Eur J Trauma Emerg S
-
Eur J Trauma Emerg S · Feb 2013
Reamed intramedullary nailing of diaphyseal tibial fractures: comparison of compression and non-compression nailing.
Modern intramedullary implants provide the option to perform compression at the fracture gap in long bone fractures via a compression screw mechanism. The aim of this study was to assess if the application of interfragmentary compression in the intramedullary nailing of tibia fractures could increase the union rate and speed of fracture healing. ⋯ The results show that additional compression of the fracture gap can improve healing outcome in simple transverse tibial shaft fractures treated with reamed nailing.
-
Eur J Trauma Emerg S · Dec 2012
Distal humerus fractures in the elderly: osteosynthesis or endoprosthesis? Review of the literature.
Fractures of the distal humerus in adults are rare but challenging for the orthopaedic trauma surgeon. The bimodal distribution reflects the trauma mechanism. While distal humerus fractures are caused by high-energy traumata in young male adults, a fall from a standing height is the most common reason for humerus fractures among elderly females. ⋯ In elderly patients, reconstruction is not always possible, and total elbow arthroplasty (TEA) becomes necessary. The present article provides an overview of the current diagnostic and treatment recommendations. The current literature is reviewed and the results discussed.
-
Eur J Trauma Emerg S · Dec 2012
Prospective validation of the Ocular Trauma Score as a prognostic model to predict vision survival in injured adult patients from a developing country.
To assess the prognostic value of the Ocular Trauma Score (OTS) in patients with eye injury treated in a University Hospital in South America. ⋯ The OTS provided useful information on outcomes treatment after eye trauma and can be used as a prognostic model to predict vision survival in injured adult patients from a developing country.
-
Eur J Trauma Emerg S · Dec 2012
Predictive ability of the ISS, NISS, and APACHE II score for SIRS and sepsis in polytrauma patients.
Systemic inflammatory response syndrome (SIRS) and sepsis as causes of multiple organ dysfunction syndrome (MODS) remain challenging to treat in polytrauma patients. In this study, the focus was set on widely used scoring systems to assess their diagnostic quality. ⋯ Quick assessment with the NISS or APACHE II score could preselect possible candidates for sepsis following polytrauma and provide guidance in trauma surgeons' decision-making.
-
A number of outcome measures (instruments) are used to assess shoulder pain and function in clinical practice. No clear 'gold standard' exists and it is thought that different instruments will give a different answer. Our aim is to statistically compare four commonly used outcome measures in a group of trauma patients and to identify whether instruments which combine objective and subjective components differ from those which are purely subjective. ⋯ Outcome measures are useful tools, but clinicians need to be aware that their choice of instrument should be made carefully, taking into account the reason behind its use with regard to outcome.