当前位置： SCI文献检索 > INTERNATIONAL ORTHOPAEDICS期刊下所有文献 > Three-in-one protocol reduces mortality of patients with haemodynamically unstable pelvic fractures-a five year multi-centred review in Hong Kong.

Three-in-one protocol reduces mortality of patients with haemodynamically unstable pelvic fractures-a five year multi-centred review in Hong Kong.

Abstract：

PURPOSE:The mortality rate in patients with haemodynamically unstable pelvic fractures is as high as 40-60%. Despite the new advances in trauma care which are in phase in trauma centres in Hong Kong, the management of haemodynamically unstable pelvic fracture is still heterogeneous. The aim of this study is to review the results of management of haemodynamically unstable pelvic fracture patients in Hong Kong over a five year period. METHODS:This is a retrospective multi-centred cohort study of patients with haemodynamic and mechanically unstable pelvic fractures from 1 January 2010 to 31 December 2014. The primary outcome investigated is mortality of patients (including overall, 30-day, 7-day and 24-hour mortalities). RESULTS:Implementation of three-in-one pelvic damage control protocol was identified to be a significant independent predictive factor for overall, 30-day, seven-day and 24-hour mortalities. The overall in-hospital and 30-day mortality rates for patients managed with three-in-one protocol was 12.5%, while it was 11% for seven day mortality and 6% for 24 hour mortality. There were no significant differences in demographic characteristics, physiological measurements, types of pelvic fracture, severity and mechanism of injury between patients managed with or without three-in-one protocol. CONCLUSIONS:Implementation of the multidisciplinary three-in-one pelvic damage control protocol reduces mortality and therefore should be highly recommended. The results are convincing as it has eliminated the limitations of our previous single-centred trial.

journal_name

Int Orthop

journal_title

International orthopaedics

authors

Cheng M,Lee KY,Chang AL,Ho HF,Chan LS,Lee KB,Kwok PH,Lee AW,Wong KK,Kam CW,Leung GK,Wong JS,Cheung NK,Yeung JH,Tang N,Choi SH,Lau TW,Wong HT,Leung M

doi

10.1007/s00264-018-3842-x

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

2459-2466

issue

10

eissn

0341-2695

issn

1432-5195

pii

10.1007/s00264-018-3842-x

journal_volume

42

pub_type

杂志文章,多中心研究

相关文献

INTERNATIONAL ORTHOPAEDICS文献大全
  • Cementless total hip arthroplasty in advanced tuberculosis of the hip.

    abstract：PURPOSE:The use of total hip arthroplasty (THA) to treat advanced tuberculous arthritis, particularly during the active phase, is challenging. The aim of this study was to evaluate the efficacy of cementless THA for advanced hip joint tuberculosis. METHODS:This study reviewed 32 patients (mean age at surgery, 49.4 yea...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-015-2997-y

    authors： Zeng M,Hu Y,Leng Y,Xie J,Wang L,Li M,Zhu J

    更新日期：2015-11-01 00:00:00

  • Bone morphogenetic protein and orthopaedic surgery: can we legitimate its off-label use?

    abstract：PURPOSE:Bone morphogenetic proteins (BMP) are recombinant osteoinductive proteins with their primary role being to promote bone formation. The off-label use of BMP in orthopaedic surgery has dramatically increased. However, reports of complications with BMP have emerged, and the safety of these proteins in orthopaedics...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-014-2534-4

    authors： Courvoisier A,Sailhan F,Laffenêtre O,Obert L,French Study Group of BMP in Orthopedic Surgery.

    更新日期：2014-12-01 00:00:00

  • Bone marrow concentrate and expanded mesenchymal stromal cell surnatants as cell-free approaches for the treatment of osteochondral defects in a preclinical animal model.

    abstract：PURPOSE:To evaluate the regenerative potential of surnatants (SNs) from bone marrow concentrate (SN-BMC) and expanded mesenchymal stromal cells (SN-MSCs) loaded onto a collagen scaffold (SC) in comparison with cell-based treatments (BMC and MSCs) in an osteochondral (OC) defect model in rabbits. METHODS:OC defects (3 ...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-018-4202-6

    authors： Veronesi F,Desando G,Fini M,Parrilli A,Lolli R,Maglio M,Martini L,Giavaresi G,Bartolotti I,Grigolo B,Sartori M

    更新日期：2019-01-01 00:00:00

  • Total knee replacement in the fixed valgus deformity using a lateral approach: role of the automatic iliotibial band release for a successful balancing.

    abstract：:The purpose of this work was to document eleven years of experience in knee replacement for fixed knee valgus through a lateral approach with special emphasis on the balancing procedures. At a mean follow-up of seven years, only one revision for sepsis was required in this series of 63 knee replacements. The mean knee...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-008-0698-5

    authors： Boyer P,Boublil D,Magrino B,Massin P,Huten D,Guepar Group.

    更新日期：2009-12-01 00:00:00

  • Deltopectoral approach for shoulder arthroplasty: anatomic basis.

    abstract：PURPOSE:The deltopectoral approach is a common surgical procedure for shoulder arthroplasty. Many surgeons are familiar with this procedure, but certain steps are still controversial. This is the case for the management of subscapularis, where surgeons must choose between tenotomy and the lesser tuberosity osteotomy. ...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-014-2654-x

    authors： Gadea F,Bouju Y,Berhouet J,Bacle G,Favard L

    更新日期：2015-02-01 00:00:00

  • Single-stage multi-level construct design incorporating ribs and chest wall reconstruction after en bloc resection of spinal tumour.

    abstract：PURPOSE:Multi-level reconstruction incorporating the chest wall and ribs is technically demanding after multi-segmental total en bloc spondylectomy (TES) of thoracic spinal tumours. Few surgical techniques are reported for effective reconstruction. A novel and straightforward technical reconstruction through posterior-...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-018-3816-z

    authors： Xiao J,He S,Jiao J,Wan W,Xu W,Zhang D,Liu W,Zhong N,Liu T,Wei H,Yang X

    更新日期：2018-03-01 00:00:00

  • Cementless revision femoral stems application of press-fit principles and clinical outcomes.

    abstract：BACKGROUND:Cementless femoral stems are currently used in revision total hip arthroplasty (THA) with the surgeon choosing between various fixation modes. The outcomes are good in the medium term; however, some failures have been attributed to technical errors during implantation. When the decision has been made to use ...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-018-4265-4

    authors： Canovas F,Putman S,Dagneaux L,Chadli L,Le Béguec P

    更新日期：2019-10-01 00:00:00

  • Periprosthetic femoral fracture as cause of early revision after short stem hip arthroplasty-a multicentric analysis.

    abstract：BACKGROUND:The objective of this study was to analyze the prevalence and causes of early re-operation after hip replacement surgery using short bone-preserving stems in a large multicentre series. Specifically, we evaluated the clinical features of periprosthetic fractures occurring around short stems. METHODS:A total...

    journal_title：International orthopaedics

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s00264-018-3930-y

    authors： Kim SM,Han SB,Rhyu KH,Yoo JJ,Oh KJ,Yoo JH,Lee KJ,Lim SJ

    更新日期：2018-09-01 00:00:00

  • Optimizing leg length correction in total hip arthroplasty.

    abstract：PURPOSE:Residual feeling of leg length discrepancy (LLD) is a common cause of patient dissatisfaction following total hip arthroplasty (THA). The purpose of this study is to propose a method for determining an optimal leg length correction goal in THA. METHODS:We conducted a retrospective study of 132 patients to exam...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-019-04411-0

    authors： Fujita K,Kabata T,Kajino Y,Tsuchiya H

    更新日期：2020-03-01 00:00:00

  • Spontaneous regression of neurogenic heterotopic ossification.

    abstract：:A description is given of an unusual case of a 13 year old girl who showed complete regression of neurogenically induced heterotopic ossification following recovery from her head injury. The case report indicates that heterotopic ossification is not necessarily permanent following neurological disturbance, but may be ...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00267736

    authors： van der Linden AJ

    更新日期：1984-01-01 00:00:00

  • Urinary catheterisation and deep wound infection after hip fracture surgery.

    abstract：:We have studied the incidence of deep wound infection after hip fracture surgery and its relationship to urinary catheterisation. Infection after hemiarthroplasty occurred in 16/949 cases and 10/1,143 sliding hip screw fixations. No cases of deep sepsis were seen for the 203 patients treated with an intramedullary nai...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-006-0227-3

    authors： Cumming D,Parker MJ

    更新日期：2007-08-01 00:00:00

  • [Replacement of infected total hip prosthesis in two stages].

    abstract：:Since 1975 we have treated 36 infected hip replacements by a two stage procedure in which the prosthesis and cement were first removed. Gentamicin impregnated beads were left at the sites of the prosthesis. Not less than 45 days later a fresh prosthesis was inserted into the hip. In two hips revision was not undertake...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00181860

    authors： Lenoble E,Goutallier D

    更新日期：1995-01-01 00:00:00

  • Causes and preventive measures of symptomatic spinal epidural haematoma after spinal surgery.

    abstract：STUDY DESIGN:This was a retrospective study to evaluate clinical characteristics of patients who developed symptomatic spinal epidural haematoma (SSEH) after spinal surgery. OBJECTIVE:The objective was to determine clinical parameters associated with the development of SSEH after spinal surgery, and to discuss clinica...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-017-3506-2

    authors： Zeng XJ,Wang W,Zhao Z,Li M

    更新日期：2017-07-01 00:00:00

  • The use of megaprosthesis in the treatment of periprosthetic knee fractures.

    abstract：PURPOSE:The optimum treatment for periprosthetic fractures in the region of the distal femur is undefined. Although internal fixation for prostheses which are stable is commonly utilised, this can lead to very prolonged morbidity and failure of the fracture to unite. Where the prosthesis is either loose or infected, re...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-015-2969-2

    authors： Cannon SR

    更新日期：2015-10-01 00:00:00

  • Scapular body fractures: results of operative treatment.

    abstract：:The authors operated on 22 patients with scapular body fractures, with a mean age of 35 years. The minimal follow-up was 12 months. All patients were treated from the Judet posterior approach. The study included 14 cases of an isolated body fracture, three of scapular body fracture combined with fracture of the scapul...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-010-1072-y

    authors： Bartoníček J,Frič V

    更新日期：2011-05-01 00:00:00

  • Treatment of supracondylar fractures of the humerus in children through an anterior approach is a safe and effective method.

    abstract：:In this prospective case series we evaluated the effectiveness and safety of using an anterior approach to paediatric supracondylar humerus fractures. We gathered data on 46 children that had a displaced supracondylar fracture of the humerus. All the patients had sustained a Gartland type III extension fracture that c...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-008-0668-y

    authors： Ersan O,Gonen E,Arik A,Dasar U,Ates Y

    更新日期：2009-10-01 00:00:00

  • Reliability of radiographic landmarks in medial patello-femoral ligament reconstruction in relation to the anatomical femoral torsion.

    abstract：PURPOSE:Anatomically correct graft positioning at the femoral insertion site is a key factor in surgical reconstruction of the medial patello-femoral ligament (MPFL). Basically there are two techniques to define this point in fluoroscopy during surgery. The role of the anatomical femoral torsion on the accuracy and rep...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-014-2523-7

    authors： Kaipel M,Schützenberger S,Farr S,Gergely I,Vlcek A,Kainberger F,Boszotta H,Pretterklieber M

    更新日期：2015-03-01 00:00:00

  • Accuracy of the correction obtained after tibial valgus osteotomy. Comparison of the use of the Hernigou table and the so-called classical method.

    abstract：INTRODUCTION:Medial valgus-producing tibial osteotomy (MVTO) is classically used to treat early medial femorotibial osteoarthritis. Long-term results depend on the mechanical femorotibial angle (HKA) obtained at the end of the procedure. A correction goal between 3 and 6° valgus is commonly accepted. Several planning m...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-020-04777-6

    authors： Nicolau X,Bonnomet F,Micicoi G,Eichler D,Ollivier M,Favreau H,Ehlinger M

    更新日期：2020-12-01 00:00:00

  • [Articular irrigation in arthroscopy].

    abstract：:Synovial oedema is a frequent complication in arthroscopic procedures performed with normal saline as the irrigating fluid. The authors have studied the effect of saline solution, Ringer lactate, 5% Dextran and 10% Dextran in normal saline on 12 specimens of human synovial membrane. They found that 10% Dextran in norm...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：

    authors： Martinez Moreno JL,Vaquero Martin FJ

    更新日期：1986-01-01 00:00:00

  • Arthroscopic treatment of patellar symptoms in posterior stabilized total knee replacement.

    abstract：:Twenty-one patients with patellar symptoms had arthroscopic treatment. Symptoms included frank patellar clunk and painful patellofemoral crepitus. All patients had posterior stabilized total knee replacement (TKR). The average onset of symptoms following TKR was 17 (range 3-75) months. All patients were referred to ph...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-002-0347-3

    authors： Wong JW,Yau PW,Chiu PK

    更新日期：2002-01-01 00:00:00

  • Patient-specific cutting guides for open-wedge high tibial osteotomy: safety and accuracy analysis of a hundred patients continuous cohort.

    abstract：INTRODUCTION:Several recent studies have reported accurate and reliable use of patient-specific cutting guides (PSCG) for medial opening-wedge high tibial osteotomy (OW-HTO); however, a majority of these are small cases series or ex-vivo reports. The hypothesis of this study was that performing an OW-HTO with PSCG resu...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-019-04372-4

    authors： Chaouche S,Jacquet C,Fabre-Aubrespy M,Sharma A,Argenson JN,Parratte S,Ollivier M

    更新日期：2019-12-01 00:00:00

  • The effect of bone porosity on the shear strength of the bone-cement interface.

    abstract：:This study investigated the relationship of bone porosity and bone-cement interface shear strength. One hundred forty-six samples were taken from the distal metaphysis of 20 bovine femora. After cementation, the shear strength of the bone-cement interface was tested. According to the porosity, the samples were divided...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-008-0558-3

    authors： Amirfeyz R,Bannister G

    更新日期：2009-06-01 00:00:00

  • Primary pyogenic abscess of the psoas muscle.

    abstract：:During a six-year period, eleven persons with primary pyogenic abscess of the psoas muscle were treated at the Mackay Memorial Hospital. Five were males and six were females and their average age was 47.2 years (range 6-83 years). The abscess was identified by CT in 7 patients, MRI in 2 and ultrasonography in 1. One a...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s002640050205

    authors： Wu TL,Huang CH,Hwang DY,Lai JH,Su RY

    更新日期：1998-01-01 00:00:00

  • Fixation of fractures by twisted plates. A new concept of osteosynthesis.

    abstract：:A new twisted plate has been designed for biplane fixation of diaphyseal fractures of long bones. Comparative mechanical testing of the new twisted plate and conventional flat plates showed that the twisted plate was 40% stronger when a bending moment was applied and 132% stronger to a twisting moment. The overall imp...

    journal_title：International orthopaedics

    pub_type： 临床试验,杂志文章

    doi：10.1007/BF00182708

    authors： Kumar K

    更新日期：1992-01-01 00:00:00

  • Arthroscopic radial head excision in managing elbow trauma.

    abstract：PURPOSE:This study describes a case series of 15 patients with radial head fractures who underwent radial head excision using an arthroscopic technique. METHODS:Over a four year period, 15 patients (average age 49.6 years) who had sustained a radial head or radial neck fracture underwent an arthroscopic excision of th...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-012-1667-6

    authors： Wijeratna M,Bailey KA,Pace A,Tytherleigh-Strong G,Van Rensburg L,Kent M

    更新日期：2012-12-01 00:00:00

  • Autologous transplantation of culture-born myofibroblasts into intact and injured rabbit ligaments.

    abstract：PURPOSE:The myofibroblast, a contractile fibroblastic cell expressing α-smooth muscle actin (α-SMA), has been reported to play a role in ligament healing. The aim of this study was to evaluate the feasibility of transplanting culture-derived myofibroblasts in injured rabbit medial collateral ligaments (MCL) and in inta...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-012-1519-4

    authors： Laumonier T,Michel M,Gabbiani G,Hoffmeyer P,Bochaton-Piallat ML,Menetrey J

    更新日期：2012-08-01 00:00:00

  • Operative versus non-operative treatment for clavicle fracture: a meta-analysis.

    abstract：PURPOSE:The purpose of this study was to assess the effects of operative and non-operative treatment on clavicle fractures. METHOD:Relevant clinical trials on the operative and non-operative treatment for clavicle fractures were retrieved through searching the databases MEDLINE, Embase, OVID and the Cochrane Central R...

    journal_title：International orthopaedics

    pub_type： 杂志文章,meta分析

    doi：10.1007/s00264-013-1871-z

    authors： Liu GD,Tong SL,Ou S,Zhou LS,Fei J,Nan GX,Gu JW

    更新日期：2013-08-01 00:00:00

  • Which immobilization is better for distal radius fracture? A prospective randomized trial.

    abstract：INTRODUCTION:The aim of this study was to determine whether an above-elbow cast (AEC) is better than a below-elbow cast (BEC) at maintaining the initial reduction in the orthopaedic management of a distal radius fracture (DRF). METHODS:It is a prospective randomized study carried out in a single emergency trauma depar...

    journal_title：International orthopaedics

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s00264-017-3518-y

    authors： Gamba C,Fernandez FAM,Llavall MC,Diez XL,Perez FS

    更新日期：2017-09-01 00:00:00

  • Trabecular metal™ shoulder prosthesis in the treatment of complex proximal humeral fractures.

    abstract：PURPOSE:Shoulder arthroplasty is one of the options for the treatment of complex proximal humeral fractures. The purpose of this study was to assess the clinical and radiographic results of the trabecular metal shoulder prosthesis in the treatment of complex proximal humeral fractures. METHODS:Fifty-one consecutive pa...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-013-2061-8

    authors： Li F,Jiang C

    更新日期：2013-11-01 00:00:00

  • Impact of preoperative myocardial infarction on surgical outcomes in inpatient orthopaedic surgery.

    abstract：PURPOSE:The purpose of this study was to evaluate the impact of a preoperative myocardial infarction (MI) on outcomes of inpatient orthopaedic operations. METHODS:The National Surgical Quality Improvement Program database was used to identify patients who underwent common orthopaedic operations from 2006 to 2010. Pati...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-013-2001-7

    authors： Lim S,Edelstein AI,Jain U,Puri L,Kim JY

    更新日期：2013-12-01 00:00:00