A COMPARISON OF TRANSFERRED VERSUS DIRECT ADMISSION ORTHOPEDIC TRAUMA PATIENTS

1994 ◽  
Vol 36 (3) ◽  
pp. 373-376 ◽  
Author(s):  
William Obremskey ◽  
M. Bradford Henley
2021 ◽  
Vol 30 (1) ◽  
Author(s):  
Rico Angeli ◽  
Norman Lippmann ◽  
Arne C. Rodloff ◽  
Johannes K. M. Fakler ◽  
Daniel Behrendt

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Susan S. Maher ◽  
Esteban Franco-Garcia ◽  
Carmen Zhou ◽  
Marilyn Heng ◽  
Maria van Pelt ◽  
...  

Injury ◽  
2021 ◽  
Author(s):  
Elise Britt Asghar ◽  
Roland Howard ◽  
Trevor Shelton ◽  
William T. Kent

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hui Li ◽  
Yan Du ◽  
Jia-bin Wu ◽  
Pan Wang ◽  
Jun Yang ◽  
...  

Abstract Background It is rare that drains cannot be removed after surgery, however, this situation cannot be completely avoided, and is also hard to deal with. The main reason for a tethered drain is inadvertent suture fixation. At present, no effective way was published or widely accepted to locate the tethered drain. Methods Three cases of orthopedic trauma patients experienced unsuccessful removal of the drain after surgery. The ultrasound was used to locate the sutured site of the drain. Based on the sliding sign and vanishing point which can be detected by the ultrasound, the sutured site of the drain can be clearly identified. Finally, the suture was loosened through a small incision, and the drain was completely removed. Results The surgical procedure was very successful in all patients. The tethered drain was quickly and completely removed through a small incision with locating by ultrasound. Intravenous antibiotics were administered within 24 h after surgery, and no wound or deep infections occurred. Conclusions Ultrasound can be used to locate a tethered drain based on the sliding sign. This method can simplify the release procedure and achieve fast removal of the drain. Furthermore, it will help lower the risk of a retained drain and soft tissue complications.


2012 ◽  
Vol 15 (3) ◽  
pp. 309-317 ◽  
Author(s):  
Richard A. Henker ◽  
Allison Lewis ◽  
Feng Dai ◽  
William R. Lariviere ◽  
Li Meng ◽  
...  

Previous studies have associated mu-opioid receptor ( OPRM1) genotype with pain and analgesia responses in postoperative and patient populations. This study investigates the role of catechol-O-methyltransferase ( COMT) and OPRM1 genotypes in acute postoperative pain scores, opioid use, and opioid-induced sedation after surgical procedures for orthopedic trauma in an otherwise healthy patient population. Verbal pain/sedation scores, opioid use, and physiologic responses in the immediate postoperative period were examined for association with genetic variants in Caucasians genotyped for OPRM1 single nucleotide polymorphisms (SNPs) A118G and C17T and COMT SNPs. The OPRM1 A118G genotype was associated with patients’ postoperative Numerical Pain scale (NPS) ratings at 15 min in the postanesthesia care unit (PACU) ( p = .01) and patients' sedation scores at 15 min in the PACU ( p = .02). COMT genotype (rs4818) was associated with opioid consumption in the first 45 min in the PACU ( p = .04). NPS ratings at 45 min were also higher in the group of patients with A/A genotype of rs4680 than in patients with the other two genotypes at this SNP ( p = .03). Our haplotype trend analysis identified a COMT haplotype “GCGG” significantly associated with NPS at 15 min ( p = .0013), amount of opioids consumed in the first 45 min ( p = .0024), and heart rate at 45 min in the PACU ( p = .017). The results indicate that genetic variations in COMT contribute to the acute postoperative pain and analgesia responses and physiologic responses in this group of otherwise healthy postoperative orthopedic trauma patients.


2020 ◽  
pp. 096777202093501
Author(s):  
Erdem Bagatur

Orthopedic surgery, the medical discipline that deals with diseases and injuries of the musculoskeletal system has been considered a distinct medical discipline in the west since the beginning of the twentieth century. However, in Turkey, the acceptance of musculoskeletal traumatology as an integral part of orthopedic surgery actualized as late as 1961. Previously, orthopedic trauma patients were usually treated in general surgery departments. Dr. Burhaneddin Toker, a true pioneer, changed this conduct of the time in Turkey. He transformed Cerrahpaşa Hospital, then a municipality hospital today the well-known Cerrahpaşa Medical School of Istanbul University, to a trauma center. He pioneered systematic surgery of the musculoskeletal injuries, created a separate service for musculoskeletal traumatology, trained many surgeons in this field, wrote textbooks, and reported his clinical experience in scientific publications. This study examines the biography of Burhaneddin Toker and how he was able to further medical training in Turkey with a focus on Turkey in the stormy 1930s, the way the young republican government under Atatürk’s leadership handled educational issues, and the refugee scientists who found a safe haven in Turkey fleeing Nazism.


2016 ◽  
Vol 18 (2) ◽  
pp. 151-158 ◽  
Author(s):  
Nikita Lakomkin ◽  
Vasanth Sathiyakumar ◽  
Brandon Wick ◽  
Michelle S. Shen ◽  
A. Alex Jahangir ◽  
...  

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