34147, Bakırköy, Istanbul, Turkey.

Purpose: The aim of the study was to identify the incidence of new sexual dysfunction reported by the patient in surgical treatment of pelvic ring injuries, and to describe the relationship between new sexual dysfunction and type of fracture.

Methods: Ninety-five patients who were operated for pelvic fracture were included in the study. Patients were evaluated according to age, gender, marital status, body mass index, trauma mechanism, fracture classification, genitourinary injury, accompanying injury, injury severity score, surgical technique, fixation material, duration of operation, functional outcomes, blood loss, complications, and sexual dysfunction. Read More

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http://link.springer.com/10.1007/s00068-018-01067-0
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http://dx.doi.org/10.1007/s00068-018-01067-0DOI Listing
January 2019
2 Reads

Logistical factors associated with adverse outcomes following emergency surgery in an acute care surgical unit.

Eur J Trauma Emerg Surg 2019 Jan 7. Epub 2019 Jan 7.

Division of General Surgery, Groote Schuur Hospital, Cape Town, South Africa.

Purpose: The Acute Care Surgical Unit at Groote Schuur Hospital was established in 2010 and is the first of its kind in Africa. The aim of this study was to describe the outcomes of emergency surgical cases, as well as determine the logistical factors associated with adverse outcomes following surgery within the unit.

Methods: This study was a retrospective audit which reviewed the folders of adult patients who underwent an emergency surgical procedure from July 2016 to July 2017. Read More

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http://dx.doi.org/10.1007/s00068-018-01064-3DOI Listing
January 2019
1 Read

Ankle torque-related fractures and its echo-fast diagnosis protocol.

Eur J Trauma Emerg Surg 2019 Jan 7. Epub 2019 Jan 7.

Orthopedic Surgery and Traumatology Department, La Fe Hospital, Valencia, Spain.

Ankle torque is the most frequent injury mechanism encountered in traumatology. It usually develops as an ankle sprain, and often produces an ankle fracture. Signs and symptoms are very unspecific on the differential diagnosis, and conventional radiographs must be obtained to confirm it. Read More

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http://dx.doi.org/10.1007/s00068-018-01069-yDOI Listing
January 2019
2 Reads

A single antegrade intramedullary k-wire for fifth metacarpal neck fractures.

Eur J Trauma Emerg Surg 2019 Jan 7. Epub 2019 Jan 7.

Department of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University School of Medicine, Zahra Street, Achrafieh, Beirut, Lebanon.

Objectives: Antegrade intramedullary nailing (AIMN) using 2k-wires seems to be superior to other modalities in treating displaced fractures of the fifth metacarpal neck (FFMN). Few reports demonstrated similar results retrospective with a single k-wire. The aim of the study is to describe our single k-wire technique and evaluate the related results. Read More

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http://dx.doi.org/10.1007/s00068-018-01073-2DOI Listing
January 2019
1 Read
0.380 Impact Factor

The impact of cerclage cabling on unstable intertrochanteric and subtrochanteric femoral fractures: a retrospective review of 465 patients.

Eur J Trauma Emerg Surg 2019 Jan 5. Epub 2019 Jan 5.

Ulster Hospital, Belfast, Northern Ireland, UK.

Purpose: To assess the potential impact of using cerclage cables or wires when undertaking fixation of unstable intertrochanteric and subtrochanteric fractures.

Methods: Patients were identified from a validated hospital database which included patients from all trauma units within Northern Ireland from 2008 to 2015. The primary outcome measure was return to theatre for any reason. Read More

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http://link.springer.com/10.1007/s00068-018-01071-4
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http://dx.doi.org/10.1007/s00068-018-01071-4DOI Listing
January 2019
7 Reads

Return to work after early repair of acute traumatic rotator cuff tears.

Eur J Trauma Emerg Surg 2019 Jan 5. Epub 2019 Jan 5.

Department of Orthopedics, Helsingborg Hospital, Region Skåne, Sweden.

Background: Lost workdays following rotator cuff repair is not well-studied in the literature. We aimed to define the time away from work following early arthroscopic repair of acute traumatic rotator cuff tears and compare it with the recommendations of the American Medical Disability Advisor (MD Guidelines) and The Swedish Social Insurance Agency.

Methods: Thirty-two consecutive working patients with a median age of 58 (42-70) years suffering from acute traumatic rotator cuff tears who underwent arthroscopic repair were prospectively studied. Read More

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http://dx.doi.org/10.1007/s00068-019-01074-9DOI Listing
January 2019
3 Reads

A biomechanical comparison of three fixation techniques in osteoporotic reverse oblique intertrochanteric femur fracture with fragmented lateral cortex.

Eur J Trauma Emerg Surg 2019 Jan 2. Epub 2019 Jan 2.

Department of Orthopedics and Traumatology, Istanbul University Faculty of Medicine, Istanbul, Turkey.

Background: The treatment of the reverse oblique osteoporotic femur fractures is still problematic and can be complicated especially that are accompanied by a fragmented lateral cortex.

Aim: The aim of this study was to compare three different internal fixation methods in the osteosynthesis of osteoporotic reverse oblique intertrochanteric femur fracture models with a fragmented lateral cortex.

Study Design: Biomechanical experiment study. Read More

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http://dx.doi.org/10.1007/s00068-018-1061-1DOI Listing
January 2019
1 Read

Evaluation of new quality indicators for the TraumaRegister DGU using the systematic QUALIFY methodology.

Eur J Trauma Emerg Surg 2018 Dec 14. Epub 2018 Dec 14.

Department for Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Armed Forces Hospital Ulm, HEMS "Christoph 22", Oberer Eselsberg 40, 89081, Ulm, Germany.

Background: The TraumaRegister DGU (TR-DGU) of the German Trauma Society (Deutsche Gesellschaft für Unfallchirurgie, DGU) enables the participating hospitals to perform quality management. For that purpose, nine so-called audit filters have existed, since its foundation, which, inter alia, is listed in the Annual Report. The objective of this study effort is a revision of these quality indicators with the aim of developing pertinent new and reliable quality indicators for the management of severely injured patients. Read More

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http://dx.doi.org/10.1007/s00068-018-1055-zDOI Listing
December 2018
5 Reads

Streamlining pre- and intra-hospital care for patients with severe trauma: a white paper from the European Critical Care Foundation.

Eur J Trauma Emerg Surg 2018 Dec 12. Epub 2018 Dec 12.

Department of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, Route de Lennik 808, 1070, Brussels, Belgium.

Purpose: Major trauma remains a significant cause of morbidity and mortality in the developed and developing world. In 2013, nearly 5 million people worldwide died from their injuries, and almost 1 billion individuals sustained injuries that warranted some type of healthcare, accounting for around 10% of the global burden of disease in general. Behind the statistics, severe trauma takes a major toll on individuals, their families and healthcare systems. Read More

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http://dx.doi.org/10.1007/s00068-018-1053-1DOI Listing
December 2018
2 Reads

Local fixation of antibiotics with fibrin spray on soft tissues: experimental study on the relevance of the application techniques.

Eur J Trauma Emerg Surg 2018 Dec 12. Epub 2018 Dec 12.

Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Goethe-University, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.

Objective: In acute and chronic infections of soft tissue, a radical surgical debridement is necessary, and is regarded as the 'Gold Standard, as well as an immediately systemic antibiotic therapy. Additional treatment with local antibiotics and/or antibiotic-containing materials is commonly used in clinical settings, but the efficient concentration of the antibiotic is not well-known.

Methods: Aside from the typical procedures which are provided and supported by the industry, we have conducted an animal study including 39 Sprague Dawley rats. Read More

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http://dx.doi.org/10.1007/s00068-018-1054-0DOI Listing
December 2018
1 Read

Facilitators and constrainers of civilian-military collaboration: the Swedish perspectives.

Eur J Trauma Emerg Surg 2018 Dec 12. Epub 2018 Dec 12.

Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.

Purpose: An increasing number of international and domestic armed conflicts, including terror attacks on civilians, along with constrained healthcare finance and resource limitation, has made a civilian-military collaboration (CMC) crucial. The purpose of this study was to identify facilitators and constrainers in CMC in a national perspective with a specific focus on medical aspects.

Method: A literature review of recently published papers about civilian-military collaboration, along with a short survey, was conducted. Read More

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http://dx.doi.org/10.1007/s00068-018-1058-9DOI Listing
December 2018
2 Reads
0.380 Impact Factor

High prevalence of deep vein thrombosis in elderly hip fracture patients with delayed hospital admission.

Eur J Trauma Emerg Surg 2018 Dec 7. Epub 2018 Dec 7.

Department of Orthopaedic Surgery, School of Medicine, Pontificia Universidad Catolica de Chile, Diagonal Paraguay 362, Tercer Piso, Santiago, Chile.

Purpose: Deep vein thrombosis (DVT) is a common complication in hip fracture patients, associated with significant morbidity and mortality. Research has focused on postoperative DVT, with scant reports on preoperative prevalence. The aim of this study was to describe the prevalence of preoperative DVT in patients accessing medical care ≥ 48 h after a hip fracture. Read More

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http://dx.doi.org/10.1007/s00068-018-1059-8DOI Listing
December 2018
1 Read

Demographic characteristics and visual outcomes of open globe injuries in a tertiary hospital in Istanbul, Turkey.

Eur J Trauma Emerg Surg 2018 Dec 6. Epub 2018 Dec 6.

Department of Ophthalmology, Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Halaskargazi Cad. Etfal Sk, Sisli, 34371, Istanbul, Turkey.

Purpose: To evaluate the demographic characteristics and visual outcomes of patients with open globe injury (OGI) in a tertiary hospital in Istanbul, Turkey.

Methods: The data of patients admitted with OGI to Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey from January 2012 to December 2017 were reviewed retrospectively, and 100 of the 154 patients were included in the study.

Results: There were 79 (79%) male and 21 (21%) female patients with the average age of 33. Read More

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http://dx.doi.org/10.1007/s00068-018-1060-2DOI Listing
December 2018
4 Reads

Predictive capability of the injury severity score versus the new injury severity score in the categorization of the severity of trauma patients: a cross-sectional observational study.

Eur J Trauma Emerg Surg 2018 Dec 8. Epub 2018 Dec 8.

University of Murcia, Faculty of Nursing. Edificio D, 3ª planta, despacho 20, Campus Universitario de Espinardo, 30100, Murcia, Murcia, Spain.

Purpose: The AIS scale is a measurement tool for single injuries. The ISS is considered the gold standard for determining the severity of injured patients, and the NISS was developed to improve the ISS with respect to loss of information, as well as to facilitate its calculation. The aim of this study was to analyse what injury severity measure, calculated according to the Abbreviated Injury Scale (AIS), 1998 and 2005 (update 2008) versions, performs better with mortality, cost and hospital length of stay healthcare indicators. Read More

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http://link.springer.com/10.1007/s00068-018-1057-x
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http://dx.doi.org/10.1007/s00068-018-1057-xDOI Listing
December 2018
7 Reads

Risk factors for potential pulmonary embolism in the patients with deep venous thrombosis: a retrospective study.

Eur J Trauma Emerg Surg 2018 Dec 5. Epub 2018 Dec 5.

Digital Subtraction Room, Tianjin Hospital, No. 406, south liberation road, Hexi district, Tianjin, 300211, China.

Introduction: The risk factors for the detachment of big thrombi from the vessel wall in patients with deep venous thrombosis (DVT) are still not clear, which are potential risks for pulmonary embolism (PE). This study was aimed to identify the risk factors for big thrombi detaching from the vessel wall in the patients with lower extremity DVT and to identify the role of the lower limb immobilization.

Methods: We retrospectively reviewed the patients whose inferior vena cava (IVC) filter were removed in our hospital. Read More

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http://dx.doi.org/10.1007/s00068-018-1039-zDOI Listing
December 2018
3 Reads

Morbidity and mortality of Hispanic trauma patients with diabetes mellitus.

Eur J Trauma Emerg Surg 2018 Nov 26. Epub 2018 Nov 26.

Department of General Surgery, University of Puerto Rico Medical Sciences Campus, San Juan, PR, 00936, USA.

Purpose: DM and trauma are leading causes of death in Hispanic patients, yet the interaction between them remains obscure. We aimed to assess the complications and in-hospital mortality rate of Hispanic diabetic trauma patients.

Methods: A retrospective cohort study was carried out using data from the Puerto Rico Trauma Hospital databank. Read More

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http://link.springer.com/10.1007/s00068-018-1047-z
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http://dx.doi.org/10.1007/s00068-018-1047-zDOI Listing
November 2018
11 Reads

Penetrating trauma and invasive management of thorax trauma.

Authors:
L P H Leenen

Eur J Trauma Emerg Surg 2018 Dec;44(6):803-804

Department of Surgery, University Medical Center Utrecht, Utrecht, Netherlands.

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http://dx.doi.org/10.1007/s00068-018-1052-2DOI Listing
December 2018
2 Reads

Validity of the Korean Triage and Acuity Scale for predicting 30-day mortality due to severe trauma: a retrospective single-center study.

Eur J Trauma Emerg Surg 2018 Nov 19. Epub 2018 Nov 19.

Department of Emergency Medicine, Chonnam National University Hospital, 42 Jebong-ro, Donggu, Gwangju, Republic of Korea.

Purpose: Since January 2016, emergency medical centers in South Korea have used the Korean Triage and Acuity Scale (KTAS) as the initial triage tool for all patients, including trauma patients, who visited the emergency department (ED). This present study aimed to assess the validity of the KTAS for predicting 30-day mortality due to severe trauma.

Methods: This retrospective study included patients with severe trauma (injury severity score ≥ 16) from January 2016 to December 2017. Read More

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http://link.springer.com/10.1007/s00068-018-1048-y
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http://dx.doi.org/10.1007/s00068-018-1048-yDOI Listing
November 2018
8 Reads

Evolution of a Dedicated Emergency Surgery and Trauma (ESAT) unit over 3 years: sustained improved outcomes.

Eur J Trauma Emerg Surg 2018 Nov 17. Epub 2018 Nov 17.

Department of General Surgery, Khoo Teck Puat Hospital, Singapore, Singapore.

Introduction: The traditional 24-h call model faces pressure from competing needs between emergency and elective services. Recognizing this, a dedicated ESAT service was developed in Khoo Teck Puat Hospital in Singapore, with improved clinical outcomes. It was initially led by a single consultant (SC) in 2014, and subsequently evolved to a weekly consultant rotation (WC) roster in 2017 to achieve sustainability. Read More

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http://link.springer.com/10.1007/s00068-018-1049-x
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http://dx.doi.org/10.1007/s00068-018-1049-xDOI Listing
November 2018
10 Reads

Etiologies and outcomes of emergency surgery for acute abdominal pain: an audit of 1456 cases in a single center.

Eur J Trauma Emerg Surg 2018 Nov 16. Epub 2018 Nov 16.

Department of Surgery, Ogaki Municipal Hospital, 4-86 Minaminokawa-cho, Ogaki, Gifu, Japan.

Purpose: There are few studies that have reported the details of emergency surgery for acute abdominal pain. This study aimed to clarify the etiologies and outcomes of emergency abdominal surgery among patients in different age categories.

Methods: Between January 2014 and December 2016, 1456 patients aged 7 years or older who underwent emergency surgery for acute abdominal pain at our institution were enrolled in this study. Read More

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http://link.springer.com/10.1007/s00068-018-1051-3
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http://dx.doi.org/10.1007/s00068-018-1051-3DOI Listing
November 2018
10 Reads

Clinical and radiological short-term outcomes of pubic symphysis diastasis treated with modified pedicle screw-rod fixation.

Eur J Trauma Emerg Surg 2018 Nov 15. Epub 2018 Nov 15.

Department of Orthopedics Trauma, Trauma Center, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, 650 Xin Songjiang Road, Shanghai, 201620, People's Republic of China.

Purpose: Pubic symphysis diastasis with an incidence of approximately 20% in pelvic fractures is a severe lesion which needs to be treated properly. The objective of this retrospective study was to describe and evaluate the clinical and radiological outcomes including its advantages and limitations of this modified minimal invasive technique.

Methods: Totally 29 patients with pubic symphysis diastasis, with or without posterior ring instability, were treated by modified pedicle screw-rod fixation (modified PSRF) between January 2010 and December 2016. Read More

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http://link.springer.com/10.1007/s00068-018-1050-4
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http://dx.doi.org/10.1007/s00068-018-1050-4DOI Listing
November 2018
11 Reads

Prehospital triage for mass casualty incidents using the META method for early surgical assessment: retrospective validation of a hospital trauma registry.

Eur J Trauma Emerg Surg 2018 Nov 7. Epub 2018 Nov 7.

Unit for Research in Emergency and Disaster, Department of Medicine, Public Health Area, Faculty of Medicine, Universidad de Oviedo, C/ Julián Clavería, 6, 33006, Oviedo, Spain.

Background: In mass casualty incidents (MCI), death usually occurs within the first few hours and thus early transfer to a trauma centre can be crucial in selected cases. However, most triage systems designed to prioritize the transfer to hospital of these patients do not assess the need for surgery, in part due to inconclusive evidence regarding the value of such an assessment. Therefore, the aim of the present study was to evaluate the capacity of a new triage system-the Prehospital Advanced Triage Method (META)-to identify victims who could benefit from urgent surgical assessment in case of MCI. Read More

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http://link.springer.com/10.1007/s00068-018-1040-6
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http://dx.doi.org/10.1007/s00068-018-1040-6DOI Listing
November 2018
9 Reads

Epidemiology of firearm injuries in a Scandinavian trauma center.

Eur J Trauma Emerg Surg 2018 Nov 3. Epub 2018 Nov 3.

Section of Acute and Trauma Surgery, Karolinska University Hospital, Stockholm, Sweden.

Background: There is a concern that civilian gunshot injuries in Europe are increasing but there is a lack of contemporary studies. The purpose of this study was to investigate the current epidemiology and outcome of firearm injuries.

Methods: Retrospective cohort study of all patients (n = 235) treated for firearm injuries admitted to a Scandinavian trauma center between 2005 and 2016. Read More

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http://link.springer.com/10.1007/s00068-018-1045-1
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http://dx.doi.org/10.1007/s00068-018-1045-1DOI Listing
November 2018
13 Reads

Using cable ties to connect thoracostomy tubes to drainage devices decreases frequency of unplanned disconnection.

Eur J Trauma Emerg Surg 2018 Nov 1. Epub 2018 Nov 1.

Division of Trauma, Department of Surgery, SBH Health System, 4422 Third Ave, Bronx, NY, 10457, USA.

Objectives: Thoracostomy tube (TT) connection to drainage device (DD) may be unintentionally disconnected, potentiating complications. Tape may strengthen this connection despite minimal data informing optimal practice. Our goal was to analyze the utility of cable ties for TT to DD connection. Read More

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http://dx.doi.org/10.1007/s00068-018-1044-2DOI Listing
November 2018
2 Reads

Minimally invasive surgical treatment using 'iliac pillar' screw for isolated iliac wing fractures in geriatric patients: a new challenge.

Eur J Trauma Emerg Surg 2018 Nov 1. Epub 2018 Nov 1.

Department of Orthopedic Surgery, College of Medicine, St. Vincent's Hospital, The Catholic University of Korea, Suwon, 16247, Republic of Korea.

Purpose: There have been no prior case series of isolated iliac wing fracture (IIWF) due to low-energy trauma in geriatric patients in the literature. The aim of this study was to describe the characteristics of IIWF in geriatric patients, and to present a case series of IIWF in geriatric patients who underwent our minimally invasive screw fixation technique named 'iliac pillar screw fixation'.

Materials And Methods: We retrospectively reviewed six geriatric patients over 65  years old who had isolated iliac wing fracture treated with minimally invasive screw fixation technique between January 2006 and April 2016. Read More

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http://dx.doi.org/10.1007/s00068-018-1046-0DOI Listing
November 2018
10 Reads
0.380 Impact Factor

No correlation between lower extremity deep vein thrombosis and pulmonary embolism proportions in trauma: a systematic literature review.

Eur J Trauma Emerg Surg 2018 Dec 1;44(6):843-850. Epub 2018 Nov 1.

Trauma/Neuroscience Research Department, St. Elizabeth Youngstown Hospital, 1044, Belmont Avenue, Youngstown, OH, 44501, USA.

Purpose: To assess the effect of surveillance on deep vein thrombosis (DVT) and pulmonary embolism (PE) rates, the efficacy of chemoprophylaxis and mechanical prophylaxis, and the relationship between DVT and PE.

Methods: A 23 year, systematic literature review was performed in PubMed. Twenty publications with > 13,000 patients were reviewed. Read More

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http://dx.doi.org/10.1007/s00068-018-1043-3DOI Listing
December 2018
3 Reads