Wade R Smith

..The PF-LCP represents a feasible alternative for the treatment of unstable inter- and subtrochanteric fractures...

..To determine reliable, early indicators of mortality and causes of death in hemodynamically unstable patients with pelvic ring injuries...

..To report the results of using the expandable nailing system in the treatment of femoral and tibial shaft fractures...

..The purpose of this study was to determine the factors that may influence the clinical and functional outcomes of such fractures...

..To evaluate the outcomes of haemodynamically unstable cases of pelvic ring injury treated with a protocol focused on either direct retroperitoneal pelvic packing or early pelvic angiography and embolisation...

..The purpose of this study was to evaluate the outcome and complications of patients who sustained humeral shaft fractures and were treated with initial unilateral external fixation followed by plate fixation...

..To reduce the incidence of SSI following acetabular fracture surgery, special attention should be directed at the care of obese patients, patients requiring ICU care, and patients with associated Morel-Lavallée lesions...

..One patient developed osteomyelitis. Subsidence ranging from 2.5 to 5.7 mm occurred in 4 patients (11%). This treatment method provides sufficient structural integrity with a high union rate and a low complication rate...

..We hypothesized that a modified technique of direct preperitoneal pelvic packing (PPP) would reduce the need for angiography, decrease blood transfusion requirements, and lower mortality...

..This review article provides a brief overview of the existing resuscitation protocols for multiply injured patients, including ATLS and "damage control", and will address developing controversies in the field...

..We caution its use in the presence of a known Morel-Lavallee lesion, as this may increase the wound complication and infection risk...

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..Future prospective randomised trials are required to determine with more scientific accuracy the optimal treatment strategy for these challenging injuries...

..We hypothesize that this combination of injuries affects not only the postinjury hemodynamics of the patient, but the outcome of subsequent acetabular fracture treatment...

..This study was designed to evaluate the frequency of intraoperative problems and complications involved with Less Invasive Stabilization System (LISS) plate removal...

..We hypothesized that PPP/EF arrests hemorrhage rapidly, facilitates emergent operative procedures, and ensures efficient use of angioembolization (AE)...

..To evaluate healing rates and complications in patients treated with temporary external fixation (EF) and subsequent open reduction and internal fixation (ORIF) for high-energy distal femur or proximal tibia fractures...

..We instituted a protocol in which a stress examination was performed for patients presenting with an APC-I injury diagnosed with static radiographs to reveal the true extent of the injury...

..We propose DCO as a safe initial treatment for the multiple-injured patient with femur shaft fractures...

..This review article focuses on the recent body of knowledge on angiography and pelvic packing. We propose the optimal role for each modality in trauma centres...

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..CD59 is the major regulator of MAC formation and represents an essential protector from homologous cell injury after complement activation in the injured brain...

..Limited information exists concerning ethnic differences in psychological sequelae after musculoskeletal injury. This study examined ethnic variations in prevalence of posttraumatic stress disorder (PTSD) after musculoskeletal trauma...

..We hypothesized that preoperative administration of 7.5% HTS attenuates PMNL priming after IMN of unilateral femur shaft fractures compared with 0.9% normal saline...

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..We hypothesized that a protocol utilizing once-daily LMWH prophylaxis in high-risk trauma patients, regardless of the need for invasive procedures, is feasible, safe, and effective...

..However, its pathophysiology remains unclear. The present study investigated the effect of complement C5a blockade in preventing BBB damage and pituitary dysfunction during experimental sepsis...

..We conclude that Reamer-Irrigator-Aspirator bone grafting represents a safe procedure and a viable alternative to iliac crest bone graft harvesting for the treatment of fracture nonunions...

..Nonclinical factors likely include a push by industry for new technology and new markets as well as the general interest of the public in "minimally invasive" surgery...

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..The purpose of this study was to determine the systemic level of serum titanium in patients who had undergone femoral nailing...

..abstract:..

..To estimate the prevalence of posttraumatic stress disorder (PTSD) and depression among hand-injured patients and assess the impact of these disorders on general health status...

..This starting point assumes that implants will adapt to the femoral radius of curvature. Implant-femur radius mismatch may result in postoperative fracture angulations, translation, or increase in hoop stress...

..IMPLICATIONS OF HYPOTHESIS: A "spine damage control" protocol may save lives and improve outcomes in severely injured patients with associated spine injuries...

..We review the published prospective clinical trials on pharmacological treatment modalities for TBI patients and outline future promising therapeutic avenues in the field...

..In this paper, we illustrate the molecular events leading to blood-brain barrier breakdown, with a focus on the subsequent neuroinflammatory changes leading to cerebral edema in patients with severe burns...

..Combined external pelvic fixation and preperitoneal pelvic packing may represent a revolutionary management strategy for mechanically unstable pelvis fractures in critically injured patients...

..This study was designed to describe the anatomic insertion point of the deltoid to the proximal humerus...

..This "publication bias" may alter the balance of the available evidence-based literature and may affect patient safety in surgery by depriving important information from unpublished negative studies...

..Furthermore, variables such as age and gender should be further investigated, as they may potentially have a predictive value in this clinical setting...

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..The use of standardized treatment algorithms may improve decision making and patient survival rates. Active involvement of an experienced orthopaedic surgeon in the evaluation and care of these critically injured patients is essential...

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..We discuss the possible causes of iatrogenic vascular injuries in patients with osteogenesis imperfecta. Orthopaedic surgeons should be aware of this potentially devastating complication in this particular patient cohort...

..Sensitivity and specificity were 0.98 and 0.94, and the likelihood ratio was 16.3. CONCLUSIONS: PE, specifically palpation of the posterior pelvis, in patients with pelvic fractures can accurately detect injuries of the posterior ring...

..The article reports the authors' clinical experience using a triceps-splitting approach for a consecutive series of patients with distal humerus fractures...

..The orthopaedic surgeon should be aware of this detrimental complication associated with extensive or repeated posterior iliac crest graft harvest...

..This composite graft is an option for managing osseous defects and nonunions traditionally treated with autologous bone grafting but should be used with caution when treating patients who are smokers...

..In experienced hands, this CHI model can be carried out in as little as 30 s per animal, with additional time required for subsequent posttraumatic analysis and data collection...

..Secondary to the low incidence, there is an apparent lack of reports on appropriate management strategies for open pediatric acetabular fractures in the literature...

..5% bupivacaine into the iliac crest harvest site provides pain relief that is superior to the relief provided by systemic narcotic pain medication alone in patients undergoing reconstructive orthopaedic trauma procedures...

..Treatment resulted in ablation of infection, healing of atrophic non-unions with minimal complications and early extremity use...

..The authors report a case of bilateral peroneal nerve palsy related to the use of external compressive wraps in a patient with pelvic ring injury...

..To determine the frequency, root cause, and outcome of wrong-site and wrong-patient procedures in the era of the Universal Protocol...

..Although most have laboratory or animal data, few have evaluations of clinical performance. We performed an evaluation of a new calcium sulfate-demineralized bone matrix/Allomatrix in the treatment of nonunions...

..It involves a less extensive soft tissue dissection than that required by other posterior approaches. We provide the first English-language description of the technique, with 2 cases presented as illustrations of the approach...

..5-mm fully threaded cortical screws through either three or four cortices would have similar strength and rate of mechanical failure and that retention of screws after fracture healing would not result in adverse clinical symptoms...

..The percutaneous technique appears to be a safe and effective alternative to the standard technique. Hip pain at one year appears decreased compared to reports using a traditional approach...

..Key technical points for successful outcomes include proper patient positioning, using a correct starting point for the nail, achieving acceptable reduction before fixation, and the use of various reduction techniques and aids...

..Several variations of external fixation have been developed, and its use is now widespread. However, in the United States, all but a minority of surgeons still have substantial apprehension about the use of external fixation...