Clinical presentations, management, and outcomes of trauma in pregnancy: A retrospective observational study
Trauma poses significant risks during pregnancy, leading to adverse outcomes. We aimed to evaluate the impact of trauma during pregnancy on maternal and fetal outcomes.
Comments on resuscitative endovascular balloon occlusion of the aorta provides better survival outcomes for noncompressible blunt torso bleeding below the diaphragm compared to resuscitative thoracotomy: A retrospective study
Perceived barriers and facilitators to implementation of injury prevention programs in the military: Feedback from inside the trenches
Musculoskeletal injuries enact a substantial burden in military settings, incurring high costs, long-term disability, and impacting military readiness. This has led to a prioritization of injury prevention programs. Understanding the challenges faced by those trying to implement these programs could help standardize and better inform future efforts. The purpose was to capture perceptions of barriers and facilitators to implementation of injury prevention programs in the US Armed Forces.
The influence of nerve surgical techniques at time of amputation on the prevalence of heterotopic ossification in transtibial amputees
Heterotopic ossification (HO) can form after amputation and may cause pain and functional impairment. We aimed to describe the prevalence of HO in a civilian population of transtibial amputees. We hypothesized that the decreased rate of symptomatic neuroma following active nerve surgery (Targeted Muscle Reinnervation (TMR) or Regenerative Peripheral Nerve Interface (RPNI)) may subsequently lead to a lower prevalence of HO compared to passive nerve surgery (i.e. traction neurectomy) performed at the time of amputation.
Association between surgical delays for femoral neck fractures and early postoperative complications in young and middle-aged adults: A study based on the national inpatient sample database
An endpoint adjudication committee for the assessment of computed tomography scans in fracture healing
Endpoint Adjudication Committees (EACs) benefit the quality of randomized control trials (RCTs) where outcomes depend on subjective interpretations. However, assembling a committee to adjudicate large datasets is cumbersome. In a recent RCT, the primary outcome was time to union following operative fixation of scaphoid non-union, with real or placebo adjunctive ultrasound treatment. Union status was determined with computed tomography (CT) scans interpreted by treating surgeons and radiologists. An EAC was established to deliberate discrepancies between radiologists' and surgeons' interpretations of union status.
Preliminary results of stabilization of far distal tibial fractures with the distal tibial nail: A prospective, multicenter case series study
Endovascular surgery in the French role 3 medical treatment facility: Is there a need? A 10-year retrospective analysis
Vascular surgery for war-related traumatic injuries represents 3 to 17.6 % of all emergency surgical procedures, and around 5 % in French Medical Treatment Facilities (MTFs). Most of these lesions are treated by open surgery, but the role of endovascular surgery in French MTFs has not been assessed yet. The aims of this study are to assess the possible role of endovascular surgery by describing vascular surgical management in recent conflicts, and identify potential gaps in vascular surgery training.
Frailty across the adult age spectrum and its effects on outcomes: Experience from a level 1 trauma centre
Recent evidence suggests that frailty may be a more reliable measure than age to predict outcomes following trauma. Frailty leads to prolonged hospitalisation and increased burden on the hospital system in older patients. The aim of this study is to review the prevalence of frailty in our trauma patients and the association of frailty with hospital-based and twelve-month outcomes.
Musculoskeletal injuries from gender-based violence at a tertiary hospital orthopaedic centre, central South Africa
Limited research describing the pattern of orthopaedic musculoskeletal injuries among gender-based violence (GBV) victims has been conducted in South Africa. With the high prevalence of GBV in our locality, there is a need for healthcare workers to identify this vulnerable population for early management, intervention, and prevention of subsequent assaults. This study aimed to describe the pattern of musculoskeletal injuries resulting from physical assaults due to GBV.
Written discharge instruction evaluation for mild traumatic brain injury from emergency departments Evaluating written discharge instructions from emergency departments for mild traumatic brain injury
This study aimed to evaluate the completeness and quality of information in written discharge instructions for patients with mild traumatic brain injury (mTBI) discharged from the emergency department (ED).
The anatomical distribution of penetrating junctional injuries and their resource implications: A retrospective cohort study
There is no standardised definition of what constitutes a junctional injury. Although well described in military literature, this is not the case in the civilian setting. This study aims to characterise the epidemiology of the civilian penetrating junctional injuries in our centre.
Time trends in work-related MSK injury admissions in Victoria: Effects of the COVID-19 pandemic
Work-related musculoskeletal (MSK) injuries pose significant challenges to workers' health, productivity, and healthcare systems. Increased working from home since the onset of the COVID-19 pandemic may have affected the incidence and prevalence of work-related MSK injuries. Despite workers' compensation systems providing valuable data, underreporting remains a concern, necessitating additional data sources such as hospital admissions to better understand the burden of MSK injuries.
Post-operative periprosthetic femoral fractures in England: Patient profiles and short-term outcomes
Post-operative periprosthetic femoral fractures (POPFF) present a growing challenge for healthcare services, but there are limited national data on patient profiles, short-term outcomes, and post-discharge follow-up. We aimed to fill these gaps.
Does injury type influence patient preference, response rates, and data completeness for online or telephone follow-up following injury?
Collecting patient-reported outcomes in a systematic fashion is important to understand recovery trajectories and compare performance between different services and fields of care. These outcomes can be collected through a variety of means, but studies comparing different follow-up methods in patients with a variety of injury types are scarce. This study aimed to compare follow-up data from three injury registries to quantify patient preference for telephone versus online follow-up, determine factors associated with choosing online follow-up, and compare response rates based on the patient's preferred follow-up method.
Factors associated with failure of locking plate fixation in proximal humerus fractures
Locking plate fixation remains the mainstay of surgical fixation of unstable proximal humerus fractures, however rates of failure remain high. The aim of this study was to identify risk factors that could be used to predict the likelihood of fixation failure.
Comparison of head & facial skin wound healing complications with GLUBRAN® Tiss 2 skin adhesive Vs Non-absorbable nylon suture
Wound healing is an essential process for the body to repair damaged tissue and restore normal function. Over the years, there have been advancements in wound closure techniques, with skin adhesive and sutures being two common methods. In this article, we will evaluate the healing complications associated with GLUBRAN® Tiss 2 (2-cyanoacrylate) skin adhesive in comparison to traditional sutures.
Measurement of clavicular symmetry: A hint for midshaft clavicle fracture management
Clavicle fractures represent approximately 2.6∼4 % of all fractures. The management of midshaft clavicle fractures is a topic of debate. The evaluation of clavicular shortening relies on the assumption of clavicular symmetry.
Isolated posterior stabilization of the pelvic ring in type III/IV fragility fractures of the pelvis are beneficial compared to 360° antero-posterior surgical approaches. A dual-center cohort analysis
Fragility fractures of the pelvis (FFP) in elderly patients are an increasing concern due to their association with osteoporosis and the aging population. These fractures significantly affect patients' mobility and quality of life. This study evaluates different surgical techniques in patients suffering from FFP to provide standardized recommendations for treatment strategies. In addition, we compared therapeutic concepts and their outcome between two major trauma centers in Germany.