1,873 results match your criteria: "Chance Fracture"

Objectives: This study aimed to relate the file fragment length and location in the root canal to the retrieval chances, the clinical time required and the occurrence of secondary fractures.

Materials And Methods: Sixty clinical cases of fractured instruments were included in this study. They were classified according to the instrument length and the location of the root canal.

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Introduction: Traumatic Dental Injuries (TDIs) are a common oral health problem worldwide. Prompt and accurate diagnosis and treatment maximises the chances of favourable outcomes. This study aimed to evaluate the knowledge and attitudes of Irish Dentists regarding the management of TDIs based on different trauma scenarios.

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A Chance fracture, also known as a "seatbelt fracture," is "an unstable spinal injury that usually occurs at the thoracolumbar junction. Complications of a Chance fracture include spinal cord injury, neurological deficits, and long-term functional impairment if not promptly identified and treated. In this case report, we present the case of a 13-year-old patient who sustained a Chance fracture following a 30-foot vertical fall, an atypical mechanism of injury.

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The microstructure and structure of a Super304H superheater steel pipe after 47,000 h were analyzed by metallographic microscope, scanning electron microscope (SEM), and EDS, and its mechanical properties were measured by hardness meter. The results show that the austenitic grains appear on the outer wall of Super304H steel pipe after service, while the SEM and metallographic microscope tests show that the outer wall particles are coarse. There is an obvious corrosion layer on the outer surface, and the thickness of the corrosion layer on the windward surface is significantly higher than that on the leeward surface.

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Purpose: Femoral shaft fractures with third fragments are difficult to reduce anatomically, affecting bone healing chances. The goal of this study is to determine the impact of the third fragment's radiological characteristics assessed on post-operative radiographs, as well as other factors, on the healing of type 32B femur shaft fractures treated with intramedullary nail.

Methods: We conducted a retrospective study of 93 patients treated for femoral shaft fractures type 32 B.

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Outcomes after inpatient rehabilitation for older adults with hip fractures: A cross-sectional study.

Clin Rehabil

November 2024

Department of Graduate Medical Education, CommUnityCare, Austin, TX, USA.

Objective: To investigate the clinical characteristics of older adults undergoing inpatient rehabilitation after hip fractures and to find factors associated with discharge location.

Design: Cross-sectional analysis.

Setting: Inpatient rehabilitation units in the United States.

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Long-term maintenance of a fragility fracture initiative.

Int J Orthop Trauma Nurs

November 2024

Department of Orthopedic Surgery, Naval Medical Center San Diego, 34800 Bob Wilson Dr, San Diego, CA, 92134, USA. Electronic address:

Introduction: Fragility fractures are common and have an increased chance of refracture and mortality. A process improvement project was initiated including standardized orders to improve treatment of osteoporosis-related fractures. The primary objective was to determine the implementation and maintenance of this process over time.

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Background: Medial epicondyle fractures of the distal humerus are common pediatric fractures, which are increasing in frequency among pediatric and adolescent athletes. Residual elbow stiffness is a feared complication of both surgical and non-operative treatment. The purpose of this study is to investigate the association of the relevant variables with the ability of patients to regain full elbow range of motion (FROM).

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Surgical Predictors of Clinical Outcome 6 Years After Revision ACL Reconstruction.

Am J Sports Med

November 2024

Luminis Health Orthopedics, Pasadena, MD, USA.

Background: Revision anterior cruciate ligament (ACL) reconstruction has been documented to have inferior outcomes compared with primary ACL reconstruction. The reasons why remain unknown.

Purpose: To determine whether surgical factors performed at the time of revision ACL reconstruction can influence a patient's outcome at 6-year follow-up.

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Vitamin D prophylaxis in persons with epilepsy?

Epilepsia

September 2024

Department of Development and Regeneration, Section Pediatric Neurology, University Hospital KU Leuven, Leuven, Belgium.

Article Synopsis
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No benefit from the addition of low-dose ketamine infusion to standard evidence-based care of patients with multiple rib fractures.

J Trauma Acute Care Surg

November 2024

From the Division of Trauma, Critical Care, and Emergency Surgery (C.M., J.F., J.G., P.L., M.A.W.), North Memorial Health; and Department of Surgery (M.A.W.), University of Minnesota, Minneapolis, Minnesota.

Background: Multiple rib fractures from blunt thoracic trauma cause significant morbidity. Optimal current management includes multimodal analgesia, pulmonary hygiene, and early mobilization. Low-dose ketamine infusion (LDKI) has been proposed as an adjunctive analgesic in this setting.

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Purpose: In cases of closed tibia fractures with acute compartment syndrome (ACS), there is no established agreement on whether performing internal fixation at the time of closure or after healing of the fasciotomy wounds would affect the likelihood of non-union or infection risk. The study aims to compare fracture union rates, incidence of infection, and overall outcomes between early and delayed definitive fixation.

Methods: Retrospective analysis of closed tibia fractures (AO/OTA 41, 42) with ACS between 2010 and 2019 with a minimum two years follow-up.

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Objectives: Evaluate the prevalence of hospital mortality in older adult patients with femoral fracture undergoing surgical treatment during the COVID-19 pandemic period, and to evaluate whether COVID-19 infection, clinical, and orthopedic factors interfered with mortality.

Material And Methods: A retrospective study was conducted by reviewing medical records. Patients over 60 years of age with proximal femoral fracture undergoing surgical treatment were included.

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Article Synopsis
  • Traumatic abdominal wall hernia is rare, often linked to high-speed motor vehicle accidents, particularly in kids, and can involve serious injuries like bowel perforation and blunt aortic injury.
  • A 13-year-old boy suffered multiple severe injuries, requiring extensive surgical management including bowel resection and laparostomy, and he underwent a total of 36 procedures.
  • The complexity of his case necessitated a collaborative approach among various specialists, highlighting the challenges of managing such a significant injury and the need for tailored treatment plans.
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A 78-year-old woman with vertebral compression fractures (VCFs) and chronic back pain was the subject of this case study. To treat symptomatic VCFs, less invasive procedures such as balloon kyphoplasty and vertebroplasty were developed. Vertebroplasty involves injecting polymethylmethacrylate (PMMA) into the vertebral body to mechanically stabilize it.

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Introduction: Arthrodesis of the tibiotalar and subtalar joints is a salvage procedure that has been used successfully for years. Treatment options include internal procedures and external procedures. Retrograde intramedullary nailing is considered a safe procedure with a high degree of stability and comfort.

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Independent and combined associations of depression and cognitive impairment with frailty in oldest-old adults.

BMC Psychol

September 2024

Faculty of Sports Science, Ningbo University, No. 818 Fenghua Road, Jiangbei District, Ningbo, 315211, Zhejiang, China.

Background: Frailty is one of the most significant issues related to human aging. Although studies have confirmed the association of mental and cognitive disorders with frailty, the association might be influenced by age, since oldest-old adults are more likely to have adverse health outcomes. Thus, this study aimed to examine independent and combined associations of mental health and cognitive function with frailty in oldest-old adults using data from the Chinese Longitudinal Healthy Longevity Survey in 2018.

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Emergency laparoscopic splenectomy for a grade-V splenic injury following blunt abdominal trauma: A case report.

Int J Surg Case Rep

November 2024

Office of the Judicial Medical Officer, Teaching Hospital, Jaffna, Sri Lanka. Electronic address:

Article Synopsis
  • The use of laparoscopy for severe splenic injuries from blunt trauma is limited due to complications like ongoing bleeding and the risk of missing injuries, along with the need for experienced surgeons.
  • A case is presented of a young male who had multiple injuries, including a severe splenic injury, and successfully underwent laparoscopic splenectomy after conservative treatments failed.
  • The findings suggest that laparoscopy can be effective for managing blunt trauma injuries, especially if done by experienced surgeons, with complete hemostasis being crucial for success.
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Role of Intraoperative Cholangiogram in Major Liver Resection and Complex Bilio-enteric Bypass Surgery.

Kathmandu Univ Med J (KUMJ)

September 2024

Department of Orthopedics and Traumatology, Jinzhou Medical University, Liaoning, China.

Article Synopsis
  • Tibial plateau fractures type V and VI pose treatment challenges due to their complicated nature, but surgical intervention offers effective stabilization and quicker recovery despite risks like infection.
  • A study was conducted on 52 patients between April 2018 and May 2020, using open reduction and internal fixation (ORIF), which resulted in 82.7% achieving excellent outcomes based on the Oxford Knee Scoring (OKS) system.
  • Factors influencing recovery included a higher incidence of poor outcomes among older patients, male patients having lower scores than females, and infections significantly impacting overall results.
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Aim Evaluation and comparison of various methods of trochanteric fracture fixation. Methods This study was conducted prospectively at the Orthopaedics Department of Dr. D Y Patil Medical College and Research Centre.

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The incidence of traumatic spine fractures (TSF) is increasing worldwide, with a reported annual incidence of up to 32.8 per 100000 persons. However, there are only a few cases of spine fractures reported in adolescent idiopathic scoliosis (AIS) patients after posterior spinal fusion (PSF) in the literature.

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Osteomyelitis is by definition any infection of the bone. It can have a hematogenous or non-hematogenous mechanism of infection, but comorbidities such as cardiovascular disease, diabetes mellitus, and the presence of orthopedic hardware can increase the risk of osteomyelitis. Our case focuses on a 64-year-old Caucasian female with multiple comorbidities who presented with a fractured right patella that was not healing four months after the occurrence of the fracture.

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Postmortem CT and autopsy findings in an elevator-related death: a case report.

Forensic Sci Med Pathol

September 2024

Department of Health Surveillance and Bioethics, Section of Legal Medicine, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Francesco Vito, 1, Rome, 00168, Italy.

Elevator-related fatalities and injuries are rarely discussed. Falls have been identified as the first cause of mortality in the majority of these accidents. Evidence suggests that many elevator accidents may be attributed to inadequate equipment maintenance or malfunctions of the devices.

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The management of spinal metastasis varies from patient to patient, depending on the type of lesion, stage of the disease, extension into the spinal canal, associated fractures, and life expectancy. We present a case of solitary metastasis with intact neurology in a 48-year-old lady who underwent a radical mastectomy for T2 N3 M0 breast carcinoma 34 months ago. Total en bloc spondylectomy in a neurologically intact patient is a challenging one.

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