Journal of trauma & treatment最新文献_第9页

Surgical Treatment of Children’s Genu Varum: A Comparison between Two Methods. 小儿膝内翻的手术治疗:两种方法的比较。

Journal of trauma & treatment Pub Date : 2016-08-12 DOI: 10.4172/2167-1222.1000325

Souna Bs, S. Guidah, Zirbine As

{"title":"Surgical Treatment of Children’s Genu Varum: A Comparison between Two Methods.","authors":"Souna Bs, S. Guidah, Zirbine As","doi":"10.4172/2167-1222.1000325","DOIUrl":"https://doi.org/10.4172/2167-1222.1000325","url":null,"abstract":"Introduction: The Genu Varum is physiological from birth till the age of two. It is a reel consultation reason for parents who are often worried seeing this deformation that could cause gait disturbances. \u0000Materials and methods: We conducted a retrospective study over a period of 5 years on 50 patients who went through a rickety genu varum surgery. The patients were divided into two groups: Group 1 (correction of the varus by osteotomy and fixation by Blount staples and long leg cast), Group 2 (progressive correction of the varus by the Ilizarov external fixator). The purpose of this study was to compare the results of the two surgical methods. \u0000Results: The average age was 6.66 years, with ages ranging from 2 to 15 years. Females accounted for 65% and males 35%, a gender ratio of 1.23. \u0000For Group 1 (osteotomy and internal fixation by stapling associated with plaster), the average hospital stay was 22 days (range: 12-50 days). Five cases of hypo-correction and two cases of hypercorrection were recorded. However, we have observed no case of infection and no compression of the plaster under member segment. The plaster was removed within an average of seven (7) weeks. \u0000For Group 2 (Ilizarov correction) the average hospital stay was 9 days (range: 10-18 days). The correction by the external IIizarov fixator started on postoperative D2. After the hospitalization, the parents continued the correction. There were no complication or hypo-correction recorded in the Group 2. \u0000Discussion: The use of Ilizarov external fixator (progressive correction) did not disrupt the normal process of education of the child because of the reduction in the duration of hospitalization; the child may therefore continue to attend school with the fixative Ilizarov. \u0000Conclusion: Surgical correction by osteotomy of genu varum of rickety origin can prevent discomfort and possibly progressive evolution towards knee osteoarthritis later in life.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000325","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70826930","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: 2

Vascular and Interventional Radiology in Blunt Abdominopelvic TraumaâInstitutional Practice and Review of the Literature 钝性骨盆创伤的血管和介入放射学:机构实践和文献综述

Journal of trauma & treatment Pub Date : 2016-08-07 DOI: 10.4172/2167-1222.1000324

S. McCabe, S. Marini, G. Rozenblit

引用次数: 9

Management of Adult Traumatic Brain Injury: A Review 成人外伤性脑损伤的处理:综述

Journal of trauma & treatment Pub Date : 2016-08-06 DOI: 10.4172/2167-1222.1000320

Karl W Janich, Mohit Patel, S. Shabani, A. Montoure, N. Doan

引用次数: 8

In-Appropriate Physiotherapy: An Unusual Factor of Implant Failure inDouala 不适当的物理治疗:一个不寻常的因素种植失败在douala

Journal of trauma & treatment Pub Date : 2016-07-30 DOI: 10.4172/2167-1222.1000323

A. Mohamadou, A. Faustin, Tsiagadigui Jean Gustave, N. Richard, Bayiha Alphonse

{"title":"In-Appropriate Physiotherapy: An Unusual Factor of Implant Failure inDouala","authors":"A. Mohamadou, A. Faustin, Tsiagadigui Jean Gustave, N. Richard, Bayiha Alphonse","doi":"10.4172/2167-1222.1000323","DOIUrl":"https://doi.org/10.4172/2167-1222.1000323","url":null,"abstract":"Introduction: Osteosynthesis has well defined principles. When the surgeon does not follow these principles, implant failure is likely to happen. The purpose of this study was to study this issue in our service and to search for underlining factors. Methodology: It was a descriptive study done from September 2009 to September 2012, in the orthopaedics and traumatology service of the Laquintinie hospital of Douala in Cameroon. Were enrolled, all patients operated or referred in the service and presenting an implant failure (folding, breakage, migration, disassembly bone fixation loosening). Results: We had 58 cases (after 330 Osteosynthesis that is 17.58%), 45 men and 13 women. Sex ratio: 3.46. Mean age 25 years. The initial condition was: a close fracture in 29 (50%) of cases, an open fracture in 21 (36.21)%, a pseudarthrosis in 4 (6.90%), an osteomyelitis in 3 (5.17%), and a limb deformation in 1 (1.72%). Plating was the most involved procedure: 36 (62.07%) of failed implants were stainless steel plates; and 21(56.33%) of these were broken. In 13 (22.41%) of cases, there was a fall preceding implant failure. In 8 cases (14%), the physiotherapy was inappropriately done by a traditional healer. Conclusion: Implant failure is a real problem in our environment. Factors include- surgeon failure, implant failure and patient related failure. Good indications, surgical technique and appropriate physiotherapy can reduce implant failure in our milieu. We did not carry out mechanical studies on failed implants.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70827272","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

Src Family Kinase Inhibitors and their Role in the Treatment of Traumatic Brain Injuries Src家族激酶抑制剂及其在创伤性脑损伤治疗中的作用

Journal of trauma & treatment Pub Date : 2016-07-28 DOI: 10.4172/2167-1222.1000322

Thomas R. Groves, Antiño R. Allen

引用次数: 1

Pre-Sacral Giant Cell Tumour Excision through Posterior Approach 经后入路骶前巨细胞瘤切除术

Journal of trauma & treatment Pub Date : 2016-07-23 DOI: 10.4172/2167-1222.1000321

A. Rao, Sonik B Shah, P. Samant

引用次数: 0

Esophageal Stenosis as a Cause of Spontaneous Esophageal Perforation(Boerhaave Syndrome): A Case Report and Explanation of PossibleMechanism 食管狭窄导致自发性食管穿孔(Boerhaave综合征):1例报告及可能机制解释

Journal of trauma & treatment Pub Date : 2016-07-15 DOI: 10.4172/2167-1222.1000319

N. Oz, A. Kargı

{"title":"Esophageal Stenosis as a Cause of Spontaneous Esophageal Perforation(Boerhaave Syndrome): A Case Report and Explanation of PossibleMechanism","authors":"N. Oz, A. Kargı","doi":"10.4172/2167-1222.1000319","DOIUrl":"https://doi.org/10.4172/2167-1222.1000319","url":null,"abstract":"Introduction: Boerhaave syndrome (BS) is a spontaneous perforation of the esophagus which depends on increased intra-esophageal pressure, while the upper sphincter is closed during excessive vomiting. Case: A 75-year-old man was referred to hospital with sudden chest pain after vomiting. A computed chest tomography demonstrated mediastinal emphysema, thickening of the wall at the esophago-gastric junction level, and left pleural effusion. An upper gastrointestinal endoscopy showed an esophageal stenosis at mid thoracic portion and a perforation detected just 1 cm above of the lower gastro-esophageal sphincter. The patient underwent left posterolateral thoracotomy in the 12th hour of event. Stenotic segment is dilated and the mucosal perforation was repaired. Conclusion: BS is a serious disease with high morbidity and mortality rates. While BS usually occurs in a normal esophagus; in our case, BS was due to esophageal benign stenosis instead of upper sphincter esophageal sphincter closure. Benign stenosis may facilitate perforation as seen in our patient due to increased intraluminal pressure following vomiting.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70827026","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

Its a Stitch-Up: The Function of Subarachnoid Trabeculae 缝合:蛛网膜下腔小梁的功能

Journal of trauma & treatment Pub Date : 2016-07-15 DOI: 10.4172/2167-1222.1000318

D. Talbert

{"title":"Its a Stitch-Up: The Function of Subarachnoid Trabeculae","authors":"D. Talbert","doi":"10.4172/2167-1222.1000318","DOIUrl":"https://doi.org/10.4172/2167-1222.1000318","url":null,"abstract":"The Shaken Baby Hypothesis assumes the brain can slide in the skull, but trabeculae (thin strips of collagen reinforced tissue that link across the subarachnoid space) appear to prevent this. They are so thin that they are undetectable by ultrasound or MRI imaging systems. Pediatricians in the 1970s were unaware of their existence. The Shaken Baby Syndrome hypothesis ignores them. The purpose of this study was to investigate whether omitting the trabecular structures from the SBS hypothesis would have made any difference to the legal validity of cases based on it. When the Shaken Baby Syndrome concept was created in the 1970s it was believed that there was a layer of fluid between the Dura and Arachnoid Maters (a “Subdural Space”) which allowed the brain cortex to slide. Electron microscopy has since shown that the Subdural Space does not exist. Electron microscopy has shown a “Cob-Web” of tissue (Trabeculae) linking the Arachnoid and Pia Maters. There is no subarachnoid space in the “Shaken Baby” model so no subarachnoid trabeculae are considered. Collagen fibres within these subarachnoid trabeculae are continuous with bundles of collagen in the inner aspect of the arachnoid and with collagen bundles in the subpial space, effectively “stitching” the pia and arachnoid membranes together. By implanting radio-opaque markers in cadaver heads and using high speed X-ray recorders vehicle accident researchers established that fresh brain is softly elastic. Under impact various regions move over different loci at different speeds. This trabecular stitching causes the cerebral cortex surface to follow skull movement closely. The cortex cannot slide, it reversibly deforms to take up movements. Therefore the bridging veins cannot be strained as was assumed in the 1970s and the Shaken Baby Syndrome hypothesis is invalid.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"5 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2016-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000318","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70826690","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: 5

Emerging Role of Curcumin in Parkinsons Disease 姜黄素在帕金森病中的新作用

Journal of trauma & treatment Pub Date : 2016-07-13 DOI: 10.4172/2167-1222.1000317

Cheng-Long Xie, W. Wang

引用次数: 0

Isolated Free Fluid without Pneumoperitoneum on Computed Tomography in Blunt Abdominal Trauma: Laparotomy Better Based on Imaging Finding and Clinical Presentation 钝性腹部创伤的ct显示无气腹的分离游离液:基于影像学表现和临床表现剖腹手术更好

Journal of trauma & treatment Pub Date : 2016-07-11 DOI: 10.4172/2167-1222.1000316

Y. Hsu, Chien-Hung Liao, K. Yuan, Chih-Yuan Fu, Being-Chuan Lin, Shih-Ching Kang, S. Wang

{"title":"Isolated Free Fluid without Pneumoperitoneum on Computed Tomography in Blunt Abdominal Trauma: Laparotomy Better Based on Imaging Finding and Clinical Presentation","authors":"Y. Hsu, Chien-Hung Liao, K. Yuan, Chih-Yuan Fu, Being-Chuan Lin, Shih-Ching Kang, S. Wang","doi":"10.4172/2167-1222.1000316","DOIUrl":"https://doi.org/10.4172/2167-1222.1000316","url":null,"abstract":"Background: This study examines the clinical assessment and management of patients sustaining blunt abdominal trauma (BAT) with unexplained intra-abdominal free fluid. Methods: All adult patients (age A¯Â‚Â³18 years) presenting with BAT to our trauma center over a 7-year period were reviewed. Those with abdominal computed tomography (CT) demonstrating intra-peritoneal free fluid but neither solid organ injury nor pneumoperitoneum were studied further. Demographic data, radiologic interpretation, operative findings, clinical management and outcome were analyzed. Results: 115 patients met the inclusion criteria. Except 9 patients for non-operative management, 91 patients (86%) underwent therapeutic laparotomy, in whom 83 patients (78%) benefited from surgical intervention and 15 patients (14%) underwent non-therapeutic laparotomy, in whom 8 patients (8/15=53%) had retroperitoneal hematoma with associated pelvic fractures. Mesenteric tear, urinary bladder rupture, and bowel injury constituted 81% (93/115) of the studied patients. Both bowel injury and mesenteric tear had a significantly higher rate of bowel wall thickening, mesenteric hematoma and streaky sign on CT scan. Urinary bladder rupture was associated with a significantly longer hospital stay, higher injury severity score (ISS), a higher rate of associated pelvic fracture (47%) and gross hematuria (97%). Conclusions: Laparotomy might be suggested for BAT patients with free fluid collection without solid organ injury and pneumoperitoneum on CT scan because most of these patients benefited from the surgical intervention (78%), especially when there are combined with clinical presentation of gross hematuria or CT images of bowel wall thickening or mesenteric lesion.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"5 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2016-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000316","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70826550","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: 3