Clinical outcomes of closed versus open simple ankle fractures patterns requiring soft tissue reconstruction: A prospective comparative observational study.

Background: Contemporary guidelines advocate for initial debridement and single-stage definitive fixation with immediate soft tissue reconstruction for open fractures. This study aims to evaluate the effectiveness of single-stage stabilization and immediate definitive soft tissue coverage in open ankle fractures compared to closed fractures.

Methods: We compared all isolated open ankle fractures (OF) treated between January 2017 and June 2019 to a control group of operatively managed closed ankle fractures (CF).

Breaking the Mould: Comparing 3D-Printed and Composite Bone Models in Orthopaedic Training.

Background and aim Synthetic composite bone models (reinforced solid foam) have become the standardised material used in practical orthopaedic education. However, with discussions regarding whether composite foam truly replicates human bone, there has been a drive to explore other available models. Three-dimensional (3D) printing has risen in both popularity and availability, providing a new option in the creation of anatomically accurate bone models.

Management of open elbow fractures: experiences and outcomes from a UK major trauma center.

Hypothesis And Background: Open fractures about the elbow are an infrequent but complex injury with limited existing literature. The aims of the study were to review the treatment strategies of open elbows fractures, functional outcome and complication rates associated with the injury, and correlate the outcome with the topography of the fracture.

Methods: Patients (n = 21) with open elbow fractures injuries over a 2-year period were analyzed.

Thirty-year monitoring of s-triazine herbicide contamination in the aquifer north of Vicenza (north-east Italy).

The aquifer north of Vicenza, Italy, is one of the main and most studied drinking water reservoirs within the Veneto region. The area is an intensive cropland, and monitoring of s-triazine herbicides and metabolites has been carried out since the late eighties. This study analysed the trends of atrazine (ATR), terbuthylazine (TBZ), deethyl-atrazine (DEA), and deethyl-terbuthylazine (DET) concentrations from 1987 to 2016 and related the variations of agricultural land use, herbicide load, and pesticide regulations to the residence time of pollutants in the aquifer.

Barriers to staff reporting adverse incidents in NHS hospitals.

Our study assessed barriers to reporting adverse incidents (AIs). Adverse incident reporting (AIR), although it is a pillar of risk management, has a wide variation in staff perception and usage. A questionnaire was used in five NHS hospitals to assess 267 members of multidisciplinary team (MDT) staff usage of AIR.