J Trauma
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To assess results of exchange nailing in nonunion after intramedullary (IM) nailing of humeral shaft fractures. ⋯ Exchange nailing results in a poor union rate in nonunion after IM nailing of humeral shaft fractures. Permanent nonunion of the humeral shaft leaves the patient with severe disability.
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This article presents a retrospective analysis of a case series of diaphyseal forearm fractures in children treated with intramedullary Kirschner wires (K-wires). ⋯ This surgical technique is convenient, effective, and safe for treating displaced diaphyseal forearm fractures in children.
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Multicenter Study
Penetrating esophageal injuries: multicenter study of the American Association for the Surgery of Trauma.
The purpose of this study was to define the period of time after which delays in management incurred by investigations cause increased morbidity and mortality. The outcome study is intended to correlate time with death from esophageal causes, overall complications, esophageal related complications, and surgical intensive care unit length of stay. ⋯ Esophageal injuries carry a high morbidity and mortality. Increased esophageal related morbidity occurs with the diagnostic workup and its inherent delay in operative repair of these injuries. For centers practicing selective management of penetrating neck injuries and transmediastinal gunshot wounds, rapid diagnosis and definitive repair should be made a high priority.