Injury-International Journal of the Care of the Injured最新文献

{"title":"Repair and reconstruction of lower extremity defects with combined pedicled superficial circumflex iliac artery perforator flap","authors":"Hongjing Xu ,&nbsp;Ji Li ,&nbsp;Jinting Li ,&nbsp;Jiahao Li ,&nbsp;Yue Liu ,&nbsp;Linhong Liu ,&nbsp;Taiyuan Guan ,&nbsp;Yonggen Zou ,&nbsp;Chang liang Ou","doi":"10.1016/j.injury.2025.112235","DOIUrl":"10.1016/j.injury.2025.112235","url":null,"abstract":"<div><h3>Background</h3><div>Extensive lower extremity tissue defects pose difficulties for surgeons. Considering the natural contour, aesthetics, biomechanics and restoration of motor function, matching and customizing a flexible and large flap is the ideal solution. Restoring circulation early can reduce the risk of infection and flap necrosis. As superficial circumflex iliac artery perforator flaps (SCIP flaps) have matured to cover multiple defects, we present a novel combined pedicled SCIP flap for repair and reconstruction of tissue defects in lower extremity.</div></div><div><h3>Methods</h3><div>From September 2015 to June 2023, 53 patients had a mean age of 43.8 years (ranged,36–58). We used a combined pedicled SCIP flap to repair large defects of the lower extremity. The average area of the flap was 11.0 cm × 8.5 cm (ranged, 6.0 × 5.0 cm∼27.0 × 10.5 cm). The 4 cases of metatarsal defects ranged from 3.0 × 1.2 × 1.0 cm∼7.0 × 4.2 × 2.2 cm. Dissecting the appropriate pedicle length to participate in intra-flap anastomosis with the help of preoperative abdominal wall CTA and handheld Doppler. We followed up all patients and completed standardized evaluation.</div></div><div><h3>Results</h3><div>53 flaps have completely survived. One flap was large (27.0 × 10 cm) had slight necrosis at the distal end of the flap, the flap survived after dressing change. one flap had mild venous obstruction and was re-explored for arterial vascular anastomosis, and the flap was completely viable. All patients were followed up for a mean of 12 months (9∼14 months). The re-examination X-ray showed good fusion of the iliac bone flap. The donor area healed well. The flap achieved a natural contour in appearance, with a soft texture and no pressure pain, and the affected limb recovered function and walked without deformity.</div></div><div><h3>Conclusion</h3><div>For tissue defects in lower extremity, the combined pedicled SCIP flap is an ideal approach with covering large defects with lower morbidity.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 4","pages":"Article 112235"},"PeriodicalIF":2.2,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative assessment of syndesmotic instability: What technique minimizes surgeon error?","authors":"Calvin J. Rushing","doi":"10.1016/j.injury.2025.112237","DOIUrl":"10.1016/j.injury.2025.112237","url":null,"abstract":"<div><h3>Background</h3><div>Assessment of intraoperative syndemsotic instability remains a controversial topic. To date, no study has directly compared 5 available methods.</div></div><div><h3>Materials and Methods</h3><div>The purpose of the present study was to assess the reliability of five stress assessment methods (Cotton Hook, External Rotation, Arthroscopic, Direct Palpation, and Direct Visualization) across various syndesmotic injury conditions (ventral disruption, 2-ligament injury, and 3-ligament injury) in an in-vitro model. It was hypothesized that the Cotton Hook (CHT) and External Rotation (ER) methods would be the least reliable. A cadaveric model of syndesmotic injury was employed in eight through the knee specimens and assessments were performed.</div></div><div><h3>Results</h3><div>Overall, direct visualization was most reliable for discerning syndesmotic disruption, irrespective of the injury condition (p = 0.01). Arthroscopic assessment was reliable in 2 and 3-ligament injury conditions (p &lt; 0.05); while Cotton Hook and External Rotation were reliable in 3-ligament injuries (p = 0.01, p = 0.04). Arthoscopic, Cotton Hook, and External Rotation assessment(s) were unreliable for discerning isolated ventral disruption (anterior inferior tibiofibular ligament).</div></div><div><h3>Conclusions</h3><div>In the present cadaveric model, direct visualization of the anterolateral articular surface of the ankle was the most reliable method for discerning syndesmotic injury. Discontinuity of the articular surface between the anterolateral tibia and anteromedial fibula was readily identified in all injury conditions. Surgeons should be cognizant of the inherent subjectivity, and limited reliability of historically popularized syndesmotic stress assessment methods.</div></div><div><h3>Level of Evidence</h3><div>Level V, cadaveric</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 4","pages":"Article 112237"},"PeriodicalIF":2.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating peer support across the continuum of trauma care: Trauma survivor, caregiver and healthcare provider perspectives and recommendations","authors":"Marina Wasilewski ,&nbsp;Logan Reis ,&nbsp;Abirami Vijayakumar ,&nbsp;Jaylyn Leighton ,&nbsp;Sander L. Hitzig ,&nbsp;Robert Simpson ,&nbsp;Amanda L. Mayo ,&nbsp;Gotlib Conn Leslie ,&nbsp;Kelly Vogt ,&nbsp;Amanda McFarlan ,&nbsp;Barbara Haas ,&nbsp;Kerry Kuluski ,&nbsp;Crystal MacKay ,&nbsp;Larry Robinson ,&nbsp;Rob Fowler ,&nbsp;Christine L. Sheppard ,&nbsp;Monica Cassin ,&nbsp;David Guo ,&nbsp;Di Prospero Lisa ,&nbsp;Laurie Legere ,&nbsp;Paolo Polese","doi":"10.1016/j.injury.2025.112258","DOIUrl":"10.1016/j.injury.2025.112258","url":null,"abstract":"<div><h3>Background</h3><div>Recovery from a traumatic injury is a complex process that precipitates difficulties and isolation for survivors. Peers can provide valuable psychosocial support rooted in lived experience. The savings associated with peer support largely outweigh the costs. Despite this, research has yet to explore the ideal components of a cross-continuum peer support program or the factors that might impact its delivery.</div></div><div><h3>Objectives</h3><div>Understand the barriers/facilitators to integrating peer support across the continuum of care; and (2) Identify recommendations for the design and delivery of a cross-continuum peer support program.</div></div><div><h3>Methods</h3><div>Qualitative descriptive approach. Interviews were conducted with trauma survivors (<em>n</em> = 16), caregivers (<em>n</em> = 4), and healthcare providers (HCPs) (<em>n</em> = 16). We employed an inductive thematic analysis to identify barriers and facilitators. We also conducted a deductive analysis using a framework for peer support interventions in physical medicine and rehabilitation to identify what should be included in a cross-continuum peer support program.</div></div><div><h3>Results</h3><div>Barriers and facilitators included: (1) individual-level issues, (2) the physical and social environment, (3) clinical practice considerations, (4) finance and resourcing, and (5) organization/system issues. Peer support programming should be introduced early in recovery and continue into community living. Peer support programming should be offered flexibly (virtually or in-person) and provide: (1) education, (2) empowerment; and (3) social support. Participants agreed that a person with lived experience should be trained and centrally involved.</div></div><div><h3>Conclusions</h3><div>When designing peer support programming, we must consider who would benefit from support, what support should consist of, and ideal timing and mode of support delivery.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 4","pages":"Article 112258"},"PeriodicalIF":2.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is routine implant removal necessary after open reduction internal fixation of Lisfranc injuries? Comparing functional outcomes of routine and on-demand removal: A multicenter study","authors":"Satoshi Muto ,&nbsp;Yasuhiko Takegami ,&nbsp;Hiroaki Nakashima ,&nbsp;Kenichi Mishima ,&nbsp;Hiroaki Kumagai ,&nbsp;Shiro Imagama","doi":"10.1016/j.injury.2025.112240","DOIUrl":"10.1016/j.injury.2025.112240","url":null,"abstract":"<div><h3>Introduction</h3><div>Lisfranc joint injuries are a severe cause of disruption of foot stability and function, often requiring surgical intervention such as open reduction and internal fixation (ORIF). The necessity of routine implant removal after healing remains controversial. This study aimed to compare functional recovery and postoperative complications among patients undergoing routine, on-demand, or no implant removal following ORIF for Lisfranc fracture-dislocations.</div></div><div><h3>Materials and Methods</h3><div>This multicenter retrospective study analyzed 188 patients treated with ORIF for Lisfranc fracture-dislocations. Patients were divided into three groups: routine removal (RR), on-demand removal (ODR), and no removal (NR). Functional outcomes were evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) midfoot score at the final follow-up. Complications were categorized as implant-related or post-removal. AOFAS midfoot scores and complication rates were compared between the three groups.</div></div><div><h3>Results</h3><div>The median AOFAS midfoot scores at the final follow-up were 92 (IQR 83.00–95.00) in the RR group, 95 (IQR 85.00–95.00) in the ODR group, and 95 (IQR 82.00–95.00) in the NR group, with no significant differences among the three groups (<em>p</em> &gt; 0.05). Implant-related complications were comparable across the groups, although irritation was significantly more frequent in the ODR group (42.9 %) than in the RR (24.4 %) and NR (11.9 %) groups (<em>p</em> = 0.013). Post-removal complications occurred in two cases in the RR group, including one case of loss of correction requiring reoperation.</div></div><div><h3>Conclusion</h3><div>Routine implant removal did not show superior outcomes in functional recovery or complication rates compared to selective removal or retention. Implant retention or selective removal based on individual needs minimizes complications and optimizes patient outcomes.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 4","pages":"Article 112240"},"PeriodicalIF":2.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term effect of lower limb fractures A national register-based cohort study with a mean of 16.7 years follow-up","authors":"Peter Larsen ,&nbsp;Rasmus Elsoe","doi":"10.1016/j.injury.2025.112239","DOIUrl":"10.1016/j.injury.2025.112239","url":null,"abstract":"<div><h3>Aim</h3><div>Information on patient-reported recovery from lower limb fractures includes limited information with &gt;10 years follow-up. The aim was to investigate the long-term effect of lower limb fractures on the Hip Disability and Osteoarthritis Outcome Score (HOOS), the Knee Injury Osteoarthritis Outcome Score (KOOS) and the Foot and Ankle Outcome Score (FAOS) five subscales.</div></div><div><h3>Methods</h3><div>Study design was a national register-based cohort study. A representative national sample of 26,877 citizens were invited to participate by completing the HOOS, KOOS or FAOS. Individual information on fractures to the foot/ankle, knee and hip as well as date/year of diagnoses was derived from the Danish National Patient Register.</div></div><div><h3>Results</h3><div>HOOS, KOOS or FAOS were completed by 7,850 citizens. 489 (2 %) patients were registered with a lower limb fracture. The mean follow-up time from fracture to survey was 16.7 years, ranging from 0 to 45 years. The mean age of participants with a lower extremity fracture was 62.9 years and 61 % were women, compared to patients without a lower extremity fracture with a mean age of 60.2 years and 54 % were women.</div><div>The HOOS/KOOS/FAOS mean differences between patients with and without a lower limb fracture were pain:4.4 (95 % CI -6.1– -2.7); symptoms:4.2 (95 % CI -5.9– -2.6); ADL:3.8 (95 % CI -5.4– -2.1); sport/rec:8.2 (95 % CI -10.9– -5.5); and QOL:6.5 (95 % CI -8.7– -4.2). Further subgroups analysis comparing hip-related fractures to the HOOS, knee-related fractures to the KOOS and foot/ankle-related fractures to the FAOS showed comparable results.</div></div><div><h3>Conclusion</h3><div>We showed that long-term patient-perceived complaints following lower limb fractures are common even decades after treatment. Most complaints were observed in high performance activities such as running, jumping and kneeling as well as QOL. More research is needed to address questions regarding causality.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 4","pages":"Article 112239"},"PeriodicalIF":2.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utility of PROMIS computerized adaptive testing for assessing mobility in lower extremity fracture patients","authors":"Michiel A.J. Luijten ,&nbsp;Lotte Haverman ,&nbsp;Caroline B. Terwee ,&nbsp;Martijn Poeze ,&nbsp;Diederik O. Verbeek","doi":"10.1016/j.injury.2025.112234","DOIUrl":"10.1016/j.injury.2025.112234","url":null,"abstract":"<div><h3>Introduction</h3><div>Assessment of mobility in orthopaedic trauma patients is commonly performed using the Lower Extremity Functional Assessment (LEFS). Computerized adaptive testing (CAT) utilizing the Patient-Reported Outcomes Measurement Information System (PROMIS) is an advanced method for assessing multiple aspects of patient-reported health and may provide an effective alternative for this purpose. The objective of this study was to correlate and psychometrically compare PROMIS (Mobility (MOB) and Physical Function (PF)) CATs to legacy mobility PROMs (Lower Extremity Functional Scale (LEFS)/ Short Musculoskeletal Function Assessment (SMFA)), and to evaluate factors associated with worse mobility.</div></div><div><h3>Patients and methods</h3><div>In this Cross-sectional study performed in a single Level-I trauma center, 123 patients were recruited who were treated for a lower-extremity fracture (October 1, 2021-July 1, 2023). Correlations (Pearson), known-group validity (Two-sample T test), reliability (Standard error (SE) and Cronbach's alpha), items and completion time, and floor/ceiling effects were assessed. Factors associated with PROMIS-MOB scores were also identified based on multivariable regression analysis.</div></div><div><h3>Results</h3><div>PROMIS-MOB and LEFS/SMFA (0.75/0.86), PROMIS-PF and LEFS/SMFA (0.76/0.84), and both PROMIS-CATs (0.88) were highly correlated.</div><div>Regarding know-group validity, all PROM scores were worse among patients with moderate-extreme pain. Only PROMIS-CATs scores were worse among older (≥65 years) and short-term follow-up (3≤months) patients.</div><div>Reliability was very high for PROMIS-MOB (SE2.1), PROMIS-PF (SE2.0), LEFS (alpha0.97) and SMFA (apha0.97).</div><div>Fewer items were needed for PROMIS-MOB (6) and PROMIS-PF (5) compared to LEFS (20) and SMFA (34). Completion time (mean seconds) of PROMIS-MOB (65) and PROMIS-PF (70) was less compared to LEFS (338) and SMFA (367) (p&lt;0.001).</div><div>Neither PROMIS-CATs nor LEFS/SMFA exhibited floor/ceiling effects.</div><div>Advancing age, depression, pain intensity, shorter follow-up were associated with worse PROMIS-MOB scores.</div></div><div><h3>Conclusion</h3><div>PROMIS-MOB and PROMIS-PF CATs exhibited a strong correlation with the LEFS and SMFA, indicating that they offer the same information regarding mobility and general physical functioning. Nonetheless, CATs took less time to complete and were better able to detect (subtle) differences between certain groups than traditionally used PROMs. Given that both PROMIS-MOB and PROMIS-PF CATs were also highly correlated, it is questionable whether the more specific mobility CAT provides distinct information in lower extremity fracture patients.</div><div><strong>Levels of Evidence:</strong> Diagnostic study, Level II</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 4","pages":"Article 112234"},"PeriodicalIF":2.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative evaluation and ranking of anterior surgical approaches for acetabular fractures: A systematic review and network meta-analysis","authors":"Nikolai Ramadanov ,&nbsp;Maximilian Voss ,&nbsp;Robert Hable ,&nbsp;Robert Prill ,&nbsp;Mikhail Salzmann ,&nbsp;Roland Becker","doi":"10.1016/j.injury.2025.112241","DOIUrl":"10.1016/j.injury.2025.112241","url":null,"abstract":"<div><h3>Background</h3><div>To compare the outcome of pararectus, ilioinguinal, and intrapelvic approaches in patients with acetabular fracture and to rank the best, second best, and third best surgical approach.</div></div><div><h3>Methods</h3><div>A literature search was conducted in PubMed, Epistemonikos, and Embase up to 30 November 2024. A network meta-analyses was conducted to assess the outcomes of pararectus, ilioinguinal, and intrapelvic surgical approaches. Random-effects models with mean differences (MDs) and odds ratios (ORs) were calculated for continuous and binary variables, respectively, all with 95 % confidence intervals (CIs).</div></div><div><h3>Results</h3><div>A total of 30 primary studies (2,348 patients) were included. There was no statistically significant difference between the pararectus and intrapelvic approach in overall complications (OR 0.86, 95 % CI 0.47 to 1.58). The pararectus approach had 0.51 lower odds for overall complications compared with the ilioinguinal approach (OR 0.51, 95 % CI 0.28 to 0.94). The intrapelvic approach had 0.59 lower odds for overall complications compared with the ilioinguinal approach (OR 0.59, 95 % CI 0.37 to 0.94). There was no statistically significant difference between the pararectus and intrapelvic approach in reduction quality (OR 1.32, 95 % CI 0.89 to 1.95). The pararectus approach had 2.02 higher odds for reduction quality compared with the ilioinguinal approach (OR 2.02, 95 % CI 1.30 to 3.15). The intrapelvic approach had 1.53 higher odds for reduction quality compared with the ilioinguinal approach (OR 1.53, 95 % CI 1.12 to 2.10). There was no statistically significant difference between the pararectus and intrapelvic approach in intraoperative blood loss (MD -31.38, 95 % CI -105.62 to 42.85). The pararectus approach had a 207.35 mL lower intraoperative blood loss compared with the ilioinguinal approach (MD -207.35, 95 % CI -288.52 to -126.18). The intrapelvic approach had a 175.97 mL lower intraoperative blood loss compared with the ilioinguinal approach (MD -175.97, 95 % CI -233.51 to -118.42).</div></div><div><h3>Conclusion</h3><div>This is the first study to rank the three anterior surgical approaches for acetabular fractures. The findings establish that while the pararectus and intrapelvic approaches are comparable, the ilioinguinal approach ranks third. The superior outcomes of the pararectus and intrapelvic approaches in complications, operative efficiency, and reduction quality highlight their importance in surgical practice.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 4","pages":"Article 112241"},"PeriodicalIF":2.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AO In-Hospital program: A truly novel educational platform for operating room personnel (ORP) and clinicians?","authors":"Isabel Van Rie Richards ,&nbsp;Peter V. Giannoudis","doi":"10.1016/j.injury.2025.112228","DOIUrl":"10.1016/j.injury.2025.112228","url":null,"abstract":"","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 3","pages":"Article 112228"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor regarding “ The paediatric polytrauma CT-indication (PePCI)-score–development of a prognostic model to reduce unnecessary CT scans in paediatric trauma patients”","authors":"Emre Kudu ,&nbsp;Melis Efeoğlu Saçak","doi":"10.1016/j.injury.2024.111788","DOIUrl":"10.1016/j.injury.2024.111788","url":null,"abstract":"","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 3","pages":"Article 111788"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141997119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Respond to letter to the Editor regarding “The paediatric polytrauma CT-indication (PePCI)-score–development of a prognostic model to reduce unnecessary CT scans in paediatric trauma patients”","authors":"André Strahl ,&nbsp;Kristofer Wintges","doi":"10.1016/j.injury.2025.112200","DOIUrl":"10.1016/j.injury.2025.112200","url":null,"abstract":"","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 3","pages":"Article 112200"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143401045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}