International Journal of Burns and Trauma最新文献

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Burns and patients infected with COVID-19 at a burn treatment centre in Brazil: a series of case-reports. 巴西一家烧伤治疗中心的烧伤和COVID-19感染患者:一系列病例报告
IF 0.8
International Journal of Burns and Trauma Pub Date : 2021-10-15 eCollection Date: 2021-01-01
Thiago Maciel Valente, Fernanda Assunção Tiraboschi, Ítalo Souza Oliveira Santos, Maria Eliane Maciel de Brito, Thais Maciel Valente, Guilherme Pinheiro Ferreira da Silva
{"title":"Burns and patients infected with COVID-19 at a burn treatment centre in Brazil: a series of case-reports.","authors":"Thiago Maciel Valente,&nbsp;Fernanda Assunção Tiraboschi,&nbsp;Ítalo Souza Oliveira Santos,&nbsp;Maria Eliane Maciel de Brito,&nbsp;Thais Maciel Valente,&nbsp;Guilherme Pinheiro Ferreira da Silva","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>In December 2019, in Wuhan, China, several cases of viral pneumonia, caused by a new type of coronavirus (SARS-CoV-2, a disease that became known as COVID-19) emerged. Being an alarming situation, many resources were directed to fight this pandemic. However, other diseases and conditions, such as burn injuries, continued to occur in this period, thus creating multiple challenges.</p><p><strong>Method: </strong>Four patients with COVID-19 treated in a reference burn treatment centre from the Northeast region of Brazil, in the city of Fortaleza were analysed between April to June 2020.</p><p><strong>Results: </strong>All patients were admitted in the service without signs of COVID-19 infection; however the symptoms appeared a few days after hospitalisation. The most common symptom was fever, especially when it occurred in only one spike. Patients who evolved to an unfavourable outcome had comorbidities prior to the infection and burn injury. In addition to this, these two patients had a worsening of their renal function, in contrast to the other two patients that received hospital discharge.</p><p><strong>Conclusion: </strong>The burned patient is a complex one that requires the health professional's attention and special care. This became even more evident during the period of the COVID-19 pandemic. Thus, the patients' changes and symptoms must be cautiously analysed, their diagnosis should not be delayed and it must be made under standardised protocols accordingly with the socio-economic and cultural realities of each service.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610816/pdf/ijbt0011-0412.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39687272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is early intramedullary interlocked nailing an effective treatment option for open grade III femoral shaft fractures: a systematic review of literature and pooled analysis of 176 cases. 早期髓内联锁髓内钉是开放性III级股骨干骨折的有效治疗选择吗:对176例病例的系统文献回顾和汇总分析
IF 0.8
International Journal of Burns and Trauma Pub Date : 2021-10-15 eCollection Date: 2021-01-01
Pratik M Rathod, Prasoon Kumar, Sameer Aggarwal, Rajesh Kumar Rajnish, Karan Jindal
{"title":"Is early intramedullary interlocked nailing an effective treatment option for open grade III femoral shaft fractures: a systematic review of literature and pooled analysis of 176 cases.","authors":"Pratik M Rathod,&nbsp;Prasoon Kumar,&nbsp;Sameer Aggarwal,&nbsp;Rajesh Kumar Rajnish,&nbsp;Karan Jindal","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Open Grade 3 femoral fractures are high-velocity injuries, often associated with other co-morbid injuries and are highly prone to infections; these fractures are commonly treated by staged procedures to minimize the complications. Early definitive fixation by intramedullary (IM) interlocking nails (ILN) has advantages like early mobility and better outcomes.</p><p><strong>Study question: </strong>Are early definitive fixations of grade III shaft femur fractures with debridement & IM ILN effective in union and infection rates?</p><p><strong>Materials and methods: </strong>Using relevant keywords, a total of 3357 articles were screened from the PubMed, Scopus and Embase database. 6 studies that evaluated at least 10 cases of grade III open femoral shaft fractures treated with early IM ILN during the index surgery were included in this review.</p><p><strong>Results: </strong>Out of the 6 studies, only 1 was prospective, and the remaining 5 were retrospective in design. Out of 176 Grade III fractures, there were 8 non-unions, 3 malunions and 1 case of delayed union. Pooled analysis showed union rates of 94.8% for these fractures (4 studies). Infection was the most common complication. Pooled analysis showed that the mean rate of infection in these grade III fractures was 6.7%. Other complications included limb length discrepancy and stiff knee.</p><p><strong>Conclusion: </strong>Intramedullary nailing in grade 3 femoral fractures as an early method of definitive fixation is an effective option. In such cases, optimizing controllable variables like surgical expertise and adequate antibiotic prophylaxis can improve outcomes.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610818/pdf/ijbt0011-0357.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39776745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The length of stay and cost of burn patients and the affecting factors. 烧伤病人的住院时间和费用及其影响因素。
IF 0.8
International Journal of Burns and Trauma Pub Date : 2021-10-15 eCollection Date: 2021-01-01
Zeinab Ghaed Chukamei, Mohammadreza Mobayen, Parissa Bagheri Toolaroud, Maryam Ghalandari, Sajad Delavari
{"title":"The length of stay and cost of burn patients and the affecting factors.","authors":"Zeinab Ghaed Chukamei, Mohammadreza Mobayen, Parissa Bagheri Toolaroud, Maryam Ghalandari, Sajad Delavari","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Burn trauma is a significant health problem that has physical, psychological, and economic reaction on affected patients. Burn patients have different length-of-stay (LOS) due to the complexity of the injury itself. This study aimed to find factors affecting the LOS and cost of burn patients (2017-2018) in Guilan province, north of Iran.</p><p><strong>Materials and methods: </strong>This cross-sectional study includes all 899 hospitalized burn patients who were admitted for the first time (first visit). Data about cost, LOS, and demographic variables were extracted from the hospital registry system. Data were analyzed using t-test, ANOVA, and Linear regression by SPSS 22 software.</p><p><strong>Results: </strong>Nearly 62% of the burn patients were male, and 38% were female. Hot liquid or vapor were the leading causes for burns hospitalization (n = 345; 39.07%). The majority of patients (n = 465; 52.31%) were at level three of burn (total thickness). The upper limb that included head, neck, shoulder, back, hand (45.44%), lower limb (38.25%), multiple or total body (11.36%) were the most organs that were affected by burning. Direct medical costs for patients varied from 0 to 18,550 US$, which was 1489 US$ on average. Patients' length of stay ranged from 1 to 47 days, which was 3.22 days on average.</p><p><strong>Conclusion: </strong>The result showed Adverse consequences burned hot liquid and hot steam burns most common reason that it is important to take preventative methods for this type of patient. Improved patients with the third level cost more and stay longer. Other factors such as underlying disease, urbanity, used antibiotics, sex, and insurance coverage can also be decisive. The burnt percentage also has a direct and significant relationship with medical costs and length of stay. Insurance organization has a direct and significant relationship with the length of stay. Also there was a direct relationship between multiple burns and the patients' length of stay and hospitalization costs.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610821/pdf/ijbt0011-0397.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39687270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dental trauma in primary dentition and the importance of its preservation until the eruption of permanent successor: a 6-year follow-up case report. 原发牙列的牙外伤及其保存到永久继发牙的重要性:一份6年随访病例报告。
IF 0.8
International Journal of Burns and Trauma Pub Date : 2021-10-15 eCollection Date: 2021-01-01
Sandra Meyfarth, Mariana Gouvea Latini Abreu, Thais de Oliveira Fernandes, Ana Julia Milani, Leonardo Santos Antunes, Livia Azeredo Alves Antunes
{"title":"Dental trauma in primary dentition and the importance of its preservation until the eruption of permanent successor: a 6-year follow-up case report.","authors":"Sandra Meyfarth,&nbsp;Mariana Gouvea Latini Abreu,&nbsp;Thais de Oliveira Fernandes,&nbsp;Ana Julia Milani,&nbsp;Leonardo Santos Antunes,&nbsp;Livia Azeredo Alves Antunes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Traumatic dental injuries (TDIs) are a public health concern that requires special attention in primary dentition due to the sequel that can be originated in permanent dentition. This paper aims to report a dental trauma injury highlighting the importance of follow-up the traumatized primary tooth until the eruption of its permanent successor. A 3-year-old female patient referred to a Dental Trauma Care Program (DTCP) in a Brazilian Public University after falling from her own height with the involvement of the deciduous maxillary left central incisor. The child's mother did not seek immediate care. The patient did not have any complaint and the tooth presented an enamel fracture during the clinical examination without radiographic alterations. The procedure performed was occlusal wear and insertion of the patient into the DTCP. After a 6-months clinical and radiographic follow-up, the primary maxillary left central incisor presented crown discoloration and periapical bone rarefaction. The treatment was pulpectomy followed by restoration of the tooth. In the 3-year follow-up, prolonged retention occurred and tooth extraction was the treatment of choice. After a 6-year follow-up, the permanent teeth erupted without any sequelae. TDIs are frequent in the primary dentition and, in some circumstances may interfere with the normal development of the permanent tooth causing irreversible sequelae. This case report reinforces the importance of seeking immediate care whenever dental traumas occur. Besides, a long-term follow-up of the traumatized tooth is essential for successful outcomes. Clinical and radiographic monitoring is fundamental to help dental professionals to decide the best treatment and to minimize potential complications.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610820/pdf/ijbt0011-0424.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39687274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tibial plateau fractures-Does non anatomic reduction lead to an adverse outcome? A 10-year follow-up. 胫骨平台骨折-非解剖复位会导致不良后果吗?10年随访。
IF 0.8
International Journal of Burns and Trauma Pub Date : 2021-08-15 eCollection Date: 2021-01-01
Najmul Huda, Mir Shahid Ul Islam, Altaf Hussain, Sandeep Bishnoi, Ravi Dholariya, Aijaz Ahmad Ganai
{"title":"Tibial plateau fractures-Does non anatomic reduction lead to an adverse outcome? A 10-year follow-up.","authors":"Najmul Huda,&nbsp;Mir Shahid Ul Islam,&nbsp;Altaf Hussain,&nbsp;Sandeep Bishnoi,&nbsp;Ravi Dholariya,&nbsp;Aijaz Ahmad Ganai","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>Assess the effect of residual intra-articular step and limb alignment on the outcomes of operated tibial plateau fractures.</p><p><strong>Methods: </strong>After retrospectively enrolling 123 cases of operated tibial plateau fracture whole limb weight bearing X-rays of both knees and computed tomography scan was done to record the presence of knee osteoarthritis (OA), alignment and articular step. The Rasmussen functional score (RFS) and Visual Analogue scale (VAS) score was calculated. Depending on the articular step there were four groups, group A (no step), group B (<2 mm), group C (2 mm-5 mm) and group D (6 mm-10 mm). The patients were also divided into 3 groups based on knee alignment, group 1 (0-10° valgus angle), group 2 (varus angle upto 5°) and group 3 (varus angle of 5-15°).</p><p><strong>Results: </strong>Group A had 53, group B 31, group C 23 and group D 16 cases. The mean follow up was 10.23 years. The difference in the RFS/VAS score and OA rate amongst the 4 groups based on articular step had a P>0.05. Based on knee alignment RFS and OA rate amongst three groups had a P<0.05 with better results in group 1.</p><p><strong>Conclusions: </strong>Mal-alignment is a more important predictor of outcome in operated tibial plateau fractures than articular step.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8449151/pdf/ijbt0011-0321.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39444174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ligament reconstruction and tendon interposition in comparison with hematoma distraction arthroplasty for the treatment of arthritis in the trapeziometacarpal joint. 韧带重建和肌腱介入与血肿牵张关节置换术治疗掌方关节关节炎的比较。
IF 0.8
International Journal of Burns and Trauma Pub Date : 2021-08-15 eCollection Date: 2021-01-01
Abolghasem Zarezadeh, Mohammad Dehghani, Abbas Shahruzian
{"title":"Ligament reconstruction and tendon interposition in comparison with hematoma distraction arthroplasty for the treatment of arthritis in the trapeziometacarpal joint.","authors":"Abolghasem Zarezadeh,&nbsp;Mohammad Dehghani,&nbsp;Abbas Shahruzian","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Arthritis in trapeziometacarpal joint is one of the most common types of osteoarthritis which do not respond to conservative therapies in progressed cases and require surgical processes. The current study compares the two successful techniques, ligament reconstruction and tendon interposition (LRTI) versus hematoma distraction arthroplasty (HDA).</p><p><strong>Methods: </strong>The current randomized clinical trial has been conducted on 56 patients with trapeziometacarpal joint osteoarthritis whom were randomly divided into two groups undergone surgical procedures of LTRI (n=28) and HDA (n=28). The patients were evaluated regarding hand function, pain intensity and pinching power using The Disabilities of the Arm, Shoulder and Hand (DASH), VAS and pulp pinching test, respectively, as well as radiological findings, including (proximal migration, lateral migration, and first web space) at baseline, within 3, 6 and 12 months postoperatively.</p><p><strong>Results: </strong>Pain intensity, pinching power, function based on DASH and radiological findings, including proximal and lateral migration and first web space significantly improved in a-year follow-up assessments (<i>P</i>-value <0.001). The comparison of the techniques showed superior results of HDA regarding pinching power (<i>P</i>-value =0.004) and DASH (<i>P</i>-value =0.03).</p><p><strong>Conclusion: </strong>Based on this study, both LTRI and HDA were accompanied by significant improvement in function, pinching power and decrease in pain among the patients with the first carpometacarpal (CMC) joint osteoarthritis; however, the outcomes of HDA were generally superior.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8449149/pdf/ijbt0011-0296.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39444171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors associated with pulp canal obliteration due to traumatic injuries in deciduous teeth: a retrospective study. 乳牙外伤性损伤致髓管闭塞相关因素的回顾性研究。
IF 0.8
International Journal of Burns and Trauma Pub Date : 2021-08-15 eCollection Date: 2021-01-01
Thais Oliveira Fernandes, Mariana Gouvea Latini Abreu, Leonardo Santos Antunes, Livia Azeredo Alves Antunes
{"title":"Factors associated with pulp canal obliteration due to traumatic injuries in deciduous teeth: a retrospective study.","authors":"Thais Oliveira Fernandes,&nbsp;Mariana Gouvea Latini Abreu,&nbsp;Leonardo Santos Antunes,&nbsp;Livia Azeredo Alves Antunes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pulp canal obliteration (PCO) presents itself as a frequent pulp complication in traumatized primary teeth, characterized as a progressive deposition of hard tissue in the root canal. In this context, this study aimed to evaluate the association between PCO due to the occurrence of traumatic dental injuries (TDI) in deciduous teeth and specific factors. For this, a retrospective study was carried out through 210 medical records selected from the Dental Trauma Care Program from 2012 to 2019. After applying the eligibility criteria, 371 deciduous teeth were included. Statistical analysis was performed using chi-square and Fischer's exact test. The occurrence of PCO was observed in 4.9%. Associated factors such as age (P=0.63), sex (P=0.47) and search for care (P=0.87) did not influence the occurrence of PCO. Concerning the type of TDI and development of PCO, the injury of subluxation showed a statistically significant association (P=0.01). There was an association of PCO with other TDI complications such as crown discoloration (P<0.01) and acceleration of physiological root resorption (P=0.01). No statistically significant association was found regarding the development of sequelae in permanent successors and PCO (P>0.05). Based on this study, PCO was not a frequent complication of TDI in deciduous teeth in the population evaluated. PCO was associated with subluxation, crown discoloration, and acceleration of physiological root resorption. However, it did not show association with any related factor (age, sex, and seeking care) and the development of clinical or radio graphical sequelae in permanent successors.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8449148/pdf/ijbt0011-0304.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39444172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Split thickness skin graft versus application of the temporary skin substitute suprathel in the treatment of deep dermal hand burns: a retrospective cohort study of scar elasticity and perfusion. 裂厚皮肤移植与临时皮肤替代物应用于手部深度真皮烧伤的治疗:疤痕弹性和灌注的回顾性队列研究。
IF 0.8
International Journal of Burns and Trauma Pub Date : 2021-08-15 eCollection Date: 2021-01-01
Virginia Galati, Reinhard Vonthein, Felix Stang, Peter Mailaender, Tobias Kisch
{"title":"Split thickness skin graft versus application of the temporary skin substitute suprathel in the treatment of deep dermal hand burns: a retrospective cohort study of scar elasticity and perfusion.","authors":"Virginia Galati,&nbsp;Reinhard Vonthein,&nbsp;Felix Stang,&nbsp;Peter Mailaender,&nbsp;Tobias Kisch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two therapeutic options for deep dermal hand burns are autologous split-thickness skin graft (STSG) following tangential excision and the application of the temporary wound dressing Suprathel following removal of burn blisters. We compared elasticity and perfusion of burn scars after both types of therapy at least one year after completion of treatment. A case series of 80 patients of our department with deep dermal hand burns between 2013 and 2018 was examined in the year 2019 at least one year after completion of treatment (24 females and 56 males with a median age of 47.6 years). The clinical assessment of the scar was performed with the Vancouver Scar Scale (VSS) and Patient and Observer Scar Assessment Scale (POSAS) and the objective assessment with suction cutometry (MPA 580) and an O2C device on both hands. Our statistical analysis showed no statistically significant differences for the R2 and R5 elasticity values between the two types of therapy. The 95% confidence intervals for the ratios of elasticity, and microcirculatory perfusion parameters and scar scale scores of burn scars to respective healthy areas of skin after STSG and Suprathel-therapy mostly covered 1. Subgroup analysis of R2 viscoelasticity and analyses with adjustments for scar compression therapy, nicotine consumption, age, palmar or dorsal localization of the burn scar and interactions of age with smoking and localization gave similar results. The adjusted analysis of SO2 showed statistically significant lower SO2 values, 9% less, after STSG compared to Suprathel treatment. Split-thickness skin graft following tangential excision and the application of Suprathel following removal of burn blisters may be equivalent options for treatment of deep dermal hand burns. To detect possible small differences, further studies with larger samples are required.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8449150/pdf/ijbt0011-0312.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39444173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating the results of Bankart repair in recurrent traumatic anterior shoulder dislocation. 评估Bankart修复复发性外伤性肩前脱位的效果。
IF 0.8
International Journal of Burns and Trauma Pub Date : 2021-08-15 eCollection Date: 2021-01-01
Seyed Rohallah Mousavibaygei, Sahel Moein, Danial Sharifi Razavi, Farshid Haghi, Rasool Karimi Matloub
{"title":"Evaluating the results of Bankart repair in recurrent traumatic anterior shoulder dislocation.","authors":"Seyed Rohallah Mousavibaygei,&nbsp;Sahel Moein,&nbsp;Danial Sharifi Razavi,&nbsp;Farshid Haghi,&nbsp;Rasool Karimi Matloub","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Bankart procedure is considered a safe and effective technique in the management of traumatic shoulder dislocation. Various studies have evaluated the results of Bankart Repair in different populations. The aim of the current study is to evaluate and report the outcomes of Bankart capsulorrhaphy in patients with recurrent shoulder dislocation in Iran.</p><p><strong>Methods: </strong>This is a clinical trial without a control group that was performed in 2021. The study population consisted of all patients diagnosed with recurrent anterior shoulder dislocation and Bankart lesion that were candidates for Bankart capsulorrhaphy in 2012-2020. All patients that met the inclusion criteria entered the study using census method. We assessed variables including shoulder range of motion (ROM), shoulder joint symptoms using Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, Rowe score, Constant Shoulder Score and patient's quality of life using 36-Item Short Form Survey Instrument (SF-36) before surgeries and within 2 months, 6 months and 1 year after surgeries.</p><p><strong>Results: </strong>Data of 300 patients were analyzed. All patients underwent Bankart capsulorrhaphy. Patients were followed up for minimum of 1 year after surgery. These data showed improvements in external rotation, abduction, DASH score, Rowe score and SF-36 in patients (P < 0.05 for all items). No significant changes were observed within 1 year in forward elevation (P = 0.07), internal rotation (P = 0.125) and Constant Shoulder Score (P = 0.082).</p><p><strong>Conclusion: </strong>Bankart surgery is an effective method for reducing pain and recurrence of shoulder dislocation. Based on our results, using Bankart surgery led to significantly increased shoulder functions among patients.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8449147/pdf/ijbt0011-0337.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39444176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidence and related factors of surface eye disorders in traumatic intensive care unit patients in Iran. 伊朗创伤性重症监护病房患者表面眼病的发病率及相关因素
IF 0.8
International Journal of Burns and Trauma Pub Date : 2021-08-15 eCollection Date: 2021-01-01
Mahdi Shaeri, Mehrdad Mahdian, Hossein Akbari, Sara Azizzadeh Asl
{"title":"Incidence and related factors of surface eye disorders in traumatic intensive care unit patients in Iran.","authors":"Mahdi Shaeri,&nbsp;Mehrdad Mahdian,&nbsp;Hossein Akbari,&nbsp;Sara Azizzadeh Asl","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Intensive care unit (ICU) patients are exposed to several surface eye disorders ranged from minor complications like corneal dryness to more serious ones such as corneal perforation and blindness. This study is then to assess the incidence of the ocular complications and related factors.</p><p><strong>Materials and methods: </strong>During a prospective cross sectional study in a general adult ICU, ocular complications of the patients were assessed by an ophthalmologist. Data were analyzed using descriptive analysis. A <i>P</i>-value of ≤0.05 was considered significant.</p><p><strong>Results: </strong>Out of 155 patients, 130 cases (260 eyes) were covered during the study period, 2016-2017. The most common complications among the patients included dry eye and corneal abrasion (25.8%) followed by conjunctivitis (25%). The mean time of occurrence for dryness and corneal abrasion was 4±2.93 days after admission to the ICU. Lower Glasgow coma scale (GCS) and longer hospital stay were significantly associated with ocular complications in the ICU (P<0.05).</p><p><strong>Conclusion: </strong>Eye surface complications are commonplace in critically ill patients admitted in the ICU. Dry eye, corneal abrasion, and conjunctivitis have been revealed as the most prevalent complications in this study. Lower GCS and longer stay in the ICU predisposed the cases to these complications. Efficient eye care protocol and training the ICU staff are both recommended to reduce complication rates as such.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8449146/pdf/ijbt0011-0344.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39446575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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