Injury
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Comparative Study
Fresh osteochondral allograft is a suitable alternative for wide cartilage defect in the knee.
There are several surgical options to restore a wide osteochondral defect in the knee. Fresh osteochondral allografts are usually considered a poor alternative due to their difficulties in surgical application. The aim of this work is first to present our experience including the surgical technique and the functional results of patients receiving fresh osteochondral allograft to restore major knee lesions, then, to compare our results with other results presented in literature. ⋯ Therapeutic study, Level IV.
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Comparative Study
Can residents be effective trauma team leaders in a major trauma centre?
The overall objective of this study was to compare senior Emergency Department (ED) trainees (residents) with consultant trauma team leaders, assessing their influence on trauma team performance and patient outcomes. We aimed to identify the effect of seniority of leader on time-based performance measures and clinical outcomes. ⋯ Consultant team leaders improve team performance, resulting in shorter times to diagnostic imaging, and faster transfer to haemorrhage control. The greatest benefit seems to be for bleeding patients. Clinical outcomes were similar for trainees and consultants in our major trauma centre.
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Many reviews of published papers in the medical literature have reported errors in statistical methods and presentation. ⋯ Statistical and numerical errors are common in papers submitted to INJURY and requiring statistical review. Following the advice in Discussion and using reporting guidelines should reduce the number of papers requiring corrections.
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Bone loss from trauma, neoplasia, reconstructive surgery and congenital defects remains a major health problem. The long-term clinical goal is to reconstruct bony tissue in an anatomically functional three-dimensional morphology. ⋯ In cases of decreased blood supply, a vascularized bone graft should be applied. The intrinsic blood supply of the vascularized bone grafts leads to higher success rates and to acceleration of the repair process in the reconstruction of defects and necrotic lesions of the skeleton.