Eur J Trauma Emerg S
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Vascular injuries in branch vessels of the popliteal artery, such as the tibioperoneal trunk, and shank vessels, such as anterior, posterior tibial, and peroneal vessels, occur in both blunt and penetrating trauma. Their management has evolved significantly in the past few decades. While their incidence is variable, limb loss and morbidity remain significant. ⋯ Shank vessel injuries still comprise a significant proportion of combat and civilian vascular injuries, and modern advances have led to a dramatic decrease in amputation rates.
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Eur J Trauma Emerg S · Aug 2012
A comparative study between gamma nail and percutaneous compression plating for the treatment of intertrochanteric hip fractures.
Nowadays, the literature shows better results in the treatment of intertrochanteric (AO/OTA 31.A1-A2) hip fractures with dynamic hip screw (DHS) compared with gamma nail (GN). Besides, percutaneous compression plate (PCCP) gives results which are better or similar to those obtained with DHS. But only two reports compare the results between PCCP and GN. The aim of this trial is to compare the outcome of treatment of these fractures with either a PCCP or a GN. ⋯ PCCP has lower overall economical cost and blood transfusional requirements for a similar or better outcome in terms of procedure-related complications.
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Eur J Trauma Emerg S · Aug 2012
Pelvic circumferential compression devices (PCCDs): a best evidence equipment review.
Traumatic disruption of the pelvis can lead to significant morbidity and mortality. ATLS(®) guidance advocates temporary stabilisation or 'closure' of the disrupted pelvis with a compression device or sheet. We undertook a best evidence equipment review to assess the ease and efficacy of the application of two leading commercially available devices, the T-POD(®) and the SAM Pelvic Sling™ II. ⋯ The results of this study indicate that both PCCDs are easy and acceptable to use and, once learned, can be applied easily and rapidly. Participants applied both devices correctly 100% of the time, with successful application taking, on average, less than 60 s.
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Eur J Trauma Emerg S · Aug 2012
Clinical re-evaluation of the relationship between gluteal injuries and embolized arteries in patients with massive hemorrhage following pelvic fracture.
Transcatheter angiographic embolization (TAE) has been widely accepted as a treatment for hemorrhagic shock associated with pelvic fracture. Gluteal muscle necrosis is a rare but potentially fatal complication of TAE. This study aimed to clarify factors associated with safer embolization procedures by evaluating relationships between embolic site and risk of gluteal skin injury. ⋯ If possible, we recommend selective embolization avoiding the superior and inferior gluteal arteries.