Articles: trauma.
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J Trauma Manag Outcomes · Jan 2013
Inter-observer reliability assessment of the Schatzker, AO/OTA and three-column classification of tibial plateau fractures.
The purpose of our study was to evaluate inter-observer reliability of the Three-Column classifications with conventional Schatzker and AO/OTA of Tibial Plateau Fractures. ⋯ Three-Column classification, which is dependent on the understanding of the fractures using CT scans as well as the 3D reconstruction can identity the posterior column fracture or fragment. It showed "substantial agreement" in the assessment of inter-observer reliability, higher than the conventional Schatzker and AO/OTA classifications. We finally conclude that Three-Column classification provides a higher agreement among different surgeons and could be popularized and widely practiced in other clinical centers.
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Int J Surg Case Rep · Jan 2013
Remote contralateral intraparenchymal hemorrhage after overdrainage of a chronic subdural hematoma.
Chronic subdural hematoma (cSDH) is frequently seen by neurosurgeons. Treatment often includes evacuation of the subdural hematoma (SDH) through one or two burr holes and placement of a drain in the subdural space to further evacuate subdural fluid and prevent reaccumulation of blood during the immediate postoperative period. Complications associated with this type of drainage include fluid and blood reaccumulation, tension pneumocephalus, seizures and subdural empyema. ⋯ Subdural drainage should be carefully monitored to avoid overdrainage.
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Female, 47 FINAL DIAGNOSIS: Traumatic bilateral abducens • unilateral hypoglossal nerve palsy ⋯ This case highlights the occurrence and management of posttraumatic bilateral sixth nerve palsy.