Manual of Fracture Management - Hand

The presentation of this case study involves an exploration of the patient's journey in detail after having a traumatic wrist fracture, which is recognised as one of the most common fractures encountered daily in emergency services by junior doctors and practitioners. However, this article not only analyses the medical guidance for this type of case, but also the importance of the surgical care practitioner role in trauma and orthopaedics. All practitioners attending patients in emergency services are required to develop a good knowledge of anatomy, physiology, patient’s examination technique, classifications and consequently being aware of the possible surgical options for treatment of the fracture. They will also need to fully understand the legal implications of consent to ensure safe practice.

Lessons from lockdown: Virtual Clinics and service reorganisation in fracture management during COVID 19 experience of an Irish Regional Trauma Unit

The Surgeon ◽

10.1016/j.surge.2021.02.006 ◽

2021 ◽

Author(s):

Ciaran Stanley ◽

Martin Kelly ◽

Mohamed Elzaki ◽

Audrey Butler ◽

Finbarr Condon ◽

...

Keyword(s):

Trauma Unit ◽

Fracture Management ◽

Service Reorganisation

Early mortality in hip fracture patients admitted during first wave of the COVID-19 pandemic in Northern Italy: a multicentre study

Journal of Orthopaedics and Traumatology ◽

10.1186/s10195-021-00577-9 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Dante Dallari ◽

Luigi Zagra ◽

Pietro Cimatti ◽

Nicola Guindani ◽

Rocco D’Apolito ◽

...

Keyword(s):

Hip Fracture ◽

Mortality Rate ◽

Multicentre Study ◽

Proximal Femur ◽

Femur Fracture ◽

Northern Italy ◽

Proximal Femur Fracture ◽

Time To Surgery ◽

Fracture Management ◽

The Mean

Abstract Background Treatment of hip fractures during the coronavirus disease 2019 (COVID-19) pandemic has posed unique challenges for the management of COVID-19-infected patients and the maintenance of standards of care. The primary endpoint of this study is to compare the mortality rate at 1 month after surgery in symptomatic COVID-positive patients with that of asymptomatic patients. A secondary endpoint of the study is to evaluate, in the two groups of patients, mortality at 1 month on the basis of type of fracture and type of surgical treatment. Materials and methods For this retrospective multicentre study, we reviewed the medical records of patients hospitalised for proximal femur fracture at 14 hospitals in Northern Italy. Two groups were formed: COVID-19-positive patients (C+ group) presented symptoms, had a positive swab for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and received treatment for COVID-19; COVID-19-negative patients (C− group) were asymptomatic and tested negative for SARS-CoV-2. The two groups were compared for differences in time to surgery, survival rate and complications rate. The follow-up period was 1 month. Results Of the 1390 patients admitted for acute care for any reason, 477 had a proximal femur fracture; 53 were C+ but only 12/53 were diagnosed as such at admission. The mean age was > 80 years, and the mean American Society of Anesthesiologists (ASA) score was 3 in both groups. There was no substantial difference in time to surgery (on average, 2.3 days for the C+ group and 2.8 for the C− group). As expected, a higher mortality rate was recorded for the C+ group but not associated with the type of hip fracture or treatment. No correlation was found between early treatment (< 48 h to surgery) and better outcome in the C+ group. Conclusions Hip fracture in COVID-19-positive patients accounted for 11% of the total. On average, the time to surgery was > 48 h, which reflects the difficulty of maintaining normal workflow during a medical emergency such as the present pandemic and notwithstanding the suspension of non-urgent procedures. Hip fracture was associated with a higher 30-day mortality rate in COVID-19-positive patients than in COVID-19-negative patients. This fact should be considered when communicating with patients and/or their family. Our data suggest no substantial difference in hip fracture management between patients with or without COVID-19 infection. In this sample, the COVID-19-positive patients were generally asymptomatic at admission; therefore, routine screening is recommended. Level of evidence Therapeutic study, level 4.

Use of Osteobiologics for Fracture Management: The When, What, and How

Injury ◽

10.1016/j.injury.2021.01.030 ◽

2021 ◽

Author(s):

Meir T. Marmor ◽

Jacob Matz ◽

Robert Trigg McClellan ◽

Ramapaada Medam ◽

Theodore Miclau

Keyword(s):

Fracture Management

Ankle fracture management using smartphone multimedia messaging service (MMS) imaging — How reliable and to what point?

Foot and Ankle Surgery ◽

10.1016/j.fas.2021.01.004 ◽

2021 ◽

Author(s):

William B. O’Callaghan ◽

David E.A. Nielsen ◽

Matthew J. Hope ◽

Sarah L. Whitehouse ◽

S.L. Ezekiel Tan

Keyword(s):

Ankle Fracture ◽

Fracture Management ◽

Multimedia Messaging Service

Hip Fracture Management

OTA International ◽

10.1097/oi9.0000000000000069 ◽

2020 ◽

Vol 3 (1) ◽

pp. e069

Author(s):

Theodore Miclau

Keyword(s):

Hip Fracture ◽

Fracture Management

Fracture management in llamas and alpacas

Small Ruminant Research ◽

10.1016/j.smallrumres.2005.07.016 ◽

2006 ◽

Vol 61 (2-3) ◽

pp. 241-258 ◽

Cited By ~ 3

Author(s):

K.D. Newman ◽

D.E. Anderson

Keyword(s):

Fracture Management

Hip Fracture Management for the Hospital-Based Clinician: A Review of the Evidence and Best Practices

Hospital Practice ◽

10.3810/hp.2011.02.374 ◽

2011 ◽

Vol 39 (1) ◽

pp. 52-61 ◽

Cited By ~ 13

Author(s):

Jason Hughson ◽

Jonathan Newman ◽

Robert C. Pendleton

Keyword(s):

Hip Fracture ◽

Best Practices ◽

Fracture Management