Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Aug 2008
Popliteal A-V Fistula with Pseudo-aneurysm: A Complication Following Total Knee Arthroplasty.
Arthroscopy and total knee replacement (TKR) are the two orthopedic procedures in which instruments are routinely placed near the posterior capsule of the knee. A review of the literature demonstrated that the four commonest reported problems following TKR are thrombosis, arterial transection, A-V fistula, and aneurysm formation. ⋯ Despite the uncommon occurrence of these injuries, the outcome can be devastating, leading to further surgery, including vascular repair or possibly even amputation of the affected limb. We present a rare case of popliteal A-V fistula following TKR and discuss the probable etiology and the management.
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Eur J Trauma Emerg S · Aug 2008
Traumatic First Metatarsal Bone Loss Treated with a Staged Method Using an Antibiotic Cement Spacer and Subsequent Autografting: A Case Report.
Fractures with bone loss are rare. A staged method of using bone cement as a spacer and subsequent autografting has been used successfully to treat traumatic bone loss of long bones. We report a case of traumatic bone loss of the 1st metatarsal bone that was treated successively with a staged method of using antibiotic-impregnated bone cement as a spacer in the primary phase and cancellous autografting in second-stage surgery.
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Hepatic injuries are one of the most common abdominal injuries following either blunt or penetrating trauma. CT scanning has revolutionized the treatment algorithm for these patients. The majority of patients are successfully treated with nonoperative management, but surgeons should have a clear understanding of the indications for operative intervention. An array of techniques including operative, interventional, and endoscopic, are often required for management of advanced grade hepatic injuries.
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Eur J Trauma Emerg S · Aug 2008
Displaced Operable Radial Head Fractures : Functional Outcome Correlations.
Radial head fractures are common injuries occurring in conjunction with other injuries. We hypothesize that the associated injuries are under-diagnosed, under-treated and are under-estimated in terms of their relevance to the patients final functional outcome. We hypothesize a high correlation between the associated injuries and poor functional scores. ⋯ "Isolated radial head fractures" are rare. All displaced radial head fractures need thorough clinical and radiographic evaluation. The associated injuries are often unappreciated on initial diagnosis and are often under-treated. Associated injuries are strongly correlated with poor functional scores and therefore need to be addressed during surgery.