Journal of Trauma and Injury最新文献_第5页

Spontaneous intracranial hypotension in young and middle-aged patients with chronic subdual hematoma in Korea: three case reports. 韩国慢性低度血肿中青年患者自发性颅内低血压：三份病例报告。

Journal of Trauma and Injury Pub Date : 2024-09-01 Epub Date: 2024-08-08 DOI: 10.20408/jti.2024.0008

Ae Ryoung Lee, Yun Suk Choi

引用次数: 0

Renal embolization for trauma: a narrative review. 肾脏栓塞治疗创伤：叙述性综述。

Journal of Trauma and Injury Pub Date : 2024-09-01 Epub Date: 2024-09-24 DOI: 10.20408/jti.2024.0021

Peter Lee, Simon Roh

引用次数: 0

Traumatic arterial thoracic outlet syndrome after multiple rib fractures not including the first rib in Korea: a case report 韩国不包括第一肋骨在内的多发性肋骨骨折后的创伤性动脉胸廓出口综合征：病例报告

Journal of Trauma and Injury Pub Date : 2024-06-05 DOI: 10.20408/jti.2023.0081

Seock Yeol Lee

引用次数: 0

Relevance of the Watson-Jones anterolateral approach in the management of Pipkin type II fracture-dislocation: a case report and literature review. Watson-Jones 前外侧入路在治疗皮普金 II 型骨折脱位中的相关性：病例报告和文献综述。

Journal of Trauma and Injury Pub Date : 2024-06-01 Epub Date: 2024-06-17 DOI: 10.20408/jti.2024.0004

Nazim Sifi, Ryad Bouguenna

{"title":"Relevance of the Watson-Jones anterolateral approach in the management of Pipkin type II fracture-dislocation: a case report and literature review.","authors":"Nazim Sifi, Ryad Bouguenna","doi":"10.20408/jti.2024.0004","DOIUrl":"https://doi.org/10.20408/jti.2024.0004","url":null,"abstract":"Femoral head fractures with associated hip dislocations substantially impact the functional prognosis of the hip joint and present a surgical challenge. The surgeon must select a safe approach that enables osteosynthesis of the fracture while also preserving the vascularization of the femoral head. The optimal surgical approach for these injuries remains a topic of debate. A 44-year-old woman was involved in a road traffic accident, which resulted in a posterior iliac dislocation of the hip associated with a Pipkin type II fracture of the femoral head. Given the size of the detached fragment and the risk of incarceration preventing reduction, we opted against attempting external orthopedic reduction maneuvers. Instead, we chose to perform open reduction and internal fixation using the Watson-Jones anterolateral approach. This involved navigating between the retracted tensor fascia lata muscle, positioned medially, and the gluteus medius and minimus muscles, situated laterally. During radiological and clinical follow-up visits extending to postoperative month 15, the patient showed no signs of avascular necrosis of the femoral head, progression toward coxarthrosis, or heterotopic ossification. The Watson-Jones anterolateral approach is a straightforward intermuscular and internervous surgical procedure. This method provides excellent exposure of the femoral head, preserves its primary vascularization, allows for anterior dislocation, and facilitates the anatomical reduction and fixation of the fracture.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":"37 2","pages":"161-165"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11309222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395130","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

Clinical predictors of therapeutic laparotomy in anterior abdominal stab injuries: a multicenter study from low-income institutions in Ethiopia. 前腹部刀刺伤进行治疗性开腹手术的临床预测因素：一项来自埃塞俄比亚低收入机构的多中心研究。

Journal of Trauma and Injury Pub Date : 2024-06-01 Epub Date: 2024-06-19 DOI: 10.20408/jti.2024.0009

Segni Kejela, Abel Hedato, Yeabsera Mekonnen Duguma, Meklit Solomon Gebremariam

{"title":"Clinical predictors of therapeutic laparotomy in anterior abdominal stab injuries: a multicenter study from low-income institutions in Ethiopia.","authors":"Segni Kejela, Abel Hedato, Yeabsera Mekonnen Duguma, Meklit Solomon Gebremariam","doi":"10.20408/jti.2024.0009","DOIUrl":"https://doi.org/10.20408/jti.2024.0009","url":null,"abstract":"Purpose: Despite the high incidence of abdominal stab injuries, the rate of nontherapeutic laparotomies and the predictors of therapeutic laparotomies have rarely been studied in low-income settings.Methods: This multicenter retrospective study involved three of the largest academic medical centers in central Ethiopia. All patients who sustained an anterior abdominal stab injury and underwent exploratory laparotomy, regardless of the intraoperative findings, were included over the 3-year course of the study.Results: Of the 117 patients who underwent exploratory laparotomy, 35 patients (29.9%) underwent nontherapeutic laparotomies. Three factors predicted therapeutic laparotomy: hollow viscus evisceration (adjusted odds ratio [AOR], 5.77; 95% confidence interval [CI], 1.16-28.64; P=0.032), localized and generalized peritonitis (AOR, 4.77; 95% CI, 1.90-11.93; P=0.001), and white blood cell count ≥11,500/mm3 (AOR, 2.77; 95% CI, 1.002-7.650; P=0.049). The overall positive predictive value of the therapeutic predictors was 80.2%, while the negative predictive value of all predictor-negative patients was 58.1%. The predictors would have prevented 51.4% of the nontherapeutic laparotomies.Conclusions: Close to one-third of the patients had a nontherapeutic laparotomy. The clinical predictors of therapeutic laparotomy were shown to have a high positive predictive value despite a lower negative predictive value. Further prospective studies that involve all patients who sustain anterior abdominal stab injuries are needed to potentially improve on the negative predictive value of the predictors suggested by our study.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":"37 2","pages":"140-146"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11309219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395126","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

Experiencing cardiac arrest during surgical exploration in hemodynamically stable patients with multiple stab wounds, including lower extremity in Korea: a case report. 在韩国，血流动力学稳定的多处刀伤（包括下肢）患者在手术探查过程中心脏骤停：病例报告。

Journal of Trauma and Injury Pub Date : 2024-06-01 Epub Date: 2024-06-14 DOI: 10.20408/jti.2024.0025

Jung Rae Cho, Dae Sung Ma

{"title":"Experiencing cardiac arrest during surgical exploration in hemodynamically stable patients with multiple stab wounds, including lower extremity in Korea: a case report.","authors":"Jung Rae Cho, Dae Sung Ma","doi":"10.20408/jti.2024.0025","DOIUrl":"https://doi.org/10.20408/jti.2024.0025","url":null,"abstract":"Stab wounds, particularly those affecting multiple body regions, present considerable challenges in trauma care. This report describes a case of sustained self-inflicted stab injuries to the abdomen and thighs of a 23-year-old male patient. Although the patient's vital signs were stable and bleeding was minimal from thigh wounds without overt signs of vascular injury, the patient experienced a sudden, profound hemorrhage from the right thigh, leading to cardiac arrest. Successful resuscitation was followed by surgical repair of a right superficial femoral arterial injury accompanying a resuscitative endovascular balloon of the aorta. Subsequent lower extremity computed tomography angiography revealed no additional vascular abnormalities. The patient was discharged in stable condition on the 12th postoperative day. This case underscores the unpredictability of stab wound trajectories and the potential for hidden vascular injuries, even in the absence of immediate life-threatening signs. It also emphasizes the critical role of advanced imaging modalities, such as computed tomography angiography, in identifying concealed injuries, and the importance of strategic intraoperative techniques, including resuscitative endovascular balloon occlusion of the aorta, in achieving favorable patient outcomes.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":"37 2","pages":"166-169"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11309203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395127","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

Predictors of massive transfusion protocols activation in patients with trauma in Korea: a systematic review. 韩国外伤患者启动大量输血方案的预测因素：系统综述。

Journal of Trauma and Injury Pub Date : 2024-06-01 Epub Date: 2024-06-14 DOI: 10.20408/jti.2024.0015

Dongmin Seo, Inhae Heo, Juhong Park, Junsik Kwon, Hye-Min Sohn, Kyoungwon Jung

{"title":"Predictors of massive transfusion protocols activation in patients with trauma in Korea: a systematic review.","authors":"Dongmin Seo, Inhae Heo, Juhong Park, Junsik Kwon, Hye-Min Sohn, Kyoungwon Jung","doi":"10.20408/jti.2024.0015","DOIUrl":"https://doi.org/10.20408/jti.2024.0015","url":null,"abstract":"Purpose: Massive transfusion protocols (MTPs) implementation improves clinical outcomes of the patient's resuscitation with hemorrhagic trauma. Various predictive scoring system have been used and studied worldwide to improve clinical decision. However, such research has not yet been studied in Korea. This systematic review aimed to assess the predictors of MTPs activation in patients with trauma in Korea.Methods: The PubMed, Embase, Cochrane Library, Research Information Sharing Service databases, KoreaMed, and KMbase were searched from November 2022. All studies conducted in Korea that utilized predictors of MTPs activation in adult patients with trauma were included.Results: Ten articles were eligible for analysis, and the predictors were assessed. Clinical assessments such as systolic and diastolic blood pressure, shock index (SI), prehospital modified SI, modified early warning system (MEWS) and reverse SI multiplied by the Glasgow Coma Scale (rSIG) were used. Laboratory values such as lactate level, fibrinogen degradation product/fibrinogen ratio, and rotational thromboelastometry (ROTEM) were used. Imaging examinations such as pelvic bleeding score were used as predictors of MTPs activation.Conclusions: Our systematic review identified predictors of MTPs activation in patients with trauma in Korea; predictions were performed using tools that requires clinical assessments, laboratory values or imaging examinations only. Among them, ROTEM, rSIG, MEWS, SI, and lactate level showed good effects for predictions of MTPs activation. The application of predictors for MTP's activation should be individualized based on hospital resource and skill set, also should be performed as a clinical decision supporting tools.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":"37 2","pages":"97-105"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11309178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395129","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

Implementation of structured trauma training for first-year surgical residents in Ethiopia: a novel pilot program in a low income country. 在埃塞俄比亚为一年级外科住院医师开展结构化创伤培训：在低收入国家开展的一项新颖试点计划。

Journal of Trauma and Injury Pub Date : 2024-06-01 Epub Date: 2024-06-12 DOI: 10.20408/jti.2024.0010

Segni Kejela, Meklit Solomon Gebremariam

{"title":"Implementation of structured trauma training for first-year surgical residents in Ethiopia: a novel pilot program in a low income country.","authors":"Segni Kejela, Meklit Solomon Gebremariam","doi":"10.20408/jti.2024.0010","DOIUrl":"https://doi.org/10.20408/jti.2024.0010","url":null,"abstract":"Purpose: Curricula for surgical residents should include training in trauma care; however, such training is absent in many low income countries. At the largest surgical training institution in Ethiopia, a trauma training program was developed, integrated into the existing surgical curriculum, and implemented. This study was conducted to evaluate the trainees' response to the new program.Methods: Over a 5-month period, 35 first-year surgical residents participated in weekly trauma care training sessions. The program included journal clubs, practical sessions, didactic sessions, and case-based discussions. Six months after the conclusion of the training, changes in knowledge, attitude, and practices were evaluated through a self-report survey.Results: For knowledge-based items, the survey data revealed reported improvements in 83.8% to 96.8% of students. Furthermore, 90.3% to 93.5% of participants indicated improvements in practice, while 96.7% exhibited a change in attitude. Respondents reported that attending didactic courses improved their presentation skills and facilitated the acquisition of knowledge. They suggested the inclusion of additional practical sessions.Conclusions: Training structures that are simple to implement are crucial for residency programs with limited resources. Such programs can be developed using existing academic staff and can aid residents in delivering improved care to trauma patients.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":"37 2","pages":"132-139"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11309201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395128","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

A predictive nomogram-based model for lower extremity compartment syndrome after trauma in the United States: a retrospective case-control study 基于提名图的美国创伤后下肢腔室综合征预测模型：一项回顾性病例对照研究

Journal of Trauma and Injury Pub Date : 2024-05-22 DOI: 10.20408/jti.2023.0077

Blake Callahan, Darwin Ang, Huazhi Liu

{"title":"A predictive nomogram-based model for lower extremity compartment syndrome after trauma in the United States: a retrospective case-control study","authors":"Blake Callahan, Darwin Ang, Huazhi Liu","doi":"10.20408/jti.2023.0077","DOIUrl":"https://doi.org/10.20408/jti.2023.0077","url":null,"abstract":"Purpose: The aim of this study was to utilize the American College of Surgeons Trauma Quality Improvement Program (TQIP) database to identify risk factors associated with developing acute compartment syndrome (ACS) following lower extremity fractures. Specifically, a nomogram of variables was constructed in order to propose a risk calculator for ACS following lower extremity trauma. Methods: A large retrospective case-control study was conducted using the TQIP database to identify risk factors associated with developing ACS following lower extremity fractures. Multivariable regression was used to identify significant risk factors and subsequently, these variables were implemented in a nomogram to develop a predictive model for developing ACS. Results: Novel risk factors identified include venous thromboembolism prophylaxis type particularly unfractionated heparin (odds ratio [OR], 2.67; 95% confidence interval [CI], 2.33–3.05; P<0.001), blood product transfusions (blood per unit: OR 1.13 [95% CI, 1.09–1.18], P<0.001; platelets per unit: OR 1.16 [95% CI, 1.09–1.24], P<0.001; cryoprecipitate per unit: OR 1.13 [95% CI, 1.04–1.22], P=0.003). Conclusions: This study provides evidence to believe that heparin use and blood product transfusions may be additional risk factors to evaluate when considering methods of risk stratification of lower extremity ACS. We propose a risk calculator using previously elucidated risk factors, as well as the risk factors demonstrated in this study. Our nomogram-based risk calculator is a tool that will aid in screening for high-risk patients for ACS and help in clinical decision-making.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":"19 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141108066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A step-by-step intraoperative strategy during one-stage reconstruction of an acute electrical burn injury in the neck for superior surgical outcome in India: a case report 在印度，颈部急性电烧伤一期重建术中的分步术中策略可提高手术效果：病例报告

Journal of Trauma and Injury Pub Date : 2024-05-17 DOI: 10.20408/jti.2023.0075

Mainak Mallik, Sanjay Kumar Giri, M. Vishnu Swaroop Reddy, Kallol Kumar Das Poddar

引用次数: 0