European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Dec 2024
Impact of frailty on outcomes following emergency laparotomy: a retrospective analysis across diverse clinical conditions.
Emergency laparotomy (EL) encompasses procedures of varying complexity and urgency, undertaken in different clinical scenarios, leading to different risks of morbidity and mortality. We hypothesized that the increased mortality and longer postoperative length of stay (LoS) observed in frail patients are related to differences in indication for operation, a higher rate of sepsis, worse intraperitoneal soiling, and more advanced malignancy in this group. ⋯ Our results indicate that frail patients have a poorer prognosis and longer postoperative LoS, independent of DtS, indication, sepsis, intraperitoneal soiling, and malignancy status. Patient frailty is also associated with longer DtS.
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Eur J Trauma Emerg Surg · Dec 2024
The effect of plate location on radial nerve palsy recovery time associated with humeral shaft fractures.
This study aims to investigate the influence of plate placement on nerve regeneration in humerus fractures accompanied by radial nerve injury. ⋯ According to the findings of this investigation, in cases of humerus fractures accompanied by radial nerve injury, AM plating may be preferable over lateral plating due to its association with reduced surgical durations and expedited nerve recovery.
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Eur J Trauma Emerg Surg · Dec 2024
Risk factors and predictors of prolonged hospital stay in the clinical course of major amputations of the upper and lower extremity a retrospective analysis of a level 1-trauma center.
The objective was to analyze the treatment and complications of the patients after a major amputation of the upper and lower extremities. Risk factors and predictors of a prolonged hospital stay should be outlined. ⋯ Major amputations in trauma patients lead to a prolonged stay in hospital due to severe diseases and complications. Especially infections and surgical revisions cause such lengthenings.
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Eur J Trauma Emerg Surg · Dec 2024
Risk factors for conversion to total hip arthroplasty after acetabular fractures.
To identify acetabular fracture patterns classified according to Letournel that are at risk of conversion to total hip arthroplasty (THA). ⋯ Prognostic study level III. See Instructions for Authors for a complete description of levels of evidence.
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Eur J Trauma Emerg Surg · Dec 2024
International publication activity in orthopaedic surgery over a ten-year interval.
International English language publication activities in orthopaedic surgery comparing the years 2008/09 to 2018/19 were analyzed. ⋯ International publishing activity in orthopaedic surgery has increased substantially over the last 10 years. The quality of the published articles has not increased in the same way, as evidenced by the disproportionate rise in narrative reviews. Over the entire period, the US were the leader with respect to number of publications and CIF. In terms of population, however, smaller countries such as Switzerland and Sweden were much more active.