10,416 results match your criteria Injury[Journal]


Implant-related sepsis in lower limb fractures following gunshot injuries in the civilian population: A systematic review.

Injury 2018 Dec 5. Epub 2018 Dec 5.

Division of Orthopaedics, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa; Countess of Chester Hospital, Chester, UK.

Introduction: The management of long bone lower limb fractures secondary to gunshot wounds (GSWs) in the civilian setting are complex and there is currently no consensus regarding the optimal approach to managing such fractures. This study aims to address the relationship of implant related sepsis in fractures secondary to GSWs.

Methods: A systematic review of the literature was performed on both Pubmed and Scopus databases that look at fractures caused by GSWs in the lower limb. Read More

View Article
December 2018

Utility of early active motion for flexor tendon repair with concomitant injuries: A multivariate analysis.

Injury 2018 Dec 22;49(12):2248-2251. Epub 2018 Oct 22.

Department of Orthopaedic Surgery, Nagoya Ekisaikai Hospital, 4-66 Shonen-Cho, Nakagawa-Ku, Nagoya, 454-8502, Japan.

Introduction: Flexor tendon injury often occurs with concomitant injuries such as fracture, vascular injury, and extensor tendon injury. These injuries are repaired independently, without a comprehensive strategy. We aimed to identify the effect of concomitant injuries and treatment choice on the outcome of flexor tendon repair. Read More

View Article
December 2018
1 Read

Subtrochanteric fractures: two case reports of non-union treatment.

Injury 2018 Dec 3;49 Suppl 4:S9-S15. Epub 2018 Dec 3.

AOU Careggi, Firenze, Italy.

Proximal femoral fractures are a very common disease which affect elderly patients after low energy trauma, but can also affect the young population as a consequence of high energy trauma. Classification of sub trochanteric fractures has not yet been clearly defined representing a major issue in comparing different treatment techniques among the scientific literature.These fractures are well known by orthopaedic surgeons for intraoperative difficulties in reduction and post-operative high rate of non-unions and malunions. Read More

View Article
December 2018

Free vascularized osteoseptocutaneous fibular flap for radius shaft nonunion: The final solution when the iliac crest autograft fails. A case report.

Injury 2018 Dec 3;49 Suppl 4:S63-S70. Epub 2018 Dec 3.

School of Medicine, University of Bari "Aldo Moro"- AOU Consorziale "Policlinico", Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic and Unit, Bari, Italy.

Treatment of forearm nonunion associated with bone defects can be challenging. Restoring the correct length and rotation are two main principles for the management of these patients. Herein, we describe a patient with isolated radius nonunion already treated with an iliac crest autograft with no success. Read More

View Article
December 2018

The Masquelet technique in the treatment of a non-infected open complex fracture of the distal tibia with severe bone and soft tissue loss: A case report.

Injury 2018 Dec 3;49 Suppl 4:S58-S62. Epub 2018 Dec 3.

School of Medicine, University of Bari "Aldo Moro"- AOU Consorziale "Policlinico", Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic and Unit, Bari, Italy.

The treatment of open distal tibia fractures remains challenging, particularly when the fracture involves severe soft tissue damage and segmental bone loss. We present the case of a 33-year-old woman who sustained an open distal tibia fracture type 43-A3.3, with segmental bone loss, and a closed bifocal fibular fracture. Read More

View Article
December 2018

A lifelong story: Case report of a humeral shaft nonunion successfully treated after 30 years.

Injury 2018 Dec 3;49 Suppl 4:S43-S47. Epub 2018 Dec 3.

Department of Orthopaedics and Traumatology, Di Venere Hospital, Bari, Italy.

Nonunion of the humeral shaft occurs in 2%-10% of nonsurgically treated fractures and in up to 15% of fractures treated by primary open reduction and internal fixation. Gunshot humerus shaft fractures are a frequent type of injury; the degree of comminution and bone loss, as well as soft tissue disruption may influence the healing process, causing major sequelae with loss of function. Here we describe a 30 years old midshaft nonunion of the humerus, that occurred in a young woman after a gunshot. Read More

View Article
December 2018

Free composite groin flap to solve a complex loss of tissue in a traumatic injury of the foot: A case report.

Injury 2018 Dec 3;49 Suppl 4:S25-S28. Epub 2018 Dec 3.

University of Turin, Orthopaedic Clinic, C.T.O. Hospital, Turin, Italy.

Severe traumatic losses of soft tissues and bone at foot and ankle level are often treated by means of amputation, but this may involve important psychological and anatomic consequences for the patient. If there are good vascular conditions, reconstruction by means of composite free flaps is often the only alternative to this demolitive treatment. The transfer of composite free flaps that include vascularized bone from various donor sites may provide anatomical reconstruction and recovery of function of the foot and ankle. Read More

View Article
December 2018

Unusual presentation of recurrent subtrochanteric non-union in a patient with hip arthrodesis: A case report.

Injury 2018 Dec 3;49 Suppl 4:S2-S8. Epub 2018 Dec 3.

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

This case report describes the management and therapeutic solution for the treatment of subtrochanteric non-union in a patient with hip arthrodesis. Two techniques can be used in the treatment of these non-unions: a closed intramedullary nailing or an open technique with plate, preferably carried out together with cortical bone graft. The surgical technique varies depending on the fixation method used for the initial treatment of the fracture and on the characteristics of the non-union. Read More

View Article
December 2018

Allograft for the treatment of traumatic severe bone loss in the lateral femoral condyle: A case report.

Injury 2018 Dec 3;49 Suppl 4:S16-S20. Epub 2018 Dec 3.

Università Cattolica del Sacro Cuore, Roma, Italy.

Background: Open articular fractures are an important issue due to their increasing incidence, along with the rise in motorcycle accidents. Oncology experience with allograft in orthopedics may be extended to cases of traumatic bone loss.

Clinical Case: A 37-year-old man with an open fracture of the distal femur and proximal tibia presented a massive bone loss of the lateral femoral condyle after a motorcycle accident. Read More

View Article
December 2018

Management of severe bone and soft-tissue loss: A series of case reports from AO Trauma-Italy.

Injury 2018 Dec;49 Suppl 4:S1

University of Bari, Department of Orthopedics and Trauma, Piazza G. Cesare 11, 70124 Bari, Italy.

View Article
December 2018

Application of the 'diamond concept' with fast bone marrow aspirate concentration for the treatment of medial malleolus non-union.

Injury 2018 Dec;49(12):2326-2330

Academic Department of Trauma and Orthopaedics, Leeds Teaching Hospitals, School of Medicine, University of Leeds, Leeds, United Kingdom; NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, United Kingdom. Electronic address:

View Article
December 2018

Does routinely repairing deltoid ligament injuries in type B ankle joint fractures influence long term outcomes?

Injury 2018 Dec;49(12):2312-2317

Department of Orthopedic Trauma, Beijing Jishuitan Hospital, Beijing, 100035 China.

Deltoid ligament reconstruction following type B ankle fractures continues to generate a vivid discussion amongst trauma surgeons. There is a difference of opinion as to whether operative or non operative treatment should prevail. We therefore conducted a prospective comparative cohort study to determine whether it is necessary to routinely repair the injured deltoid ligaments. Read More

View Article
December 2018
1 Read

How to determine the surgical approach in Hoffa fractures?

Injury 2018 Dec;49(12):2302-2311

Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address:

Surgical approach selection and fixation of Hoffa fractures is difficult and remains controversial. Evolving trends emphasize the importance of fracture morphology, fracture location, and comminution, all of which guide decisions regarding surgical approach and implant selection. This focused review highlights factors affecting Hoffa fracture available surgical approaches, treatment outcomes, and recommendations for selecting an optimal approach. Read More

View Article
December 2018
1 Read

Revisiting the Schatzker classification of tibial plateau fractures.

Injury 2018 Dec;49(12):2252-2263

Division of Orthopedics, Sunnybrook Health Sciences Center, University of Toronto, Ontario, Canada.

Tibial plateau fractures have a broad spectrum of presentations, depending on the mechanism and energy of the trauma. Many classification systems are currently available to describe these injuries. In 1974, Schatzker proposed a classification based on a two-dimensional representation of the fracture. Read More

View Article
December 2018

The influence of anesthetic techniques on postoperative cognitive function in elderly patients undergoing hip fracture surgery: General vs spinal anesthesia.

Injury 2018 Dec 11;49(12):2221-2226. Epub 2018 Sep 11.

Department of Anesthesiology and Postoperative Intensive Care, Faculty of Medicine, School of Health Sciences, University of Ioannina, Greece.

Background: Hip fracture is common and morbid in elderly patients. Postoperative cognitive dysfunction (POCD) is also very common in these subjects undergoing surgery with an incidence which exceeds 40% in some reports. To date, the evidence is ambiguous as to whether anesthetic technique may affect the patients' outcome as far as postoperative cognitive function is concerned. Read More

View Article
December 2018
1 Read

Fractures in older adults. A view of the future?

Injury 2018 Dec;49(12):2161-2166

University of Edinburgh, Royal Infirmary of Edinburgh, Little France, Edinburgh, EH 16 4SU, United Kingdom.

Introduction: It is accepted that the incidence of fractures in patients aged ≥ 65 years is increasing but little is known about which fractures are becoming more common in this group of patients. Virtually all research has concentrated on the classic fragility fractures of the proximal femur, proximal humerus, pelvis, spine and distal radius but it is likely that other fractures are becoming more common.

Methods: We have examined two prospectively collected databases 10 years apart to see which fractures are becoming more common in ≥ 65 year old patients. Read More

View Article
December 2018

Femoral neck fractures after internal fixation of trochanteric fractures with implants in situ in adults: A systematic review.

Injury 2018 Dec;49(12):2121-2131

AEPSM, Montevideo, Uruguay.

Introduction: Femoral neck fractures (FNF) after internal fixation of trochanteric fractures (AIFTF) with the implant in situ (WIIS) are uncommon. Publications of FNFAIFTFWIIS are rare. The purpose of this systematic review of the literature is to report on the frequency, risk factors, mechanisms, clinical presentation, diagnostic and therapeutic modalities, outcomes and the eventual prevention of this complication. Read More

View Article
December 2018

The effectiveness of biodegradable instrumentation in the treatment of spinal fractures.

Injury 2018 Dec;49(12):2111-2120

Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, TX, USA. Electronic address:

Introduction: A variety of biodegradable implants (screws, rods, plates and cages) are available which are composed of many different biodegradable polymers with varying characteristics. The present review of animal and clinical studies examines the efficacy and safety of biodegradable implants in spinal fracture intervention.

Methods: A review of the literature through March 2018 was performed using PubMed and Cochrane databases. Read More

View Article
December 2018
2 Reads

Osteosynthesis of interprosthetic fractures: Evidence and recommendations.

Injury 2018 Dec;49(12):2097-2099

Academic Department of Trauma and Orthopaedics, Leeds Teaching Hospitals, School of Medicine, University of Leeds, Leeds, United Kingdom; NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, United Kingdom. Electronic address:

View Article
December 2018

Debridement, internal fixation and staged autogenous bone graft for the management of infected femoral non-union.

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

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

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

View Article
December 2018
1 Read

Intercalary allograft reconstruction in a patient with large tibial defect: Case report.

Injury 2018 Dec 3;49 Suppl 4:S39-S42. Epub 2018 Dec 3.

Orthopaedic and Traumatology Division, Department of Medicine and Science of Aging, University of Study "G. d'Annunzio" Chieti-Pescara, Italy.

A fit 26 year-old-man presented to our Department with an open fracture of the left tibial shaft (AO 42-C3). The fracture was initially treated with an External Fixator, which was replaced by an intramedullary Grosse Kempf nail after 4 months. In the following year he developed an atrophic non-union and we witnessed the increasing bone resorption at the fracture site which led to the nail breakage. Read More

View Article
December 2018
2 Reads

Treatment of distal clavicle nonunion with and without bone grafting.

Injury 2018 Dec 3;49 Suppl 4:S34-S38. Epub 2018 Dec 3.

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

The management of distal clavicle nonunion represents a challenging task for orthopaedic trauma surgeon. Both the choice of the implant and whether a bone graft is needed are controversial points which must be addressed. Particularly, in the case of a hypertrophic nonunion, grafting may not necessarily be needed, but given a poor underlying biological environment, a bone graft becomes necessary in order to enhance fracture healing. Read More

View Article
December 2018
3 Reads

Masquelet technique to treat a septic nonunion after nailing of a femoral open fracture.

Injury 2018 Dec 3;49 Suppl 4:S29-S33. Epub 2018 Dec 3.

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

Septic nonunion is one of the most serious complications after an open fracture because both the infection and the bone defect need to be dealt with. Treatment is always protracted and expensive, and the result is uncertain. In the 1980s, Masquelet first described the technique of the induced membrane and autologous bone grafting to manage critical size bone defects. Read More

View Article
December 2018
4 Reads

Modified Masquelet's technique with nail and allograft: A case report.

Injury 2018 Dec 3;49 Suppl 4:S21-S24. Epub 2018 Dec 3.

Department of Traumatology, IRCCS Humanitas Research Hospital, Milano, Italy.

The large bone defect treatment is a challenge issue in modern orthopaedic trauma surgery. One of the most used technique is the Masquelet's technique. In this case report we used a modified Masquelet technique to fill a six centimeters bone gap in the proximal femur. Read More

View Article
December 2018
8 Reads

Cerclage wiring and intramedullary nailing, a helpful and safe option specially in proximal fractures. A multicentric study.

Injury 2018 Nov 24. Epub 2018 Nov 24.

Servicio de Traumatologia y Cirugia Ortopedica, Complexo Hospitalario Universitario de Santiago de Compostela, Spain; Musculoskeletal Pathology Group, Institute IDIS, Lab 18, Spain.

Purpose: Antegrade intramedullary nailing is an alternative for humeral shaft fracture treatment. This surgical technique can be especially demanding in some fracture patterns, leading to problems like malunion and non-union. The purpose of our study is to demonstrate that the use of a nail with cerclage wires could be a safe procedure that facilitate reduction, specially in fractures with abduction of the proximal fragment. Read More

View Article
November 2018
2 Reads

Abdominal vascular injuries: Blunt vs. penetrating.

Injury 2018 Nov 26. Epub 2018 Nov 26.

Chulalongkorn University, Surgery, Rama4 rd, Bangkok, Thailand.

Introduction: Abdominal vascular injuries (AVIs) remain a great challenge since they are associated with significant mortality. Penetrating injury is the most common cause of AVIs; however, some AVI series had more blunt injuries. There is little information regarding differences between penetrating and blunt AVIs. Read More

View Article
November 2018
6 Reads

The expedited discharge of patients with multiple traumatic rib fractures is cost-effective.

Injury 2018 Oct 13. Epub 2018 Oct 13.

Division of Trauma, Department of Surgery, Cooper University Hospital, 1 Cooper Plaza, Camden, NJ 08103, United States. Electronic address:

Introduction: Rib fractures are a cause of significant morbidity and mortality in trauma patients. It is well documented that optimizing pain control, mobilization, and respiratory care decreases complications. However, the impact of these interventions on hospital costs and length of stay is not well defined. Read More

View Article
October 2018

CT-lung volume estimates in trauma patients undergoing stabilizing surgery for flail chest.

Injury 2018 Oct 16. Epub 2018 Oct 16.

Department of Radiology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Bruna stråket 11B, 413 45, Gothenburg, Sweden. Electronic address:

Aim: To estimate and compare lung volumes from pre- and post-operative computed tomography (CT) images and correlate findings with post-operative lung function tests in trauma patients with flail chest undergoing stabilizing surgery.

Patients And Methods: Pre- and post-operative CT images of the thorax were used to estimate lung volumes in 37 patients who had undergone rib plate fixation at least 6 months before inclusion for flail chest due to blunt thoracic trauma. Computed tomography lung volumes were estimated from airway distal to each lung hilum by outlining air-filled lung tissue either manually in images of 5 mm slice thickness or automatically in images of 0. Read More

View Article
October 2018
1 Read

Outcomes and predictors of mortality following periprosthethic proximal femoral fractures.

Injury 2018 Nov 2. Epub 2018 Nov 2.

C/O Fracture Clinic, Level 2, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA, Northern Ireland, United Kingdom. Electronic address:

Background: Periprosthetic fractures are a well-documented, serious complication of joint arthroplasty, occurring in up to 11% of hip replacements. We examined periprosthetic femoral fractures over an 8 year period to determine the demographics, fracture pattern and management options and associated outcomes. Furthermore, we sought to determine which comorbidities resulted in increased risk of 12 month mortality after periprosthetic fractures about hip replacements Methods: A retrospective review of a prospective fracture database was conducted for the years 2007-2015. Read More

View Article
November 2018

Inter- and intraobserver reliability and critical analysis of the FFP classification of osteoporotic pelvic ring injuries.

Injury 2018 Nov 15. Epub 2018 Nov 15.

Department of Trauma Surgery, Medical University of Innsbruck, Austria. Electronic address:

Introduction: The classification and management of osteoporotic pelvic ring injuries (OPRI) remain challenging. The fragility fractures of the pelvis (FFP) classification system proposed by Rommens and Hofmann constitutes the first comprehensive classification system of OPRI and may contribute to a more thorough assessment and grading of these injuries. The reliability of the FFP classification system, however, has not been evaluated yet. Read More

View Article
November 2018

Measuring outcomes following tibial fracture.

Injury 2018 Nov 12. Epub 2018 Nov 12.

Department of Trauma & Orthopaedics, Abertawe Bro Morgannwg University Health Board, Morriston Hospital, Swansea, SA6 6NL, UK. Electronic address:

Aim: The aim of this study was to determine how outcome is measured following adult tibial fracture in the modern era of functional outcome measurement and patient reported outcomes.

Methods: A systematic review of publications since 2009 was performed, looking specifically at acute, adult tibial shaft fractures. Ovid Medline, Embase, PubMed and PsycINFO databases were searched for relevant titles which were then screened by two authors with adjudication where necessary by a third. Read More

View Article
November 2018

Clinical effects and risk factors of far cortical locking system in the treatment of lower limb fractures.

Injury 2018 Sep 8. Epub 2018 Sep 8.

Department of Trauma Orthopedic, The Changhai Hospital of Military Medical University, Shanghai, 200433, China. Electronic address:

Introduction: This study aims to analyze clinical effects between far cortical locking (FCL) system and standard plating techniques in the treatment of lower limb fractures and identify potential preoperative risk factors for complications in patients treated with FCL system.

Method: We retrospectively analyzed 76 patients treated with FCL system (the study group) and 68 patients treated with standard plating techniques (the control group) between January 2014 and January 2017. Patients were followed up for a minimum of one year. Read More

View Article
September 2018
3 Reads

Head, face and neck camel-related injuries: Biomechanics and severity.

Injury 2018 Nov 16. Epub 2018 Nov 16.

Department of Surgery, College of Medicine and Health Sciences, UAE University, Al Ain, Abu Dhabi, United Arab Emirates; Department of Surgery, Al Ain Hospital, Al Ain, Abu Dhabi, United Arab Emirates.

Introduction: Large animal-related human injuries are associated with high morbidity and mortality. There are no studies on biomechanics of the camel-related head, face, and neck (HFN) injuries. We aimed to study the mechanism, anatomical distribution and severity of camel-related HFN injuries. Read More

View Article
November 2018
5 Reads

Is bone-cement augmentation of screw-anchor fixation systems superior in unstable femoral neck fractures? A biomechanical cadaveric study.

Injury 2018 Oct 30. Epub 2018 Oct 30.

AO Research Institute Davos, Davos, Switzerland. Electronic address:

Objectives: Improved fixation techniques with optional use of bone cements for implant augmentation have been developed to enhance stability and reduce complication rates after osteosynthesis of femoral neck fractures. This biomechanical study aimed to evaluate the effect of cement augmentation on implant anchorage and overall performance of screw-anchor fixation systems in unstable femoral neck fractures.

Methods: Ten pairs of human cadaveric femora were used to create standardized femoral neck fractures (Pauwels type 3 fractures; AO/OTA 31-B2) with comminution and were fixed by means of a rotationally stable screw-anchor (RoSA) system. Read More

View Article
October 2018
2 Reads

Accidental external rotation of distal interlock jig in retrograde femoral nailing can lead to more prominent screws.

Injury 2018 Nov 12. Epub 2018 Nov 12.

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

Objective: Symptomatic distal interlocking screws in retrograde femoral nailing are common due the difficulties of imaging the trapezoidal femur. Screws appearing to have appropriate length on imaging may possibly be prominent, creating symptoms. Screw trajectory may influence the degree of this radiographic error. Read More

View Article
November 2018
4 Reads

Risk factors for early readmission due to surgical complications after treatment of proximal femoral fractures - A Finnish National Database study of 68,800 patients.

Injury 2018 Nov 16. Epub 2018 Nov 16.

Department of Orthopedics, Traumatology and Hand Surgery, Kuopio University Hospital, Kuopio, Finland.

Introduction: Hip fracture surgery is associated with a considerable amount medical and surgical complications, which adversely impacts the patient's outcome and/or increases costs. We evaluated what risk factors were associated with the occurrence of early readmission due to surgical complications after hip fracture surgery.

Material And Methods: A nationwide database with 68,800 hip fracture patients treated between 1999 and 2011 was studied to uncover the association of readmissions with co-morbidities, fracture types, different hospital types and treatment methods using the Cox proportional hazards model. Read More

View Article
November 2018
5 Reads

Treatment of femoral neck fractures in patients 45-64 years of age.

Injury 2018 Nov 16. Epub 2018 Nov 16.

Division of Spine Surgery, Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, 593 Eddy Street, Providence, RI, 02903, United States.

Introduction: Young patients with femoral neck fractures are optimally treated with reduction and stable fixation, while patients over the age of sixty-five are often treated with arthroplasty. This study analyzes in-hospital outcomes associated with total hip arthroplasty, hip hemiarthroplasty and internal fixation for treatment of femoral neck fractures in patients aged 45-64.

Methods: Records of patients between the ages of 45-64, from 2002 to 2014, sustaining femoral neck fractures and treated with internal fixation, hip hemiarthroplasty or total hip arthroplasty were obtained from the Nationwide Inpatient Sample (NIS). Read More

View Article
November 2018
3 Reads

Postoperative CD4 counts predict anastomotic leaks in patients with penetrating abdominal trauma.

Injury 2018 Nov 16. Epub 2018 Nov 16.

Trauma Unit/Department of Surgery, Chris Hani Baragwanath Academic Hospital, 26 Chris Hani Road, Soweto, Gauteng, South Africa. Electronic address:

Introduction: The influence of trauma- and surgical stress-induced decrease of CD4 count on anastomotic leaks after penetrating abdominal trauma has to date not been investigated. A prospective study was performed to explore the effect of CD4 count 24 h after surgery on the anastomotic leak rate and to identify risk factors for anastomotic leaks.

Methods: This was a prospective study including 98 patients with small or large bowel resection and subsequent anastomosis due to penetrating abdominal trauma. Read More

View Article
November 2018
4 Reads

A new classification of injury patterns of the medial patellofemoral ligament after acute lateral patella dislocation detected using magnetic resonance imaging studies.

Injury 2018 Nov 13. Epub 2018 Nov 13.

Department of Magnetic Resonance, Renmin Hospital, Hubei University of Medicine, Shiyan, 442000, Hubei, PR China. Electronic address:

Introduction: Acute lateral patellar dislocation is a very common condition in orthopedics, especially among adolescents and physically active patients. To evaluate distinct medial patellofemoral ligament (MPFL) injury patterns and the associated knee pathology after acute lateral patellar dislocation (ALPD) using magnetic resonance imaging (MRI) studies, which is essential for the development of treatment protocols.

Materials And Methods: MRI images of 74 ALPD patients were taken between January 2015 to December 2016. Read More

View Article
November 2018
1 Read
2.137 Impact Factor

Corrigendum to "Mast cells improve functional recovery of transected peripheral nerve: A novel preliminary study" [Injury 48/7 (2017) 1480-1485].

Injury 2018 Nov 19. Epub 2018 Nov 19.

Department of Surgery and Diagnostic Imaging, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran.

View Article
November 2018
3 Reads

Dutch combat operation experiences in Iraq and Afghanistan: The conundrum of low surgical workload deployments.

Injury 2018 Nov 3. Epub 2018 Nov 3.

Department of Surgery, Alrijne Hospital, Leiderdorp, the Netherlands; Division of Surgery, Leiden University Medical Center, Leiden, the Netherlands; Defense Healthcare Organization, Ministry of Defense, Utrecht, the Netherlands.

Introduction: The Combined Joined Task Force - Operation Inherent Resolve is the military intervention of Iraq and Coalition Forces in the battle against Islamic State of Iraq and Syria (ISIS). Al Assad Airbase (AAAB) is one of the key airbases. It contains a Role 2 Medical Treatment Facility, primarily to perform Damage Control Surgery in Coalition Forces, Iraqi National Security Forces and Local Nationals. Read More

View Article
November 2018
4 Reads

Influence of luminal stenosis in aneurysmal and non-aneurysmal blunt cerebrovascular injury.

Injury 2018 Nov 3. Epub 2018 Nov 3.

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

Background: Current blunt cerebrovascular injury (BCVI) grading grossly differentiates injury characteristics such as luminal stenosis (LS) and aneurysmal disease. The effect of increasing degree of LS beyond the current BCVI grading scale on stroke formation is unknown.

Study Design: BCVI over a 3-year period were retrospectively reviewed. Read More

View Article
November 2018
6 Reads

Traction radiographs versus CT in the evaluation of fracture morphology and consecutive treatment decisions in OTA/AO 43C3 fractures.

Injury 2018 Nov 12. Epub 2018 Nov 12.

Ahi Evran University Faculty of Medicine, Department of Orthopaedics and Traumatology, Kirsehir, Turkey. Electronic address:

Background: Standard radiographs are limited in the evaluation of fracture characteristics and preoperative planning of OTA/AO 43C3 fractures. Therefore, CT imaging is an accepted as a useful method. CT is however expensive and has high radiation, and traction radiographs could be an alternative. Read More

View Article
November 2018

Massive hemorrhage protocol survey: Marked variability and absent in one-third of hospitals in Ontario, Canada.

Injury 2018 Nov 12. Epub 2018 Nov 12.

Sunnybrook Health Sciences Centre, Toronto, Canada; Laboratory Medicine and Pathology, University of Toronto, Canada. Electronic address:

Background: Massive hemorrhage protocols (MHP) are critical to standardized delivery of timely, safe, and resource-effective coordinated care for patients with life-threatening bleeding.

Methods: A standardized MHP survey was sent to all hospitals (n = 150) in Ontario with a transfusion service. This study aim was to determine the proportion of hospitals with an MHP and assess for variability. Read More

View Article
November 2018
3 Reads

Accuracy of massive transfusion as a surrogate for significant traumatic bleeding in health administrative datasets.

Injury 2018 Nov 10. Epub 2018 Nov 10.

Clinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, ON, Canada; School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada. Electronic address:

Background: Due to the challenge of identifying need for intervention in bleeding patients, there is a growing interest in prediction modeling. Massive transfusion (MT; 10 or more packed red cells in 24 h) is the most commonly studied dependent variable, serving as a surrogate for severe bleeding and its prediction guides the need for intervention. The critical administration threshold (CAT; 3 packed red cells in 1 h) has been proposed as an alternative. Read More

View Article
November 2018
3 Reads

Fixator-assisted nailing of tibial fractures: New surgical technique and presentation of first 30 cases.

Injury 2018 Nov 10. Epub 2018 Nov 10.

F.I. Inozemtsev City Clinical Hospital, 1 Fortunatovskay str., Moscow, 105187, Russia. Electronic address:

Background: Intramedullary nailing is considered a "gold standard" for treatment of tibial shaft fractures. However, some types of fractures are typically considered as "difficult for nailing". This group includes the periarticular fractures, fractures of both bones at the same level, comminuted and segmental fractures of the tibia. Read More

View Article
November 2018
8 Reads

Outcomes of midfoot and hindfoot fractures in multitrauma patients.

Injury 2018 Nov 12. Epub 2018 Nov 12.

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopaedic Surgery, The Alfred Hospital, Melbourne, Australia.

Introduction: Multitrauma patients suffering hindfoot fractures, including calcaneal and talar fractures, often result in poor outcomes. However, less is known about the outcomes following midfoot fracture in the mutitrauma population. This study aims to describe the epidemiology of midfoot fractures in multitrauma patients and to compare the outcomes of midfoot and hindfoot fractures in this population. Read More

View Article
November 2018
8 Reads