European Journal of Trauma and Emergency Surgery OnlineFirst articles

Open Access 15-05-2024 | Hip-TEP | Original Article

The modified Hardinge approach is not inferior to trochanteric flip osteotomy for Pipkin type IV femoral head fractures: a comparative study in 40 patients

Femoral head (FH) fractures are relatively uncommon injuries mostly caused by high-energy trauma, such as traffic collisions, falls from a height, and industrial mishaps [ 1 – 3 ]. In 1957, Pipkin proposed a simple and useful method to classify FH …

Authors:: I-Jung Chen, Ying-Chao Chou, Po-Ju Lai, Yung-Heng Hsu, Yi-Hsun Yu

Open Access 08-05-2024 | Sarcopenia | Review Article

Definitions and adverse outcomes of sarcopenia in older patients in orthopedic and trauma care: A scoping review on current evidence

Sarcopenia is characterized by a decline of muscle mass and strength and is prevalent in 10–27% of individuals over 60 years old [ 1 ]. Despite the heightened interest in sarcopenia research, as illustrated by the annual increase of 18% in the …

Authors:: Jan Gewiess, Sebastian Kreuzer, Anna Katharina Eggimann, Dominic Bertschi, Johannes Dominik Bastian

Open Access 07-05-2024 | Spinal Anesthesia | Original Article

Use of direct-acting anticoagulants (DOACs) delays surgery and is associated with increased mortality in hip fracture patients

Hip fractures in the elderly are associated with high mortality and morbidity, and optimizing the medical and surgical treatment of these patients is important. Norway has one of the highest incidences of hip fractures in the world [ 1 ], and the …

Authors:: Mads Sundet, Ulf Sundin, Aasmund Godø, Kristian Sydnes, Haldor Valland, Joseph Sexton, Mette Martinsen, Maren Paus, Hans Schmidt Rasmussen, Siri Lillegraven

04-05-2024 | Original Article

Supervised and unsupervised techniques to analyze risk factors associated with motorcycle crash

The estimation for the motorcycle segment is 770 million around the world [ 1 ]. The dramatic spike in using motorcycles is found in many European countries, especially those that lie in the south, including Spain, Italy, and Greece [ 2 ], and this …

Authors:: Ahmad Aiash, Francesc Robusté

02-05-2024 | Chronic Inflammatory Bowel Disease | Original Article

Management of inflammatory bowel disease in the emergency setting: the MIBODI international survey and evidence-based practices

Inflammatory bowel disease (IBD) is a group of complex chronic inflammatory disorders with multifactorial etiologies that mainly affect the digestive tract. The two most common types of IBD are ulcerative colitis (UC) and Crohn’s disease (CD). The …

Authors:: Belinda De Simone, Justin Davies, Fikri M. Abu-Zidan, Massimo Sartelli, Gianluca Pellino, Genevieve Deeken, Walter L. Biffl, Nicola De’Angelis, Ernest E. Moore, Raul Coimbra, MIBODI Collaborative group, Fausto Catena

30-04-2024 | Osteoarthrosis | Original Article

Complex elbow fracture-dislocations– what factors are associated with a poor post-operative outcome?

The elbow is the second most frequently dislocated joint in adults. Elbow dislocations without an associated fracture are termed simple dislocations. However, if there is an associated fracture, it is known as a complex dislocation [ 1 – 2 ]. In …

Authors:: Tim Jakobi, Yves Gramlich, Matthias Sauter, Matthias Schnetz, Reinhard Hoffmann, Alexander Klug

Open Access 30-04-2024 | Elastic-Stable Intramedullary Nailing | Original Article

Proximal humeral fractures in children - controversies in decision making

Proximal humeral fractures (PHFs) in children are rare and comprise about 2% of all pediatric fractures [ 1 ]. More commonly affecting boys [ 2 ], the most frequent etiology is a backward fall on the extended arm [ 3 ]. The diagnosis is usually …

Authors:: Philipp Schippers, Erol Gercek, Dorien Schneidmüller, Peter C. Strohm, Christian Ruckes, Erik Wegner, Andreas Baranowski, Sven-Oliver Dietz

28-04-2024 | Skin Graft | Original Article

Posterior perforator tibial artery flaps for soft tissue defects of limbs: a retrospective cohort study

Soft tissue defects of limbs are often caused by high-energy injuries. Defects of the lower leg or wrist with tendon or bone exposure are still one of the most challenging problems in plastic and reconstructive surgery due to the paucity of …

Authors:: Yiming Lu, Bin Wang, Tianliang Wang, Jiaxiang Gu, Hongjun Liu

Open Access 26-04-2024 | Vacuum Therapy | Original Article

NovoSorb® Biodegradable Temporizing Matrix: a novel approach for treatment of extremity avulsion injuries in children

Decollements of extremities are rare in pediatric population, but often result in deep soft tissue defects requiring specialized plastic surgical treatment to obtain optimal functional and aesthetic results [ 1 ]. Established reconstructive …

Authors:: Safiullah Najem, Miriam Fattouh, Kristofer Wintges, Benjamin Schoof, Merle Koerner, Konrad Reinshagen, Ingo Koenigs

25-04-2024 | Abstract

Abstracts from the 7th European Society of Tissue Regeneration in Orthopaedics and Traumatology (ESTROT)

25-04-2024 | Neurotomy | Original Article

Surgical treatment of painful neuroma in amputated and non-amputated patients: does the level of neurotomy affect clinical outcomes?

A neuroma is a growth or tumour of nerve tissue resulting from disorganized or incomplete nerve regeneration following a peripheral nerve injury due to trauma or surgery [ 1 ]. It is a frequent cause of residual limb pain in amputees but a less …

Authors:: Aurore Lemaire-Petit, Alexia Milaire, Sarah Amar, Claire Redais, Anaïs Chataigneau, Jean-Noël Bernard, Zoubir Belkheyar, Laurent Mathieu

24-04-2024 | Original Article

Age affects vascular morphology and predictiveness of anatomical landmarks for aortic zones in trauma patients: implications for resuscitative endovascular balloon occlusion of the aorta

The resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emergent hemostatic intervention. By occluding the descending aorta, balloon inflation can raise proximal arterial pressure in moribund trauma patients. With technical …

Authors:: Rui-fa Li, Xue-fang Gong, Hong-bo Xu, Jin-tuan Lin, Hai-gang Zhang, Zhi-jun Suo, Jing-lan Wu

23-04-2024 | Ibuprofen | Original Article

Comparison of analgesic efficacy of ibuprofen and dexketoprofen in pain management of long bone fractures: a prospective, randomized, double-blind study

Acute pain represents a pervasive challenge within emergency departments, impacting nearly 80% of patients [ 1 ]. Particularly in the context of acute trauma, pain can exacerbate central sensitivity, underscoring the imperative to address it …

Authors:: Safa Dönmez, Alp Sener, Nurullah Ishak Isık, İlker Akbas, Kadir Yenal, Bekir Kaya

Open Access 22-04-2024 | Nerve Block | Review Article

Advancing pain management for extremity trauma: the evolution of ultrasound-guided nerve blocks for patients in the supine position in trauma centers

According to literature statistics from the World Health Organization (WHO), 10% of deaths and 16% of disabilities worldwide are caused by trauma [ 1 ]. More critically, it has become the leading cause of death in individuals under the age of 44 [ …

Authors:: Yuefeng Huaguo, Shuai Kang, Li Hu, Hongmei Zhou

Open Access 18-04-2024 | Original Article

No trauma-related diagnosis in emergency trauma room whole-body computer tomography of patients with inconspicuous primary survey

In the acute care of seriously injured patients, stabilizing vital functions is a top priority. It is, therefore, particularly important to enable and carry out the necessary medical measures as quickly as possible. In order to optimize this …

Authors:: Arnold J. Suda, Julia Pepke, Udo Obertacke, Holger Stadthalter

17-04-2024 | Magnetic Resonance Imaging | Original Article

Comparison of the zonal distribution of calcium salt density and fat marrow in bone-healthy and osteoporotic sacra: an image data analysis using quantitative computed tomography and magnetic resonance imaging

Within the last decade, the age-related incidence of pelvic fractures has clearly changed toward senility. Although in the past, a male patient injured in a high-energy trauma in his second to third decades of life was considered the classic …

Author:: Friederike Klauke

17-04-2024 | Tibia Fracture | Original Article

Epidemiology and risk factors for fat embolism in isolated lower extremity long bone fractures

Fat embolism syndrome (FES) is defined by the presence of fat globules in the pulmonary microcirculation. It was first described in 1861 by Zenker et al. [ 1 ]. These fat cells have potent proinflammatory and prothrombotic potential; thus, they can …

Authors:: Natthida Owattanapanich, Meghan Lewis, Subarna Biswas, Elizabeth R Benjamin, Demetrios Demetriades

15-04-2024 | Original Article

Should the level of the posterior instrumentation combined with the intermediate screw be a short segment or a long segment in thoracolumbar fractures with fusion to the fractured segment?

The most frequent spine injuries are thoracolumbar fractures (T11-L2) [ 1 ]. This area is a significant biomechanical stress area because it marks the change from the rigid thoracic spine with the rib cage to the more dynamic lumbar spine.

Authors:: Onur Suer, Selahaddin Aydemir, Bunyamin Kilicli, Omer Akcali, Anil Murat Ozturk

13-04-2024 | Original Article

Elbow coverage by the descending superficial radial artery flap: a clinical series and literature review

Due to the superficial position of its posterior aspect, the elbow joint is frequently exposed to trauma, infections, or burns. Soft tissue coverage at this level ideally requires the use of thin and flexible flaps to adapt to elbow movements …

Authors:: Robin Fauconnet, Arthémon Heitz, Arnauld Walch, Thibault Druel, Aram Gazarian, Adeline Cambon, Laurent Mathieu

Open Access 13-04-2024 | Original Article

Interobserver variability in preclinical assessment of collision variables following traffic accidents

Despite improvements in vehicle technology, emergency services, and trauma management, traffic accidents remain one of the leading causes of death, with a shifting mortality trend towards the prehospital phase [ 1 ]. According to European law …

Authors:: Michael Hetz, Julius Rosch, Thomas Unger, Manuel F. Struck, Klaus-Dieter Schaser, Christian Kleber

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