165 results match your criteria: "General Principles of Fracture Care"
J Hand Surg Glob Online
November 2024
University of Kansas Medical Center, Department of Plastic, Burn, and Wound Surgery, Kansas City, KS.
Purpose: The Evidence-Based Practice Committee of the American Society for Surgery of the Hand set out to assess the membership's practice patterns (PPs) and familiarity with evidence-based principles for scaphoid fracture and nonunion management.
Methods: Using a consensus-generated 25-item online survey, all the American Society for Surgery of the Hand members were invited to participate via email in September 2023. Two question types were used including evidence-based practice (EBP) and PPs.
It is well known that over the last few decades, there has been significant growth of the aging population worldwide and especially in Europe, with an increase of more than two years per decade since the 1960's. Currently, in Europe, people aged over 65 years old represent 20% of the population, creating many new and complex challenges for national healthcare systems. In many countries, geriatric medicine is an established medical specialty, integrated into the primary and secondary care of the older population.
View Article and Find Full Text PDFCureus
October 2024
Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, USA.
Injury
November 2024
Department of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong SAR, China.
In orthopaedic trauma, fracture-related infections (FRI) are still dreadful challenges that can cause non-union, amputation and even death. Standardization of general treatment strategies for FRI is still lacking. Due to the complexity of FRI, a multidisciplinary approach addressing host status, state of the fracture and causative microorganism has been applied in the management of FRI.
View Article and Find Full Text PDFPLoS One
October 2024
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
Aust J Prim Health
September 2024
Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia; and Menzies Centre for Health Policy and Economics, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
JBJS Essent Surg Tech
September 2024
Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, Maryland.
World J Surg
October 2024
Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
Introduction: In low- and middle-income countries such as Haiti, musculoskeletal injuries are the leading cause of morbidity and mortality. Untreated injuries can contribute to decreased mobility, leading to disability and reduced productivity for individuals. The accessibility of timely fracture care poses a substantial challenge in Haiti, where socioeconomic instability and recent surges in gang violence exacerbate an already strained healthcare infrastructure.
View Article and Find Full Text PDFPan Afr Med J
September 2024
Department of Orthopaedic Surgery, University of Pennsylvania, Pennsylvania Hospital, Spruce Street, Philadelphia, United States of America.
Introduction: sub-Saharan Africa experiences a significant musculoskeletal trauma burden. Among patients who receive surgical treatment, there have been no reports as to how often surgical care is determined to be "adequate" or, if "inadequate", then what hospital and orthopaedic specialty-specific systems limitations might be prohibitive.
Methods: data from patients presenting to the orthopaedic trauma service at a tertiary care center in sub-Saharan Africa were prospectively collected over a 6-week period and then retrospectively reviewed to determine whether the surgical treatment was "adequate" (or otherwise, "inadequate") according to the principle of restoring length, alignment, and rotation.
Eur J Trauma Emerg Surg
October 2024
Department of Orthopedics and Traumatology, Salzburg University Hospital, Paracelsus Medical University, Salzburg, Austria.
Acta Med Philipp
July 2024
Department of Family and Community Medicine, College of Medicine and Philippine General Hospital, University of the Philippines Manila.
Background: In Family and Community Medicine (FCM) residency training, the biopsychosocial approach to care was translated to a teaching strategy and cognitive framework called patient-centered, family-focused, and community-oriented (PFC) lens. However, the PFC lens documented in a matrix has no evidence of its implementation acceptability and appropriateness for the users in the FCM training program.
Objective: To determine the acceptability and appropriateness of the integration of the PFC lens in the Ortho-Geriatrics Fracture Liaison Service (OG-FLS) in applying the family medicine principles and achieving family practice required competencies of the residents in a tertiary hospital FCM training program.
Arch Orthop Trauma Surg
October 2024
Department of Traumatology and General Surgery, BG Unfallklinik Murnau, Murnau Am Staffelsee, Germany.
Beginning in France in the 1960s, the management of acetabular fractures has increasingly evolved toward surgical treatment strategies. The basic principles established by the pioneers of acetabular surgery, Letournel and Judet - anatomical reconstruction of the joint and stable osteosynthesis - remain unchanged. Modern advancements in surgical techniques aim to reduce access-related trauma and minimize complications.
View Article and Find Full Text PDFBMC Geriatr
May 2024
De Haagse Hogeschool, Faculteit Gezondheid, Voeding & Sport, Johanna Westerdijkplein 75, 2521 EN, The Hague, The Netherlands.
Introduction: The surgical management of older patients is complex due to age-related underlying comorbidities and decreased physiological reserves. Comanaged care models, such as the Geriatric Trauma Unit, are proven effective in treating the complex needs of patients with fall-related injuries. While patient-centered care is an important feature of these comanaged care models, there has been minimal research dedicated to investigating the patient experience within Geriatric Trauma Units.
View Article and Find Full Text PDFJ Bone Joint Surg Am
March 2024
Department of Orthopaedic Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland.
Gun violence is an epidemic throughout the United States and is increasing around the world-it is a public health crisis. The impact of gun violence is not limited to the victims (our patients); it also extends to the physicians and caregivers who are taking care of these patients every day. Even more broadly, gun violence affects those living and going to work in potentially dangerous environments.
View Article and Find Full Text PDFJ Bone Metab
February 2024
Division of Geriatrics, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Sarcopenia, which is characterized by an age-related decline in muscle mass and function, poses significant challenges to geriatric care. Its definition has evolved from muscle-specific criteria to include muscle mass, muscle function, and physical performance, recognizing sarcopenia as a physical frailty. Sarcopenia is associated with adverse outcomes, including mortality, falls, fractures, cognitive decline, and admission to long-term care facilities.
View Article and Find Full Text PDFFront Med (Lausanne)
January 2024
Department of Family Medicine, Ankara University School of Medicine, Ankara, Türkiye.
Background: The International Classification of Primary Care (ICPC) has represented the international standard reduction for measuring the content of primary care for over 30 years. In the process of its third revision, its authors, the Wonca International Classification Committee (WICC), delegated a major part of the technical work to a purposely formed Consortium. However, in the process of such revision, standard classification principles and rules have been inconsistently applied with the result that ICPC-3 has been published with major errors and an inconsistent structure.
View Article and Find Full Text PDFJ Am Coll Radiol
November 2023
Specialty Chair, Mayo Clinic, Phoenix, Arizona.
This article reviews evidence for performing various imaging studies in patients with total hip prostheses. Routine follow-up is generally performed with radiography. Radiographs are also usually the initial imaging modality for patients with symptoms related to the prosthesis.
View Article and Find Full Text PDFSci Rep
November 2023
Chair for Orthopedic Surgery, Trauma Surgery and Sportstraumatology, Department of Orthopedic Surgery, Trauma Surgery and Sportstraumatology, Cologne Merheim Medical Center, University Witten/Herdecke, Ostmerheimerstrasse 200, 51109, Cologne, Germany.
The evidence base of surgical fracture care is extremely sparse with only few sound RCTs available. It is hypothesized that anthropometric factors relevantly influence mechanical conditions in the fracture gap, thereby interfering with the mechanoinduction of fracture healing. Development of a finite element model of a tibia fracture, which is the basis of an in silico population (n = 300) by systematic variation of anthropometric parameters.
View Article and Find Full Text PDFBMC Musculoskelet Disord
October 2023
Orthopedics and Sports Medicine Center, Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu Province, 215008, China.
Background: Exercise rehabilitation training is an important measure for improving the prognosis of patients with hip fractures. However, the particular program that works effectively and the efficiency of exercise therapy are still controversial.
Objective: To compare the effects of usual postoperative care combined with rehabilitation based on exercise prescription on motor function and complications in elderly patients who underwent surgery for hip fracture.
Int J Surg Case Rep
September 2023
Department of General Surgery, Kilimanjaro Christian Medical Centre (KCMC), P.O. Box 3010, Moshi, Tanzania; Military Hospital Mwanza, P. O Box 589, Mwanza, Tanzania; Department of General Surgery, Kilimanjaro Christian Medical University College (KCMUCo), P.O. Box 2240, Moshi, Tanzania. Electronic address:
Introduction And Importance: Poly-trauma is among the top ten leading causes of mortality and morbidity in developing countries. Road traffic injuries are the major cause of mortality in the overall burden of deaths related to injuries. The aim of this publication is to show how important are the principles of management in saving life even in austere limited resource settings.
View Article and Find Full Text PDFJ Gen Intern Med
October 2023
Department of Community Health & Health Behavior, School of Public Health & Health Professions, State University of New York at Buffalo, Buffalo, NY, 14214, USA.
Background: Collaborative care management (CCM) is an empirically driven model to overcome fractured medical care and improve health outcomes. While CCM has been applied across numerous conditions, it remains underused for chronic pain and opioid use. Our objective was to establish the state of the science for CCM approaches to addressing pain-related outcomes and opioid-related behaviors through a systematic review.
View Article and Find Full Text PDFInjury
November 2023
Head of the Children Orthopedic Department, Hospital Central del IPS; Head of Cátedra de Ortopedia y Traumatología, Universidad del Norte, Asunción, Paraguay. Senior Consultant, Pediatric Service, Hospital de Trauma "Manuel Giagni", Paraguay.
Introduction: Femur fracture is one of the most frequent reasons for admission to paediatric trauma units and has a bimodal incidence. The trauma mechanism varies according to the patient's age. Non-operative treatment continues to be performed, although surgical treatment has gained popularity in recent years.
View Article and Find Full Text PDFJ Long Term Eff Med Implants
April 2023
FRCS (Glasgow), FRCSC, MSc (Biomed. Eng.), Orthopaedic Surgeon, Clinical Assistant, Hamilton Health Sciences, Hamilton, Ontario, Canada, Suite 515, 644 Main Street West, Hamilton, Ontario, Canada L8S 1A1.
The application of stainless-steel wire is still the "standard of care" and is believed to be the "gold standard" after trans-sternal thoracotomy. To overcome postoperative instability and surgical wound infection there had been the development of a variety of circumferential, Hemi-circular, and surface on-lay implant designs to enhance bone healing of the sternum particularly in compromised patients. This fundamental descriptive theoretical research study probes into biology and effects of mechanical environment on fracture healing in general and various types of ossifications that may occur during healing of the sternum.
View Article and Find Full Text PDFJ Clin Rheumatol
August 2023
From the University of Rosario School of Medicine, Rosario; and National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina.