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CPR related injuries of the chest wall: direct and indirect fractures.

Eur J Trauma Emerg Surg

January 2025

Department of Trauma and Orthopedic Surgery, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.

Background: Rib and sternum fractures are common injuries associated with cardiopulmonary resuscitation (CPR). The fracture mechanism is either direct by application of force on sternum and anterior ribs or indirect by bending through compression of the thorax. The aim of this study was to determine morphologies of rib fractures after CPR and to reevaluate prior findings on fracture localisation, type and degree of dislocation.

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Do we have to redefine type B-fractures of the rib cartilage?

Eur J Trauma Emerg Surg

October 2024

Faculty of Medicine, Department of Orthopedic and Trauma Surgery, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.

Objectives: Aim of this work was the evaluation and validation of the AO/OTA classification of the anterior chest wall, here especially for the rib cartilage.

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Article Synopsis
  • The study compares two surgical methods (costal-osteochondral graft (COG) and medial femoral trochlea (MFT) graft) for treating fragmented fractures of the scaphoid with over two years of follow-up.
  • Both methods showed similar outcomes in terms of pain and wrist function, but there was a distinct radiographic finding where COG patients had evidence of arthritis, while MFT patients did not.
  • MFT patients experienced knee pain as a complication, while COG patients faced the risk of developing wrist arthritis over time.
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Rationale: The conventional treatment of giant cell tumors is intralesional curettage with local adjuvant therapy. Because hand tumors have a high local recurrence, the primary goal for treating tumors of the hand is to eradicate the lesion.

Patient Concerns: To preserve the metacarpophalangeal (MCP) joint function as well as avoid further recurrence after surgery.

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Background: Cartilage tissue engineering faces challenges related to the use of scaffolds and limited seed cells. This study aims to propose a cost-effective and straightforward approach using costal chondrocytes (CCs) as an alternative cell source to overcome these challenges, eliminating the need for special culture equipment or scaffolds.

Methods: CCs were cultured at a high cell density with and without ascorbic acid treatment, serving as the experimental and control groups, respectively.

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