Injury
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The study presents a surgical technique using two suture anchors combined with two non-absorbable suture tension bands and the clinical and radiological results obtained in patients with acute distal clavicle fractures associated with coracoclavicular ligaments disruption. ⋯ Coracoclavicular reconstruction using two suture anchors and supplementary interfragmentary fixation using two non-absorbable suture tension bands for acute distal clavicle fracture are reliable techniques for restoring stability in patients with acute distal clavicle fracture.
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Anecdotal reports when a temporary ice-rink opened in Winchester, suggested a burden on the Emergency Department (ED) and Trauma & Orthopaedic (T&O) services. This study was undertaken to assess, prospectively, the workload created as a consequence of ice-rink injuries, when the facility was reopened over Christmas 2007. All patients attending from the ice-rink were included and their injuries reviewed. ⋯ Fifty-eight ED, fracture clinic and physiotherapy OPA's were required. Additional costs to The Royal Hampshire County Hospital (RHCH) were calculated as 33,718.50 pounds. This temporary facility created a smaller than predicted burden for the ED and T&O service, however, sufficient consideration of OPA requirements should be made when planning service provision whilst temporary recreational facilities, such as this, are open.