Epidemiological Characterization of Tibial Plateau Fractures in Five Colombian Clinics

Abstract Background: Tibial plateau fractures are traumatic injuries with severities ranging from nondisplaced to complicated fractures. This study describes the epidemiological characteristics of patients with tibial plateau fractures treated in five trauma clinics.Methods: This retrospective, cross-sectional study included 1,165 patients with tibial plateau fractures treated between December 2015 and May 2017. Subjects were selected from the medical records of five institutions based on the inclusion and exclusion criteria. Age, sex, laterality, fracture type, trauma mechanism, vehicle type, classification, and associated injuries were assessed via univariate and bivariate analyses. Results: In total, 23.3% of patients with tibial fractures treated during the study period had tibial plateau fractures. Of those affected, 73% were men and 50% were younger than 40 years. Furthermore, 95.7% of fractures were caused by traffic accidents, 82.6% of which involved motorcycles. Fractures were closed in 93.1% of cases, and 78% of subjects had associated injuries. The most common fractures, according to Schatzker classification, were type VI (23%) and V (19.1%) fractures.Conclusions: Tibial plateau fractures are frequent injuries in our setting and mostly occur in men in their 30s and 40s. These fractures are typically caused by motorcycle traffic accidents. Level of Evidence: IV

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INTER- AND INTRA-OBSERVER RELIABILITY OF SCHATZKER, AO, AND LUO CLASSIFICATIONS FOR TIBIAL PLATEAU FRACTURES

Acta Ortopédica Brasileira ◽

10.1590/1413-785220202805228092 ◽

2020 ◽

Vol 28 (5) ◽

pp. 216-220

Author(s):

JONATAS BRITO DE ALENCAR NETO ◽

CLODOALDO JOSÉ DUARTE DE SOUZA ◽

PEDRO RAFAEL REIS COELHO ◽

PEDRO GOMES DE FREITAS JÚNIOR ◽

MÁRCIO BEZERRA GADELHA LOPES ◽

...

Keyword(s):

Tibial Plateau ◽

Cross Sectional Study ◽

Classification Systems ◽

Tibial Plateau Fractures ◽

Observer Agreement ◽

Kappa Index ◽

Level Of Evidence ◽

Cross Sectional ◽

Schatzker Classification ◽

Level Of Agreement

ABSTRACT Objective: To verify inter- and intra-observer agreement of three classification systems for tibial plateau fractures - Schatzker, AO/ASIF, and Luo’s - among orthopedic surgery residents. Methods: This cross-sectional study was conducted with 29 observers. Radiographic and tomographic imaging of the knee of 15 patients presenting with fractures were evaluated. After six weeks, the test was reapplied. The level of agreement was calculated by the Kappa index. Results: In test 1, inter-observer agreement of all residents, according to the Kappa index, for Schatzker classification was 0.226, for AO 0.431, and Luo’s 0.319. In test 2, values were 0.316, 0.333, and 0.347, respectively (p < 0.001). Regarding intra-observer analysis, the mean Kappa indexes of 1st-year residents were: Schatzker, 0.20; AO, 0.32; and Luo’s, 0.3. For 2nd-year residents, means were: 0.51, 0.58, and 0.38, respectively. As for 3rd-year, results were 0.42, 0.42, and 0.41, respectively (p < 0.001). Conclusion: AO/ASIF showed a better reproducibility than other classifications, with substantial inter- and intra-observer agreement. We also found a stronger agreement among 2nd- and 3rd-year residents. Level of Evidence III, Diagnostic Studies - Investigating a Diagnostic Test.

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Epidemiology of Traumatic Injuries in the Northeast Region of Haiti: A Cross-sectional Study

Prehospital and Disaster Medicine ◽

10.1017/s1049023x15005361 ◽

2015 ◽

Vol 30 (6) ◽

pp. 599-605 ◽

Cited By ~ 7

Author(s):

Adam R. Aluisio ◽

Annelies De Wulf ◽

Ambert Louis ◽

Christina Bloem

Keyword(s):

Emergency Department ◽

Head And Neck ◽

Traffic Accidents ◽

Road Traffic ◽

Cross Sectional Study ◽

Road Traffic Accidents ◽

Sectional Study ◽

Cross Sectional ◽

Traumatic Injuries ◽

Northeast Region

AbstractIntroductionMore than 90% of traumatic morbidity and mortality occurs in low- and middle-income countries (LMIC). Haiti is the poorest country in the Western Hemisphere and lacks contemporary statistics on the epidemiology of traumatic injuries. This study aimed to characterize the burden of traumatic injuries among emergency department patients in the Northeast region of Haiti.MethodsData were collected from the emergency departments of all public hospitals in the Northeast region of Haiti, which included the Fort Liberté, Ouanaminthe, and Trou du Nord sites. All patients presenting for emergent care of traumatic injuries were included. Data were obtained via review of emergency department registries and patient records from October 1, 2013 through November 30, 2013. Data on demographics, mechanisms of trauma, and anatomical regions of injury were gathered using a standardized tool and analyzed using descriptive statistics. Temporal analysis of injury frequency was explored using regression modeling.ResultsData from 383 patient encounters were accrued. Ouanaminthe Hospital treated the majority of emergent injuries (59.3%), followed by Fort Liberté (30.3%) and Trou du Nord (10.4%). The median age in years was 23 with 23.1% of patients being less than 15 years of age. Road traffic accidents (RTAs) and interpersonal violence accounted for 65.8% and 30.1% of all traumatic mechanisms, respectively. Extremity trauma was the most frequently observed anatomical region of injury (38.9%), followed by head and neck (30.3%) and facial (19.1%) injuries. Trauma due to RTA resulted in a single injury (83.8%) to either an extremity or the head and neck regions most frequently. A minority of patients had medical record documentation (37.9%). Blood pressure, respiratory rate, and mental status were documented in 19.3%, 4.1%, and 0.0% of records, respectively. There were 6.3 injuries/day during the data collection period with no correlation between the frequency of emergent trauma cases and day of the week (R^2=0.01).ConclusionsTraumatic injuries are a common emergent presentation in the Northeast region of Haiti with characteristics similar to other LMIC. Documentation and associated data to adequately characterize the burden of disease in this region are lacking. Road traffic accidents are the predominate mechanism of injury, suggesting that interventions addressing prevention and treatment of this common occurrence may provide public health benefits in this setting.AluisioAR,De WulfA,LouisA,BloemC.Epidemiology of traumatic injuries in the Northeast region of Haiti: a cross-sectional study.Prehosp Disaster Med.2015;30(6):599–605.

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EPIDEMIOLOGY OF VERTEBRAL SPINE FRACTURES IN A HOSPITAL IN SÃO PAULO IN THE TWO-YEAR PERIOD 2017-2018

Coluna/Columna ◽

10.1590/s1808-185120212004250135 ◽

2021 ◽

Vol 20 (4) ◽

pp. 291-294

Author(s):

Guilherme Henrique Ricardo da Costa ◽

João Victor Bohana e Silva ◽

Pedro Araújo Petersen ◽

Raphael Martus Marcon ◽

Alexandre Fogaça Cristante

Keyword(s):

Traffic Accidents ◽

Cross Sectional Study ◽

Sao Paulo ◽

Cervical Region ◽

Initial Moment ◽

São Paulo ◽

Sectional Study ◽

Level Of Evidence ◽

Cross Sectional ◽

Thoracolumbar Region

ABSTRACT Objectives: To evaluate the epidemiological profile of patients with spinal fractures over a two-year period (2017 and 2018) in a quaternary hospital in the city of São Paulo. Methods: A cross-sectional study was carried out through the analysis of the electronic medical records of patients treated by the Spine group of the Department of Orthopedics and Traumatology at the Orthopedics and Traumatology Emergency Room of Hospital das Clínicas de São Paulo in the years 2017 and 2018. Results: A total of 185 patients were evaluated over two years. Males were the gender most frequently evaluated (69.19%), and the mean patient age was 43.95 years. The most common trauma mechanisms were falls from a height (45.95%) and traffic accidents (29.73%). The cervical spine, affected in 28.65%, was the most affected region, followed by the thoracolumbar region (26.56%). Most patients did not present deficits at the initial moment (71.89%) and 54.05% of patients underwent surgery for treatment. Conclusion: Most traumas involving the spine affect adults of working age (from 20 to 60 years old), with a predominance of males. Most injuries occurred in the cervical region, which is the region most commonly associated with severe trauma and neurological injuries. This study can help in planning prevention and precaution strategies for spinal trauma. Level of evidence III; Cross-sectional study.

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KNEE INJURIES PREVALENCE IN BRAZILIAN JIU-JITSU: EPIDEMIOLOGICAL STUDY

Acta Ortopédica Brasileira ◽

10.1590/1413-785220212906240726 ◽

2021 ◽

Vol 29 (6) ◽

pp. 327-330

Author(s):

JOSÉ MARTINS JULIANO EUSTAQUIO ◽

AMANDA LARUZO RABELO ◽

PEDRO DEBIEUX ◽

CAMILA COHEN KALEKA ◽

OCTÁVIO BARBOSA NETO

Keyword(s):

Sports Injuries ◽

Knee Injuries ◽

Case Series ◽

Cross Sectional Study ◽

Level Of Evidence ◽

Cross Sectional ◽

Joint Stress ◽

Body Contact ◽

Morbidity Index ◽

Epidemiological Characteristics

ABSTRACT Objective: To evaluate the epidemiological and clinical characteristics of knee injuries in Brazilian Jiu-Jitsu (BJJ) practitioners. Methods: Cross-sectional study, using a mixed questionnaire, based on the Referred Morbidity Index. Results: 198 amateur and professional BJJ fighters, of both sexes, aged between 18 and 60 years, participated in the study. The majority (88%) of the fighters had only one knee injury (p < 0.001). In total, 29.8% proportion of knee injuries (p < 0.001) was identified, which were mainly from the medial collateral ligament (38%), caused by a sprain mechanism (86%) and conservative treatment (65%). Conclusion: A high prevalence of knee injuries in JJB fighters was found, compared to other sports that also perform rotational movements and have great body contact, such as mixed martial arts (MMA), judo, soccer, basketball and handball. Some JJB strikes, such as the key and the projection, can cause greater knee joint stress, both in the attacking fighter and in the opponent. The knowledge of the epidemiological characteristics of sports injuries is important in the elaboration of prevention and training protocols more specific to the sport and for the understanding of the complex mechanisms involved with this outcome in sport. Level of Evidence IV, Case Series.

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Impact on polytrauma patient prehospital care during the first wave of the COVID-19 pandemic: a cross-sectional study

European Journal of Trauma and Emergency Surgery ◽

10.1007/s00068-021-01748-3 ◽

2021 ◽

Author(s):

Silvia Solà-Muñoz ◽

Oriol Yuguero ◽

Youcef Azeli ◽

Guillermo Roig ◽

José Antonio Prieto-Arruñada ◽

...

Keyword(s):

Traffic Accidents ◽

Life Support ◽

Prehospital Care ◽

Cross Sectional Study ◽

Nonparametric Tests ◽

Sectional Study ◽

Cross Sectional ◽

Support Unit ◽

Polytrauma Patients ◽

Epidemiological Characteristics

Abstract Background The extraordinary situation caused by the onset of COVID-19 has meant that at prehospital level, the number of treatments, profile and time taken to respond for treating time-dependent pathologies has been greatly affected. However, it is not known whether the prehospital profile of polytrauma patients (PTP) has been affected. Objective To determine differences in the epidemiological characteristics and the clinical variables of prehospital polytrauma patients during the first wave of the COVID-19 pandemic in Catalonia. Methodology Analytical cross-sectional study. The number of prehospital activations and the clinical and epidemiological characteristics of polytrauma patients attended by the Emergency Medical System (EMS) of Catalonia, were compared for the period between 15 February and 15 May 2020 and the same period in the previous year. Priorities 0 and 1 are assigned to the most severely injured patients. An analysis was conducted using logistic regression and nonparametric tests. Results 3023 patients were included. During the 2019 study period, 2045 (67.6%) patients were treated; however, during the pandemic period, 978 (32.4%) patients were treated, representing a 52% decrease (p = 0.002). The percentage of patients presenting priority 1 was higher during the pandemic period [240 (11.7%) vs 146 (14.9%), p = 0.032]. The percentage of priority 0 and 1 patients attended by a basic life support unit increased [201 (9.8%) vs 133 (13.6%), p = 0.006]. The number of traffic accidents decreased from 1211 (59.2%) to 522 (53.4%) and pedestrian-vehicle collisions fell from 249 (12.2%) to 92 (9.4%). Regarding weapon-related injuries and burns, there was an increase in the number of cases [43 (2.1%) vs 41 (4.2%), and 15 (0.7%) vs 22 (2.2%), p = 0.002 and p < 0.001, respectively]. Hospital mortality remained unchanged (3.9%). Conclusions During the first wave of the pandemic, the number of polytrauma patients decreased and there was a change in the profile of severity and type of accident.

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Assessment of the complications after percutaneous fixation with cannulated cancecellous screws among the cases of tibial plateau fractures in a tertiary healthcare institute: a cross sectional study

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20200734 ◽

2020 ◽

Vol 6 (2) ◽

pp. 327

Author(s):

Joti P. Bagul ◽

Pankaj P. Dole

Keyword(s):

Tibial Plateau ◽

Cross Sectional Study ◽

Tibial Plateau Fractures ◽

Invasive Technique ◽

Type I ◽

Percutaneous Fixation ◽

Sectional Study ◽

Cross Sectional ◽

Wide Range ◽

Tertiary Healthcare

Background: Fractures in the tibial plateau were first defined as car bumper fractures. Tibial plateau fractures are a diverse group of fractures that reflect a wide range of intensity, ranging from simple accidents to intricate fracture trends that test even the most qualified surgeons. The present study was conducted to study the result of minimally invasive technique for tibial plateau fractures by percutaneous fixation with cannulated cancellous screws and to study complications associated with it in a tertiary care center.Methods: It was a cross sectional study conducted among 13 patients with tibial plateau fractures during January 2016 to December 2016 admitted under department of orthopedics in a tertiary healthcare institute in northern Maharashtra. The criteria for selection of a case were a fracture of tibial plateau (Shatzker’s type I to type IV) with displacement or depression more than 8mm.Results: One patient (7%) had compartment syndrome at the time of presentation. No patient in our series had early postoperative complication. One patient developed knee joint pain 16 months after operation due to early osteo-artgritic changes.Conclusions: There was no early complication related to surgery like superficial or deep infection, damage to neurovascular structures, etc. Ten patients (76%) achieved full range of knee motion within 3 months after operation. All the fractures were united within 14 weeks duration.

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Study of the Pattern and Frequency of Road Traffic Injuries in Car Occupants in the Eastern Part of Iran

International Journal of Medical Toxicology and Forensic Medicine ◽

10.32598/ijmtfm.v10i2.28112 ◽

2020 ◽

Vol 10 (2) ◽

Author(s):

Davood Soroosh ◽

Mohammad Nematshahi ◽

Seyed Alireza Javadinia ◽

Mitra Hesamifard

Keyword(s):

Mortality Rate ◽

Significant Relationship ◽

Traffic Accidents ◽

Road Traffic ◽

Traumatic Injury ◽

Cross Sectional Study ◽

Cross Sectional ◽

Traumatic Injuries ◽

Car Accidents ◽

Airbag Deployment

Background: Since Iran has one of the highest mortality rates of car accidents in the world, the study of the pattern and reasons of trauma in car occupants can provide useful information to determine the underlying causes of injuries and deaths in traffic accidents. Accordingly, this study was conducted to determine the pattern, frequency, and causes of traumatic injuries caused by traffic accidents in car occupants.Methods: This cross-sectional study was conducted during the first 6 months of 2017 in Shahid Beheshti Hospital in Sabzevar City, Razavi Khorasan Province, Iran. The data were obtained from the medical records of patients and the checklist designed by our research team. Results: During the period of study, 300 people were involved in car accidents, of whom 58.3% were men with an average age of 35.16 years. In both sexes, 29.3% of the subjects were in the age group of 30-40 years. Twenty-two car occupants were involved in non-injury car accidents. No significant relationship was found between traumatic injuries and variables of sex, seatbelt use, airbag deployment, and the seat occupant in the cars (P>0.05), as well as between death and variables of sex, airbag deployment and seat occupant in cars (P>0.05). But there was a significant relationship between death and fastening seat belts (P=0.003). Conclusion: The results of this study revealed that sex, airbag deployment, and seat occupant had no effect on traumatic injury or mortality rate in the car occupants. However, fastening the seatbelt can reduce the mortality rate in car occupants, but it does not impact the traumatic injuries rate.

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Spatial analysis of traffic accidents involving older adults in a city in the northeast of Brazil

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562020023.200105 ◽

2020 ◽

Vol 23 (6) ◽

Author(s):

Betise Mery Alencar Sousa Macau Furtado ◽

Cristine Vieira do Bonfim ◽

Carmela Lilian Espósito de Alencar Fernandes ◽

Jacicleide Alves Oliveira ◽

Aline Galdino Soares da Silva

Keyword(s):

Older Adults ◽

Traffic Accidents ◽

Cross Sectional Study ◽

Male Victims ◽

Cross Sectional ◽

Data Source ◽

Day Of The Week ◽

Intensity Estimator ◽

Epidemiological Characteristics ◽

The City

Abstract Objective: to describe the epidemiological characteristics of traffic accidents involving older victims, responded to by the Mobile Emergency Service (or SAMU), and to analyze the spatial distribution of these events in the city of Olinda, Pernambuco, Brazil, from 2015 to 2018. Method: a composite cross-sectional study was performed, using SAMU service records as a data source. Descriptive statistics were applied, based on frequency distribution. For the mapping and detection of spatial clusters, the Kernel intensity estimator was used. Results: SAMU responded to 137 traffic accidents with older victims. The most affected age group were older adults aged 60 to 69 years (81; 59.1%), and there was a predominance of male victims (90; 65.7%). The day of the week when most accidents occurred was Wednesday (29; 21.25%), and the highest number of accidents occurred in the morning (46; 33.6%). As for the nature of the accident, accidents involving pedestrians (80; 58.4) predominated over collisions (57; 41.6%). The Kernel intensity estimator identified a significant focus in the Peixinhos neighborhood, with other foci distributed throughout the coastal area. Conclusion: the study identified the characteristics of older victims of traffic accidents and areas of greatest risk for their occurrence in the city studied. This information can be useful when planning environmental engineering measures to be carried out in the regions identified, in order to reduce the frequency of accidents and injuries.

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