Eur J Orthop Surg Tr
-
Eur J Orthop Surg Tr · Aug 2015
Isolated pelvic ring injuries: functional outcomes following percutaneous, posterior fixation.
To characterize pelvic-specific functional outcomes in patients with isolated, partially unstable (AO/OTA 61-B), pelvic ring injuries treated with posterior only percutaneous screw fixation of the pelvic ring. ⋯ This series demonstrates that activity-specific dysfunction persists years after definitive percutaneous posterior fixation of isolated pelvic ring injuries. Radiographic outcomes were excellent as were subjects' ability to ambulate independently and sit comfortably without pain. Many complained of persistent discomfort with both daily activities and sexual activity, suggesting persistent pathology to the non-osseous structures about the pelvis.
-
Eur J Orthop Surg Tr · Aug 2015
Randomized Controlled TrialBlood transfusion and risk of infection in frail elderly after hip fracture surgery: the TRIFE randomized controlled trial.
It is still under debate that red blood cell (RBC) transfusions might increase the risk of healthcare-associated infections after hip fracture surgery. Previously, we found that a liberal RBC transfusion strategy improved survival in nursing home residents. Our aim, therefore, was to investigate whether a more liberal RBC transfusion strategy was associated with a higher infection risk in frail elderly hip fracture patients. ⋯ A more liberal RBC transfusion strategy was not associated with higher risk of infection among residents from nursing homes or sheltered housing undergoing hip fracture surgery.
-
Eur J Orthop Surg Tr · Aug 2015
ReviewAntibiotic-laden PMMA bead chains for the prevention of infection in compound fractures: current state of the art.
Antibiotic-laden PMMA bead chains are a valuable method of local antibiotic treatment in the prevention of infection in open fractures. When used in this setting, they provide high concentrations of broad-spectrum antibiotics to the area of the highest risk which may not be well perfused or reached by systemic antibiotics, while also eliminating dead space. In this article, the historical and current state of antibiotic-laden bead chains is discussed. ⋯ These bead chains can be sterilely prepared in the operating room or manufactured, and they maintain their elution and antimicrobial properties for a considerable time period. The bead chains also allow a high local concentration of antibiotics without risk of systemic toxicity or fear of clinically significant growth or persistence of bacteria on the beads. Bead chains are a practical method of local antibiotic therapy when the wounds can be closed.
-
Eur J Orthop Surg Tr · Aug 2015
Erratum to: Resorbable osteosynthetic devices in pediatric traumatology: a prospective series of 24 cases.
Erratum to: Eur J Orthop Surg Traumatol DOI 10.1007/s00590-015-1656-8. The author would like to correct the errors in the publication of the original article. The corrected details are given below for your reading. ⋯ D. Popkov: Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan, Russia. Corresponding author e-mail address should be p.journeau@ chu-nancy.fr.