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http://dx.doi.org/10.1136/bmj.g1143DOI Listing

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The development of artificial skin that accurately mimics the mechanical properties of human skin is crucial for a wide range of applications, including surgical training for burn injuries, biomechanical testing, and research in sports injuries and ballistics. While traditional materials like gelatin, polydimethylsiloxane (PDMS), and animal skins (such as porcine and bovine skins) have been used for these purposes, they have inherent limitations in replicating the intricate properties of human skin. In this work, we conducted uniaxial tensile tests on freshly obtained cadaveric skin to analyze its mechanical properties under various loading conditions.

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Complex limb injuries are combination injuries that involve all components of a limb's tissue, such as skin, bone with its surrounding soft tissue cover, and neurovascular elements. Complex limb trauma often has a background of a significant mechanism of injuries such as high-velocity road traffic accidents, ballistic injuries, industrial accidents, and other major mechanisms of injuries which involve high amounts of energy transfer through these tissue layers. These injuries pose a major challenge to trauma and orthopaedic surgeons.

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Objectives: To report outcomes and risk factors of complications following low-velocity ballistic fractures of the femur.

Design: Retrospective case series.

Setting: Academic Level I trauma center.

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Purpose: To evaluate the contribution of ultrasound in the management of ballistic peripheral nerve injuries (BPNI).

Methods: Twenty-five Armenian soldiers who sustained BPNI of 44 different nerves during the Second Nagorno-Karabakh War in 2020 benefited from multidisciplinary team management including ultrasound examination.

Results: The injuries affected the upper limb in 17 cases (including 2 bilateral cases), the lower limb in 7 cases and both upper and lower limb in 1 case.

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Article Synopsis
  • The study investigates ballistic talus fractures, which are challenging to treat, highlighting the need for more research on these injuries.
  • A retrospective analysis included 21 patients with talus fractures, revealing that over half were displaced and many had additional injuries to the foot and ankle.
  • The findings indicated that surgical treatment improved the talar declination angle for those fractures but had notable complications, with a 29% complication rate, including cases of avascular necrosis.
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