Injury
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The difficulties in the management of the blunt chest wall trauma patient in the Emergency Department (ED) due to the development of late complications are well recognised in the literature. The aim of this study was to investigate the risk factors for the development of complications in the recovery phase following blunt chest wall trauma. ⋯ A number of risk factors have been presented in this study which should be considered in the management of the blunt chest wall trauma patient. This is the first study in which a number of the risk factors have been investigated and this may provide the basis for further prospective studies.
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Review Meta Analysis
The effect of obesity on outcomes in trauma patients: a meta-analysis.
This study aims to assess the effect of obesity on injury severity score (ISS), mortality and course of hospital stay among trauma patients. ⋯ Evidence strongly supports the correlation of obesity with worse prognosis in trauma patients and further studies should target this kind of population for therapy and prevention.
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The aim of this study was to compare the biomechanical properties of a novel tibial external bone fracture fixator with a circular locking mechanism with standard dynamic axial external fixator. ⋯ The novel fixator is expectedly faster applicable and offers greater extent of external fixation flexibility. Further developments of this model thus seems justified in both construction improvement and on clinical application.
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To investigate the relationship between severity of hypernatremia and the risk of death for patients with traumatic brain injury (TBI) who have been admitted to the neurosurgical intensive care unit (NICU). ⋯ Severe hypernatremia is an independent risk factor with extremely high odds ratio for death in patients with TBI who are admitted to the NICU.
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The biomechanical properties of extra-articular fractures of the distal humerus have not been researched sufficiently. The aim of the study was to examine three different models of osteosynthesis for extra-articular distal humerus fractures. Osteosynthesis with two parallel or perpendicular plates is a common method of osteosynthesis for those fractures. We wanted to examine the biomechanical performance of a newly designed Y plate, and compare it to the previously used osteosynthesis methods. ⋯ The displacements that appeared in all three plating systems are minimal and within the limits that meet the requirements of sufficient biomechanical stability in the usual time for the healing of fractures in that region. The newly designed Y-shaped plate for extra-articular fractures of the distal humerus is a possible alternative to the usual method of osteosynthesis with two plates in the case of an extra-articular fracture of the distal humerus. Further biomechanical studies are needed for a decisive conclusion.