European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Dec 2021
The value of 3D reconstructions in determining post-operative reduction in acetabular fractures: a pilot study.
In patients with acetabular fractures, the reconstructed three-dimensional (3D) model of the contralateral acetabulum could be used as a mirrored template for the anatomical configuration of the affected joint. This has not been validated. ⋯ This study demonstrates 3D reconstructed models of healthy left and right acetabula are highly similar and could potentially be used as mirrored duplicates. The next step will be to investigate these results in patients with reduced acetabular fractures.
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Eur J Trauma Emerg Surg · Dec 2021
Consultant versus trainee led surgery and impact on outcome following an emergency colonic resection.
Emergency colonic surgery carries a high mortality rate. In the UK, strategies to improve outcomes in emergency general surgery recommend a consultant surgeon to be physically present during all operations involving a patient with a predicted mortality > 5%. To test the assertion of the consultant surgeon's presence in theatre as a determinate of improved outcome, we assessed patients following an emergency colonic resection and the effect of operator seniority. ⋯ Emergency colonic surgery remains associated with a high level of morbidity and mortality. However, consultant presence at the operating table does not appear to be the sole determinant of outcome following an emergency colonic resection.
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Eur J Trauma Emerg Surg · Dec 2021
Functional and early weight-bearing protocol for achilles tendon ruptures: a retrospective study.
Conservative treatment of achilles tendon rupture (ATR) might be favoured in centres with an early weight-bearing protocol, but no consensus exists on the clear definition of an early weight-bearing protocol. The aim of this study is to evaluate the introduction of an early weight-bearing conservative treatment protocol in patients with ATR compared to patients without this protocol. ⋯ Conservative treatment of ATR with an early weight-bearing protocol showed similar re-rupture rates and complication rates compared to conservative and operative treatments without an early weight-bearing protocol.
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Eur J Trauma Emerg Surg · Dec 2021
ReviewIndications and interventions of damage control orthopedic surgeries: an expert opinion survey.
The objectives of this study were to gather an expert opinion survey and to evaluate the suitability of summarized indications and interventions for DCO. ⋯ This review demonstrates a detailed description of the management consensus for abbreviated musculoskeletal surgeries. It was consented that early fixation is crucial for all major fractures, and certain indications for DCO were dropped. Authors propose a distinct terminology to separate local (MuST surgery) versus systemic (polytrauma: DCO) scenarios.
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Eur J Trauma Emerg Surg · Dec 2021
Dual-room twin-CT scanner in multiple trauma care: first results after implementation in a level one trauma centre.
The trauma centre of the Wuerzburg University Hospital has integrated a pioneering dual-room twin-CT scanner in a multiple trauma pathway. For concurrent treatment of two trauma patients, two carbon CT examination and intervention tables are positioned head to head with one sliding CT-Gantry in the middle. The focus of this study is the process of trauma care with the time to CT (tCT) and the time to operation (tOR) as quality indicator. ⋯ The twin-CT technology is a fascinating tool to organize high-quality trauma care for two multiple trauma patients simultaneously.