10,574 results match your criteria Injury[Journal]


Patient-level resource use for injury admissions in Canada: A multicentre retrospective cohort study.

Injury 2019 Mar 28. Epub 2019 Mar 28.

Institut national d'excellence en santé et en services sociaux (INESSS), Québec, QC, Canada; Department of Surgery, Université Laval, Québec, QC, Canada.

Background: Variations in adjusted costs have been observed among trauma centres in the United States but patient outcomes were not better in centres with higher costs. Attempts to improve injury care efficiency are hampered by insufficient patient-level information on resource use and on the drivers of resource use intensity.

Objectives: To estimate patient-level resource use for injury admissions, identify determinants of resource use intensity, and evaluate inter-hospital variations in resource use. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.038DOI Listing

The role of external fixation in paediatric limb lengthening and deformity correction.

Injury 2019 Apr 6. Epub 2019 Apr 6.

The Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP, UK.

Limb deformity and shortening remains a common presenting complaint in paediatric orthopaedics. The ability to restore length, alignment with consistent bone formation allows standardised treatment in these difficult conditions. The use of an external fixator produces a stable construct which allows manipulation of the bone segments, with a controlled rate and rhythm. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.049DOI Listing

Limb lengthening and deformity correction in children with abnormal bone.

Injury 2019 Apr 8. Epub 2019 Apr 8.

Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics, 6, M. Ulyanova Street, 640014, Kurgan, Russian Federation. Electronic address:

Flexible intramedullary nailing (FIN) provides multiple advantages in limb lengthening and progressive deformity correction in combination with external fixation. The article presents brief literature review and authors' experience in limb lengthening of abnormal bone (Ollier's disease, fibrous dysplasia, osteogenesis imperfecta). Titanium and, especially, hydroxyapatite-coated bent elastic nails in combination with external fixator are appropriate in limb lengthening of abnormal bone in children. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.045DOI Listing

Epidemiology, treatment and outcome after compartment syndrome of the thigh in 69 cases - Experiences from a level I trauma centre.

Injury 2019 Apr 5. Epub 2019 Apr 5.

Medical University of Vienna, Department of Orthopaedics and Trauma Surgery, Waehringer Guertel 18-20, A-1090, Vienna, Austria. Electronic address:

Background: Compartment syndrome of the thigh (CST) is a rare condition, and its delayed diagnosis and therapy may lead to devastating adverse effects. Thus, the aim of this study was to present the amassed clinical experiences, regarding diagnosis and treatment of CST at a level I trauma centre.

Materials And Methods: The database was reviewed for all patients with a manifest CST treated surgically between 1995 and 2014. Read More

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http://dx.doi.org/10.1016/j.injury.2019.04.001DOI Listing
April 2019
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Practice makes perfect: The impact of Stop the Bleed training on hemorrhage control knowledge, wound packing, and tourniquet application in the workplace.

Injury 2019 Mar 29. Epub 2019 Mar 29.

St. Christopher's Hospital for Children, Trauma Services, 160 E. Erie Avenue, Philadelphia, PA 19134, United States; Drexel University College of Medicine, 2900 W. Queen Lane, Philadelphia, PA 19129, United States.

Introduction: The national Stop the Bleed (STB) campaign was implemented in 2015 to provide hemorrhage control education to non-medical providers to reduce the number of deaths due to uncontrolled hemorrhage. Hands on training limits the availability of this program, and its importance is not known amongst lay providers. This study aimed to evaluate the efficacy of STB training for laypersons on knowledge and skill-based abilities in the workplace setting. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.025DOI Listing
March 2019
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2.137 Impact Factor

Complications following chin laceration reparation using tissue adhesive compared to suture in children.

Injury 2019 Mar 29. Epub 2019 Mar 29.

Department of Paediatrics Emergency Medicine, CHU Sainte-Justine, Université de Montréal, Montréal, QC, Canada. Electronic address:

Background: Tissue adhesive is widely used in the emergency department to repair minor lacerations but there exists a debate as to whether it should be used for chin lacerations. The main objective of this study was to evaluate the rate of wound dehiscence of chin lacerations repaired with tissue adhesive in comparison to sutures.

Methods: This was a retrospective chart review including all children requiring a facial laceration reparation in a single tertiary care paediatric hospital. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.047DOI Listing

Contemporary management and prognosis of great vessels trauma.

Injury 2019 Apr 2. Epub 2019 Apr 2.

Department of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan. Electronic address:

Background: Great vessel trauma (GVT), which is defined as trauma to the aorta or vena cava, remains one of the most challenging injuries to treat and has a high mortality rate despite advances in modern medicine. Additionally, the optimal management of GVT is controversial. In this study, we review the incidence, management, and outcome of GVT, identify the current status and prognostic factors of GVT, and compare treatment outcomes. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.054DOI Listing

Use of external fixation for juxta-articular fractures in children.

Injury 2019 Mar 29. Epub 2019 Mar 29.

Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics, Kurgan, Russian Federation. Electronic address:

In this article, the use of external fixation in the management of juxta-articular fractures in paediatric patients is discussed. Basic principles of Ilizarov technique are described for distal radial, distal femoral, distal humeral and distal tibial fractures. Common indications for external fixation in pediatric fractures are comminuted, complicated, and/or open fractures, particularly at the distal humerus, distal radius, distal femur and distal tibia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193016
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http://dx.doi.org/10.1016/j.injury.2019.03.043DOI Listing
March 2019
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The risk of loosening of extramedullary fracture fixation devices.

Injury 2019 Mar 29. Epub 2019 Mar 29.

School of Engineering, Institute for Bioengineering, The University of Edinburgh, Faraday Building, The King's Buildings, Edinburgh, EH9 3DW, UK.

Extramedullary devices that use screws, pins or wires are used extensively to treat fractures in normal and diseased bone. A common failure mode is implant loosening at the bone-screw/pin/wire interface before fracture healing occurs. This review first considers the fundamental mechanics of the bone-fixator construct with focus on interfacial strains that result in loosening. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.051DOI Listing

Trauma assessment clinic: Virtually a safe and smarter way of managing trauma care in Ireland.

Injury 2019 Mar 30. Epub 2019 Mar 30.

Department of Trauma and Orthopaedic Surgery, Tullamore Hospital, Arden Road, Tullamore, Co. Offaly, R35 NY51, Ireland.

Introduction: The Trauma Assessment Clinic [TAC], also referred to as Virtual Fracture Clinic, offers a novel care pathway for patients and is being increasingly utilised across the Irish and UK health care systems. The provision of safe, patient centred, efficient and cost-effective treatment via a multidisciplinary team [MDT] approach is the primary focus of TAC. The Trauma and Orthopaedic unit at Tullamore Hospital was the first centre to introduce a TAC in Ireland and this overview outlines the experiences of this pilot. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193016
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http://dx.doi.org/10.1016/j.injury.2019.03.046DOI Listing
March 2019
4 Reads

Pinning of supracondylar fractures in children - Strategies to avoid complications.

Injury 2019 Mar 29. Epub 2019 Mar 29.

Department of Trauma Surgery, University Medical Centre Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, Germany. Electronic address:

In the pediatric population supracondylar humerus fracture (SHF) is one of the most common injuries. Diagnosis is based on inspection and conventional radiography. SHFs should be classified according to the modified Gartland classification, which guides treatment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193016
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http://dx.doi.org/10.1016/j.injury.2019.03.042DOI Listing
March 2019
3 Reads

Non-union: Indications for external fixation.

Injury 2019 Mar 29. Epub 2019 Mar 29.

Department of Trauma and Orthopaedics, University of Edinburgh, Royal Infirmary of Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh, EH16 4SA, United Kingdom.

External fixation is currently used as the definitive mode of fracture stabilisation in the management of ˜50% of long-bone non-unions. Distinction between non-union and delayed union is a diagnostic dilemma especially in fractures healing by primary bone repair. This distinction is important, as non-unions are not necessarily part of the same spectrum as delayed unions. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.053DOI Listing

Is percutaneous pinning an outdated technique for distal radius fractures?

Injury 2019 Mar 31. Epub 2019 Mar 31.

Orthopaedic and Trauma Surgery Dpt., Saint Antoine Hospital, 184 rue du Faubourg Saint Antoine, F 75571 Paris cedex, Sorbonne Université, France. Electronic address:

Distal radius fracture is a very common injury representing 17.5% of all fractures seen in the emergency room. However, the most effective treatment is still unclear and controversially debated. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.048DOI Listing
March 2019
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Intraabdominal hypertension/abdominal compartment syndrome after pelvic fractures: How they occur and what can be done?

Injury 2019 Mar 28. Epub 2019 Mar 28.

Department of Orthopedics, Physical Medicine & Rehabilitation, Denver Health Medical Center, University of Colorado, 777 Bannock St, MC 0188, Denver, CO 80204, USA. Electronic address:

Background: Limited data exist regarding intraabdominal hypertension/abdominal compartment syndrome (IAH/ACS) after pelvic fractures. We aimed to explore risk factors for IAH/ACS in pelvic fracture patients, assess the physiological effects of decompressive laparotomy (DL) on IAH/ACS, and generate an algorithm to manage IAH/ACS after pelvic fracture.

Materials And Methods: Pelvic fracture patients were included based on the presence of IAH/ACS. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.037DOI Listing
March 2019
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Comparison of pre-injury recalled Health Status (HS) data of trauma patients and HS of the general population.

Injury 2019 Mar 28. Epub 2019 Mar 28.

ETZ Hospital (Elisabeth-TweeSteden Ziekenhuis), Department Trauma TopCare, Tilburg, the Netherlands; Brabant Trauma Registry, Network Emergency Care Brabant, Tilburg, the Netherlands.

Purpose: Significant differences exist between retrospectively collected pre-injury Health Status (HS) of trauma patients and the HS of the general population. Compared to the general population, the trauma population includes a larger proportion of individuals with a low level of socio-economic status. The aim was to compare retrospectively collected pre-injury HS with HS of a sample of Dutch individuals not only adjusted for age and gender, but also for educational level. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.039DOI Listing
March 2019
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A comparative study for the usage of Fidji cervical cages after multilevel anterior cervical discectomy and fusion.

Injury 2019 Mar 18. Epub 2019 Mar 18.

Department of Spinal Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei, China.

Background: Postoperative dysphagia is one major concern in the treatment for patients with cervical spine spondylosis by using anterior cervical discectomy and fusion (ACDF) with plating and cage system.

Purpose: To evaluate the influence of two types of surgery for multilevel cervical spondylotic myelopathy (CSM) on postoperative dysphagia, namely ACDF with cage alone (ACDF-CA) using Fidji cervical cages and ACDF with cage and plate fixation (ACDF-CP).

Methods: A retrospective study was performed in 62 consecutive patients with multilevel CSM, including 32 underwent ACDF-CA (group A) and 30 underwent ACDF-CP (group B). Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.029DOI Listing
March 2019
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2.137 Impact Factor

The impact of time to surgery after hip fracture on mortality at 30- and 90-days: Does a single benchmark apply to all?

Injury 2019 Mar 18. Epub 2019 Mar 18.

Department of Surgery, University of Calgary, Canada.

Introduction: Delays to surgery after hip fracture have been associated with mortality Uncertainty remains as to what timing benchmark should be utilized as a marker of quality of care and how other patient factors might also influence the impact of time to surgery on mortality. The goal of this study was to determine how time to surgery affects 30- and 90-day mortality by age and to explore the impact of preoperative comorbid burden and sex.

Participants: We used population-based administrative data from a Canadian province collected from 01April2008 to 31March2015. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.031DOI Listing
March 2019
2 Reads

Third supplement of the Italian Orthopaedic Society: "Trauma care in Italy: A country-related approach with interregional variability".

Injury 2019 Mar 26. Epub 2019 Mar 26.

Department of Neuroscience and Organs of Sense, Orthopaedic Unit, Faculty of Medicine and Surgery, University of Bari "Aldo Moro", Policlinico, Piazza G. Cesare 11, 70124, Bari, Italy. Electronic address:

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http://dx.doi.org/10.1016/j.injury.2019.03.035DOI Listing
March 2019
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A trauma registry experience from the main referral center of Honduras: A call for action.

Injury 2019 Mar 19. Epub 2019 Mar 19.

Global Health, Division of Trauma and Surgery, University of Pittsburgh, PA, USA. Electronic address:

Background: Honduras is one of the most violent countries in the world and it has limited epidemiological data that describes the extent of intentional and unintentional injuries. This research is needed to develop and inform prevention programs in Honduras, as well as to spread international awareness.

Methods: A cross-sectional study was carried out on a paper-based injury surveillance system (InSS) with the help of Honduras' University Medical School Hospital (UMSH), the main referral medical center in Tegucigalpa-Honduras. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.022DOI Listing
March 2019
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Delivering trauma mastery with an international trauma masters.

Injury 2019 Mar 22. Epub 2019 Mar 22.

Centre for Trauma Sciences, Blizard Institute, Queen Mary University of London, UK.

Introduction: Trauma is a global problem. The goal of optimising multidisciplinary trauma care through speciality education is a challenge. No single pathway exists to educate care providers in trauma knowledge, management and skills. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.023DOI Listing

Tibial shaft fractures in Finland between 1997 and 2014.

Injury 2019 Mar 21. Epub 2019 Mar 21.

Division of Orthopaedics and Traumatology, Department of Trauma, Musculoskeletal Surgery and Rehabilitation, Tampere University Hospital, Tampere, Finland; Faculty of Medicine and Health Technology, Tampere University, Teiskontie 35, PL2000, Tampere, 33521, Finland. Electronic address:

Introduction: Tibial shaft fracture is common, accounting for 2% of all adult fractures. Large epidemiological follow ups are lacking and previous studies have shown great variation in incidence rates and trends. The aim of this population-based nationwide study was to analyze all tibial shaft fractures in Finland in 1997-2014 and to provide an update on current epidemiological data. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.034DOI Listing
March 2019
2 Reads

Barriers and facilitators to provide continuity of care to dischargeable patients in disasters: A qualitative study.

Injury 2019 Mar 18. Epub 2019 Mar 18.

Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Neurobiology, Care Sciences and Society (NVS), H1, Division of Family Medicine and Primary Care, Alfred Nobels Allé 23, 141 83, Huddinge, Sweden. Electronic address:

Objective: Early discharge of some in-patients is the effective measure to create hospital surge capacity in disasters. However, some of these patients may need to post-discharge continuity of care. The aim of the current study then is to explore the barriers of continuity of care, and to provide suitable solutions for potentially dischargeable patients during disasters. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.024DOI Listing
March 2019
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Outcomes of fixation for periprosthetic tibia fractures around and below total knee arthroplasty.

Injury 2019 Mar 15. Epub 2019 Mar 15.

Florida Orthopaedic Institute, Tampa, FL, United States; University of South Florida, United States.

Introduction: The incidence of periprosthetic fractures after total knee arthroplasty (TKA) is rising due to an increasing number of TKAs performed annually and the growing elderly population. Like periprosthetic fractures of the distal femur, periprosthetic tibia fractures are primarily treated with operative fixation; however, there is limited scientific literature that has reported outcomes of periprosthetic tibia fractures treated with modern plating techniques. To our knowledge, this is the largest series of non-intraoperative periprosthetic tibia fractures treated with open reduction internal fixation (ORIF) ever reported. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.014DOI Listing

Is prehospital blood transfusion effective and safe in haemorrhagic trauma patients? A systematic review and meta-analysis.

Injury 2019 Mar 21. Epub 2019 Mar 21.

Department of Surgery - Traumasurgery, Radboud University Medical Center, Nijmegen, the Netherlands and Helicopter Emergency Medical Service Nijmegen lifeliner 3, the Netherlands. Electronic address:

Background: Life-threatening haemorrhage accounts for 40% mortality in trauma patients worldwide. After bleeding control is achieved, circulating volume must be restored. Early in-hospital transfusion of blood components is already proven effective, but the scientific proof for the effectiveness of prehospital blood-component transfusion (PHBT) in trauma patients is still unclear. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.033DOI Listing
March 2019
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A comparative retrospective study of locking plate fixation versus a dedicated external fixator of 3- and 4-part proximal humerus fractures: Results after 5 years.

Injury 2019 Mar 9. Epub 2019 Mar 9.

Department of Basic Medical Sciences, Neurosciences and Sensory Organs University of Bari, Italy.

Introduction: Fractures of the proximal humerus (PHF) represent a common injury among orthopedic department; especially for three- and four-part fractures no consensus about the best treatment is still achieved. The aim of our study was to compare clinical and radiological outcomes in patients alternatively treated with plates and screws or external fixation system for a type III-IV proximal humerus fracture.

Material And Methods: Sixty-nine patients went surgery for type III-IV PHF between January 2011 and January 2014. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193005
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http://dx.doi.org/10.1016/j.injury.2019.01.051DOI Listing
March 2019
2 Reads

The Surgical Approach Visualization and Navigation (SAVN) System reduces radiation dosage and surgical trauma due to accurate intraoperative guidance.

Injury 2019 Mar 18. Epub 2019 Mar 18.

Department of Emergency Medicine, Shanghai Chang Hai Hospital affiliated to China Second Military Medical University, 168 Chang Hai Rd., 200433, Shanghai, PR China. Electronic address:

Object: The intraoperative fluoroscopy has been widely used in modern neuro-spinal surgery due to the overwhelming trend toward minimal-access surgery. However, both patients and surgical personnel were under ionizing-radiation exposure during fluoroscopy usage. Since the fluoroscopy constitutes the vast majority of radiation exposure for both surgeons and patients, the development and improvement of new interventional possibilities are of great importance and interests. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.030DOI Listing
March 2019
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Zones matter: Hemodynamic effects of zone 1 vs zone 3 resuscitative endovascular balloon occlusion of the aorta placement in trauma patients.

Injury 2019 Mar 12. Epub 2019 Mar 12.

R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, United States.

Introduction: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as a therapy for hemorrhagic shock to limit ongoing bleeding and support proximal arterial pressures. Current REBOA algorithms recommend zone selection based on suspected anatomic location of injury rather than severity of shock. We examined the effects of Zone 1 versus Zone 3 REBOA in patients enrolled in the American Association for the Surgery of Trauma Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) Registry. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.013DOI Listing
March 2019
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Heterologous fibrin sealant potentiates axonal regeneration after peripheral nerve injury with reduction in the number of suture points.

Injury 2019 Mar 19. Epub 2019 Mar 19.

Department of Anatomy, Universidade Estadual Paulista "Júlio de Mesquita Filho", São Paulo State University (Unesp), Institute of Biosciences, Travessa da Rua Prof. Dr. Gilberti Moreno São Paulo, 18618-689, Botucatu, Brazil.

The use of suture associated with heterologous fibrin sealant has been highlighted for reconstruction after peripheral nerve injury, having the advantage of being safe for clinical use. In this study we compared the use of this sealant associated with reduced number of stitches with conventional suture after ischiatic nerve injury. 36 Wistar rats were divided into 4 groups: Control (C), Denervated (D), ischiatic nerve neurotmesis (6 mm gap); Suture (S), epineural anastomosis after 7 days from neurotmesis, Suture + Fibrin Sealant (SFS), anastomosis with only one suture point associated with Fibrin Sealant. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.027DOI Listing

Challenges in the management of floating knee injuries: Results of treatment and outcomes of 224 consecutive cases in 10 years.

Injury 2019 Mar 19. Epub 2019 Mar 19.

Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy. Electronic address:

Introduction: Floating knee is a flail knee joint resulting from fractures of the shafts or adjacent metaphyses of the femur and the ipsilateral tibia. It is usually associated with several complications and mortality. This study was designed to present our experience with the treatment of this injury. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.016DOI Listing
March 2019
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Can the use of femoral notch view alone decrease measurement error of distal interlocking screws after retrograde femoral nailing.

Injury 2019 Mar 15. Epub 2019 Mar 15.

Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, KY, USA.

Objectives: Determine if using different fluoroscopic views of the knee (Notch or Tangential) improves accuracy of screw lengths assessment compared to the standard posteroanterior (PA).

Participants And Methods: Orthopaedic surgeons at three ACGME-accredited residency programs were asked via survey to assess screw lengths on PA, femoral notch, and tangential radiographic views.

Results: Responders correctly identified screw length using PA, femoral notch, and medial tangential views at rates of 46. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.012DOI Listing

A comparison of the bipedicled nerve flap with the Littler flap for reconstructing a neurocutaneous defect of digits.

Injury 2019 Mar 18. Epub 2019 Mar 18.

Hand Surgery Department, the Second Hospital of Tangshan, Tangshan, Hebei, 063000, PR China. Electronic address:

Background: Complex digital injuries involving soft-tissue loss and digital nerve defect continues to pose a reconstructive challenge. This study reports the repair of such neurocutaneous defect with the bipedicled nerve flap or the Littler flap and compares the results of the two techniques.

Methods: A retrospective study was conducted in 59 patients who had a neurocutaneous defect in the single digit treated with the bipedicled nerve flap or the Littler flap from Jul 2008 to May 2016. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.026DOI Listing

Jockey injuries during the Siena "Palio". A 72-year analysis of the oldest horse race in Italy.

Injury 2019 Mar 19. Epub 2019 Mar 19.

Department of Orthopaedics and Traumatology, University Hospital of Siena, V.le Bracci, n°14-16, 53100 Siena, Italy. Electronic address:

Introduction: Horse racing is a hazardous sport. We analyzed the incidence and characteristics of jockey injuries in a typical horse race.

Methods: We analyzed all injuries sustained by 224 jockeys in the last 72 years. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.015DOI Listing
March 2019
3 Reads

It was not a hip fracture - you were lucky this time - or perhaps not! A prospective study of clinical outcomes in patients with low-energy pelvic fractures and hip contusions.

Injury 2019 Mar 18. Epub 2019 Mar 18.

Department of Orthopaedics, Lund University, Malmö, Sweden; Department of Research, Development, Education and Innovations, Sahlgrenska University Hospital, Gothenburg, Sweden.

Introduction: Prehospital and hospital emergency care guidelines have been developed for patients with suspected hip fracture. Initial radiography can identify a number of patients with other injuries, generally pelvic fractures and hip contusions. Little is known about the prognosis for these patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193012
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http://dx.doi.org/10.1016/j.injury.2019.03.021DOI Listing
March 2019
2 Reads

Comparison of the postoperative analgesic efficacies of intravenous acetaminophen and fascia iliaca compartment block inhip fracture surgery: A randomised controlled trial.

Injury 2019 Mar 16. Epub 2019 Mar 16.

Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, Okayama, Japan.

Background: Managing pain during movement after hip fracture surgery is important for achieving earlier hip mobilisation and for preventing postoperative complications. In the present study, we tested the hypothesis that the fascia iliaca compartment block (FICB) would improve postoperative pain on movement compared with intravenous acetaminophen.

Methods: In this prospective, randomised, controlled, parallel trial, patients were assigned to either the intravenous acetaminophen or the ultrasound-guided FICB group. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193010
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http://dx.doi.org/10.1016/j.injury.2019.03.008DOI Listing
March 2019
2 Reads

Open reduction and internal fixation of ankle fracture using wide-awake local anaesthesia no tourniquet technique.

Injury 2019 Mar 11. Epub 2019 Mar 11.

Department of Orthopedics, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, 81362, Taiwan, ROC. Electronic address:

Introduction: Ankle fractures frequently occur and must be treated with open reduction for long-term stability. The existing anaesthesia methods include general anaesthesia, spinal and epidural anaesthesia, peripheral nerve block and local anaesthesia with IV sedation. However, each method has its inherent risks and potential costs, and the use of a tourniquet is inevitable. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.011DOI Listing
March 2019
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Corrigendum to "Reliability of the classification of proximal femur fractures: Does clinical experience matter?" [Injury 49 (1) (2018) 819-823].

Injury 2019 Mar 19. Epub 2019 Mar 19.

Department of Orthopaedic Surgery, Acclaim Physician Group, Ben Hogan Center, 800 5th Ave, Suite 400, Fort Worth, TX 76104, USA.

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http://dx.doi.org/10.1016/j.injury.2019.03.004DOI Listing
March 2019
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Short-term morbidity factors associated with length of hospital stay (LOS): Development and validation of a Hip Fracture specific postoperative morbidity survey (HF-POMS).

Injury 2019 Mar 14. Epub 2019 Mar 14.

Anaesthesia and Critical Care Research Group, Division of Clinical Neuroscience, Queen's Medical Centre, University of Nottingham, UK. Electronic address:

Background: We aimed to describe and quantify postoperative complications in the older hip fracture population, develop and validate a hip fracture postoperative morbidity survey tool (HF-POMS).

Methods: A prospective clinical observation study of patients (≥ 70 years) admitted for emergency hip fracture surgery, was conducted across three English National Health Service hospitals. Outcome data items were developed from the Postoperative Morbidity Survey (POMS), Cardiac-POMS, hip fracture postoperative literature and orthogeriatric clinical team input. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.009DOI Listing
March 2019
2 Reads

Non-operative functional treatment for acute Achilles tendon ruptures: The Leicester Achilles Management Protocol (LAMP).

Injury 2019 Mar 11. Epub 2019 Mar 11.

Trauma & Orthopaedic Surgery, University Hospitals of Leicester, Leicester, United Kingdom.

Objectives: The purpose of this study is to present outcomes and objective measures of assessment for acute Achilles tendon (AT) ruptures treated with an eight-week functional dynamic treatment protocol in a VACOped boot with immediate full weight bearing mobilisation, the Leicester Achilles Management Protocol (LAMP).

Methods: A prospective study of all patients treated with the LAMP with minimum 12-month follow-up was performed. Patients completed the Achilles Tendon Rupture Score (ATRS) and in the latter part of the study, objective measures of the calf muscle girth and heel raise height were obtained. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.007DOI Listing
March 2019
2 Reads
2.137 Impact Factor

Potentially preventable trauma deaths: A retrospective review.

Injury 2019 Mar 7. Epub 2019 Mar 7.

Department of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia; National Trauma Research Institute, Victoria, Australia; Emergency and Trauma Centre, The Alfred, Victoria, Australia.

Background: Reviewing prehospital trauma deaths provides an opportunity to identify system improvements that may reduce trauma mortality. The objective of this study was to identify the number and rate of potentially preventable trauma deaths through expert panel reviews of prehospital and early in-hospital trauma deaths.

Methods: We conducted a retrospective review of prehospital and early in-hospital (<24 h) trauma deaths following a traumatic out-of-hospital cardiac arrest that were attended by Ambulance Victoria (AV) in the state of Victoria, Australia, between 2008 and 2014. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.003DOI Listing
March 2019
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Implant cut-out following cephalomedullary nailing of intertrochanteric femur fractures: Are helical blades to blame?

Injury 2019 Feb 20. Epub 2019 Feb 20.

Harvard Medical School, Chief, Orthopaedic Trauma Service, Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Boston, MA, 02215, United States.

Introduction: Implant cut-out remains a common cause of cephalomedullary nail (CMN) failure and patient morbidity following surgical treatment of intertrochanteric femur fractures. Recent studies have suggested an increased rate of CMN cut-out with helical blades as opposed to lag screws. We compared rates of overall cut-out between helical blades and lag screws and used bivariate and multivariate analysis to determine the role of proximal fixation method among other variables on risk for cut-out. Read More

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http://dx.doi.org/10.1016/j.injury.2019.02.015DOI Listing
February 2019
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Selective fixation of the medial malleolus in unstable ankle fractures.

Injury 2019 Mar 11. Epub 2019 Mar 11.

Edinburgh Orthopaedic Trauma, Royal Infirmary of Edinburgh, Edinburgh, EH16 4SA, United Kingdom.

Background: Whilst the lateral malleolus appears to be crucial in controlling anatomical reduction of the talus, the role of the medial malleolus is less clear. Medial sided complications including infection, damage to local structures and symptomatic hardware are not without morbidity. This study compares the outcomes of patients with bimalleolar or trimalleolar ankle fractures who underwent fibular nail stabilisation with or without medial malleolar fixation. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.010DOI Listing
March 2019
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Minimally invasive treatment of old femoral fractures in adults.

Injury 2019 Mar 4. Epub 2019 Mar 4.

Department of Orthopaedic Surgery, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Rd, Chongqing, 400016, China. Electronic address:

Objective: Extensive incision associated with large-scale callus exfoliation and internal fixation is the common therapeutic approach employed by the majority of orthopaedists in the treatment of old femoral fractures. Inspired by the surgical techniques of intramedullary fixation and reduction by traction, the present study attempted to treat old femoral fractures with minimally invasive methods utilising the principles of biological osteosynthesis (BO).

Methods: A retrospective analysis involving 16 patients with old femoral fractures treated with combined traction, small incision, limited callus treatment, reduction by leverage and intramedullary fixation was conducted. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.002DOI Listing
March 2019
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External fixation and percutaneous pinning.

Injury 2019 Mar 8. Epub 2019 Mar 8.

Department of Trauma and Orthopaedics, University of Edinburgh, Royal Infirmary of Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh, EH16 4SA, UK.

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http://dx.doi.org/10.1016/j.injury.2019.03.005DOI Listing

Increased perioperative C-reactive protein and decreased postoperative albumin is associated with acute posttraumatic osteomyelitis in patients with high-energy tibial fractures.

Injury 2019 Mar 5. Epub 2019 Mar 5.

Institute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia. Electronic address:

Background: Early diagnosis of acute posttraumatic osteomyelitis (POM) is of vital importance for avoiding devastating complications. Diagnosing POM is difficult due to the lack of a highly specific and sensitive test, such as in myocardial infarct, stroke and intracranial bleeding. Serum inflammatory markers, C-reactive protein (CRP), procalcitonin (PCT), white blood cells (WBC) can support clinical findings but they are not able to differentiate between inflammatory response to infection and the host response to non-infection insult with high specificity and sensitivity. Read More

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http://dx.doi.org/10.1016/j.injury.2019.02.019DOI Listing
March 2019
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The epiphyseal scar joint line distance and age are important factors in determining the optimal screw length for medial malleoli fractures.

Injury 2019 Mar 11. Epub 2019 Mar 11.

Okmeydanı Training and Research Hospital, Department of Orthopaedics and Traumatology, İstanbul, Turkey.

Aim: The screw length is important to achieve a stable fixation for medial malleoli fractures. We aimed to evaluate the optimal screw length for different age groups in surgically treated medial malleoli fractures. The second aim was to identify the utility of the distance of epiphyseal scar to joint line or joint line to medullary space for assessment of screw length. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.006DOI Listing
March 2019
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Urethral injury in major trauma.

Injury 2019 Feb 22. Epub 2019 Feb 22.

University Hospitals Birmingham, United Kingdom.

Urethral injury in major trauma is infrequent, with complex problems of diagnosis and treatment. The aims of this study are to determine the incidence and epidemiological factors relating to urethral injury in major trauma, as well as determine if any additional prognostic factors are evident within this cohort of patients. A retrospective review of patients sustaining urethral injury following major trauma was made over a 6-year period, from 2010 to 2015. Read More

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http://dx.doi.org/10.1016/j.injury.2019.02.016DOI Listing
February 2019