Pub Date : 2025-09-01DOI: 10.1016/j.cjtee.2024.07.007
Michael Apostolides , William Thomas , Darren Leong , Bogdan Robu , Nimesh Patel
Purpose
Over 30,000 hip hemiarthroplasties for neck of femur fractures are performed annually in the United Kingdom (UK). The national recommendation is via the lateral approach, to reduce the risk of dislocation, with the potential expense of reduced function and mobility post-operatively. Muscle-sparing approaches, such as SPAIRE (sparing piriformis and internus repairing externus), have been invented to address the issue of dislocation.
Methods
We performed a retrospective data collection at a single center with a high annual volume of hip hemiarthroplasties over 12 months. All patients who had hip hemiarthroplasty as their primary treatment were included. Patients who passed away and were non-ambulant before their surgery were excluded from the study. Our primary outcome was the dislocation rate and secondary outcomes were the time to mobilization after surgery and the duration of surgery. Statistical analysis was performed using XLSTAT software.
Results
We identified 194 cases, and these were divided into 3 groups based on the surgical approach: SPAIRE (n = 43), lateral (n = 97), and posterior (n = 54). Groups had similar demographics and a minimum 3-month follow-up after surgery. There were no dislocations in the SPAIRE group, whereas the dislocation rate for the other 2 groups was 2.5% in the lateral and 9.1% in the posterior groups at 6 months post-surgery. There was an earlier return to mobility in the SPAIRE (1.4 day) compared to the 2 other groups ( 2 days and 2.6 days). Average surgical times were very similar among all 3 groups (74 min vs. 79 min vs. 71 min).
Conclusion
The SPAIRE approach seems to be safe and provides a low risk of dislocation and good post-operative function for patients undergoing hip hemiarthroplasties.
{"title":"Sparing piriformis and internus repairing externus vs. other conventional approaches for hip hemiarthroplasty: A report of early outcomes from a single UK trauma unit","authors":"Michael Apostolides , William Thomas , Darren Leong , Bogdan Robu , Nimesh Patel","doi":"10.1016/j.cjtee.2024.07.007","DOIUrl":"10.1016/j.cjtee.2024.07.007","url":null,"abstract":"<div><h3>Purpose</h3><div>Over 30,000 hip hemiarthroplasties for neck of femur fractures are performed annually in the United Kingdom (UK). The national recommendation is via the lateral approach, to reduce the risk of dislocation, with the potential expense of reduced function and mobility post-operatively. Muscle-sparing approaches, such as SPAIRE (sparing piriformis and internus repairing externus), have been invented to address the issue of dislocation.</div></div><div><h3>Methods</h3><div>We performed a retrospective data collection at a single center with a high annual volume of hip hemiarthroplasties over 12 months. All patients who had hip hemiarthroplasty as their primary treatment were included. Patients who passed away and were non-ambulant before their surgery were excluded from the study. Our primary outcome was the dislocation rate and secondary outcomes were the time to mobilization after surgery and the duration of surgery. Statistical analysis was performed using XLSTAT software.</div></div><div><h3>Results</h3><div>We identified 194 cases, and these were divided into 3 groups based on the surgical approach: SPAIRE (<em>n</em> = 43), lateral (<em>n</em> = 97), and posterior (<em>n</em> = 54). Groups had similar demographics and a minimum 3-month follow-up after surgery. There were no dislocations in the SPAIRE group, whereas the dislocation rate for the other 2 groups was 2.5% in the lateral and 9.1% in the posterior groups at 6 months post-surgery. There was an earlier return to mobility in the SPAIRE (1.4 day) compared to the 2 other groups ( 2 days and 2.6 days). Average surgical times were very similar among all 3 groups (74 min <em>vs.</em> 79 min <em>vs.</em> 71 min).</div></div><div><h3>Conclusion</h3><div>The SPAIRE approach seems to be safe and provides a low risk of dislocation and good post-operative function for patients undergoing hip hemiarthroplasties.</div></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"28 5","pages":"Pages 324-329"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.cjtee.2020.12.007
{"title":"Erratum regarding missing Declaration of Competing Interest statements in previously published articles","authors":"","doi":"10.1016/j.cjtee.2020.12.007","DOIUrl":"10.1016/j.cjtee.2020.12.007","url":null,"abstract":"","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"28 5","pages":"Page 389"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38759661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.cjtee.2024.08.003
Cheng Yang , Da-Liang Wang , Yang-Lin Du , Qiang-Fei Wang , Yuan Suo , Hui-Jie Yu
Traumatic main bronchus rupture is a relatively rare injury in thoracic trauma, which is extremely critical, with a mortality rate as high as 70% – 80%. The complete rupture and displacement of the traumatic cervical trachea can lead to asphyxia, hypoxia, and cardiac arrest, even death of the patient in a short time. We performed emergency surgery with the support of extracorporeal membrane oxygenation for a case of traumatic cervical tracheal trunk complete rupture and displacement combined with cardiac arrest and achieved a successful rescue. We summarized our experience and found that timely surgical reconstruction of the airway is the key to increasing the traumatic main bronchus rupture survival of patients.
{"title":"Traumatic cervical tracheal trunk complete rupture combined with cardiac arrest: A case report","authors":"Cheng Yang , Da-Liang Wang , Yang-Lin Du , Qiang-Fei Wang , Yuan Suo , Hui-Jie Yu","doi":"10.1016/j.cjtee.2024.08.003","DOIUrl":"10.1016/j.cjtee.2024.08.003","url":null,"abstract":"<div><div>Traumatic main bronchus rupture is a relatively rare injury in thoracic trauma, which is extremely critical, with a mortality rate as high as 70% – 80%. The complete rupture and displacement of the traumatic cervical trachea can lead to asphyxia, hypoxia, and cardiac arrest, even death of the patient in a short time. We performed emergency surgery with the support of extracorporeal membrane oxygenation for a case of traumatic cervical tracheal trunk complete rupture and displacement combined with cardiac arrest and achieved a successful rescue. We summarized our experience and found that timely surgical reconstruction of the airway is the key to increasing the traumatic main bronchus rupture survival of patients.</div></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"28 5","pages":"Pages 378-381"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.cjtee.2024.08.010
Ke Li, Xing Du, Zhongyao Chen, Wei Shui
Purpose
The management of irreducible, sagittally unstable peritrochanteric fractures presents a significant challenge due to the inability to achieve closed reduction using conventional techniques. This study introduces a novel minimally invasive technique leveraging the mechanical advantage principle with long, angled hemostatic clamps.
Methods
A retrospective review was performed on 16 patients who sustained sagittally unstable peritrochanteric fractures and underwent a percutaneous hemostatic clamp leverage reduction procedure. Inclusion criteria: (1) Preoperative confirmation of fracture type as peritrochanteric fracture; (2) Intraoperative imaging confirms the presence of sagittal plane displacement at the fracture site; (3) Age > 18 years. Exclusion criteria: (1) Open fractures, pathological fractures, and diabetes; (2) Long-term use of corticosteroids; (3) Patients with local skin or systemic conditions not suitable for surgery. Regular follow-ups at intervals of 6 – 8 weeks continued until evidence of bone consolidation was apparent in radiographic assessments. Evaluation of the alignment quality considered factors such as the re-establishment of the neck-shaft angle, the integrity of all cortical bone edges, and the rectification of any translational displacement, while the assessment of hip functionality was performed using the Harris scoring system. Statistical analysis of the relevant data was performed using SPSS 25.0 software.
Results
The average age of these 16 patients was 56.8 years (ranging from 25 to 81 years), consisting of 8 males and 8 females. According to the AO/OTA fracture classification, the cohort included 13 cases of type 31A, 2 cases of type 32A, and 1 case of type 32C. The time from hospital admission to the day of surgery ranged from 3 to 11 days, with an average of 5.1 days. Closed reduction was successfully implemented in all 10 instances, negating the necessity for transition to open reduction procedures. The mean operative duration was 105.8 min (range 80 – 180 min). Satisfactory results of the quality of reduction were determined by comparison with the normal side. The average Harris hip score was 94.1 (range 87 – 99), and the fracture healing time was 4.2 months (3 – 6 months). Implant failure and malunion were not observed.
Conclusions
This study provides an alternative, minimally invasive technique for reducing sagittally unstable, irreducible peritrochanteric fractures. This technique holds the potential to manage complex fractures with the same efficacy as is typically reserved for simple and easily reducible fractures.
{"title":"Minimally invasive reduction of irreducible, sagittally unstable peritrochanteric fractures: Novel technique and early results","authors":"Ke Li, Xing Du, Zhongyao Chen, Wei Shui","doi":"10.1016/j.cjtee.2024.08.010","DOIUrl":"10.1016/j.cjtee.2024.08.010","url":null,"abstract":"<div><h3>Purpose</h3><div>The management of irreducible, sagittally unstable peritrochanteric fractures presents a significant challenge due to the inability to achieve closed reduction using conventional techniques. This study introduces a novel minimally invasive technique leveraging the mechanical advantage principle with long, angled hemostatic clamps.</div></div><div><h3>Methods</h3><div>A retrospective review was performed on 16 patients who sustained sagittally unstable peritrochanteric fractures and underwent a percutaneous hemostatic clamp leverage reduction procedure. Inclusion criteria: (1) Preoperative confirmation of fracture type as peritrochanteric fracture; (2) Intraoperative imaging confirms the presence of sagittal plane displacement at the fracture site; (3) Age > 18 years. Exclusion criteria: (1) Open fractures, pathological fractures, and diabetes; (2) Long-term use of corticosteroids; (3) Patients with local skin or systemic conditions not suitable for surgery. Regular follow-ups at intervals of 6 – 8 weeks continued until evidence of bone consolidation was apparent in radiographic assessments. Evaluation of the alignment quality considered factors such as the re-establishment of the neck-shaft angle, the integrity of all cortical bone edges, and the rectification of any translational displacement, while the assessment of hip functionality was performed using the Harris scoring system. Statistical analysis of the relevant data was performed using SPSS 25.0 software.</div></div><div><h3>Results</h3><div>The average age of these 16 patients was 56.8 years (ranging from 25 to 81 years), consisting of 8 males and 8 females. According to the AO/OTA fracture classification, the cohort included 13 cases of type 31A, 2 cases of type 32A, and 1 case of type 32C. The time from hospital admission to the day of surgery ranged from 3 to 11 days, with an average of 5.1 days. Closed reduction was successfully implemented in all 10 instances, negating the necessity for transition to open reduction procedures. The mean operative duration was 105.8 min (range 80 – 180 min). Satisfactory results of the quality of reduction were determined by comparison with the normal side. The average Harris hip score was 94.1 (range 87 – 99), and the fracture healing time was 4.2 months (3 – 6 months). Implant failure and malunion were not observed.</div></div><div><h3>Conclusions</h3><div>This study provides an alternative, minimally invasive technique for reducing sagittally unstable, irreducible peritrochanteric fractures. This technique holds the potential to manage complex fractures with the same efficacy as is typically reserved for simple and easily reducible fractures.</div></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"28 5","pages":"Pages 330-335"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.cjtee.2024.11.001
Haoyang Yang, Wenqiong Du, Zhaowen Zong, Xin Zhong, Yijun Jia, Renqing Jiang, Chenglin Dai, Zhao Ye
Purpose
To construct a decision-making app for pre-hospital damage control resuscitation (PHDCR) for severely injured patients, and to make a preliminary trial test on the effectiveness and usability aspects of the constructed app.
Methods
Decision-making algorithms were first established by a thorough literature review, and were then used to be learned by computer with 3 kinds of text segmentation algorithms, i.e., dictionary-based segmentation, machine learning algorithms based on labeling, and deep learning algorithms based on understanding. B/S architecture mode and Spring Boot were used as a framework to construct the app. A total of 16 Grade-5 medical students were recruited to test the effectiveness and usability aspects of the app by using an animal model-based test on simulated PHDCR. Twelve adult Bama miniature pigs were subjected to penetrating abdominal injuries and were randomly assigned to the 16 students, who were randomly divided into 2 groups (n = 8 each): group A (decided on PHDCR by themselves) and group B (decided on PHDCR with the aid of the app). The students were asked to complete the PHDCR within 1 h, and then blood samples were taken and thromboelastography, routine coagulation test, blood cell count, and blood gas analysis were examined. The lab examination results along with the value of mean arterial pressure were used to compare the resuscitation effects between the 2 groups. Furthermore, a 4-statement-based post-test survey on a 5-point Likert scale was performed in group B students to test the usability aspects of the constructed app.
Results
With the above 3 kinds of text segmentation algorithm, B/S architecture mode, and Spring Boot as the development framework, the decision-making app for PHDCR was successfully constructed. The time to decide PHDCR was (28.8 ± 3.41) sec in group B, much shorter than that in group A (87.5 ± 8.53) sec (p < 0.001). The outcomes of animals treated by group B students were much better than that by group A students as indicated by higher mean arterial pressure, oxygen saturation and fibrinogen concentration and maximum amplitude, and lower R values in group B than those in group A. The post-test survey revealed that group B students gave a mean score of no less than 4 for all 4 statements.
Conclusion
A decision-making app for PHDCR was constructed in the present study and the preliminary trial test revealed that it could help to improve the resuscitation effect in animal models of penetrating abdominal injury.
{"title":"Construction and preliminary trial test of a decision-making app for pre-hospital damage control resuscitation","authors":"Haoyang Yang, Wenqiong Du, Zhaowen Zong, Xin Zhong, Yijun Jia, Renqing Jiang, Chenglin Dai, Zhao Ye","doi":"10.1016/j.cjtee.2024.11.001","DOIUrl":"10.1016/j.cjtee.2024.11.001","url":null,"abstract":"<div><h3>Purpose</h3><div>To construct a decision-making app for pre-hospital damage control resuscitation (PHDCR) for severely injured patients, and to make a preliminary trial test on the effectiveness and usability aspects of the constructed app.</div></div><div><h3>Methods</h3><div>Decision-making algorithms were first established by a thorough literature review, and were then used to be learned by computer with 3 kinds of text segmentation algorithms, i.e., dictionary-based segmentation, machine learning algorithms based on labeling, and deep learning algorithms based on understanding. B/S architecture mode and Spring Boot were used as a framework to construct the app. A total of 16 Grade-5 medical students were recruited to test the effectiveness and usability aspects of the app by using an animal model-based test on simulated PHDCR. Twelve adult Bama miniature pigs were subjected to penetrating abdominal injuries and were randomly assigned to the 16 students, who were randomly divided into 2 groups (<em>n</em> = 8 each): group A (decided on PHDCR by themselves) and group B (decided on PHDCR with the aid of the app). The students were asked to complete the PHDCR within 1 h, and then blood samples were taken and thromboelastography, routine coagulation test, blood cell count, and blood gas analysis were examined. The lab examination results along with the value of mean arterial pressure were used to compare the resuscitation effects between the 2 groups. Furthermore, a 4-statement-based post-test survey on a 5-point Likert scale was performed in group B students to test the usability aspects of the constructed app.</div></div><div><h3>Results</h3><div>With the above 3 kinds of text segmentation algorithm, B/S architecture mode, and Spring Boot as the development framework, the decision-making app for PHDCR was successfully constructed. The time to decide PHDCR was (28.8 ± 3.41) sec in group B, much shorter than that in group A (87.5 ± 8.53) sec (<em>p</em> < 0.001). The outcomes of animals treated by group B students were much better than that by group A students as indicated by higher mean arterial pressure, oxygen saturation and fibrinogen concentration and maximum amplitude, and lower R values in group B than those in group A. The post-test survey revealed that group B students gave a mean score of no less than 4 for all 4 statements.</div></div><div><h3>Conclusion</h3><div>A decision-making app for PHDCR was constructed in the present study and the preliminary trial test revealed that it could help to improve the resuscitation effect in animal models of penetrating abdominal injury.</div></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"28 5","pages":"Pages 313-318"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.cjtee.2024.09.002
Xinyou Han, Qingsong Fu, Xinhua Yuan, Weibin Wang
Purpose
Percutaneous ilio-sacral screw (ISS) insertion using conventional C-arm fluoroscopy has been a widely employed technique for pelvic posterior ring fixation, particularly in developing regions. However, this approach presents technical challenges, leading to a high malposition rate. We introduced a new method for ISS insertion without additional equipment or software and suggested whether it could reduce the malposition rate and operating time.
Methods
This is a retrospective cohort study. The study included all patients who underwent percutaneous ISS fixation between January 2020 and December 2022. Patients treated with open reduction or other types of implants were excluded. The patients were divided into 2 groups based on the screw insertion method: Group A utilized the traditional dual-plane adjustment method, while Group B received the newly introduced method. In all cases, conventional C-arm fluoroscopy was the sole guidance during the surgical procedure. Malposition rate, radiation exposure, and operating time were compared between groups. Post-operative CT scans were used to assess screw accuracy using the Smith grading method. The Student's t-test or the Mann-Whitney U test was chosen for comparing the quantitative variables based on the normality test results. The Chi-squared test was utilized for comparing qualitative variables.
Results
A total of 72 patients with pelvic posterior ring disruption treated with percutaneous ISS under conventional fluoroscopy guidance were included in this study. Among them, 32 patients were in Group A and 40 patients were in Group B. In Group B, the average operation duration per screw was 33 min with 29 fluoroscopy applications, which was significantly lower than that in Group A (44 min, p < 0.001, 38 times, p < 0.001, respectively). Furthermore, the post-operative CT scan revealed that only 10.7% (6/56) of screws in Group B were inappropriately positioned according to the Smith criteria.
Conclusion
The novel method introduced in this study demonstrated a reduction in both malposition rates and operating time compared to the traditional dual-plane adjustment method. Precise pre-operative CT planning in conjunction with conventional fluoroscopy could establish this method as a widely applicable technique for percutaneous ISS fixation.
目的：使用传统 C 型臂透视经皮髂骶螺钉（ISS）插入一直是骨盆后环固定术广泛采用的技术，尤其是在发展中地区。然而，这种方法存在技术难题，导致了较高的错位率。我们引入了一种无需额外设备或软件即可插入 ISS 的新方法，并提出该方法是否能降低错位率和缩短手术时间：这是一项回顾性队列研究。研究对象包括 2020 年 1 月至 2022 年 12 月期间接受经皮 ISS 固定术的所有患者。不包括接受开放复位或其他类型植入物治疗的患者。根据螺钉植入方法将患者分为两组：A 组采用传统的双平面调整方法，而 B 组则采用新引入的方法。在所有病例中，传统的 C 型臂透视是手术过程中唯一的引导方式。比较了各组的错位率、辐射量和手术时间。术后 CT 扫描采用 Smith 分级法评估螺钉的准确性。根据正态性检验结果，采用学生 t 检验或 Mann-Whitney U 检验来比较定量变量。定性变量的比较采用卡方检验：本研究共纳入 72 例在常规透视引导下经皮 ISS 治疗的骨盆后环中断患者。其中，A 组 32 例，B 组 40 例。在 B 组中，每枚螺钉的平均手术时间为 33 分钟，透视次数为 29 次，明显低于 A 组（44 分钟，P 结论：该研究采用的新方法证明了在传统透视引导下经皮 ISS 治疗骨盆后环中断的效果：与传统的双平面调整法相比，本研究中引入的新方法可减少错位率和手术时间。精确的术前 CT 规划与传统透视技术相结合，可使该方法成为一种广泛适用的经皮 ISS 固定技术。
{"title":"A new approach for percutaneous ilio-sacral screw fixation: CT-based pre-operative planning with conventional fluoroscopy to reduce malposition rate and operating time","authors":"Xinyou Han, Qingsong Fu, Xinhua Yuan, Weibin Wang","doi":"10.1016/j.cjtee.2024.09.002","DOIUrl":"10.1016/j.cjtee.2024.09.002","url":null,"abstract":"<div><h3>Purpose</h3><div>Percutaneous ilio-sacral screw (ISS) insertion using conventional C-arm fluoroscopy has been a widely employed technique for pelvic posterior ring fixation, particularly in developing regions. However, this approach presents technical challenges, leading to a high malposition rate. We introduced a new method for ISS insertion without additional equipment or software and suggested whether it could reduce the malposition rate and operating time.</div></div><div><h3>Methods</h3><div>This is a retrospective cohort study. The study included all patients who underwent percutaneous ISS fixation between January 2020 and December 2022. Patients treated with open reduction or other types of implants were excluded. The patients were divided into 2 groups based on the screw insertion method: Group A utilized the traditional dual-plane adjustment method, while Group B received the newly introduced method. In all cases, conventional C-arm fluoroscopy was the sole guidance during the surgical procedure. Malposition rate, radiation exposure, and operating time were compared between groups. Post-operative CT scans were used to assess screw accuracy using the Smith grading method. The Student's <em>t</em>-test or the Mann-Whitney <em>U</em> test was chosen for comparing the quantitative variables based on the normality test results. The Chi-squared test was utilized for comparing qualitative variables.</div></div><div><h3>Results</h3><div>A total of 72 patients with pelvic posterior ring disruption treated with percutaneous ISS under conventional fluoroscopy guidance were included in this study. Among them, 32 patients were in Group A and 40 patients were in Group B. In Group B, the average operation duration per screw was 33 min with 29 fluoroscopy applications, which was significantly lower than that in Group A (44 min, <em>p</em> < 0.001, 38 times, <em>p</em> < 0.001, respectively). Furthermore, the post-operative CT scan revealed that only 10.7% (6/56) of screws in Group B were inappropriately positioned according to the Smith criteria.</div></div><div><h3>Conclusion</h3><div>The novel method introduced in this study demonstrated a reduction in both malposition rates and operating time compared to the traditional dual-plane adjustment method. Precise pre-operative CT planning in conjunction with conventional fluoroscopy could establish this method as a widely applicable technique for percutaneous ISS fixation.</div></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"28 5","pages":"Pages 342-351"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.cjtee.2024.02.008
Sammy Al-Benna
{"title":"ACE2 gene expression in skin and subcutaneous tissues of free flaps","authors":"Sammy Al-Benna","doi":"10.1016/j.cjtee.2024.02.008","DOIUrl":"10.1016/j.cjtee.2024.02.008","url":null,"abstract":"","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"28 5","pages":"Page 385"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.cjtee.2024.12.003
Ye Zhou , Ming-Jun Liu , Xiao Lin , Jin-Hua Jiang , Hui-Chang Zhuo
<div><h3>Purpose</h3><div>To compare the efficacy of continuous renal replacement therapy (CRRT) using either oXiris or conventional hemopurification filters in the treatment of intra-abdominal sepsis.</div></div><div><h3>Methods</h3><div>We conducted a retrospective analysis of septic patients with severe intra-abdominal infections admitted to our hospital from October 2019 to August 2023. Patients who meet the criteria for intra-abdominal sepsis based on medical history, symptoms, physical examination, and laboratory/imaging findings were included. Exclusion criteria: pregnancy, terminal malignancy, prior CRRT before intensive care unit admission, pre-existing liver or renal failure. Heart rate (HR), mean arterial pressure, oxygenation index, lactic acid level (Lac), platelet count (PLT), neutrophil percentage, serum levels of procalcitonin, C-reactive protein, interleukin (IL)-6, norepinephrine dosage, acute physiology and chronic health evaluation II (APACHE II), and sequential organ failure assessment (SOFA) scores before and after 24 h and 72 h of treatment, as well as ventilator use time, hemopurification treatment time, intensive care unit and hospital lengths of stay, and 14-day and 28-day mortality were compared between patients receiving CRRT using either oXiris or conventional hemofiltration. Statistical analysis was performed using SPSS Statistics 26.0 software, including the construction of predictive models via logistic regression equations and repeated measures ANOVA.</div></div><div><h3>Results</h3><div>Baseline values including time to antibiotic administration, time to source control, and time to initiation of CRRT were similar between the 2 groups (all <em>p</em>>0.05). Patients receiving conventional CRRT exhibited significant changes in HR but of none of the other indexes at the 24 h and 72 h time points (<em>p</em>=0.041, <em>p</em>=0.026, respectively). The oXiris group showed significant improvements in HR, Lac, IL-6, and APACHE II score 24 h after treatment (<em>p</em><0.05); after 72 h, all indexes were improved except PLT (all <em>p</em><0.05). Intergroup comparison disclosed significant differences in HR, Lac, norepinephrine dose, APACHE II, SOFA, neutrophil percentage, and IL-6 after 24 h of treatment (<em>p</em><0.05). Mean arterial pressure, serum levels of procalcitonin, C-reactive protein, SOFA score, and norepinephrine dosage were similar between the 2 groups at 24 h (<em>p</em>>0.05). Except for HR, oxygenation index, and PLT, post-treatment change rates of △ (%) were significantly greater in the oXiris group (<em>p</em> < 0.05). Duration of ventilator use, CRRT time, and intensive care unit and hospital lengths of stay were similar between the 2 groups (<em>p</em>>0.05). The 14-day mortality rates of the 2 groups were similar (<em>p</em>=0.091). After excluding patients whose CRRT was interrupted, 28-day mortality was significantly lower in the oXiris than in the conventional group (25.0%
{"title":"Comparative efficacy of two hemopurification filters for treating intra-abdominal sepsis: A retrospective study","authors":"Ye Zhou , Ming-Jun Liu , Xiao Lin , Jin-Hua Jiang , Hui-Chang Zhuo","doi":"10.1016/j.cjtee.2024.12.003","DOIUrl":"10.1016/j.cjtee.2024.12.003","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare the efficacy of continuous renal replacement therapy (CRRT) using either oXiris or conventional hemopurification filters in the treatment of intra-abdominal sepsis.</div></div><div><h3>Methods</h3><div>We conducted a retrospective analysis of septic patients with severe intra-abdominal infections admitted to our hospital from October 2019 to August 2023. Patients who meet the criteria for intra-abdominal sepsis based on medical history, symptoms, physical examination, and laboratory/imaging findings were included. Exclusion criteria: pregnancy, terminal malignancy, prior CRRT before intensive care unit admission, pre-existing liver or renal failure. Heart rate (HR), mean arterial pressure, oxygenation index, lactic acid level (Lac), platelet count (PLT), neutrophil percentage, serum levels of procalcitonin, C-reactive protein, interleukin (IL)-6, norepinephrine dosage, acute physiology and chronic health evaluation II (APACHE II), and sequential organ failure assessment (SOFA) scores before and after 24 h and 72 h of treatment, as well as ventilator use time, hemopurification treatment time, intensive care unit and hospital lengths of stay, and 14-day and 28-day mortality were compared between patients receiving CRRT using either oXiris or conventional hemofiltration. Statistical analysis was performed using SPSS Statistics 26.0 software, including the construction of predictive models via logistic regression equations and repeated measures ANOVA.</div></div><div><h3>Results</h3><div>Baseline values including time to antibiotic administration, time to source control, and time to initiation of CRRT were similar between the 2 groups (all <em>p</em>>0.05). Patients receiving conventional CRRT exhibited significant changes in HR but of none of the other indexes at the 24 h and 72 h time points (<em>p</em>=0.041, <em>p</em>=0.026, respectively). The oXiris group showed significant improvements in HR, Lac, IL-6, and APACHE II score 24 h after treatment (<em>p</em><0.05); after 72 h, all indexes were improved except PLT (all <em>p</em><0.05). Intergroup comparison disclosed significant differences in HR, Lac, norepinephrine dose, APACHE II, SOFA, neutrophil percentage, and IL-6 after 24 h of treatment (<em>p</em><0.05). Mean arterial pressure, serum levels of procalcitonin, C-reactive protein, SOFA score, and norepinephrine dosage were similar between the 2 groups at 24 h (<em>p</em>>0.05). Except for HR, oxygenation index, and PLT, post-treatment change rates of △ (%) were significantly greater in the oXiris group (<em>p</em> < 0.05). Duration of ventilator use, CRRT time, and intensive care unit and hospital lengths of stay were similar between the 2 groups (<em>p</em>>0.05). The 14-day mortality rates of the 2 groups were similar (<em>p</em>=0.091). After excluding patients whose CRRT was interrupted, 28-day mortality was significantly lower in the oXiris than in the conventional group (25.0% ","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"28 5","pages":"Pages 352-360"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-28DOI: 10.1016/j.cjtee.2025.02.009
Huan Wang, Qing-Da Lu, Chen-Xin Liu, Xiao-Ju Liang, Fei Su, Ya-Ting Yang, Ji-Ning Qu, Jia-Ju Wang, Qiang Jie
Purpose: This review provides guidance and ideas for researchers through a comprehensive and comparative analysis of the present state, trends, and hotspots in the epiphyseal injury literature in the last 2 decades.
Methods: We searched the Web of Science core database to explore the epiphyseal injury literature from January 1, 2003 to December 31, 2022. (1) Search parameters: #1.TS = "epiphysis" or "epiphyseal" or "growth plate"; #2.TS = "injury" or "trauma". (2) Document types: "Article" and "Review"; (3) Time: January 1, 2003-December 31, 2022; (4) Languages: "English". We used Citespace 6.2.R3 software to explore the country/region distribution, institutions, journals, keyword analysis, and co-cited references of the literature.
Results: A total of 2138 relevant literature were obtained, with the number of publications increasing annually. The country with the highest number of publications is the United States. The highest-producing institution was Harvard University. The most cited journal was the Journal of Bone and Joint Surgery-American Volume. The first tag for keyword clustering was the anterior cruciate ligament (ACL). Keyword bursts were found in the recent attention to the words: outcome, physeal fractures, risk factors, fixation, risk, transplantation, and osteoarthritis. The analysis of the literature co-citation found that the topic of ACL and regeneration of epiphysis is a trend in research and high-quality literature in this field.
Conclusions: We can quickly get a sense of the focus and changing trends in epiphyseal injuries through keywords and co-citation reference bursts. The treatment of ACL injuries is a major area of interest for researchers. The most common concerns are MRI assessment of ACL injury reconstruction, comparison of different treatment methods, such as avoiding damage in epiphyseal reconstruction surgery, and associated complications. The analysis of the keywords and the co-citation references revealed that managing risk factors, treatment modalities, and complications related to epiphyseal injury after epiphyseal fracture will be a trend in future research.
目的：通过对近20年来骨骺损伤文献的现状、趋势和热点进行综合比较分析，为研究人员提供指导和思路。方法：检索Web of Science核心数据库，检索2003年1月1日至2022年12月31日有关骨骺损伤的文献。(1)搜索参数：#1。TS =“骨骺”或“骨骺”或“生长板”；# 2。TS =“受伤”或“创伤”。(2)文件类型：“文章”和“综述”；(3)时间：2003年1月1日- 2022年12月31日；(4)语言：“英语”。我们使用了Citespace 6.2。R3软件探索国家/地区分布、机构、期刊、关键词分析、文献共被引。结果：共获得相关文献2138篇，发表次数逐年增加。发表论文最多的国家是美国。产量最高的大学是哈佛大学。被引用最多的期刊是《骨与关节外科杂志-美国卷》。关键词聚类的第一个标签是前交叉韧带（ACL）。在最近的关注中发现关键词爆发：结局、骨骺骨折、危险因素、固定、危险、移植和骨关节炎。通过文献共引分析发现，前交叉韧带与骨骺再生是该领域的研究趋势和高质量文献。结论：通过关键词和共被引文献，可以快速了解骨骺损伤的研究重点和变化趋势。前交叉韧带损伤的治疗是研究人员感兴趣的一个主要领域。最常见的问题是ACL损伤重建的MRI评估，不同治疗方法的比较，如在骨骺重建手术中避免损伤，以及相关并发症。对关键词和共被引文献的分析表明，管理骨骺骨折后骨骺损伤的危险因素、治疗方式和并发症将是未来研究的趋势。
{"title":"Trends and hotspots in epiphyseal injury studies over 2 decades: A bibliometric analysis.","authors":"Huan Wang, Qing-Da Lu, Chen-Xin Liu, Xiao-Ju Liang, Fei Su, Ya-Ting Yang, Ji-Ning Qu, Jia-Ju Wang, Qiang Jie","doi":"10.1016/j.cjtee.2025.02.009","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.02.009","url":null,"abstract":"<p><strong>Purpose: </strong>This review provides guidance and ideas for researchers through a comprehensive and comparative analysis of the present state, trends, and hotspots in the epiphyseal injury literature in the last 2 decades.</p><p><strong>Methods: </strong>We searched the Web of Science core database to explore the epiphyseal injury literature from January 1, 2003 to December 31, 2022. (1) Search parameters: #1.TS = \"epiphysis\" or \"epiphyseal\" or \"growth plate\"; #2.TS = \"injury\" or \"trauma\". (2) Document types: \"Article\" and \"Review\"; (3) Time: January 1, 2003-December 31, 2022; (4) Languages: \"English\". We used Citespace 6.2.R3 software to explore the country/region distribution, institutions, journals, keyword analysis, and co-cited references of the literature.</p><p><strong>Results: </strong>A total of 2138 relevant literature were obtained, with the number of publications increasing annually. The country with the highest number of publications is the United States. The highest-producing institution was Harvard University. The most cited journal was the Journal of Bone and Joint Surgery-American Volume. The first tag for keyword clustering was the anterior cruciate ligament (ACL). Keyword bursts were found in the recent attention to the words: outcome, physeal fractures, risk factors, fixation, risk, transplantation, and osteoarthritis. The analysis of the literature co-citation found that the topic of ACL and regeneration of epiphysis is a trend in research and high-quality literature in this field.</p><p><strong>Conclusions: </strong>We can quickly get a sense of the focus and changing trends in epiphyseal injuries through keywords and co-citation reference bursts. The treatment of ACL injuries is a major area of interest for researchers. The most common concerns are MRI assessment of ACL injury reconstruction, comparison of different treatment methods, such as avoiding damage in epiphyseal reconstruction surgery, and associated complications. The analysis of the keywords and the co-citation references revealed that managing risk factors, treatment modalities, and complications related to epiphyseal injury after epiphyseal fracture will be a trend in future research.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-25DOI: 10.1016/j.cjtee.2025.04.004
Giora Weiser
Uncontrolled hemorrhage is a leading cause of mortality in trauma. It is considered the most significant preventable cause of death in trauma patients. Junctional hemorrhages are responsible for approximately 20% of this possibly preventable mortality. At this time, the options for controlling such hemorrhages are either by manual pressure points or the use of junctional tourniquets, which, although they have been proven to be effective, are cumbersome and not readily available to the medical team in the field. The objective of this study was to evaluate the effectiveness and feasibility of a new junctional tourniquet (Life Saving Tourniquet, T-W-Medical ltd.) that is simpler to use and can perform both as a regular tourniquet and a junctional one.
不受控制的出血是创伤死亡的主要原因。它被认为是创伤患者中最重要的可预防的死亡原因。在这些本可预防的死亡中，结膜出血约占20%。目前，控制这种出血的办法要么是用手压点，要么是使用结膜止血带，这种方法虽然已被证明是有效的，但很麻烦，外地医疗队不易获得。本研究的目的是评估一种新型结缔组织止血带（Life Saving tourniquet, t - w medical ltd.）的有效性和可行性，该止血带使用更简单，可以同时作为常规止血带和结缔组织止血带。
{"title":"LST-A novel junctional tourniquet: A study of feasibility and effectiveness.","authors":"Giora Weiser","doi":"10.1016/j.cjtee.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.04.004","url":null,"abstract":"<p><p>Uncontrolled hemorrhage is a leading cause of mortality in trauma. It is considered the most significant preventable cause of death in trauma patients. Junctional hemorrhages are responsible for approximately 20% of this possibly preventable mortality. At this time, the options for controlling such hemorrhages are either by manual pressure points or the use of junctional tourniquets, which, although they have been proven to be effective, are cumbersome and not readily available to the medical team in the field. The objective of this study was to evaluate the effectiveness and feasibility of a new junctional tourniquet (Life Saving Tourniquet, T-W-Medical ltd.) that is simpler to use and can perform both as a regular tourniquet and a junctional one.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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