Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Oct 2009
Iatrogenic femoral neck fracture during closed nailing of the femoral shaft fracture.
Intramedullary nails have become a popular implant in the management of femoral shaft fractures. The occurrence of a femoral neck fracture after closed intramedullary nailing is an exceptional complication of this technique that has been rarely reported in the literature. ⋯ The event of a femoral neck fracture during closed intramedullary nailing is an unusual complication that may be caused due to a technical mistake related to the location of the nail entry portal in the proximal femur.
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Eur J Trauma Emerg S · Oct 2009
Proximal humeral fractures and intramedullary nailing: Experience with a new nail system.
The goal of this study was to evaluate fracture healing and alignment as well as functional outcome and complication risks after internal fixation with the intramedullary proximal humeral nail (PHN). This device shows promise for applications involving the reconstruction of the humeral shaft and head with minimal soft tissue stripping and for providing a locked, fixed-angle construct for secure fixation to permit controlled, early, and active rehabilitation. ⋯ Nailing of proximal humeral fractures with the PHN is possible, but indication is limited to mainly A- and B-type fractures. The results of this multicenter study with many participating surgeons show that the operative technique is demanding and that the majority of documented complications are related to a violation of published basic technical steps during the operative procedure.
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Eur J Trauma Emerg S · Oct 2009
Five years experience of trauma care in a German urban level I university trauma center.
A regionalized approach to trauma care with the implementation of designated level I trauma centers has been shown to improve survival after multiple injuries. Our study aimed to describe the current reality in an urban German level I university trauma center concerning the primary admission of patients into the emergency room. ⋯ Regionalized trauma care with designated level I trauma centers is justified by the improvement of time intervals and outcome, but adequate resources are required.
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Eur J Trauma Emerg S · Oct 2009
Pneumatosis intestinalis with gastric pneumatosis and hepatoportal venous gas in blunt abdominal trauma: A case report.
A case of transient pneumatosis intestinalis with gastric pneumatosis and hepatoportal venous gas following blunt abdominal trauma is described. The presence of intramural gas mostly implies intestinal necrosis, which needs emergent surgical exploration. This case demonstrates that conservative management with close clinical observation and follow-up computed tomography scan can be safely applied in selected cases of pneumatosis intestinalis with gastric pneumatosis and hepatoportal venous gas.
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Eur J Trauma Emerg S · Oct 2009
A case of delayed diagnosis of a right-sided diaphragm rupture with a review of the literature.
Right-sided diaphragm rupture is one of the typical injuries found during a secondary or tertiary survey after a major blunt trauma. This is mainly due to the apparently normal aspect of primary X-rays of the thorax. ⋯ We present a case of a delayed diagnosis of right-sided diaphragm rupture, which was discovered by accident because of a new trauma. We review the literature on right-sided diaphragm rupture and its treatment.