Injury
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To present a large series of concurrent upper limb and hip fracture in the elderly treated at a United Kingdom major trauma centre. ⋯ Demonstrates increased rehabilitation requirements in concurrent upper limb and hip fracture in the elderly Highlights concurrent humerus fracture as a high risk group.
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We scrutinised the computed tomography (CT) capsular sign, which refers to the anterior capsular distension of the hip, to determine whether we can use it as an additional clue for detecting occult ipsilateral femoral neck fracture (IFNF) before operation. ⋯ The CT capsular sign can be used to detect the presence of occult IFNF in high-energy trauma patients with femoral shaft fractures. During the preoperative evaluation of IFNF, surgeons must pay extra attention to the presence of occult IFNF when the CT capsular sign is positive.
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Disaster management necessitates quick and effective response. The success of response largely depends on humanitarian logistics. A key component of humanitarian logistics is the prepositioning of relief items. The aim of this study was to explore factors behind the prepositioning of relief items. ⋯ A wide range of personal, managerial, professional, structural, environmental, and sociopolitical factors can affect the prepositioning of relief items. Lack of thorough risk assessment studies is the most important factor. Therefore, well-designed risk assessment studies are needed to determine the type and the amount of the relief items which should be prepositioned in each area. It is also required to determine the best time and site for their prepositioning. Developing measurement tools is also recommended to measure prepositioning-related needs of each area.
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The purpose of this study is to investigate if preoperative opioid use is associated with other predictors of poor outcome and the effect of these factors on complications. We hypothesized that preoperative opioid use (POU) is associated with increased rates of postoperative complications. ⋯ Our study demonstrates that many predictors of poor outcome frequently accompany POU. POU combined with many of these predictors synergistically increases the risk of complication. Outcomes-based payment models should reflect this expected rate of readmissions, ER visits and complications in this group. Patients with POU should be targeted with multi-disciplinary interventions aimed to modify these risk factors.
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Comparative Study
A retrospective comparative cohort study of radial head arthroplasty versus resection in complex elbow dislocations.
The management of radial head fractures for the treatment of complex elbow dislocations remains controversial. Until the publication of recent therapeutic algorithms, different actions have been carried out, including resection or arthroplasty of the radial head. This study aims to compare the clinical and radiological results of these two techniques. ⋯ Level IV; Case Series; Treatment Study.