1,456 results match your criteria European Journal of Trauma and Emergency Surgery[Journal]


Rib osteosynthesis is a safe and effective treatment and leads to a significant reduction of trauma associated pain.

Eur J Trauma Emerg Surg 2019 Apr 15. Epub 2019 Apr 15.

Department of Thoracic Surgery and Lung Support, Ibbenbueren General Hospital, Grosse Strasse 41, 49477, Ibbenbueren, Germany.

Purpose: The usefulness of chest wall stabilization after blunt chest wall trauma with unstable rib fractures has recently been intensely discussed. Thereby, the surgical approach seems to influence outcome, mortality and the long-term complication rate including chronic chest pain, thoracic deformity and quality of life. Here, we present the outcome after surgical stabilization of unstable rib fractures using intramedullary splints and plate osteosynthesis. Read More

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http://dx.doi.org/10.1007/s00068-018-01062-5DOI Listing

Epidemiology and cost of pediatric injury in Yaoundé, Cameroon: a prospective study.

Eur J Trauma Emerg Surg 2019 Apr 11. Epub 2019 Apr 11.

Department of Surgery, University of California, Los Angeles, 10833 Le Conte Ave, 72-215 CHS, Los Angeles, CA, 90095, USA.

Purpose: Unintentional injury is the leading cause of death among children aged 10-19 years and over 95% of injury deaths occur in low- and middle-income countries (LMICs). As patterns of injury in the pediatric population may differ from those in adults, risks specific to children in LMICs need to be identified for effective injury prevention and treatment. This study explores patterns of pediatric injury epidemiology and cost in Yaoundé, Cameroon to inform injury prevention and resource allocation. Read More

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http://link.springer.com/10.1007/s00068-019-01104-6
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http://dx.doi.org/10.1007/s00068-019-01104-6DOI Listing
April 2019
4 Reads

Selective non-operative management for penetrating splenic trauma: a systematic review.

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

Department of Trauma, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.

Introduction: The treatment of abdominal solid organ injuries has shifted towards non-operative management (NOM). However, the feasibility of NOM for penetrating splenic trauma is unclear and outcome is believed to be worse than NOM for penetrating liver and kidney injuries. Hence, the aim of the current systematic review was to evaluate the feasibility of selective NOM in penetrating splenic injury. Read More

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http://link.springer.com/10.1007/s00068-019-01117-1
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http://dx.doi.org/10.1007/s00068-019-01117-1DOI Listing
April 2019
2 Reads

Evaluation of a new goal-directed training curriculum for point-of-care ultrasound in the emergency department: impact on physician self-confidence and ultrasound skills.

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

Department of Emergency Medicine, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, No. 1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, China.

Purpose: Developing countries need effective and efficient training curriculum for the point-of-care ultrasound (POCUS) in the emergency department (ED). We have developed a new goal-directed training curriculum focusing on critical POCUS procedures used in ED.

Methods: To evaluate the impact of the new POCUS curriculum on ED physicians' performance/self-confidence, we carried out a quasi-experimental trial at ED training center of Peking Union Medical College Hospital, in which we trained two groups of physicians using either traditional curriculum or the new goal-directed curriculum. Read More

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http://dx.doi.org/10.1007/s00068-019-01126-0DOI Listing

A standardised computed tomography measurement method for distal fibular rotation.

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

MINTOS-Medical Imaging and Navigation in Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen at Heidelberg University Hospital, Ludwig-Guttmannstr. 13, 67071, Ludwigshafen am Rehin, Germany.

Purpose: The aim of the study is to identify an ideal location to measure fibular rotation in the ankle joint using axial computed tomography (CT) scans. Another objective was to detect the average fibular rotation in the uninjured ankle joint in a large cohort.

Methods: Standardised axial CT with coronal/sagittal reconstructions was performed in healthy ankle joints. Read More

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http://link.springer.com/10.1007/s00068-019-01120-6
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http://dx.doi.org/10.1007/s00068-019-01120-6DOI Listing
April 2019
1 Read

Electrical stimulation-based bone fracture treatment, if it works so well why do not more surgeons use it?

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

Frankfurt Initiative for Regenerative Medicine, Experimental Trauma and Orthopedic Surgery, J.W. Goethe-University, Friedrichsheim gGmbH, Haus 97 B, 1OG, Marienburgstraße. 2, 60528, Frankfurt am Main, Germany.

Background: Electrical stimulation (EStim) has been proven to promote bone healing in experimental settings and has been used clinically for many years and yet it has not become a mainstream clinical treatment.

Methods: To better understand this discrepancy we reviewed 72 animal and 69 clinical studies published between 1978 and 2017, and separately asked 161 orthopedic surgeons worldwide about their awareness, experience, and acceptance of EStim for treating fracture patients.

Results: Of the 72 animal studies, 77% reported positive outcomes, and the most common model, bone, fracture type, and method of administering EStim were dog, tibia, large bone defects, and DC, respectively. Read More

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http://dx.doi.org/10.1007/s00068-019-01127-zDOI Listing

Prospective validation of a new protocol with preperitoneal pelvic packing as the mainstay for the treatment of hemodynamically unstable pelvic trauma: a 5-year experience.

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

General Surgery I, Ospedale Papa Giovanni XXIII, Piazza OMS 1, 24127, Bergamo, Italy.

Purposes: Hemodynamically unstable pelvic trauma has been a significant challenge even in most experienced Trauma Centres. In 2011 preperitoneal pelvic packing (PPP) was introduced in our Hospital as the first manoeuvre. This study aims to review overall mortality at 24 h from arrival in the emergency department. Read More

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http://dx.doi.org/10.1007/s00068-019-01115-3DOI Listing

Mechanism of injury, injury patterns and associated injuries in patients operated for chest wall trauma.

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

Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Sahlgrenska University Hospital, University of Gothenburg, Per Dubbsgatan 15, 413 45, Gothenburg, Sweden.

Purpose: Chest wall injuries are common in blunt trauma and associated with significant morbidity and mortality. The aim of this study was to determine the most common mechanisms of injury (MOI), injury patterns, and associated injuries in patients who undergo surgery for chest wall trauma.

Methods: This was a retrospective study of trauma patients with multiple rib fractures and unstable thoracic cage injuries who were managed surgically at Sahlgrenska University Hospital during the period September 2010-September 2017. Read More

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http://dx.doi.org/10.1007/s00068-019-01119-zDOI Listing
April 2019
7 Reads

Mobile wireless monitoring system for prehospital emergency care.

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

Faculty of Electrical Engineering, University of Ljubljana, Ljubljana, Slovenia.

Background: Latest achievement technologies allow engineers to develop medical systems that medical doctors in the health care system could not imagine years ago. The development of signal theory, intelligent systems, biophysics and extensive collaboration between science and technology researchers and medical professionals, open up the potential for preventive, real-time monitoring of patients. With the recent developments of new methods in medicine, it is also possible to predict the trends of the disease development as well the systemic support in diagnose setting. Read More

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http://dx.doi.org/10.1007/s00068-019-01130-4DOI Listing

Immediate response to major incidents: defining an immediate responder!

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

Health and Crisis Management and Policy, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Purpose: There is a gap in time between the occurrence of a mass casualty incident (MCI) and the arrival of the first responders to the scene, which offers an opportunity for the public (immediate responders) to perform life-saving measures. The purpose of this study was to identify these measures and the public's willingness to conduct them.

Method: An extensive literature review was performed to identify the possible measures that can be undertaken by the public. Read More

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http://dx.doi.org/10.1007/s00068-019-01133-1DOI Listing

Focus on geriatric trauma.

Eur J Trauma Emerg Surg 2019 Apr 5;45(2):179-180. Epub 2019 Apr 5.

Department of Orthopaedics and Traumatology, University Medical Center, Johannes Gutenberg-University, Langenbeckstrasse 1, 55131, Mainz, Germany.

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http://dx.doi.org/10.1007/s00068-019-01107-3DOI Listing

The effectiveness of preoperative colon cleansing on post-operative surgical site infection after hip hemiarthroplasty.

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

Umraniye Education and Research Hospital, Department of Orthopedics and Trauma, SB University, Istanbul, Turkey.

Aim: This study aimed to evaluate the effectiveness of prophylactic mechanical bowel preparation in elderly patients undergoing hip hemiarthroplasty in a single training institution over a period of 2 years.

Patients And Methods: The study was conducted in a prospective-randomised manner. All patients, who underwent primary hip hemiarthroplasty for femoral neck fracture in our institution between 20 February 2015 and 29 December 2016, were included. Read More

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http://dx.doi.org/10.1007/s00068-019-01125-1DOI Listing
April 2019
1 Read

Critical incident reporting systems (CIRS) in trauma patients may identify common quality problems.

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

Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil GmbH, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Germany.

Background: Critical incident reporting systems (CIRS) are considered to be a valid instrument to identify typical errors in various clinical settings as well as in prehospital emergency medicine. Our aim was to review incidents and errors in the care of trauma patients during the period of emergency trauma room treatment before their transfer to the intensive care unit or the operation room.

Methods: We screened six open access and German language-based CIRS-platforms on the internet. Read More

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http://dx.doi.org/10.1007/s00068-019-01128-yDOI Listing

Open abdominal management for perforative peritonitis with septic shock: a retrospective analysis on usefulness of a standardized treatment protocol.

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

Department of Acute Care Surgery, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka, 593-8304, Japan.

Background: Damage control surgery (DCS) with open abdominal management (OAM) has been increasingly expanded to include critically ill non-trauma patients. However, there is limited data regarding the usefulness of this protocol for the treatment of severe perforative peritonitis (PP), especially with septic shock (SS). Here, we retrospectively evaluated the usefulness of our OAM protocol for PP with SS. Read More

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http://dx.doi.org/10.1007/s00068-019-01132-2DOI Listing
April 2019
2 Reads
0.380 Impact Factor

Laparotomy following cardiopulmonary resuscitation after traumatic cardiac arrest: is it futile?

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

Division of Trauma Surgery, Department of Surgery, Chonnam National University Hospital and Medical School, 42, Jebong-ro, Dong-gu, Gwangju, 61469, Korea.

Purpose: The outcome of cardiopulmonary resuscitation (CPR) after traumatic cardiac arrest is very poor. Moreover, some consider laparotomy for abdominal trauma after CPR futile. This study aimed to investigate the outcomes of trauma patients who were pulseless and received CPR followed by laparotomy. Read More

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http://dx.doi.org/10.1007/s00068-019-01118-0DOI Listing
April 2019
1 Read

Comparison of new design locked intramedullary nails and plate osteosynthesis in adult isolated diaphyseal radius fractures.

Eur J Trauma Emerg Surg 2019 Apr 3. Epub 2019 Apr 3.

Clinics of Orthopaedics and Traumatology, Kartal Dr.Lütfi Kırdar Training and Research Hospital, Cevizli District, Şemsi Denizer Street, Kartal, 34890, Istanbul, Turkey.

Purpose: In this study, we retrospectively evaluated patients with isolated diaphyseal radius fractures treated with plates or IMNs and compared their radiological and functional results.

Methods: 49 patients who met the criteria were included in the study. Of these, 22 were treated with plate osteosynthesis and 27 with IMNs. Read More

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http://dx.doi.org/10.1007/s00068-019-01131-3DOI Listing
April 2019
1 Read

Clavicle fractures in adults; current concepts.

Eur J Trauma Emerg Surg 2019 Apr 3. Epub 2019 Apr 3.

Department of Trauma Surgery, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland.

Background: For decades, clavicle fractures have been treated conservatively. In the last 20 years, however, non-union rates after conservative treatment appear higher than previously reported and more evidence regarding operative treatment has become available. This has led to a paradigm shift towards an increase in operative treatment. Read More

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http://dx.doi.org/10.1007/s00068-019-01122-4DOI Listing

Efficacy and safety of TEVAR with debranching technique for blunt traumatic aortic injury in patients with severe multiple trauma.

Eur J Trauma Emerg Surg 2019 Apr 3. Epub 2019 Apr 3.

Department of Traumatology and Critical Care Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan.

Background: Blunt traumatic aortic injury (BTAI) patients are severely ill, with high mortality and morbidity. As 60% of BTAIs occur in the distal arch, left subclavian artery (LSCA) management is determined without knowing posterior cerebral or left arm circulation in emergent cases. Because we perform thoracic endovascular aortic repair (TEVAR) + debranching technique for thoracic BTAI, we assessed efficacy and safety of debranching TEVAR in BTAI patients. Read More

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http://dx.doi.org/10.1007/s00068-019-01123-3DOI Listing
April 2019
3 Reads

Contributing factors in the development of acute lung injury in a murine double hit model.

Eur J Trauma Emerg Surg 2019 Apr 1. Epub 2019 Apr 1.

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

Objectives: Blunt chest (thoracic) trauma (TxT) is known to contribute to the development of secondary pulmonary complications. Of these, acute lung injury (ALI) is common especially in multiply injured patients and might not only be due to the direct trauma itself, but seems to be caused by ongoing and multifactorial inflammatory changes. Nevertheless, the exact mechanisms and contributing factors of the development of ALI following blunt chest trauma are still elusive. Read More

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http://dx.doi.org/10.1007/s00068-019-01121-5DOI Listing

Management of industrial high-pressure fluid injection injuries (IHPFII): the Water Jetting Association (WJA) experience with water driven injuries.

Eur J Trauma Emerg Surg 2019 Mar 20. Epub 2019 Mar 20.

King's College Hospital NHS Trust Foundation, Denmark Hill, Brixton, London, SE5 9RS, UK.

Background: Industrial high-pressure fluid injection injuries (IHPFII) are largely occupational in nature, where these injuries are most often sustained by male manual workers. Such traumatic injuries are largely sustained with water, grease, paint, gasoline or paint thinner. IHPFII are extremely serious injuries with life and limb-threatening potential carrying the risk of life-long disability. Read More

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http://dx.doi.org/10.1007/s00068-019-01106-4DOI Listing
March 2019
4 Reads

Intramedullary screw fixation for simple displaced olecranon fractures.

Eur J Trauma Emerg Surg 2019 Mar 16. Epub 2019 Mar 16.

Department of Surgery, St Antonius Hospital, Utrecht, The Netherlands.

Purpose: Olecranon fractures are common and typically require surgical fixation due to displacement generated by the pull of the triceps muscle. The most common techniques for repairing olecranon fractures are tension-band wiring or plate fixation, but these methods are associated with high rates of implant-related soft-tissue irritation. Another treatment option is fixation with an intramedullary screw, but less is known about surgical results using this strategy. Read More

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http://dx.doi.org/10.1007/s00068-019-01114-4DOI Listing
March 2019
1 Read

Educational impact of hand motion analysis in the evaluation of fast examination skills.

Eur J Trauma Emerg Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Electronics, Information and Bioengineering (DEIB), Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133, Milan, Italy.

Purpose: Increasing pressure pushes towards the objective competence assessment of clinical operators. Hand motion analysis (HMA) was introduced to measure surgical and clinical procedures; its recent application to FAST examinations leaves unsolved issues. This study aimed at determining optimal HMA parameters to discriminate between operators' skill levels, and which FAST tasks are experience-dependent. Read More

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http://dx.doi.org/10.1007/s00068-019-01112-6DOI Listing

Microparticles profiling in trauma patients: high level of microparticles induce activation of platelets in vitro.

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

The Institute for Research in Operative Medicine, Faculty of Health, Department of Medicine, Witten/Herdecke University, Ostmerheimer Str. 200, 51109, Cologne, Germany.

Purpose: Trauma-induced coagulopathy (TIC) is recognised as an own clinical entity which includes all components of haemostasis following rapidly tissue injury, hypoperfusion and shock. Microparticles (MP) are known to be released in large quantities from different cell types after trauma. The present study aimed to perform a phenotypic MP profiling after major trauma and to elucidate potential procoagulative function of MP under simulated conditions of lethal triad. Read More

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http://dx.doi.org/10.1007/s00068-019-01111-7DOI Listing
March 2019
2 Reads

A prospective computed tomography study of maxillofacial injuries in patients with head injury.

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

Department of Neuroradiology, NIMHANS, Bangalore, India.

Background: Road traffic accidents (RTA) are one of the foremost causes of head injuries and its prevalence is more in developing countries owing to its unorganised road utilisation system. Maxillofacial injuries occur in 5-33% of all trauma cases universally and are commonly associated with head injury (HI).

Aim And Objectives: The purpose of this prospective study is to determine the incidence and pattern of facial fractures in head injury patients and to evaluate the relationship between them. Read More

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http://dx.doi.org/10.1007/s00068-019-01099-0DOI Listing
March 2019
1 Read

Monotrauma is associated with enhanced remote inflammatory response and organ damage, while polytrauma intensifies both in porcine trauma model.

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

Department of Trauma, Hand and Reconstructive Surgery, University Hospital of the Goethe-University Frankfurt, 60590, Frankfurt, Germany.

Aim: Severely injured patients experience substantial immunological stress upon traumatic insult. Next to the direct local tissue injury also other organs, which are not directly injured such as liver and lung, are frequently affected by a so-called remote organ damage (ROD) after trauma. Thus, we studied the inflammatory response of lung and liver either after isolated femur fracture as example for ROD, or after multiple trauma in a porcine polytrauma model. Read More

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http://dx.doi.org/10.1007/s00068-019-01098-1DOI Listing
March 2019
2 Reads

Severe blunt trauma in Finland and Estonia: comparison of two regional trauma repositories.

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

School of Medicine, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.

Purpose: Evolving trauma system of Estonia has undergone several reforms; however, performance and outcome indicators have not been benchmarked previously. Thus, we initiated a baseline study to compare demographics, management and outcomes of severely injured patients between Southern Finland and Northern Estonia utilizing regional trauma repositories.

Methods: A comparison of data fields of the Helsinki University Hospital trauma registry (HTR) and trauma registry at the North Estonia Medical Centre in Tallinn (TTR) between 1/1/2015 and 31/12/2016 was performed. Read More

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http://dx.doi.org/10.1007/s00068-018-01068-zDOI Listing
January 2019
1 Read

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

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

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

This study was done with the financial support of the Istanbul University Scientific Research Projects. Read More

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http://dx.doi.org/10.1007/s00068-019-01108-2DOI Listing

Total knee arthroplasty for distal femoral fractures in osteoporotic bone: a systematic literature review.

Eur J Trauma Emerg Surg 2019 Feb 28. Epub 2019 Feb 28.

Aberdeen Royal Infirmary, Aberdeen, AB25 2ZN, UK.

Purpose: Distal femoral fractures in the elderly are associated with high morbidity and mortality and their incidence is increasing with an ageing population. Management of these fractures has evolved over recent decades and there is now an accepted recognition of the important role that acute arthroplasty may have in treatment of these fractures. Our purpose was to systematically review the evidence available in the literature for arthroplasty as a treatment option for distal femoral fractures. Read More

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http://dx.doi.org/10.1007/s00068-019-01103-7DOI Listing
February 2019

Factors predicting adverse outcome in complete intra-articular distal radius fractures.

Eur J Trauma Emerg Surg 2019 Feb 28. Epub 2019 Feb 28.

Department of Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, 6000, Lucerne, Switzerland.

Purpose: To determine risk factors associated with adverse functional and radiological outcome in complete intra-articular distal radius fractures (AO 23 C2-3) with a minimum follow-up of 1 year.

Methods: Retrospective case series of 87 consecutive patients with a complete intra-articular distal radius fracture (AO/OTA 23 C2-3) and a minimum follow-up of 1 year between 2012 and 2016. Risk factors for adverse clinical [using the Patient-Rated Wrist Evaluation (PRWE) score] and radiological outcome (positive ulnar variance 1 year postoperative) were analysed in a linear regression model. Read More

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http://dx.doi.org/10.1007/s00068-019-01102-8DOI Listing
February 2019
1 Read

Mesenchymal stem cell transplantation in polytrauma: Evaluation of bone and liver healing response in an experimental rat model.

Eur J Trauma Emerg Surg 2019 Feb 28. Epub 2019 Feb 28.

Tissue Engineering, Biomaterials and Nanobiotechnology Laboratory, Ankara University Faculty of Science, Ankara, Turkey.

Purpose: Trauma is the most common cause of death of young people in the world. As known, mesenchymal stem cells (MSCs) accelerate tissue regeneration mechanisms. In our study, we aimed to investigate the effects of MSCs transplantation on the healing of liver and bone tissue by considering trauma secondary inflammatory responses. Read More

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http://dx.doi.org/10.1007/s00068-019-01101-9DOI Listing
February 2019

The use of polymeric clips in securing the appendiceal stump during laparoscopic appendicectomy: a systematic review.

Eur J Trauma Emerg Surg 2019 Feb 28. Epub 2019 Feb 28.

Ninewells Hospital and Medical School, Dundee, DD1 9SY, UK.

Purpose: A key step during laparoscopic appendicectomy is securing the appendiceal stump. This has traditionally been achieved using vicryl endoloops, but increasing evidence suggests that the use of polymeric clips (Hem-o-lok) may be a safe and viable method. Current evidence for its clinical use in laparoscopic appendicectomy is unknown. Read More

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http://dx.doi.org/10.1007/s00068-019-01105-5DOI Listing
February 2019
1 Read
0.380 Impact Factor

Comparison of fracture healing and long-term patient-reported functional outcome between dorsal and volar plating for AO C3-type distal radius fractures.

Eur J Trauma Emerg Surg 2019 Feb 27. Epub 2019 Feb 27.

Department for Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Spitalstrasse, 6000, Lucerne, Switzerland.

Purpose: This study aimed to evaluate the differences in long-term functional outcome and radiographic fracture healing between volar and dorsally approached comminuted intra-articular distal radius fractures (DRF) (AO C3-type).

Methods: A retrospective, age-matched, case-control study with a 1:2 allocation ratio was conducted in 84 patients C3-type DRFs patients who underwent either dorsal locking plating (DLP) group (n = 28) or volar locking plating (VLP) group (n = 56). Standardized wrist radiographs (posterior-anterior and 15° lateral) were assessed immediately postoperative and at final follow. Read More

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http://dx.doi.org/10.1007/s00068-019-01100-wDOI Listing
February 2019
1 Read

Preventive effects of seat belts on traumatic brain injury in motor vehicle collisions classified by crash severities and collision directions.

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

Department of Emergency Medicine, Chungnam National University School of Medicine, 266, Daehak-ro, Jung-gu, Daejeon, Chungcheongnam-do, 35015, South Korea.

Purpose: This study aimed to measure the preventive effect of seat belt on traumatic brain injury (TBI) and to compare the effect according to the crash severities and collision directions.

Methods: Korea In-Depth Accident Study (KIDAS) has collected vehicle and demographic data on injured occupants involved in motor vehicle collisions (MVCs) who visited three emergency medical centers for calendar years 2011-2016. Primary and secondary end points were TBI (abbreviated injury score 2+) and in-hospital mortality. Read More

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http://dx.doi.org/10.1007/s00068-019-01095-4DOI Listing
February 2019
4 Reads

Determination of mis-triage in trauma patients: a systematic review.

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

Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Purpose: Mis-triage including undertriage and overtriage is associated with morbidity and mortality. It is not clear what the extent of mis-triage rates among traumatic patients is. The aim of this study is to determine of mis-triage (undertriage and overtriage) in traumatic patients. Read More

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http://dx.doi.org/10.1007/s00068-019-01097-2DOI Listing
February 2019

Comprehensive treatment algorithm for atlanto-axial rotatory fixation (AARF) in children.

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

Department of Trauma Surgery, Regensburg University Medical Center, Regensburg, Germany.

Background: Atlanto-axial rotatory fixation (AARF) is an uncommon condition in children presenting with torticollis. Many studies have elaborated on the diagnostic sequence of AARF. However, there is no consensus for the algorithm of management of AARF. Read More

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http://dx.doi.org/10.1007/s00068-019-01096-3DOI Listing
February 2019
3 Reads

Correction to: Compartment pressures in children with normal and fractured lower extremities.

Eur J Trauma Emerg Surg 2019 Feb 18. Epub 2019 Feb 18.

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

The original version of this article unfortunately contained a mistake in the author name Sasha Job Tharakan. The corrected name is given above. Read More

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http://dx.doi.org/10.1007/s00068-019-01094-5DOI Listing
February 2019

A mixed psychiatric and somatic care unit for trauma patients: 10 years of experience in an urban level I trauma center in the Netherlands.

Eur J Trauma Emerg Surg 2019 Feb 15. Epub 2019 Feb 15.

Department of Surgery, Section Trauma Surgery, Amsterdam University Medical Center, Location VUmc, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands.

Background: A medical-psychiatric unit (MPU) is a special ward where staff is trained in caring for patients with psychiatric or behavioural problems that need hospitalisation for physical health problems. It is well known that these patients are at higher risk of complications and have a longer length of stay resulting in higher costs than patients without psychiatric comorbidity. The objective of this study was to analyse the trauma patient population of the first 10 years of existence of the MPU in a level I trauma center. Read More

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http://dx.doi.org/10.1007/s00068-019-01088-3DOI Listing
February 2019
5 Reads

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
2 Reads

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
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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
3 Reads

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
2 Reads

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://link.springer.com/10.1007/s00068-019-01093-6
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http://dx.doi.org/10.1007/s00068-019-01093-6DOI Listing
February 2019
7 Reads

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
1 Read

Paradigm shift in geriatric fracture treatment.

Eur J Trauma Emerg Surg 2019 Apr 6;45(2):181-189. 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
April 2019
2 Reads

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
6 Reads

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
18 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