Pioneering orthopaedic trauma surgery in Turkey: Burhaneddin Toker (1890–1951), the stormy 1930s, and refugees running from Nazism

2020 ◽  
pp. 096777202093501
Author(s):  
Erdem Bagatur
Keyword(s):  
Orthopedic Surgery ◽  
Medical Training ◽  
Trauma Surgery ◽  
Musculoskeletal Injuries ◽  
Trauma Patients ◽  
Orthopedic Trauma ◽  
The West ◽  
Scientific Publications ◽  
Medical Discipline ◽  
Republican Government

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.

scholarly journals Variability in trauma case volume in orthopedic surgery residents

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Travis D. Blood ◽  
Joseph A. Gil ◽  
Christopher T. Born ◽  
Alan H. Daniels
Keyword(s):  
Orthopedic Surgery ◽  
Trauma Surgery ◽  
Orthopedic Trauma ◽  
Upward Trend ◽  
Case Volume ◽  
Trauma Case ◽  
The Mean ◽  
The Difference ◽  
Case Logs ◽  
Orthopedic Trauma Surgery

Orthopedic trauma surgery is a critical component of resident education. Surgical case logs obtained from the Accreditation Council of Graduate Medical Students from 2009 to 2013 for orthopedic surgery residents were examined for variability between the 90<sup>th</sup> and 10<sup>th</sup> percentiles in regards to the volume of cases performed. There was an upward trend in the mean number of cases performed by senior residents from 484.4 in 2009 to 534.5 in 2013, representing a 10.3% increase. There was a statistically significant increase in the number of cases performed for humerus/elbow, forearm/wrist, and pelvis/hip during this period (Pth and 90<sup>th</sup> percentile case volumes narrowed over the study period, the difference between these groups remained significant in 2013 (P=0.02). In 2013, all categories of trauma cases had a greater than 2.2-fold difference between the 10<sup>th</sup> and 90<sup>th</sup> percentile of residents for numbers of trauma cases performed. Although case volume is not the sole determinant of residency education and competency, evidence suggests that case volume plays a crucial role in surgeon confidence and efficiency in performing surgery. Further studies are needed to better understand the effect of this variability seen among residents performing orthopedic trauma surgery.

Different Scenarios of Asymptomatic Coronavirus Disease 2019 in Orthopedic Trauma Patients: Case Series and Practical Guide

2020 ◽  
Author(s):  
Seyyed Hossein Shafiei ◽  
Salar Baghbani ◽  
Mohsen Rezaei Nosrati ◽  
Babak Siavashi ◽  
Mohammad Reza Golbakhsh
Keyword(s):  
Orthopedic Surgery ◽  
Trauma Center ◽  
Direct Contact ◽  
Case Series ◽  
Trauma Patients ◽  
The Novel ◽  
Orthopedic Trauma ◽  
Novel Coronavirus ◽  
Orthopedic Patients ◽  
Detailed Protocol

Background: During the outbreak of the novel coronavirus disease 2019 (COVID-19), Sina Hospital in Tehran, Iran, dedicated a majority of its facilities and workforce to fight this crisis. Meanwhile, our academic trauma center continued to admit emergency trauma patients. Case Report: In this case series, we tried to discuss five previously healthy trauma patients who underwent orthopedic surgery and were diagnosed with COVID-19 later. Also, we described our detailed protocol for the management of orthopedic patients during the pandemic. Conclusion: During COVID-19 time, we continued to provide our best service to the trauma patients while keeping our personnel as far as possible from direct contact with the patients until it was necessary.

scholarly journals Mortality and morbidity in COVID-19 orthopedic trauma patients: is early surgery the keystone?

2020 ◽  
Author(s):  
Paolo Capitani ◽  
Enrico Gallazzi
Keyword(s):  
Clinical Laboratory ◽  
Perioperative Complications ◽  
Trauma Surgery ◽  
Early Surgery ◽  
Control Group ◽  
Study Group ◽  
Trauma Patients ◽  
Orthopedic Trauma ◽  
Mortality And Morbidity ◽  
Infection Age

Purpose. In the pandemic disease caused by Sars-Cov-2 virus, trauma surgery continued the management of patients with fractures. The purpose of the study is to evaluate mortality and morbidity in orthopedic trauma patients surgically treated with a diagnosis of COVID-19 infection, comparing them to a control group of COVID-19 negative.Methods. We retrospectively identified patients admitted to our Emergency Room from March 8th to May 4th 2020 with a diagnosis of fracture that were subsequently surgically treated. For each patient included demographics, clinical, laboratory, radiological data and type of treatment for COVID-19 infection were collected.Results. 65 patients were identified. Of those, 17 (6 women and 11 men) were COVID-19 positive (study group), while the others were control group. Preoperative laboratory tests showed leukocytosis in six and lymphopenia in 15 cases. 14 patients had a high level of C-reactive protein. 15 patients had an abnormal level of D-dimer. The overall mortality of our series was 4.6% (3 patients). Of those, one patient was in the study group (5.8%) and 2 were in the control group (4.1%) (p&gt;0.05). Perioperative adverse events were registred in 5 cases (29.4%) in the study group and in 8 (16.6%) in the control group (p&gt;0.05).Conclusion. Early surgery and short hospitalization could be key for a better clinical outcomes in trauma patients with a concomitant COVID-19 infection. Age and ASA grade could represent independent risk factors for perioperative complications

scholarly journals Pediatric Orthopedic Trauma Care During the COVID-19 Pandemic: A Survey of the Pediatric Orthopedic Society of North America

2021 ◽  
pp. 155633162110560
Author(s):  
Mitchell A. Johnson ◽  
Theodore J. Ganley ◽  
Lindsay Crawford ◽  
Ishaan Swarup
Keyword(s):  
North America ◽  
Trauma Care ◽  
Care Delivery ◽  
Trauma Surgery ◽  
Trauma Patients ◽  
Orthopedic Trauma ◽  
Fracture Management ◽  
Pediatric Orthopedic ◽  
The Impact

Background: The COVID-19 pandemic has dramatically altered the practice of pediatric orthopedic trauma surgery in both outpatient and inpatient settings. While significant declines in patient volume have been noted, the impact on surgeon decision-making is unclear. Purpose: We sought to investigate changes in pediatric orthopedic trauma care delivery as a result of COVID-19 and determine their implications for future orthopedic practice. Methods: An electronic survey was distributed to all members (N = 1515) of the Pediatric Orthopedic Society of North America (POSNA) in March to April 2021; only members who provided care for pediatric orthopedic trauma patients were asked to complete it. The survey included questions on hospital trauma call, inpatient care, outpatient clinic practice, and 3 unique fracture case scenarios. Results: A total of 147 pediatric orthopedic surgeons completed the survey, for a 9.7% response rate, with 134 (91%) taking trauma call at a hospital as part of their practice. Respondents reported significant differences across institutions regarding COVID-19 testing, hospital rounding, and employee COVID-19 screening. Changes in outpatient fracture management were observed, including a decreased number of follow-up visits for nondisplaced clavicle fractures, distal radius buckle fractures, and toddler’s fractures. Of respondents who changed their fracture follow-up schedules due to COVID-19, over 75% indicated that they would continue these outpatient treatment schedules after the pandemic. Conclusions: This survey found changes in pediatric orthopedic trauma care as a result of the COVID-19 pandemic. The use of telemedicine and abbreviated follow-up practices for common fracture types are likely to persist following the resolution of the COVID-19 pandemic.

The role of the Brazilian Orthopedic Trauma Association (BOTA) in the evolution of orthopaedic trauma surgery in Brazil

Injury ◽  
2021 ◽  
Vol 52 ◽  
pp. S1-S2
Author(s):  
Vincenzo Giordano ◽  
Tito Rocha ◽  
William Dias Belangero
Keyword(s):  
Trauma Surgery ◽  
Orthopedic Trauma ◽  
Orthopaedic Trauma

Diabetes Mellitus Influencing the Bacterial Species in Surgical Site Infections of Orthopedic Trauma Patients

2021 ◽  
Vol 30 (1) ◽  
Author(s):  
Rico Angeli ◽  
Norman Lippmann ◽  
Arne C. Rodloff ◽  
Johannes K. M. Fakler ◽  
Daniel Behrendt
Keyword(s):  
Diabetes Mellitus ◽  
Bacterial Species ◽  
Surgical Site Infections ◽  
Trauma Patients ◽  
Orthopedic Trauma

Military Orthopedic Surgeons Are Not Just Traumatologists

2021 ◽  
Author(s):  
Camille Choufani ◽  
Olivier Barbier ◽  
Laurent Mathieu ◽  
Nicolas de L’Escalopier
Keyword(s):  
Orthopedic Surgery ◽  
Descriptive Analysis ◽  
Trauma Surgery ◽  
Armed Forces ◽  
Trauma Surgeon ◽  
Reconstruction Surgery ◽  
Orthopedic Surgeon ◽  
Orthopedic Surgeons ◽  
French Military ◽  
Military Patients

ABSTRACT Introduction Each French military orthopedic surgeon is both an orthopedic surgeon and a trauma surgeon. Their mission is to support the armed forces in France and on deployment. The aim of this study was to describe the type of orthopedic surgery performed for the armed forces in France. Our hypothesis was that scheduled surgery was more common than trauma surgery. Methods We conducted a retrospective descriptive analysis of the surgical activity for military patients in the orthopedic surgery departments of the four French military platform hospitals. All surgical procedures performed during 2020 were collected. We divided the procedures into the following categories: heavy and light trauma, posttraumatic reconstruction surgery, sports surgery, degenerative surgery, and specialized surgery. Our primary endpoint was the number of procedures performed per category. Results A total of 827 individuals underwent surgery, 91 of whom (11%) were medical returnees from deployment. The surgeries performed for the remaining 736 soldiers present in metropolitan France (89%) consisted of 181 (24.6%) trauma procedures (of which 86.7% were light trauma) and 555 (75.4%) scheduled surgery procedures (of which 60.8% were sports surgery). Among the medical returnees, there were 71 traumatology procedures (78%, of which 87.3% were light traumatology) and 20 procedures corresponding to surgery usually carried out on a scheduled basis (22%, of which 95% were sports surgery). Conclusion Military orthopedic surgeons are not just traumatologists; their activity for the armed forces is varied and mainly consists of so-called programmed interventions.

The association of nutritional status with new-onset delirium in elderly, acute care, orthopedic trauma patients

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Susan S. Maher ◽  
Esteban Franco-Garcia ◽  
Carmen Zhou ◽  
Marilyn Heng ◽  
Maria van Pelt ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Acute Care ◽  
Trauma Patients ◽  
Orthopedic Trauma ◽  
New Onset
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