Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Feb 2009
How to Cover Soft-Tissue Defects After Injuries to the Leg in Precarious Conditions.
In precarious conditions, bone exposure on the leg is synonymous with amputation. The authors describe their experiences with such injuries in 15 patients. ⋯ The pedicled flap is an essential technique for fighting against infection, especially in cases where only poor technical and medicinal resources are available. This simple and reliable technique allows most tissue defects on the leg to be covered.
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Eur J Trauma Emerg S · Feb 2009
Historical Treatment Results of Pelvic Ring Fractures: A 12-year Cohort Study.
Since the Academic Medical Center Amsterdam was appointed as a level-1 trauma center in July 1997, the number of polytrauma patients who were presented has increased. This stimulated us to perform a retrospective analysis on the treatment results of patients with a pelvic ring fracture and to evaluate our treatment strategies. ⋯ Evaluating two consecutive patient groups shows an increase in the number of fractures. A more aggressive surgical treatment has lead to lower mortality, improved anatomical reduction, and lower rate of complications.
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Eur J Trauma Emerg S · Feb 2009
Minimal Invasive PHILOS(®)-Plate Osteosynthesis in Proximal Humeral Fractures.
The anterior delto-pectoral approach is the standard approach for the fixation of proximal humeral fractures with the PHILOS(®)-Plate system. However, this approach can impair the vascular supply and can increase avascular necrosis. The objective of this study was to evaluate the results and complexity of surgery of proximal humeral fractures with a minimal invasive (MIPO) approach. ⋯ The minimal invasive PHILOS(®) plate osteosynthesis through an antero-lateral delta-split approach proved to be an elegant procedure for selected fractures of the proximal humerus with a low morbidity and good functional outcome.
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Eur J Trauma Emerg S · Feb 2009
Clinical Risk Factors for Hip Fracture in Young Adults Under 50 Years Old.
Established risk factors for hip fracture exist for older individuals. Young adults (less than 50 years old) presenting with hip fractures have received little attention. ⋯ Our data suggest that intravenous drug abusers under 50 are a particular group that we should be targeting for intervention strategies.
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Eur J Trauma Emerg S · Feb 2009
Giant Synovial Cyst of the Anterior Compartment: An Unusual Cause of Chronic Knee Pain After Trauma.
There is almost no literature describing the management and rationale for intervention for posttraumatic, extra-articular synovial cysts of the knee. We describe the very rare case of a 45-year-old blind man who developed chronic knee pain after a traumatic injury. He was found to have a giant, posttraumatic, true synovial cyst of the knee in an extra-articular location and migrating down the anterior compartment. The surgical management, potential complications, and rationale for intervention are discussed.