Trauma monthly
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Comminuted radial head fractures are often associated with secondary injuries and elbow instability. ⋯ Comminuted radial head fractures with elbow instability can be treated well with a modular radial head prosthesis, which restores stability in acute treatment. The modular radial head arthroplasty used in this study showed promising findings in short to midterm results.
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Trauma is the most common cause of death in people aged 1 - 44 years and the third leading cause of death regardless of age. Early diagnosis can expedite emergency care and thus patients can be transferred more quickly to a treatment center. ⋯ The MGAP scoring system can be used as an appropriate scoring system to predict mortality in triage trauma patients.
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The optimal technique for operative fixation of humeral shaft fractures remains controversial and warrants research. ⋯ Due to the shorter union time, to some extent less complication rate and comparable functional and clinical results, the authors recommend to use the MIPO technique in treating the mid-distal humeral shaft fracture.
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Case Reports
Management of Neglected Traumatic Bilateral Cervical Facet Dislocations Without Neurological Deficit.
Sub axial cervical spine dislocations are common and managing these cases by closed reduction is successful in the majority of cases. However, treatment of old and neglected cases is difficult and the results may vary in terms of neurological and functional outcomes. ⋯ Patients presenting with neck pain after a history of trauma should be evaluated thoroughly with radiographs and computed tomography. The management of old neglected facet dislocations is difficult, lengthy, and fraught with potential neurological complications; operative intervention can substantially improve the quality of life in these patients.
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Several researchers have suggested that addition of local anesthetics to spinal anesthesia increases the duration of post-operative analgesia. ⋯ Clonidine plus bupivacaine can increase the duration of motor and sensory block in arthroscopic cruciate ligament repair under spinal anesthesia. However, due to significant hemodynamic changes, further studies are required to determine a safer dose.