Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Feb 2013
Whole body imaging in the diagnosis of blunt trauma, ionizing radiation hazards and residual risk.
Ever since the introduction of radiographic imaging, its utility in identifying injuries has been well documented and was incorporated in the workup of injured patients during advanced trauma life support algorithms [American College of Surgeons, 8th ed. Chicago, 2008]. ⋯ During the last several years, a significant amount of research has been published on this topic, most of it being incorporated in the BEIR VII Phase 2 report, published by the National Research Council of the National Academies [National Academy of Sciences, Washington DC, 2006]. The current review will analyze the scientific basis for the concerns over the ionizing radiation associated with the use of CT scanning and will examine the accuracy of the typical advanced trauma life support work-up for diagnosis of injuries.
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Eur J Trauma Emerg S · Feb 2013
Reamed intramedullary nailing of diaphyseal tibial fractures: comparison of compression and non-compression nailing.
Modern intramedullary implants provide the option to perform compression at the fracture gap in long bone fractures via a compression screw mechanism. The aim of this study was to assess if the application of interfragmentary compression in the intramedullary nailing of tibia fractures could increase the union rate and speed of fracture healing. ⋯ The results show that additional compression of the fracture gap can improve healing outcome in simple transverse tibial shaft fractures treated with reamed nailing.
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Eur J Trauma Emerg S · Feb 2013
Ultrasonographic diagnosis of abdominal free fluid: accuracy comparison of emergency physicians and radiologists.
Blunt abdominal trauma is a diagnostic challenge for emergency physicians and ultrasonography is one of the diagnostic tools used in this type of injuries. The aim of this study was to evaluate the diagnostic value of ultrasonographies performed by emergency physicians and radiologists. ⋯ Emergency physicians showed a promising performance in applying FAST in blunt abdominal trauma. The specificity of ultrasonographic diagnosis in the emergency physicians group and the radiologists group were comparable, while radiologists showed a higher performance regarding the sensitivity of the ultrasonographic diagnosis.
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To investigate the clinical effect of a new fixation method for Hoffa fractures. ⋯ The new fixation method for Hoffa fracture is effective, and may provide a new way to treat Hoffa fractures.