Injury
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Observational Study
The epidemiology and outcomes of severe road traffic injury by road user type in Korea: A nationwide retrospective observational study.
Road traffic injuries (RTIs) pose a significant public health burden, and more than half of these fatalities are attributed to vulnerable road users (VRUs). This study aimed to evaluate the epidemiology and outcomes of severe RTIs in Korea by focusing on different types of road users. ⋯ We found varying trends and injury characteristics in severe RTIs according to road user type. Adapting prevention strategies for evolving road user patterns, with particular attention to increasing safety device usage and addressing the high mortality associated with severe RTIs are warranted.
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Observational Study
Time to surgery and 30-day mortality after hip fracture: An observational study of 29,695 patients reported to the Spanish National Hip Fracture Registry (SNHFR).
The aim of this study was to investigate the effect of time to surgery (TTS) on 30-day mortality in a cohort of patients from the Spanish National Hip Fracture Registry (SNHFR). ⋯ IV.
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Displaced intracapsular neck of femur (NOF) fractures secondary to civilian gunshots are rare injuries with universally poor outcomes following surgical fixation. No studies have been published on fracture mapping in NOF fractures secondary to civilian gunshots. ⋯ This is the first study to perform 3D fracture mapping for intracapsular femur neck fractures secondary to civilian gunshot injuries. The exercise has helped us better understand the commonest fracture patterns and assisted us with surgical planning and execution.
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The increase in life expectancy in the general population has led to a rise in the use of hip arthroplasties and consequently, to an increase in the incidence of periprosthetic hip fractures (PPHF). The impact of this type of fracture on patients necessitates a personalized approach to treatment, whether surgical or non-operative, taking into account the trajectory and associated comorbidities. ⋯ Therapeutic Level IV (Case Series).
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Dislocation rates are low in patients undergoing hemiarthoplasty (HA) for displaced femoral neck fractures (FNF); however, complications can be devastating. We hypothesize that patients sustaining HA dislocation have different comorbidities and surgical characteristics to those without. ⋯ III.