Eur J Trauma Emerg S
-
Eur J Trauma Emerg S · Apr 2013
Locking Compression Plates are more difficult to remove than conventional non-locking plates.
Locking Compression Plates (LCPs) have been introduced in the last decade. Clinicians have the impression that hardware removal of LCPs are more difficult and associated with more complications than conventional (non-locking) plates. Therefore, this study compares the complication rates of Locking Compression Plate (LCP) removal and conventional non-locking plate removal. ⋯ LCP removal is associated with significantly more complications than conventional non-locking plate removal. The indication for removal of locking compression should be made cautiously, and surgical instruments for LCP removal should be optimized.
-
Eur J Trauma Emerg S · Apr 2013
Civilian injuries due to unexploded ordnance in military training areas in southern Israel.
The problem of unexploded ordnance (UXO) is global and is usually associated with active or former war zones. Civilian injuries due to UXO in military training areas are not common. ⋯ Awareness and implementation of preventive measures are expected to reduce the incidence of this type of injury.
-
Eur J Trauma Emerg S · Apr 2013
Nailing versus plating for comminuted fractures of the distal femur: a comparative biomechanical in vitro study of three implants.
The purpose of our study was to determine the biomechanical properties of three different implants utilized for internal fixation of a supracondylar femur fracture. The retrograde supracondylar nail (SCN), the less invasive stabilization system plate (LISS) and the distal femoral nail (DFN) were tested and their biomechanical properties compared. ⋯ All implants had sufficient biomechanical stability under physiological torsional and axial loading. All three implants have different mechanisms for distal locking. The SCN nail with the four-screw distal interlocking had the best combined axial and torsional stiffness whereas the LISS plate had the highest torsional stiffness.
-
Eur J Trauma Emerg S · Apr 2013
Prophylactic sequential bronchoscopy after inhalation injury: results from a three-year prospective randomized trial.
That the prophylactic, sequential use of bronchoscopy after inhalation injury as a therapeutic tool to remove secretions and carbonaceous material and to screen for the early detection of pneumonia will improve outcome. ⋯ In conclusion, this program of scheduled, sequential bronchoscopy after inhalation injury showed several strong trends towards less morbidity, fewer days of mechanical ventilation, and a shorter length of stay. There was also a strong trend towards less antibiotic use and a shorter duration of treatment. This data is promising and should promote a larger, multi-institutional trial in the future.