J Trauma
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An accurate assessment of deep dermal burns within the first week after burn is still an unresolved clinical problem. Infrared-excited fluorescence of indocyanine green was examined as a method of early determination of burn depth. ⋯ Deep partial-thickness burns were differentiated from deep dermal full-thickness burns in a porcine skin burn model independent of body location. Diagnosis was possible between 1 and 72 hours after injury.
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Comparative Study
Snowboarding injuries of the chest: comparison with skiing injuries.
Snowboarding injuries have become more common with the remarkable increase in the sport's popularity. However, although there are many reports of orthopedic injuries caused by snowboarding, there are few reports on injuries to the chest. In this study, we attempted to identify the characteristics of snowboarding injuries of the chest in comparison with alpine skiing injuries. ⋯ A riding mistake during improper jumping may be the primary cause of chest snowboarding injuries. Furthermore, snowboarders are much more likely to injure the chest, particularly by rib fractures, than skiers.
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Reconstructive microsurgery has been part of the treatment for severe tibial fractures for over 20 years. ⋯ In the past 5 years, the flap survival rate and the microvascular free flap operation methods were the same as they were in the 1980s, but the methods for enhancing the fracture union or reconstructing the bone defect has changed.
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Randomized Controlled Trial Comparative Study Clinical Trial
Wound infections after minor limb lacerations: risk factors and the role of antimicrobial agents.
The requirement for antimicrobial agents in patients with minor limb lacerations was prospectively studied. ⋯ The use of antimicrobial agents in minor limb injuries was not associated with a significant reduction of infection rate. Routine antimicrobial treatment is discouraged.
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Randomized Controlled Trial Clinical Trial
Treatment of occult pneumothoraces from blunt trauma.
Occult pneumothoraces (OPTXs) are seen on abdominal computed tomographic (CT) scans but not on routine chest x-ray films. Optimal treatment for blunt trauma OPTXs has not been defined. We hypothesized that OPTXs could be safely observed without need for a chest tube (CT). ⋯ Observation of OPTX is not associated with an increased incidence of pneumothorax progression or respiratory distress. These pneumothoraces can be safely observed in patients with blunt trauma injury regardless of the need for positive pressure ventilation.