10,502 results match your criteria Injury[Journal]


Ideal length of thread forms for screws used in screw fixation of nondisplaced femoral neck fractures.

Injury 2019 Jan 31. Epub 2019 Jan 31.

Harvard Medical School, Boston, MA, USA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA, USA. Electronic address:

Background: It is common practice when placing cannulated screws within the femoral head when treating femoral neck fractures to avoid the thread-forms from crossing the fracture line. Despite the widespread use of cannulated screws in internal fixation of femoral neck fractures, there is no study to our knowledge that describes the ideal length of thread-forms.

Purpose: The purpose of this study is to determine the thread length that will maximize purchase within the femoral head while minimizing risk of crossing the fracture line. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.036DOI Listing
January 2019

Aetiology of trauma-related acute compartment syndrome of the leg: A systematic review.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Orthopaedics and Trauma Unit, Emergency Department, Ospedale Policlinico San Martino, Largo R. Benzi 10, 16132, Genoa, Italy.

Background: Acute compartment syndrome (ACS) is characterised by abnormal pressure inside a compartment, resulting in ischemia of muscles and nerves. Most orthopaedic surgeons, especially those who work in major trauma centres, have been or will be facing a case of ACS in their clinical activity. Fortunately, complications related to untreated compartment syndrome have become less frequent thanks to a better understanding of pathogenesis and to early recognition and prompt surgical treatment. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.047DOI Listing
February 2019

Does intramedullary nailing improve the union rate or decrease mechanical complications for patients with extremity sarcoma after biological reconstruction?

Injury 2019 Feb 6. Epub 2019 Feb 6.

Peking University People's Hospital, Musculoskeletal Tumor Center, No. 11 Xizhimen South Street, 100044 Beijing, China. Electronic address:

Introduction: This is a retrospective study that evaluate the outcome of patients with extremity sarcoma between extramedullary plate and intramedullary nailing for the biological reconstruction after tumor resection.

Methods: 58 patients (40 treated with plate fixation and 18 with intramedullary nailing, IM group) with sarcomas of the lower and upper extremity who received biological reconstruction at our bone tumor center from November 2003 to November 2015 were reviewed for the study. There were 29 male and 29 female patients with a mean age of 20. Read More

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http://dx.doi.org/10.1016/j.injury.2019.02.004DOI Listing
February 2019

Surgical treatment with cannulated screws for pediatric femoral neck fractures: A case series.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Orthopaedics and Traumatologic Surgery, AOU Policlinico-Vittorio Emanuele, University of Catania, Catania, Italy.

Introduction: Femoral neck fractures are uncommon injuries in children, but the high incidence of long-term complications makes it important clinical entity. Early surgical treatment to achieve optimal results and to avoid a high rate of complications is widely advised. The purpose of this study was to retrospectively analyze the outcome of 8 children who sustained a femoral neck fracture. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.043DOI Listing
February 2019

Prospective outcome analysis following tenodesis of the long head of the biceps tendon along with locking plate osteosynthesis for proximal humerus fractures.

Injury 2019 Feb 10. Epub 2019 Feb 10.

Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Germany. Electronic address:

Background: Fractures of the proximal humerus are often associated with lesions of the long head of the biceps (LHB) tendon. This often leads to prolonged shoulder pain. Hence, many surgeons decide to perform a tenodesis of the LHB tendon simultaneous to ORIF. Read More

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http://dx.doi.org/10.1016/j.injury.2019.02.003DOI Listing
February 2019

Displaced intrarticular fractures of the calcaneus: Orif through an extended lateral approach.

Injury 2019 Feb 8. Epub 2019 Feb 8.

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

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

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http://dx.doi.org/10.1016/j.injury.2019.01.037DOI Listing
February 2019

Periprosthetic femoral fractures after total hip arthroplasty: An algorithm of treatment.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Orthopaedics and Traumatologic Surgery, AOU Policlinico-Vittorio Emanuele, University of Catania, Catania, Italy.

Background: Periprosthetic femoral fractures (PFFs) following total hip arthroplasty are becoming more prevalent and management of these fractures is often demanding. The surgeon has to assess in detail implant loosening, bone loss and type of fracture. The aim of the study is to identify the suitability of a treatment algorithm, based on the Vancouver classification that takes into account the activity and comorbidity of each patient. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.044DOI Listing
February 2019

Protective effect of helmet use on cervical injury in motorcycle crashes: A case-control study.

Injury 2019 Jan 22. Epub 2019 Jan 22.

Department of Emergency Medicine, Chungbuk National University Hospital, South Korea. Electronic address:

Introduction: Helmet use during motorcycle crashes (MCCs) has been shown to reduce traumatic brain injury and mortality. However, preventive effects of its use on cervical spine injury remain controversial. In this study, we evaluated whether helmet use can reduce cervical spine injury during MCCs. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.030DOI Listing
January 2019

Use of standard musculoskeletal ultrasound to determine the need for fasciotomy in an elevated muscle compartment pressure cadaver leg model.

Injury 2019 Jan 14. Epub 2019 Jan 14.

Department of Orthopaedic Surgery, University of California, San Francisco, CA, United States; Médecins Sans Frontières (MSF) Foundation, Paris, France.

Introduction: Acute compartment syndrome (ACS) is a limb-threatening condition often associated with leg injury. The only treatment of ACS is fasciotomy with the purpose of reducing muscle compartment pressures (MCP). Patient discomfort and low reliability of invasive MCP measurements, has led to the search for alternative methods. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.015DOI Listing
January 2019

Tarsometatarsal joint complex injuries: A study of injury pattern in complete homolateral lesions.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Orthopedic Oncology, Azienda Ospedaliera Universitaria Careggi, Largo Brambilla 3, 50134, Florence, Italy.

Introduction: Tarsometatarsal joint complex (TMC) is the anatomical structure of midfoot composed by metatarsals, tarsometatarsal (TMT) joints, cuneiforms, cuboid and navicular. TMC lesion are rare but critical since they cause severe disability if misdiagnosed. The knowledge of anatomic pattern of the lesion and biomechanics of the midfoot is the key for a successful diagnosis and treatment. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.038DOI Listing
February 2019

A new method to evaluate the influence of the glenosphere positioning on stability and range of motion of a reverse shoulder prosthesis.

Injury 2019 Feb 5. Epub 2019 Feb 5.

Dipartimento di Scienze Mediche e Chirurgiche Materno-Infantili e dell'Adulto - Università degli Studi di Modena e Reggio Emilia, Italy.

Purpose: Shoulder instability and reduced range of motion are two common complications of a total reverse shoulder arthroplasty. In this work, a new approach is proposed to estimate how the glenoid component positioning can influence the stability and the range of motion of a reverse shoulder prosthesis.

Materials And Methods: A standard reverse shoulder prosthesis has been analysed. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.039DOI Listing
February 2019

Comfort care in trauma patients without severe head injury: In-hospital complications as a trigger for goals of care discussions.

Injury 2019 Jan 14. Epub 2019 Jan 14.

Perelman School of Medicine, University of Pennsylvania, Department of Surgery, Division of Trauma, Surgical Critical Care and Emergency Surgery, Philadelphia, PA, United States; Corporal Michael J. Crescenz VA Medical Center, Surgical Services, Section of Surgical Critical Care, Philadelphia, PA, United States. Electronic address:

Introduction: Many injured patients or their families make the difficult decision to withdraw life-sustaining therapies (WLST) following severe injury. While this population has been studied in the setting of severe traumatic brain injury (TBI), little is known about patients who undergo WLST without TBI. We sought to describe patients who may benefit from early involvement of end-of-life resources. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.024DOI Listing
January 2019

Stentoplasty of calcaneal fractures: Surgical technique and early outcomes.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Medical and Surgical Specialties and Dentistry, University of Campania "Luigi Vanvitelli", Naples, Italy.

Calcaneus is the most common site of hindfoot fracture, frequently caused by fall from height or high energy trauma. The therapeutic strategy ranged from non-operative to ORIF (Open Reduction Internal Fixation). Indications for percutaneous fixation include soft tissue damage or relative contraindications to open surgery. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.049DOI Listing
February 2019
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Prevention of arthrofibrosis during knee repair by extracorporeal shock wave therapy: Preliminary study in rabbits.

Injury 2019 Feb 2. Epub 2019 Feb 2.

SG Med International Pte Ltd, Singapore.

Introduction: Surgery or trauma may induce extensive arthrofibrosis around joints and tendon for the restrictive range of motion. Although some approaches were proposed, this problem is not solved satisfactorily. Extracorporeal shock wave therapy (ESWT) has been used for orthopedic, musculoskeletal, and fibrotic disorders. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.054DOI Listing
February 2019
2.137 Impact Factor

Diagnosis and management of periprosthetic femoral fractures after hip arthroplasty.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Orthopedic and Traumatology Unit, Ospedale San Bortolo, Vicenza, Italy. Electronic address:

Introduction: Periprosthetic femoral fracture represent a severe complication, at present the third cause of revision surgery, with an estimated incidence from 0,1 to 2,1%. The number of these fracture can be expect to increase in line with the aging of population and amount of THA implants also in younger high demanding patients.

Materials And Methods: The aim of this study is analyze the diagnostic and therapeutic decision making processes performed in 64 patients with periprosthetic fractures treated surgically from January 2012 and October 2016 in our center. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.053DOI Listing
February 2019
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Influence of sutures configuration on the strength of tendon-patch joints for rotator cuff tears treatment.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Università degli Studi di Modena e Reggio Emilia, Modena, Italy.

Purpose: Massive rotator cuff tears are common in the aging population. The incidence of failed rotator cuff repairs is still quite high, especially in the treatment of full-thickness tears or revision repairs. In this context, natural and synthetic meshes can be used as augmentation scaffolds or as devices to close the gap between a retracted tendon and the bone. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.040DOI Listing
February 2019
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A new technique for medial-end comminuted clavicle fractures.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325000, PR China; Zhejiang Provincial Key Laboratory of Orthpaedics, Wenzhou, Zhejiang, 325000, PR China. Electronic address:

Fractures of the medial comminuted clavicle are rare injuries but are associated with significant morbidity and mortality. Although rare, such injuries deserve rapid diagnosis and effective treatment to avoid future complications. An optimal, standardized operative treatment has not yet been established. Read More

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http://dx.doi.org/10.1016/j.injury.2019.02.002DOI Listing
February 2019
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The increasing role of reverse total shoulder arthroplasty in the treatment of proximal humerus fractures.

Injury 2019 Jan 30. Epub 2019 Jan 30.

Department of Orthopedic Surgery, Southern California Permanente Medical Group, Harbor City, CA USA.

Introduction: Hemiarthroplasty of the shoulder is a well established treatment for proximal humerus fractures not amenable to open reduction internal fixation. However, orthopedic surgeons have recently increased utilization of reverse total shoulder arthroplasty (RTSA) in the treatment of these injuries. The purpose of this study was to evaluate the use of hemiarthroplasty and RTSA between 2009 and 2016 for the treatment of proximal humerus fractures within a large United States integrated healthcare system. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.034DOI Listing
January 2019

Early functional rehabilitation after patellar dislocation-What procedures are daily routine in orthopedic surgery?

Injury 2019 Jan 17. Epub 2019 Jan 17.

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

Introduction: Patellar dislocation and rupture of the medial patellofemoral ligament (MPFL) are frequently seen in daily orthopedic practice. Besides initial non-surgical treatment, surgery and subsequent rehabilitation are crucial for restoring stability in the femoropatellar joint. This study investigated current rehabilitation strategies after patellar dislocation because knowledge on this topic has been severely limited so far. Read More

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http://dx.doi.org/10.1016/j.injury.2018.10.020DOI Listing
January 2019
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Effect of initial emergency room imaging choice on time to hip reduction and repeat imaging.

Injury 2019 Jan 23. Epub 2019 Jan 23.

Baylor College of Medicine, Department of Orthopedic Surgery, Houston, TX, United States.

Objectives: Hip dislocations are highly morbid injuries necessitating prompt reduction and post-reduction assessment for fracture and incarcerated fragments. Recent literature has questioned the need for initial pelvic radiographs for acute trauma patients, resulting in computed tomography (CT) scans as the initial evaluation. This study investigates the relationship between choice of pre-reduction imaging and treatment of acute hip dislocations. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.032DOI Listing
January 2019
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No role for antiseptics in routine pin site care in Ilizarov fixators: A randomised prospective single blinded control study.

Injury 2019 Jan 23. Epub 2019 Jan 23.

Dept of Orthopaedics, Sri Sathya Sai Institute of Higher Medical Sciences - Prashanthigram, Puttaparthi, 515134 Andhra Pradesh, India. Electronic address:

Introduction: Pin site infection is the commonest complication of Ilizarov external fixation. The aim of the study was to examine if use of antiseptics was superior over control and further if daily dressing was superior to weekly dressing in regular pin site care in reducing the burden of pin site infection in Ilizarov fixators.

Patients And Methods: A total of 114 patients (2363 pin sites) were randomised to receive regular pin site care alone (30 patients, 638 pin sites) or with additional application of povidone iodine (27 patients, 561 pin sites), silver sulfadiazine (27 patients, 570 pin sites) and chlorhexidine (30 patients, 594 pin sites). Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.031DOI Listing
January 2019

Effects of a fragmenting handgun bullet: Considerations for trauma care providers.

Injury 2019 Jan 25. Epub 2019 Jan 25.

Louisiana State University, Department of Surgery, New Orleans, LA, United States. Electronic address:

Introduction: Expanding or fragmenting bullets have been known to cause extensive injuries since they became available in the late 19th century. Although these bullets are now banned from international warfare, their use by civilians and law enforcement is still legal in the US. In this case report, we describe the complex injuries and subsequent complicated hospital course of a civilian trauma patient who was shot with a newly-designed fragmenting bullet, known as a Radically Invasive Projectile (RIP) bullet. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193003
Publisher Site
http://dx.doi.org/10.1016/j.injury.2019.01.033DOI Listing
January 2019
5 Reads

Bioabsorbable implants in foot trauma surgery.

Injury 2019 Jan 23. Epub 2019 Jan 23.

University of Turin, Clinica Ortopedica I, CTO Hospital Via Zuretti 29, 10126, Turin, Italy.

Background: Resorbable osteosynthesis has been used in orthopaedic surgery for many years. However, indications for the use of these implants in the surgery of traumatic lesions of the foot have not yet been clearly defined. The aim of this study is to analyse reported experiences with the bioabsorbable devices and to suggest guidelines for their use in foot trauma surgery METHODS: We conducted a literature review to identify known indications for the use of absorbable devices in traumatic lesions of the foot. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.016DOI Listing
January 2019

Unintentional injuries: A profile of hospitalization and risk factors for in-hospital mortality in Beijing, China.

Injury 2019 Jan 18. Epub 2019 Jan 18.

Department of Medical Records, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China; Collaborating Center for the WHO Family of International Classifications, Beijing, China; National Center for Quality Control of Medical Records, Beijing, China. Electronic address:

Introduction: Unintentional injuries (UIs) impose a significant burden on low- and middle-income countries (LMICs). However, available UI epidemiological data are limited for LMICs, including China. This article aimed to provide an overview of the UI hospitalization profile, identify risk factors for in-hospital mortality and provide diagnosis-specific survival risk ratios (SRRs) for reference by LMICs using hospital discharge abstract data (DAD) from Beijing, China. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.029DOI Listing
January 2019

Facilitators and barriers to the clinical application of teamwork skills taught in multidisciplinary simulated Trauma Team Training.

Injury 2019 Jan 19. Epub 2019 Jan 19.

Sydney Nursing School, University of Sydney, Australia.

Background: Efforts to improve teamwork in trauma include simulation-based team training with a non-technical skills (NTS) focus. However, there is a lack of evidence to inform the development of team training programs for maximum uptake of NTS in clinical practice. This descriptive paper aims to evaluate the extent NTS were practiced by the trauma team in a Level 1 trauma hospital after NTS training and to identify facilitators and barriers to use of NTS in clinical practice. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.026DOI Listing
January 2019

Choice of three different intramedullary nails in the treatment of trochanteric fractures: Outcome, analysis and consideration in midterm.

Injury 2019 Jan 18. Epub 2019 Jan 18.

Department of Anatomical, Histological, Forensic Medicine and Orthopedic Science, Sapienza University of Rome, Italy.

The purpose of this study is to compare the results obtained using three different systems of osteosynthesis, developed for the surgical treatment of fractures of the trochanteric region of the femur, based on the principle intramedullary nailing: the Gamma nail, the Affixus nail and the ZNN nail. This is a retrospective study: 72 trochanteric fractures treated with the Gamma nail, 68 treated with the Affixus nail and 69 treated with the ZNN nail, between the years 2012 and 2014, with the prerequisite of a minimum follow-up of 18 months. The fractures were classified according to the AO system; the most commonly reported subtype was the A2 fracture. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.012DOI Listing
January 2019
2 Reads

Use of a Dual mobility cup to prevent hip early arthroplasty dislocation in patients at high falls risk.

Injury 2019 Jan 18. Epub 2019 Jan 18.

Orthopaedic Surgery Department, SS Annunziata Savigliano Hospital, Azienda Sanitaria Locale CN1, Via, Ospedali 14, Savigliano, Cuneo, Italy.

Introduction: Hip fracture is a common serious injury that occurs mainly in elderly. Dual-mobility hip arthroplasty or bipolar emiarthroplasty for its treatment remains a controversial decision. Co-morbidities and risk of fall represent additional aspects to be considered. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.022DOI Listing
January 2019
2 Reads

Development and validation of a new simplified anatomic trauma mortality score.

Injury 2019 Jan 17. Epub 2019 Jan 17.

Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, Malaysia. Electronic address:

Background: Most trauma mortality prediction scores are complex in nature. GAP (Glasgow Coma Scale, Age, Systolic blood pressure) and mGAP (mechanism, Glasgow Coma Scale, Age, Systolic blood pressure) scores are relatively simple scoring tools. However, these scores were not validated in low and middle income countries including Malaysia and its accuracies are influenced by the fluctuating physiologic parameters. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.027DOI Listing
January 2019

Calcaneal lengthening for partial traumatic loss of the calcaneus.

Injury 2019 Jan 14. Epub 2019 Jan 14.

Orthopaedics Department, Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, China.

Background: The purpose of this article was to introduce calcaneal lengthening for partial traumatic loss of the calcaneus. Effectiveness with the use of the technique was also assessed.

Methods: From January 2013 to May 2016, calcaneal lengthening was performed in 15 patients who sustained a partial traumatic loss of the tuberosity portion of calcaneus. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.025DOI Listing
January 2019
2 Reads
2.137 Impact Factor

Identifying areas for improvement in paediatric trauma care in NSW Australia using a clinical, system and human factors peer-review tool.

Injury 2019 Jan 16. Epub 2019 Jan 16.

Human Risk Solutions, VIC, Australia.

Background: There is known variability in the quality of care delivered to injured children. Identifying where care improvement can be made is critical. This study aimed to review paediatric trauma cases across the most populous Australian State to identify factors contributing to clinical incidents. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.028DOI Listing
January 2019

Traumatic hip fracture-dislocation: A middle-term follow up study and a proposal of new classification system of hip joint associated injury.

Injury 2019 Jan 17. Epub 2019 Jan 17.

Section of Orthopaedics and Trauma Surgery, Ospedali Riuniti, Ancona, Italy. Electronic address:

Traumatic hip fracture dislocation is a rare injury associated with high-energy trauma. Most of these injuries should be surgically treated. Hip dislocation is an orthopaedic emergency and reduction must be performed within 6-8 hours of trauma. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.011DOI Listing
January 2019

The use of regional anaesthesia for surgical intervention has minimal effect on functional outcomes following fracture nonunion repair.

Injury 2019 Jan 14. Epub 2019 Jan 14.

Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA; Department of Orthopedic Surgery, Jamaica Hospital Medical Center, Jamaica, NY, USA. Electronic address:

Purpose: The purpose of this study was to determine the effect of regional anaesthesia as compared to general anaesthesia on clinical, functional, and radiographic outcomes following long bone fracture nonunion repair.

Methods: 262 patients who underwent operative repair of a long bone fracture nonunion and had at least 12 months of post-operative follow up were included in this study. Functional outcomes were assessed prospectively using the Short Musculoskeletal Function Assessment (SMFA) and Visual Analog Scale (VAS) pain scores prior to nonunion repair and at routine intervals post-operatively. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.013DOI Listing
January 2019

The articular and non-articular proportion in segment classification of tibial plateau fractures.

Injury 2019 Jan 14. Epub 2019 Jan 14.

The Department of Orthopaedic Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, People's Republic of China. Electronic address:

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http://dx.doi.org/10.1016/j.injury.2019.01.021DOI Listing
January 2019
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Identification of the medial femoral safe zone for drilling during dynamic hip screw side plate fixation: A CT angiogram tracing of the profunda femoris artery.

Injury 2019 Jan 15. Epub 2019 Jan 15.

DipStat PGCert(Clin Res) FRCS(Trauma and Orthopaedics), Consultant Orthopaedic Surgeon, South Tees Hospitals NHS Foundation Trust, Clinical Research University of York, United Kingdom.

Objectives: Iatrogenic injury of the Profunda Femoris Artery (PFA) at time of hip fixation surgery can increase morbidity and mortality and prolong the hospital stay. This is an injury that tends to pass unnoticed as a cause of postoperative deterioration despite being frequently reported in the literature. Our study aims to describe the anatomy of the PFA in relation to the medial femoral cortex with specific emphasis on its orientation relative to the position of a sliding hip screw side plate construct. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.010DOI Listing
January 2019
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Cementless total hip arthroplasty following failed internal fixation for femoral neck and intertrochanteric fractures: A comparative study with 3-13 years' follow-up of 96 consecutive patients.

Injury 2019 Jan 14. Epub 2019 Jan 14.

Department of Orthopaedic Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Republic of Korea. Electronic address:

Background: The aim of this study was to investigate the postoperative outcomes of cementless Total hip arthroplasty (THA) following failed internal fixation for femoral neck and intertrochanteric fractures.

Method: Ninety-six cementless THAs for failed internal fixation after femoral neck fracture (59, group I) and intertrochanteric fracture (37, group II) with a minimum follow-up of 3 years were analyzed. Clinical and radiologic evaluations were performed on all patients. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.018DOI Listing
January 2019
1 Read

Is staged management with immediate conversion of external fixation to retrograde intramedullary nailing for combat-related Gustilo Type III supracondylar femur fractures safe and reliable method?

Injury 2019 Jan 14. Epub 2019 Jan 14.

Orthopaedia and Traumatology Department, Gulhane Training and Research Hospital, Ankara, Turkey. Electronic address:

Introduction: Femur fractures due to bomb explosions and gunshots in battlefield require osseous stabilization as quickly as possible to expedite emergent conditions. İmmediate external fixation is the initial procedure as usual with planned early conversion to definitive treatment. The purpose of the current study is to determine the results of the early retrograde intramedullary nailing in combat-related injuries. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.019DOI Listing
January 2019
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Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures.

Authors:
Su-Hyun Cho

Injury 2019 Jan 14. Epub 2019 Jan 14.

Department of Orthopaedic Surgery, Andong General Hospital, Kyoung-Book, Ang-silro 11 Soo-Sang-Dong, 36715, South Korea. Electronic address:

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http://dx.doi.org/10.1016/j.injury.2019.01.014DOI Listing
January 2019
1 Read

Calcium management in massive hemorrhage protocols.

Injury 2019 Jan 15. Epub 2019 Jan 15.

Department of Anaesthesiology and Intensive Care, Percy Military Teaching Hospital, France. Electronic address:

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http://dx.doi.org/10.1016/j.injury.2019.01.023DOI Listing
January 2019

Missed injuries in combat casualties: Lessons from Iraq and Afghanistan.

Injury 2019 Jan 11. Epub 2019 Jan 11.

Oregon Health & Science University, United States; Landstuhl Regional Medical Center, United States; USAF School of Aerospace Medicine, United States. Electronic address:

Introduction: Once injured in the battlefield in Iraq and Afghanistan, U.S. and NATO troops receive medical treatment through tiered echelons of care with varying resources, from austere to state-of-the-art. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.005DOI Listing
January 2019
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Injury mechanism, epidemiology, and Hospital trends of scapula fractures: A 10-year retrospective study of the National Trauma Data Bank.

Injury 2019 Jan 14. Epub 2019 Jan 14.

Department of Orthopaedic Surgery, University of Minnesota, Regions Hospital, St. Paul, MN, United States. Electronic address:

Background: This 10 year retrospective study of the NTDB is the first to describe trends in scapula fracture diagnosis frequency, epidemiology, injury mechanisms and the type of hospital where the condition is treated.

Methods: Demographics, ISS scores, hospital data, mechanism of injury, complications, and hospital length of stay were recorded for patients with diagnosed scapula fractures (ICD-9, 811.0) recorded in the NTDB, v7. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.017DOI Listing
January 2019

Comparison of artificial neural network and logistic regression models for prediction of outcomes in trauma patients: A systematic review and meta-analysis.

Injury 2019 Jan 11. Epub 2019 Jan 11.

Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Currently, two models of artificial neural network (ANN) and logistic regression (LR) are known as models that extensively used in medical sciences. The aim of this study was to compare the ANN and LR models in prediction of Health-related outcomes in traumatic patients using a systematic review.

Methods: The study was planned and conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.007DOI Listing
January 2019
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2.137 Impact Factor

Establishing a predictive nomogram for postoperative delirium: Methodology is critical.

Injury 2019 Jan 9. Epub 2019 Jan 9.

Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.

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http://dx.doi.org/10.1016/j.injury.2019.01.006DOI Listing
January 2019
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Parent experiences and psychosocial support needs 6 months following paediatric critical injury: A qualitative study.

Injury 2019 Jan 10. Epub 2019 Jan 10.

Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Faculty of Health and Medicine, The University of Sydney, 88 Mallett Street, Camperdown NSW 2006, Australia; Illawarra Shoalhaven Local Health District, Wollongong Hospital, Loftus Street, Wollongong NSW 2500, Australia; Illawarra Health and Medical Research Institute, Building 32, University of Wollongong, Northfields Avenue, Wollongong NSW 2522, Australia; The George Institute for Global Health, Level 5, 1 King Street, Newtown NSW 2042, Australia.

Introduction: Parents of critically injured children can experience high levels of psychological distress post-injury, however little is known about their experiences and needs following injury. This study aimed to explore parent experiences and psychosocial support needs in the six months following child critical injury.

Methods: An interpretive qualitative design was used. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.004DOI Listing
January 2019
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Regarding reverse total shoulder arhroplasty for the treatment of failed fixation in proximal humeral fractures.

Injury 2018 Dec 28. Epub 2018 Dec 28.

Trauma and Orthopaedic Department, St. Richard's Hospital, Chichester, UK. Electronic address:

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http://dx.doi.org/10.1016/j.injury.2018.12.034DOI Listing
December 2018

Reverse shoulder arthroplasty for acute proximal humeral fractures: Postoperative complications at 7 days, 90 days and 1 year.

Injury 2019 Jan 7. Epub 2019 Jan 7.

Department of Orthopaedic Surgery and Traumatology, Parc de Salut Mar, Hospital del Mar & Hospital de l'Esperança, Universitat Autonoma de Barcelona (UAB), Passeig Marítim 25-29, 08003, Barcelona, Spain.

Background: In the last decade, the biomechanics of reverse shoulder arthroplasty (RSA) for proximal humeral fractures in the elderly have led to more functional outcomes and greater pain relief. However, its use has also introduced a significant rate of complications. The purpose of this study is to assess the complication rate of RSA in these cases as well as the relationship to ASA score and basic disease history. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.002DOI Listing
January 2019

High on drugs: Multi-institutional pilot study examining the effects of substance use on acute pain management.

Injury 2019 Jan 8. Epub 2019 Jan 8.

Trauma Research Department, Swedish Medical Center, Englewood, CO, 80113, United States; Trauma Research Department, St. Anthony Hospital, Lakewood, CO, 80228, United States; Trauma Research Department, Medical City Plano, Plano, TX, 75075, United States; Trauma Research Department, Penrose Hospital, Colorado Springs, CO, 80907, United States. Electronic address:

Introduction: Substance use and abuse may have the significant, but unanticipated, consequence of lessening the efficacy of opioid analgesics for acute pain management. We hypothesized that pre-injury substance use increases opioid analgesic consumption following traumatic injury.

Methods: This retrospective multi-institutional pilot study included admitted patients to four level 1 trauma centers with vehicular trauma over four months (n = 176). Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.003DOI Listing
January 2019
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Antegrade elastic stable intramedullary nail fixation for paediatric distal radius diaphyseal metaphyseal junction fractures: A new operative approach.

Injury 2019 Jan 6. Epub 2019 Jan 6.

Department of Pediatric Orthopaedics, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, Hebei, China. Electronic address:

Background And Purpose: The treatment of paediatric distal radius diaphyseal metaphyseal junction (DRDMJ) fractures is a challenge. The purpose of this study was to introduce a new operative approach at the proximal "safe zone" of the posterior interosseous nerve (PIN) to treat paediatric DRDMJ fractures and analyse the safety and efficacy of antegrade elastic stable intramedullary nail (ESIN) fixation.

Methods: Thirty paediatric patients with unstable and displaced DRDMJ fractures were treated by antegrade ESIN fixation from November 2015 to September 2017. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.001DOI Listing
January 2019
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The diagnosis and treatment of isolated type B fibular fractures: Results of a nationwide survey.

Injury 2019 Jan 3. Epub 2019 Jan 3.

Department of Trauma Surgery, Haaglanden Medical Centre, The Hague, the Netherlands.

Introduction: In isolated Weber B fractures (type B fibular fractures), ruling out instability is critical for safe conservative treatment. In fractures without evident medial injury, additional diagnostics like MRI scan or gravity stress test should be done to differentiate between a stable and unstable fracture. The aim of the current study is to gain more insight in current practice and treatment of type B fractures by Dutch trauma- and orthopaedic surgeons. Read More

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http://dx.doi.org/10.1016/j.injury.2018.12.038DOI Listing
January 2019
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Impact of comorbidity on the association between surgery delay and mortality in hip fracture patients: A Danish nationwide cohort study.

Injury 2018 Dec 29. Epub 2018 Dec 29.

Department of Clinical Epidemiology, Aarhus University Hospital, Denmark.

Purpose: To examine the association between surgery delay and mortality in hip fracture patients with and without known comorbidity.

Methods: We identified all patients with a first time hip fracture diagnose operated between January 1, 2010 and December 31, 2015 (n = 36,552). As a measure of comorbidity we used Charlson Comorbidity Index stratified in categories: none (no registered comorbidities prior fracture), medium (1-2 points) and high (≥3 points). Read More

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http://dx.doi.org/10.1016/j.injury.2018.12.032DOI Listing
December 2018