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Addressing methodological gaps in finite element analysis of novel hook plates for patellar fracture fixation. 解决新型髌骨骨折钩钢板固定有限元分析方法上的空白。
IF 2
Injury
Pub Date : 2025-11-01 DOI: 10.1016/j.injury.2025.112859
Hassan Riaz, Huda Faisal, Hussain Ramzan

This letter evaluates the methodological shortcomings in the FEA research conducted by Ma et al. (2025) that contrasts hook plates with tension-band wiring for patellar fractures. Unresolved concerns consist of: uniform bone material characteristics simplifying biomechanics; static loads neglecting dynamic physiological forces; idealized fracture spaces missing clinical variation; and unverified interfaces exaggerating stability. These gaps may exaggerate the effectiveness of the implant. We suggest personalized modeling, simulations of dynamic loading, and studies on mesh convergence to enhance clinical significance. Tackling these issues would enhance forthcoming evaluations of orthopedic devices based on FEA.

这封信评估了Ma等人（2025）进行的有限元分析研究中方法上的缺陷，该研究对比了钩钢板与张力带钢丝治疗髌骨骨折。未解决的问题包括：统一的骨材料特性简化了生物力学；忽略动态生理力的静载荷；理想骨折间隙缺失临床变异；未经验证的接口会夸大稳定性。这些间隙可能会夸大植入物的有效性。我们建议个性化建模，模拟动态载荷，并研究网格收敛以提高临床意义。解决这些问题将加强基于有限元分析的骨科器械的未来评估。
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引用次数: 0
Letter to the editor: A comparative finite element study of novel design hook plates for fixation of patella fracture. 致编辑：新型设计的髌骨骨折钩钢板的比较有限元研究。
IF 2
Injury
Pub Date : 2025-11-01 DOI: 10.1016/j.injury.2025.112873
Leela Kumaran, Sheifali Gupta
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引用次数: 0
Letter to the Editor: Exploring venous thromboembolism (VTE) risk in patients with acute spinal cord injury (SCI). 致编辑的信：探讨急性脊髓损伤（SCI）患者静脉血栓栓塞（VTE）的风险。
IF 2
Injury
Pub Date : 2025-11-01 DOI: 10.1016/j.injury.2025.112868
Yanbin Xue, Linghui Tao

We commend Bassa et al.'s study on VTE risk in acute SCI patients. We propose further exploring rehabilitation strategies, genetic polymorphisms (e.g., factor V Leiden), and inflammatory markers (e.g., CRP, IL-6) to refine personalized VTE prophylaxis and management in this population.

我们赞赏Bassa等对急性脊髓损伤患者静脉血栓栓塞风险的研究。我们建议进一步探索康复策略、遗传多态性（例如，V Leiden因子）和炎症标志物（例如，CRP, IL-6），以完善个体化静脉血栓栓塞预防和管理。
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引用次数: 0
Concern on "Biomechanical evaluation of three different fixation methods for treating displaced tibial avulsion fracture of the posterior cruciate ligament: A finite element analysis". 关注“三种不同固定方法治疗胫骨后交叉韧带脱位撕脱骨折的生物力学评价：有限元分析”。
IF 2
Injury
Pub Date : 2025-10-31 DOI: 10.1016/j.injury.2025.112862
Guangdong Chen, Weiguo Xu, Yibing Chen, Lee A Tan
{"title":"Concern on \"Biomechanical evaluation of three different fixation methods for treating displaced tibial avulsion fracture of the posterior cruciate ligament: A finite element analysis\".","authors":"Guangdong Chen, Weiguo Xu, Yibing Chen, Lee A Tan","doi":"10.1016/j.injury.2025.112862","DOIUrl":"https://doi.org/10.1016/j.injury.2025.112862","url":null,"abstract":"","PeriodicalId":94042,"journal":{"name":"Injury","volume":" ","pages":"112862"},"PeriodicalIF":2.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comment on timing of ultra-portable ultrasound (UPUS) examinations in detecting clinically concerning recurrent pneumothorax. 超便携超声（UPUS）在诊断复发性气胸临床中的时机探讨。
IF 2
Injury
Pub Date : 2025-10-31 DOI: 10.1016/j.injury.2025.112865
Wenwen Zhao, Hong Fan, Ying Chen
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引用次数: 0
Letter to the Editor: "Clinical and radiological outcome of extended lateral approach via epicondyle osteotomy in complex lateral tibia plateau fractures involving the central and postero-lateral segments". 致编辑的信：“经上髁截骨扩展外侧入路治疗复杂胫骨平台外侧骨折的临床和放射学结果”。
IF 2
Injury
Pub Date : 2025-10-31 DOI: 10.1016/j.injury.2025.112877
Udit Kumar Jayant, Devendra Kumar Chouhan, Ravikiran Vanapalli, Mandeep Singh Dhillon
{"title":"Letter to the Editor: \"Clinical and radiological outcome of extended lateral approach via epicondyle osteotomy in complex lateral tibia plateau fractures involving the central and postero-lateral segments\".","authors":"Udit Kumar Jayant, Devendra Kumar Chouhan, Ravikiran Vanapalli, Mandeep Singh Dhillon","doi":"10.1016/j.injury.2025.112877","DOIUrl":"https://doi.org/10.1016/j.injury.2025.112877","url":null,"abstract":"","PeriodicalId":94042,"journal":{"name":"Injury","volume":" ","pages":"112877"},"PeriodicalIF":2.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter to editor regarding "Discordance between surgeon opinion and institutional policy on explant handling after hardware removal". 致编辑关于“外科医生意见与机构政策在硬体移除后外植体处理上的不一致”的信。
IF 2
Injury
Pub Date : 2025-10-31 DOI: 10.1016/j.injury.2025.112869
Arman Vahabi, Ali Engin Daştan, Hüseyin Günay, Kemal Aktuğlu
{"title":"Letter to editor regarding \"Discordance between surgeon opinion and institutional policy on explant handling after hardware removal\".","authors":"Arman Vahabi, Ali Engin Daştan, Hüseyin Günay, Kemal Aktuğlu","doi":"10.1016/j.injury.2025.112869","DOIUrl":"https://doi.org/10.1016/j.injury.2025.112869","url":null,"abstract":"","PeriodicalId":94042,"journal":{"name":"Injury","volume":" ","pages":"112869"},"PeriodicalIF":2.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
Injury
Pub Date : 2025-10-31 DOI: 10.1016/j.injury.2025.112858
Pengyuan Cui, Chunhong Cai, Hong Zhou
{"title":"Letter to Editor-Optimizing pediatric ECMO after hypothermic cardiac arrest: the adult HOPE score is helpful but not enough.","authors":"Pengyuan Cui, Chunhong Cai, Hong Zhou","doi":"10.1016/j.injury.2025.112858","DOIUrl":"https://doi.org/10.1016/j.injury.2025.112858","url":null,"abstract":"","PeriodicalId":94042,"journal":{"name":"Injury","volume":" ","pages":"112858"},"PeriodicalIF":2.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comment on "Incidence of venous thromboembolism following Achilles tendon rupture: Data from the UK-FATE audit". 对“跟腱断裂后静脉血栓栓塞的发生率：来自UK-FATE审计的数据”的评论。
IF 2
Injury
Pub Date : 2025-10-31 DOI: 10.1016/j.injury.2025.112879
Muhammad Awwab
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引用次数: 0
Critical considerations in shock index application for normotensive trauma patients: Limitations and future directions. 休克指数在常压创伤患者中的应用：局限性和未来方向。
IF 2
Injury
Pub Date : 2025-10-31 DOI: 10.1016/j.injury.2025.112874
Siffat Ullah, Abdullah Muhammad Abu Bakar, Hussain Ramzan

This letter addresses the research conducted by Lin et al. regarding the shock index (SI) as an indicator of compensated shock in normotensive trauma cases. We acknowledge the authors' efforts while highlighting significant limitations: overlooked confounding due to cardioactive drugs, survival bias from omitting early fatalities, influences of prehospital fluid resuscitation, and insufficient age-specific SI thresholds. We additionally challenge transfusion as a surrogate for shock and emphasize the variation in injury mechanisms. Suggestions consist of modifications in pharmacovigilance, incorporation of early mortality statistics, and multi-center confirmations with microcirculatory outcomes.

这封信讨论了Lin等人关于休克指数（SI）作为正常创伤病例代偿性休克指标的研究。我们承认作者的努力，同时强调了显著的局限性：由于心脏活性药物而忽略的混淆，由于忽略早期死亡而导致的生存偏差，院前液体复苏的影响，以及年龄特异性SI阈值不足。此外，我们挑战输血作为休克的替代品，并强调损伤机制的变化。建议包括修改药物警惕性，纳入早期死亡统计数据，以及多中心确认微循环结果。
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引用次数: 0
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