Abstract:
:The purpose of this study was to examine the acute outcomes and mortality rates of an Advanced Trauma Life Support guideline approach for managing hemodynamically unstable pelvic ring injuries. We retrospectively reviewed the acute outcomes of 48 consecutive patients with hemodynamically unstable pelvic fractures. Patients underwent treatment via the advanced trauma life support protocol, with primary angiography based on trauma surgeon preference. Mean patient age was 51.2 years, with a mean injury severity score of 43.2±14.3. Mean systolic blood pressure was 74.8±16.1 mm Hg at presentation. Patients received an average of 7.0±6.6 units of red blood cells and 4.2±2.3 units of fresh frozen plasma in the first 6 hours. Fourteen patients underwent emergent angiography, and 12 patients were treated with embolization. Mean time to angiography was 3 hours and 55 minutes (range, 2-19 hours). Twenty patients died during hospitalization, with an overall mortality rate of 41.7%; 13 (27.1%) of them died within 24 hours. Advanced Trauma Life Support guidelines with angiography are not adequate for the management of hemodynamically unstable pelvic ring injuries and result in unacceptably high mortality rates compared with more specific approaches using transfusion protocols and interventions, such as pelvic packing.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Hou Z,Smith WR,Strohecker KA,Bowen TR,Irgit K,Baro SM,Morgan SJdoi
10.3928/01477447-20120222-29subject
Has Abstractpub_date
2012-03-07 00:00:00pages
e319-24issue
3eissn
0147-7447issn
1938-2367journal_volume
35pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::Polyhydroxyacids are a promising class of bioresorbable materials withpotential applications in spinal surgery. One such polymer, MacroPore (MacroPore Biosurgery Inc, San Diego, Calif), offers a balance of strength, predictable degradation, lack of stimulus of foreign body reaction, and biocompatibility with neural ti...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:2002-10-01 00:00:00
abstract::Necrotizing fasciitis is an aggressive, invasive soft tissue infection. Because it can rapidly progress to patient instability, prompt diagnosis followed by urgent debridement is critical to decreasing mortality. Despite the importance of early diagnosis, necrotizing fasciitis remains a clinical diagnosis, with little...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130426-34
更新日期:2013-05-01 00:00:00
abstract::This article describes a case of femoral stem displacement during closed reduction of a redislocated bipolar hemiarthroplasty of the hip in a 72-year-old woman who had undergone bipolar hemiarthroplasty using a polished, tapered cemented femoral stem. The polished, tapered cemented femoral stem is vulnerable to displa...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100104-28
更新日期:2010-02-01 00:00:00
abstract::Radiocarpal fracture-dislocations are uncommon injuries, comprising a spectrum of trauma to the capsuloligamentous complex and osseous structures of the radiocarpal joint along with the adjacent structures. Management guidelines are derived from limited case series and expert opinions. An understanding of the relevant...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130523-07
更新日期:2013-06-01 00:00:00
abstract::The authors report the case of an atraumatic femoral component fracture 10 years after primary total knee arthroplasty (TKA) with a modern cemented fixed bearing system. The patient, a 70-year-old man, had the complication without inciting trauma, and he subsequently had severe pain and disability. This rare mode of T...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20200721-07
更新日期:2020-09-01 00:00:00
abstract::Thyroid acropachy is a rare complication of thyroid disease most often occurring in patients with a long history of active Graves' disease with ophthalmopathy and dermopathy already present. It presents with digital clubbing and soft tissue swelling with possible pain in the digits. Plain radiographs show a solid peri...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20080101-38
更新日期:2008-01-01 00:00:00
abstract::Currently there is a difference of opinion regarding the advisability of unicompartmental total knee replacement. This report describes eight cases from a series of 100 consecutive total knee arthroplasties; results averaged 85.5 by the Cleveland Clinic knee evaluation forms. The followup period averages 37.4 months, ...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19800401-04
更新日期:1980-04-01 00:00:00
abstract::Patients undergoing major orthopedic surgery, including total hip arthroplasty (THA) and total knee arthroplasty (TKA), are at high risk for developing venous thromboembolism (VTE). Although largely a preventable complication, VTE develops in a significant proportion of patients, highlighting the need for improved met...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120525-38
更新日期:2012-06-01 00:00:00
abstract::A single stage procedure for correction of congenital vertical talus using a medial approach is described. The operation was performed on 14 feet with good initial anatomical results in all cases. No wound healing complications were observed. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract::Acute compartment syndrome remains a challenging problem for orthopedic surgeons because its diagnosis is not always straightforward and it has a high risk of associated limb morbidity if left undiagnosed or untreated. Failure to diagnose and treat acute compartment syndrome is one of the most common causes of success...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20130724-07
更新日期:2013-08-01 00:00:00
abstract::A carbon fiber stackable cage system is presented to promote the reconstruction of the anterior column after vertebrectomy or corpectomy in tumor and trauma surgery. Modularity, immediate stability, early fusion of the graft, radiolucency, and no risk of disease transmission are the main advantages of this system. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract::Early discharge from the hospital after total joint arthroplasty has increased the need for extended outpatient thromboprophylaxis. Multiple controlled clinical trials and several meta-analyses of these data have examined various agents in different regimens. These data indicate that extended prophylaxis with a low-mo...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:2003-02-01 00:00:00
abstract::Unstable clavicular fractures can be treated surgically with pins and wires or with plates. The migration of metallic devices such as Kirschner wires (K-wires) from the shoulder to a variety of anatomical proximal and distal locations is well documented. Spinal migration, however, is rare and is normally associated wi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20081201-03
更新日期:2008-12-01 00:00:00
abstract::Good outcomes have been reported after both open and percutaneous surgery to release trigger thumb. This study evaluated short-term and long-term outcomes after treatment of trigger thumb with open or percutaneous release. A total of 126 trigger thumbs in 107 patients were reviewed from 2009 to 2012. Short-term (3 mon...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20161017-06
更新日期:2017-01-01 00:00:00
abstract::This study attempted to identify and characterize bacteria present on shared-use protective lead shielding garments worn in the operating room. Those worn at the authors' institution were collected and swabbed in designated 5×5-cm areas. Swabs were sent to the clinical laboratory for bacterial isolation and identifica...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110922-09
更新日期:2011-11-09 00:00:00
abstract::Radiolucencies are frequently observed in the carpus, often in asymptomatic patients. Evaluation of the clinical significance of these radiolucent areas is aided by use of bone scanning. In this case, correlation of the physical exam, bone scan and tomograms allowed effective direct surgical treatment of a symptomatic...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1986-02-01 00:00:00
abstract::A retrospective review of 10 patients admitted to 4 regional hospitals between 1987 and 1997 in whom acute septic hip arthritis was diagnosed was performed to compare presentation, laboratory and radiographic findings, treatment, and outcome. Patients presented with fever, hip or groin pain, and an inability to bear w...
journal_title:Orthopedics
pub_type: 杂志文章,多中心研究
doi:
更新日期:2003-08-01 00:00:00
abstract::The incidence of musculoskeletal injury sustained during tobacco farming has been poorly documented. Using the trauma registry for all farm-related injuries occurring during a 16-month period, hospital charts, radiographs, and clinic charts were reviewed to identify those patients sustaining tobacco farming-related in...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2000-02-01 00:00:00
abstract::A series of 12 patients was retrospectively reviewed to evaluate the use of sliding trochanteric osteotomy for reduction of hip dislocations that were irreducible due to interposed posterior wall fragments. Compared to similar patients who did not have irreducible dislocation or trochanteric osteotomy, the 12 patients...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2004-02-01 00:00:00
abstract::Eleven patients with 12 three-part fractures of the proximal humerus were treated by open reduction and internal fixation using AO/ASIF buttress plating. All of the fractures healed. There were no failures of fixation. Nine of these patients returned for a follow up of more than 2 years and had a satisfactory rating u...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract::Pubic symphysis diastasis is recognized as a possible complication of pregnancy. When this occurs, pubic symphysis diastasis may cause anterior widening and loss of stiffness within the pubic symphysis, causing potential instability in the pubic joint. The persistent loss of reduction can cause substantial disability ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20080501-05
更新日期:2008-05-01 00:00:00
abstract::Multiligamentous knee injuries with simultaneous patellar tendon ruptures are rare. Surgeons must be prepared to address injured structures of the knee to allow return of knee function. Restoring motion while protecting repairs is important. The authors present 2 cases and discuss treatment strategy for preoperative e...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150105-06
更新日期:2015-01-01 00:00:00
abstract::Intraoperative registration of the anterior pelvic plane is necessary for navigation during total hip arthroplasty (THA). Ultrasound referencing of bony landmarks was implemented in a THA navigation system (OrthoPilot, B. Braun Aesculap; Tuttlingen, Germany) as an alternative to pointer palpation. This study compared ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2007-10-01 00:00:00
abstract::Cementless total knee arthroplasty (TKA) implants were designed to provide long-term fixation without the risk of cement-associated complications. The purpose of this study was to evaluate the outcome of titanium-coated cementless implants compared with hybrid TKA implants with a cemented tibial and a cementless femor...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130327-16
更新日期:2013-04-01 00:00:00
abstract::Maryland implemented the all-payer, rater-setting Global Budget Revenue (GBR) payment model in 2014 to reduce cost and improve quality. This study assessed the effect of GBR on total knee arthroplasty (TKA) outcomes by sex. Specifically, the authors assessed (1) demographics and (2) outcomes of males and females under...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20201216-02
更新日期:2020-12-29 00:00:00
abstract::The purpose of this study was to evaluate the outcome of patients treated with open reduction and internal fixation (ORIF) using dorsal plates and screws (AO/ASIF pi-plate) for dorsally displaced fractures of the distal radius. Although extensor tendon rupture is a recognized complication of all distal radial fracture...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20110526-10
更新日期:2011-07-07 00:00:00
abstract::The implants used in reverse shoulder arthroplasty were originally designed for white patients; thus, they might not be optimal for smaller Asian patients. The selection of reverse shoulder arthroplasty systems is limited in Japan. The purpose of this study was to measure the geometry of the proximal humerus in elderl...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20170308-03
更新日期:2017-05-01 00:00:00
abstract::A case of "trigger finger" due to flexor digitorum superficialis tendon "tag" following a hyperextension injury to the metacarpophalangeal joint is reported. The tag formed as a result of avulsion of the flexor digitorum superficialis tendon slip from its insertion in the middle phalanx. ...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19801101-08
更新日期:1980-11-01 00:00:00
abstract::A 13-year-old boy presented to the emergency department with bilateral ankle pain and swelling following a 5-foot fall from a swing set. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20141124-01
更新日期:2014-12-01 00:00:00
abstract::Heterotopic ossification and scapular notching are common following reverse total shoulder arthroplasty. Compared with the original Grammont-style prosthesis with a medialized center of rotation (COR) and a 155° neck-shaft angle, lateralization of COR and reduction of neck-shaft angle have been associated with decreas...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20180613-01
更新日期:2018-07-01 00:00:00