Anterior Plating and Ilio-sacral Screwing for Unstable Pelvic Injury

This prospective, multi-centred, randomized trial examined outcomes of 3- and 12-month follow-ups of 159 elderly participants aged more than 75 years with isolated distal radial fractures, treated by anterior locking plate or closed reduction and cast immobilization. The primary outcome was the patient-rated wrist evaluation (PRWE) score. The PRWE score at 12 months was not significantly different between the two groups; however, the radiological outcomes and complications rates were worse in the casting group. Level of evidence: III

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Day case locked anterior plating for distal radial fractures is safe with uninterrupted antithrombotic therapy

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193420966231 ◽

2020 ◽

pp. 175319342096623

Author(s):

James A. Morris ◽

Max Little ◽

Thomas Ashdown ◽

Oliver T. Clough ◽

Timothy Packer ◽

...

Keyword(s):

Wound Dehiscence ◽

Complication Rates ◽

Day Case ◽

Antithrombotic Treatment ◽

Distal Radial Fractures ◽

Level Of Evidence ◽

Excessive Bleeding ◽

Superficial Wound ◽

Surgical Fixation ◽

Anterior Plating

We undertook a matched prospective cohort study over a 4-year period to examine the safety of continuing the administration of regular antithrombotic treatment with warfarin, clopidogrel or aspirin during day case surgical fixation of distal radial fractures. One hundred and one patients were identified and consented to participate in this study. There was only one reported complication: a superficial wound infection treated with antibiotics. No episodes of excessive bleeding were noted intraoperatively. All patients were discharged home on the day of surgery and there were no episodes of readmission, significant bleeding, haematoma requiring intervention, compartment syndrome or wound dehiscence. Complication rates were comparable with those of the matched cohort of patients undergoing the same procedure but who were not taking antithrombotic medications. Level of evidence: IV

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Penetrating deep pelvic injury due to “less-lethal” beanbag munitions: a case report and policy implications

Trauma Surgery & Acute Care Open ◽

10.1136/tsaco-2021-000754 ◽

2021 ◽

Vol 6 (1) ◽

pp. e000754

Author(s):

Christopher S Schenck ◽

Soum D Lokeshwar ◽

Matthew D Riedel ◽

Kimberly A Davis

Keyword(s):

Pelvic Abscess ◽

Policy Implications ◽

Severe Injury ◽

Pelvic Injury ◽

Surgical Removal ◽

Delayed Presentation ◽

Permanent Disability ◽

Irrigation And Debridement ◽

Excellent Functional Outcome ◽

Serious Injury

“Less-lethal” munitions are designed to cause incapacitation and are often used by law enforcement officers. Although these munitions are not designed to cause severe injury, recent reports have demonstrated that they can cause severe injury, permanent disability, and death. The long-term consequences of injury due to less-lethal munitions are not well understood. We present a case of osteomyelitis and pelvic abscess secondary to a retained beanbag munition following penetrating injury in the setting of a patient with delayed presentation for care. The patient underwent surgical removal of the retained beanbag munition and irrigation and debridement of the osteomyelitis and pelvic abscess with an excellent functional outcome. We discuss the public health and policy implications of serious injury due to less-lethal munitions.

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