Injury-International Journal of the Care of the Injured最新文献

英文中文

Comment on “Ultrasound-guided erector spinae plane block for analgesia of traumatic rib fractures” “超声引导直立者脊柱平面阻滞治疗外伤性肋骨骨折”综述。

IF 2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured

Pub Date : 2026-02-01 DOI: 10.1016/j.injury.2025.112632

Chitta Ranjan Mohanty , Anju Gupta , Amiya Kumar Barik , Rakesh Vadakkethil Radhakrishnan , Shivani Pandey

引用次数: 0

Study of the ideal insertion point and angle for the antegrade posterior column screw with the anterior approach in acetabular fracture 髋臼骨折前路顺行后柱螺钉理想插入点及角度的探讨。

IF 2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured

Pub Date : 2026-02-01 DOI: 10.1016/j.injury.2025.112575

Shiro Fukuoka , Masanori Yorimitsu , Tomoyuki Noda , Toshifumi Ozaki

Background

For acetabular fractures of both columns, the antegrade posterior column screw (APCS) is often inserted via the anterior intrapelvic approach to stabilize both columns. Insertion of the APCS can be technically demanding due to the complex anatomy of the posterior column. Misdirection or mispositioning of the screw during surgery can result in penetrate the hip joint or damage the neurovascular structures. The purpose of this study was to detect the ideal insertion point and angles of the APCS based on anatomical landmarks that can be directly identified intraoperatively.

Methods

We retrospectively reviewed the pelvic CT of 50 adults who underwent serial slice CT imaging. Three reference plane was determined using image analysis software; (1) iliac plane (IP), which contains the anterior superior iliac spine (ASIS), the anterior margin of sacroiliac joint (AMS), and the posterior margin of pubic symphysis (PMS), (2) pelvic inlet plane (PIP), which contains the AMS of both sides, and the PMS, (3) sagittal midline plane of the pelvis (SMP). The ideal insertion point and angles of the APCS, and its maximum length were measured. The ideal insertion point was measured on the line connecting ASIS and AMS (AA line) at a distance from AMS (APCS horizontal distance) and vertical distance from AA line (APCS vertical distance). The ideal angles were measured between the screw and the PIP and between the screw and the SMP.

Results

The APCS horizontal distance was 27.4 ± 6.4 mm. The APCS vertical distance was 1.6 ± 6.6 mm. The angle between the ideal APCS and yz-plane on the outlet view (α-angle) was 5.8 ± 5.8° The angle between the ideal APCS and y-axis on the xy-plane (β-angle) was 51.6 ± 5.0° The length of the APCS was 125.8 ± 9.5 mm.

Conclusion

The ideal insertion point detected as the distance from the AMS on the AA line and the ideal insertion angles relative to the PIP and the SMP may aid in proper insertion of the APCS during surgery.

背景：对于髋臼双柱骨折，通常通过前骨盆内入路置入顺行后柱螺钉（APCS）以稳定两柱。由于后柱复杂的解剖结构，APCS的插入在技术上要求很高。手术中螺钉的错误方向或错误定位可导致穿透髋关节或损伤神经血管结构。本研究的目的是根据术中可直接识别的解剖标志来检测APCS的理想插入点和角度。方法：我们回顾性分析了50例接受连续层析CT成像的成人骨盆CT。利用图像分析软件确定三个参考平面；(1)髂平面（IP），包括髂前上棘（ASIS）、骶髂关节前缘（AMS）和耻骨联合后缘（PMS）；(2)骨盆入口平面（PIP），包括两侧的骶髂关节前缘和耻骨联合；(3)骨盆矢状中线平面（SMP）。测量了APCS的理想插入点、角度和最大长度。在距AMS （APCS水平距离）的距离和距AA线（APCS垂直距离）的垂直距离上，在ASIS与AMS连接线（AA线）上测量理想插入点。测量螺钉与PIP之间以及螺钉与SMP之间的理想角度。结果：APCS水平距离为27.4±6.4 mm。APCS垂直距离为1.6±6.6 mm。理想的装甲运兵车和yz平面之间的夹角出口视图(α角)为5.8±5.8°理想的装甲运兵车和轴之间的角度在xy平面(β角)为51.6±5.0°装甲运兵车的长度是125.8±9.5 mm.Conclusion:理想的插入点检测到的距离在AA行AMS和理想的插入角度相对于PIP和SMP可能援助在装甲运兵车在手术过程中适当的插入。

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引用次数: 0

Survivability vs preventability: Enhancing trauma mortality reviews 生存能力vs可预防性：加强创伤死亡率评估。

IF 2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured

Pub Date : 2026-02-01 DOI: 10.1016/j.injury.2025.112571

Yassine Bouassria , Cyril Pernod , Quentin Mathais , Johan Schmitt

引用次数: 0

Comments on “Efficacy of intranasal ketamine in controlling pain caused by bone fractures: A single-center double blind randomized controlled trial” “鼻用氯胺酮控制骨折疼痛的疗效：一项单中心双盲随机对照试验”。

IF 2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured

Pub Date : 2026-02-01 DOI: 10.1016/j.injury.2025.112590

Shashank Dokania, Dr. Parth Aphale, Himanshu Shekhar

引用次数: 0

Letter to the Editor: Early versus late venous thromboembolism prophylaxis in patients with severe blunt solid organ injury 致编辑：严重钝性实体器官损伤患者早期与晚期静脉血栓栓塞预防。

IF 2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured

Pub Date : 2026-02-01 DOI: 10.1016/j.injury.2025.112622

Liming Liu , Zhifeng Liang , Jiaye Wang , Guoying Wang

引用次数: 0

Letter to Editor-Optimizing pediatric ECMO after hypothermic cardiac arrest: the adult HOPE score is helpful but not enough 致编辑：优化儿童低温心脏骤停后ECMO：成人HOPE评分有帮助，但还不够。

IF 2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured

Pub Date : 2026-02-01 DOI: 10.1016/j.injury.2025.112858

Pengyuan Cui, Chunhong Cai, Hong Zhou

引用次数: 0

From prediction to precision: The emerging impact of artificial intelligence in trauma care 从预测到精确：人工智能在创伤护理中的新影响。

IF 2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured

Pub Date : 2026-02-01 DOI: 10.1016/j.injury.2025.112661

Sukriti Prashar , Sanjan Kumar , Youssef Nasef , Adel Elkbuli

引用次数: 0

Letter Regarding "Impact of anticoagulant therapy on delayed intracranial haemorrhage after traumatic brain injury: A study on the role of repeat CT scans and extended observation" 关于“抗凝治疗对外伤性脑损伤后迟发性颅内出血的影响：重复CT扫描和延长观察作用的研究”的来信。

IF 2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured

Pub Date : 2026-02-01 DOI: 10.1016/j.injury.2025.112628

Saeed Afsharmanesh , Hossein Zare , Ali Hosseini

引用次数: 0

Comment on resuscitation at a cost: Excessive perioperative crystalloid administration is associated with increased fascial complications following damage control laparotomy for trauma 对有代价的复苏的评论：过度的围手术期晶体给药与创伤控制性剖腹手术后筋膜并发症的增加有关。

IF 2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured

Pub Date : 2026-02-01 DOI: 10.1016/j.injury.2025.112629

Liming Liu , Zhifeng Liang , Jiaye Wang , Guoying Wang

引用次数: 0

Feasibility and discriminatory properties of a simple fitness-to-drive assessment using a driving simulator placed in an orthopaedic outpatient department: a feasibility study 在骨科门诊使用驾驶模拟器进行简单的健康驾驶评估的可行性和歧视性：可行性研究

IF 2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured

Pub Date : 2026-01-29 DOI: 10.1016/j.injury.2026.113032

Jonas A Ipsen , Malene B Møhring , Morten Hansen , Christian Wong , Jens Lauritsen

Introduction

Safe return to driving after orthopaedic injury or surgery is important, but standardised and feasible in-hospital assessments are lacking. We evaluated the feasibility of a simple simulator-based fitness-to-drive assessment in an orthopaedic outpatient department and its ability to discriminate between orthopaedic patients and professional drivers.

Methods

In this prospective feasibility study (January 2024–January 2025), two identical driving simulators were installed in an orthopaedic outpatient department and a vocational training centre for professional drivers. Participants were ≥18 years, held a driving licence, and had no medical driving ban. All completed a 3-lap, 6-event scenario with predefined speed progression (50/60/70 km/h). Outcomes were completion, errors, speed progression, maximum reaction time and braking length (metres) at 50 km/h, simulator sickness, perceived realism, and subgroup test–retest reliability.

Results

We included 57 patients and 92 drivers. Overall completion was 96.6% (144/149); 31.2% achieved speed progression. Patients were older, more often female, and more functionally impaired than drivers. Drivers had a shorter braking distance (23.3 m; 95% CI 22.1–24.5) and faster reaction time (0.5 s; 95% CI 0.5–0.6) than patients (39.4 m; 95% CI 36.7–42.1 and 1.2 s; 95% CI 1.0–1.4). Simulator sickness leading to discontinuation occurred in 3.4%. Most patients (98.2%) and 64.0% of drivers perceived simulator driving as comparable to real driving. Repeat testing showed a shorter braking distance, particularly in patients.

Conclusion

The simulated assessment was feasible, well tolerated, and discriminated between patients and professional drivers. Variation indicates a need for individualised assessment. Validation against on-road driving is required before clinical implementation.

骨科损伤或手术后安全恢复驾驶很重要，但缺乏标准化和可行的院内评估。我们评估了一个简单的基于模拟器的骨科门诊健康驾驶评估的可行性，以及它区分骨科患者和专业司机的能力。方法前瞻性可行性研究（2024年1月- 2025年1月），分别在骨科门诊部和职业驾驶员职业培训中心安装两台相同的驾驶模拟器。参与者年龄≥18岁，持有驾驶执照，没有医疗驾驶禁令。所有人都完成了3圈，6个项目的场景，并预先设定了速度进度（50/60/70 km/h）。结果包括完成度、误差、速度进展、最大反应时间和50 km/h时的制动长度（米）、模拟器眩晕、感知真实性和亚组重测可靠性。结果纳入57例患者和92名司机。总体完成率为96.6% (144/149)；31.2%达到了快速进步。患者年龄较大，女性居多，比司机功能受损更严重。与患者（39.4 m, 95% CI 36.7-42.1和1.2 s, 95% CI 1.0-1.4）相比，驾驶员制动距离（23.3 m, 95% CI 22.1-24.5）较短，反应时间（0.5 s, 95% CI 0.5 - 0.6）较快。模拟器病导致停药的发生率为3.4%。大多数患者（98.2%）和64.0%的驾驶员认为模拟驾驶与真实驾驶相当。重复测试显示制动距离较短，尤其是在患者中。结论模拟评估方法可行、耐受性好，并能区分驾驶员与患者。变化表明需要进行个体化评估。在临床应用之前，需要对道路驾驶进行验证。

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