The impact of the Major Trauma Network: will trauma units continue to treat complex foot and ankle injuries?

Injury ◽  
2014 ◽  
Vol 45 (12) ◽  
pp. 2005-2008 ◽  
Author(s):  
A.G.C. Hay-David ◽  
S.A. Clint ◽  
R.R. Brown
Keyword(s):  
Major Trauma ◽  
Ankle Injuries ◽  
Trauma Network ◽  
Foot And Ankle ◽  
The Impact

Foot and Ankle Related Sex-Specific Analysis Within High-Impact Journals

2019 ◽  
Vol 41 (3) ◽  
pp. 356-363 ◽  
Author(s):  
Arianna L. Gianakos ◽  
Nicole George ◽  
Meghan Merklein ◽  
Lori Chambers ◽  
Richard Ferkel ◽  
...  
Keyword(s):  
Statistical Model ◽  
Sports Medicine ◽  
High Impact ◽  
Ankle Injuries ◽  
Foot And Ankle ◽  
Level Of Evidence ◽  
Time Period ◽  
Specific Analysis ◽  
Significant Difference ◽  
The Impact

Background: The impact of patient sex on the prevalence of foot and ankle injuries has been established. Reporting of differences on treatment outcomes is lacking. The purpose of this study was to identify trends in sex-specific outcomes across high-impact journals over a 5-year time period. Methods: Two independent investigators reviewed journal issues published during 2 calendar years (2011 and 2016) in the 5 highest-impact orthopedic foot and ankle/sports subspecialty journals ( Foot & Ankle International [ FAI], Foot and Ankle Surgery [ FAS], American Journal of Sports Medicine [ AJSM], Arthroscopy, and Knee Surgery, Sports Traumatology, Arthroscopy [ KSSTA]). Studies were stratified into those that involved sex-specific analysis (SSA), where sex was a variable in a multifactorial statistical model, and those that only reported sex as a demographic characteristic or utilized sex-matched cohorts. Results: A total of 473 studies evaluating a total of 273 128 patients met criteria. An average of 43.9% (119 967 patients) of the population were female. Only 16.7% (79/473) of studies included sex as variable in a statistical model. Thirteen percent (25/193) and 19.3% (54/280) of studies reported SSA in 2011 and 2016, respectively. FAI was the only journal demonstrating a significant improvement of reporting SSA from 2011 to 2016 ( P < .002). Thirty percent (24/79) of studies that performed SSA demonstrated significant differences between male and female outcomes. Conclusion: Reporting of SSA in the orthopedic literature continued to be lacking. Only 16.7% of all articles evaluated in 2011 and 2016 performed SSA, with 30% of this subset reporting a statistically significant difference in outcomes. Level of Evidence: Level III, comparative study.

Ankle Motion and Offloading in Short Leg Cast and Low and High Fracture Boots

2019 ◽  
Vol 40 (12) ◽  
pp. 1416-1423 ◽  
Author(s):  
Nickolas Nahm ◽  
Michael J. Bey ◽  
Serena Liu ◽  
S. Trent Guthrie
Keyword(s):  
High Speed ◽  
Sagittal Plane ◽  
Surface Force ◽  
Surface Forces ◽  
Ankle Injuries ◽  
Foot And Ankle ◽  
High Fracture ◽  
Ankle Motion ◽  
Plantar Surface ◽  
The Impact

Background: Short leg casts (SLCs) and fracture boots are used to treat foot and ankle injuries, but the decision to use one device over the other is often subjective. This study compared the impact of SLCs and low and high fracture boots on ankle motion and offloading. Methods: Twenty healthy adults were prospectively studied. High-speed dynamic radiography was utilized to determine tibiotalar range of motion in the sagittal plane during nonweightbearing (NWB) and weightbearing (WB) gait in a shoe (control), SLC, and low and high fracture boots. Sensors captured peak plantar surface forces to determine ankle offloading. Results: In NWB, the low fracture boot (2.2 ± 2.0 degrees), high fracture boot (2.3 ± 1.6 degrees), and SLC (2.3 ± 1.5 degrees) had significantly less motion compared with the control (3.6 ± 2.1 degrees; P ≤ .026). During WB, the SLC (3.4 ± 1.4 degrees) and high fracture boot (4.8 ± 2.0 degrees) had less motion compared with the low fracture boot (7.8 ± 3.4 degrees; P < .001). Finally, the SLC (172.6% ± 48.3% body weight [BW]) and low fracture (165.1% ± 36.2% BW) and high fracture (154.5% ± 32.9% BW) boots were associated with less peak plantar surface force compared with the control (195.0% ± 43.8% BW; P ≤ .087). Conclusion: The SLC and high fracture boot immobilized the ankle in NWB and offloaded and immobilized the ankle in WB. The low fracture boot also immobilized the ankle in NWB, but in WB, the low fracture boot only offloaded the ankle and did not immobilize it. Clinical Relevance: The low fracture boot may be more suited for NWB or possibly immobilizing the foot in WB.

scholarly journals The impact of COVID-19 on Foot and Ankle Surgery in a Major Trauma Centre

The Foot ◽  
2021 ◽  
pp. 101772
Author(s):  
Howard Stringer ◽  
Andrew Molloy ◽  
Joanne Craven ◽  
John Moorehead ◽  
Alasdair Santini ◽  
...  
Keyword(s):  
Major Trauma ◽  
Trauma Centre ◽  
Foot And Ankle ◽  
Major Trauma Centre ◽  
Ankle Surgery ◽  
The Impact

scholarly journals Foot and ankle biomechanics

2000 ◽  
Vol 56 (1) ◽  
pp. 17-20 ◽  
Author(s):  
L. J. Hunter ◽  
J. Fortune
Keyword(s):  
General Population ◽  
Functional Anatomy ◽  
Ankle Injuries ◽  
Foot And Ankle ◽  
Normal Gait ◽  
Ankle Complex ◽  
Biomechanics Of The Foot ◽  
The Impact ◽  
Ankle Biomechanics

Foot and ankle injuries are common in sportsmen and the general population. The impact that the functional anatomy and biomechanics of the foot and ankle complex has on normal gait is reviewed. The abnormal biomechanics associated with overpronation and oversupination are discussed, as are their consequences. The management principles of foot and ankle injuries are briefly described.

The impact of the introduction of the londonTrauma Network on a trauma and orthopaedic department within its catchment area

2013 ◽  
Vol 95 (6) ◽  
pp. 208-209 ◽  
Author(s):  
Tim Sinnett ◽  
Sheila Bacon ◽  
Naresh Somashaker
Keyword(s):  
Hospital Mortality ◽  
Catchment Area ◽  
Major Trauma ◽  
Trauma Network ◽  
National Audit ◽  
Trauma Systems ◽  
Orthopaedic Department ◽  
Trauma Centres ◽  
The Impact

Following the decision by the Joint Committee of Primary CareTrusts (JPCTs) in July 2009 to designate four major trauma centres (MTC) in London, each with its own trauma network, the final MTC went fully live in January 2011. The primary aim of the LondonTrauma System is to ensure that those patients who suffer major trauma are treated at specialist MTCs. The National Audit Office Report published in 2010 revealed the literature suggested that where trauma systems had been introduced, in-hospital mortality was reduced by 15 to 20 per cent.

The impact of major trauma network triage systems on patients with major burns

Burns ◽  
2016 ◽  
Vol 42 (8) ◽  
pp. 1662-1670 ◽  
Author(s):  
Metin Nizamoglu ◽  
Edmund Fitzgerald O’Connor ◽  
Sarah Bache ◽  
Evgenia Theodorakopoulou ◽  
Sankhya Sen ◽  
...  
Keyword(s):  
Major Trauma ◽  
Trauma Network ◽  
The Impact

scholarly journals The impact of SARS and COVID-19 on major trauma in Hong Kong

2021 ◽  
Author(s):  
Joseph Harold Walline ◽  
Kevin Kei Ching Hung ◽  
Janice Hiu Hung Yeung ◽  
Priscilla P. Song ◽  
Nai-Kwong Cheung ◽  
...  
Keyword(s):  
Hong Kong ◽  
Major Trauma ◽  
The Impact

Impact of 24/7 Onsite Emergency Radiology Staff Coverage on Emergency Department Workflow

2021 ◽  
pp. 084653712110238
Author(s):  
Francesco Macri ◽  
Bonnie T. Niu ◽  
Shannon Erdelyi ◽  
John R. Mayo ◽  
Faisal Khosa ◽  
...  
Keyword(s):  
Emergency Department ◽  
Major Trauma ◽  
Patient Flow ◽  
Interrupted Time Series ◽  
Trauma Patients ◽  
Linear Regression Models ◽  
High Acuity ◽  
Time Series Approach ◽  
Comparison Series ◽  
The Impact

Purpose: Assess the impact of 24/7/365 emergency trauma radiology (ETR) coverage on Emergency Department (ED) patient flow in an urban, quaternary-care teaching hospital. Methods: Patient ED visit and imaging information were extracted from the hospital patient care information system for 2008 to 2018. An interrupted time-series approach with a comparison group was used to study the impact of 24/7/365 ETR on average monthly ED length of stay (ED-LOS) and Emergency Physician to disposition time (EP-DISP). Linear regression models were fit with abrupt and permanent interrupts for 24/7/365 ETR, a coefficient for comparison series and a SARIMA error term; subgroup analyses were performed by patient arrival time, imaging type and chief complaint. Results: During the study period, there were 949,029 ED visits and 739,796 diagnostic tests. Following implementation of 24/7/365 coverage, we found a significant decrease in EP-DISP time for patients requiring only radiographs (-29 min;95%CI:-52,-6) and a significant increase in EP-DISP time for major trauma patients (46 min;95%CI:13,79). No significant change in patient throughput was observed during evening hours for any patient subgroup. For overnight patients, there was a reduction in EP-DISP for patients with symptoms consistent with stroke (-78 min;95%CI:-131,-24) and for high acuity patients who required imaging (-33 min;95%CI:-57,-10). Changes in ED-LOS followed a similar pattern. Conclusions: At our institution, 24/7/365 in-house ETR staff radiology coverage was associated with improved ED flow for patients requiring only radiographs and for overnight stroke and high acuity patients. Major trauma patients spent more time in the ED, perhaps reflecting the required multidisciplinary management.

Foot and Ankle Injections in Athletes

2021 ◽  
pp. 194173812110036
Author(s):  
Jonathan K. Ochoa ◽  
Christopher E. Gross ◽  
Robert B. Anderson ◽  
Andrew R. Hsu
Keyword(s):  
English Language ◽  
Platelet Rich Plasma ◽  
Empirical Studies ◽  
Autologous Blood ◽  
Case Series ◽  
Placental Tissue ◽  
Ankle Injuries ◽  
Extensive Literature ◽  
Foot And Ankle ◽  
Level Of Evidence

Context: Injections are commonly used by health care practitioners to treat foot and ankle injuries in athletes despite ongoing questions regarding efficacy and safety. Evidence Acquisition: An extensive literature review was performed through MEDLINE, Google Scholar, and EBSCOhost from database inception to 2021. Keywords searched were injections, athletes, sports, foot and ankle, corticosteroids, platelet-rich plasma, and placental tissue. Search results included articles written in the English language and encompassed reviews, case series, empirical studies, and basic science articles. Study Design: Clinical review. Level of Evidence: Level 4. Results: Corticosteroids, platelet-rich plasma/autologous blood, anesthetic, and placental tissue injections are commonly used in the treatment of foot and ankle injuries. Primary indications for injections in athletes include plantar fasciitis, Achilles tendinosis, isolated syndesmotic injury, and ankle impingement with varying clinical results. Conclusions: Despite promising results from limited case series and comparative studies, the data for safety and efficacy of injections for foot and ankle injuries in athletes remain inconclusive.

Diagnosis and Management of Foot and Ankle Injuries in Dancers

2021 ◽  
Author(s):  
Julia L. Iafrate ◽  
Christine E. Townsend ◽  
Charles Scott ◽  
Hye-Jin Yun ◽  
Allison Ventola ◽  
...  
Keyword(s):  
Ankle Injuries ◽  
Foot And Ankle ◽  
Diagnosis And Management
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