Trauma News

Recently published results showed a strong association with poor physical performance, fatigue and subsequent risk of injurious falls and mobility limitations when low muscle mass was measured by deuterated creatine dilution compared with lean mass assessed by DXA.

Time-driven activity-based costing may offer a better cost estimation of resources needed to treat patients with ankle fractures compared with traditional cost accounting, according to recently published results.

“Pelvic ring injuries are often devastating injuries,” study author George Ochenjele, MD, told Healio.com/Orthopedics. “Postoperative complications that require unplanned reoperations are unfortunately relatively common, and infection and loss of fixation are the two most common reasons for these reoperations. The severity of pelvic and abdominal injuries are independent risk factors for complications; and modifiable factors, such as fixation or treatment strategies, are not independent predictors of unplanned reoperations.”

A cost-effectiveness analysis showed a lower health benefit and higher cost when MRI was used after a normal finding for spine instability on CT scan in patients with obtunded, blunt cervical spine trauma compared with no follow-up.

Circular external fixation was effective for gradual correction of ankle soft tissue contractures, according to a presentation at the Limb Lengthening and Reconstruction Society Annual Scientific Meeting.

Podiatry as the treating surgical service and American Society of Anesthesiologists score of three or more were among the risk factors for unplanned hospital readmissions in the 90-day episode of care among patients who underwent open reduction and internal fixation for ankle fractures, according to recently published results.

Among opioid-prescribing guidelines for 20 common surgeries created by a panel of health care providers and patients from the John Hopkins Health System, panelists recommended a range of zero to 20 pills for three out of four orthopedic surgeries evaluated, which was the highest range of opioids among the eight health care specialties reviewed, according to a release from John Hopkins Medicine.

The risk for incident delirium in older patients who underwent hip fracture repair was not significantly reduced with limited sedation levels, according to a recently published article in JAMA Surgery.

Research from a single institution and published in The Canadian Journal of Urology underscores nonoperative management as a feasible option for patients with penetrating renal trauma.

Under the supervision of EFORT Fora Chair, Professor George Macheras from Athens, EFORT is organizing 10 European Fora each year. Launched in 2002, the project aims at organizing specific EFORT symposia during the annual congresses of our member national societies.