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Trauma News
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Tranexamic acid may reduce perioperative blood loss for pediatric limb-salvage surgery
Compared with placebo, a preoperative and intraoperative infusion of tranexamic acid was associated with significant reductions in perioperative blood loss and transfusions during pediatric limb-salvage surgery for bone cancer.
Clinical, nonclinical factors predict delayed fixation for 12% of distal radius fractures
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According to results of a national database study that assessed data from 2010 to 2022, 12% of patients with distal radius fractures underwent delayed surgical fixation, defined as surgery more than 2 weeks after injury.
Nonoperative approach may yield similar outcomes as locking plates for humeral fractures
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According to published results, nonoperative treatment yielded similar clinical outcomes at 2 years as operative treatment using locking plates for older patients with displaced proximal humerus fractures.
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Novel, composite MRI score may help assess brachial plexus birth injury in infants
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A protocol of non-contrast MRI without sedation may aid in surgical decision-making regarding infants with brachial plexus birth injury, according to results of a prospective multicenter study in the Journal of Bone and Joint Surgery.
Time to weight-bearing may not lead to complications in ankle fracture
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Published results showed time to weight-bearing after open reduction and internal fixation in patients with ankle fractures showed no statistical significance with complication rates.
Impact with ground, snow accounts for more than 70% of pediatric skiing-related injuries
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A study of pediatric skiing-related injuries showed rates of sprains and contusions decreased, while rates of fractures and concussions fluctuated between 2012 and 2022, despite increased adoption of protective gear.
Oral antibiotics may be noninferior to IV antibiotics for fracture-related infection
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Published results showed oral antibiotics may be noninferior to IV antibiotics with respect to number of surgical interventions required within 1 year for patients with fracture-related infections.
54-year-old man with comminuted distal femur fracture
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A 54-year-old man with a past medical history of type 1 diabetes mellitus, heart failure and renal transplant presented to the ED after having a mechanical fall resulting in pain, deformity to the right knee and inability to weight-bear.
Zoledronate infusions every 5 years may lower fracture risk for early postmenopausal women
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Early postmenopausal women who receive zoledronate every 5 years have a lower risk for morphometric vertebral fractures than those receiving placebo, according to trial findings published in The New England Journal of Medicine.
Identify high-risk patients, surgical factors to prevent intraoperative femur fractures
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KOLOA, Hawaii — With intraoperative femur fractures on the rise, surgeons should aim to prevent these fractures from occurring by identifying high-risk patients and surgical risk factors, according to a presenter here.
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