Chinese journal of traumatology = Zhonghua chuang shang za zhi / Chinese Medical Association
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Chin. J. Traumatol. · Jan 2014
Case ReportsMultiple volar dislocations of the carpometacarpal joints with an associated fracture of the first metacarpal base.
Multiple volar dislocations of carpometacarpal (CMC) joints are uncommon and have been reported rarely. A 25 years old male presented with injury to his left hand 6 days following a road traffic accident. ⋯ He was treated by open reduction and percutaneous fixation using Kirschner wires. The functional results were excellent at one year follow-up.
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Chin. J. Traumatol. · Jan 2014
Comparative StudyCerebral state index versus Glasgow coma scale as a predictor for in-hospital mortality in brain-injured patients.
To compare the value of Glasgow coma scale (GCS) and cerebral state index (CSI) on predicting hospital discharge status of acute brain-injured patients. ⋯ GCS score at ICU admission is a good predictor of in-hospital mortality. GCS<4.5 and CSI<64.5 at the time of admission is associated with higher mortality risk in traumatic brain injury patients and GCS is more sensitive than CSI in predicting death in these patients.
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Chin. J. Traumatol. · Jan 2014
Observational StudyNew scoring system for intra-abdominal injury diagnosis after blunt trauma.
An accurate scoring system for intra-abdominal injury (IAI) based on clinical manifestation and examination may decrease unnecessary CT scans, save time, and reduce healthcare cost. This study is designed to provide a new scoring system for a better diagnosis of IAI after blunt trauma. ⋯ The present scoring system furnishes a high precision and reproducible diagnostic tool for BAT detection and has the potential to reduce unnecessary CT scan and cut unnecessary costs.
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Conventional fixation of syndesmotic injuries with screws remains problematic. A novel fibrewire device (Tightrope® has suggested advantages. However, small case series have reported high soft tissue complication rates. The purpose of our study was to quantify complication rates and further procedures in patients treated with Tightropes. A secondary objective was to determine incidence of complications and further procedures in those treated with syndesmotic screws over the same period. ⋯ Tightrope fixation provideds effective syndesmotic fixation that is maintained at discharge. We do not experience soft tissue complications reported elsewhere.
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Chin. J. Traumatol. · Jan 2014
Case ReportsUnusual management of thoracoabdominal impalement injury to the right hemiliver and diaphragm.
Laparotomy or thoracolaparotomy is a traditional management approach for thoracoabdominal impalement injury associated with major liver and diaphragmatic injuries. We successfully treated the impalement injury with minimally invasive management. A male was brought to our trauma centre with the 15 cm long handle of the knife protruded from right lateral thoracoabdominal region. ⋯ The conservative management plan consisting of removing the impaled knife, observing, monitoring and managing complications was undertaken. A multidisciplinary approach to manage a patient with less invasive techniques yielded a good outcome. This management option may be considered as an alternative for open surgery for hemodynamically stable patients in experienced centres.