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Open reduction and internal fixation remains the standard treatment for displaced unstable ankle fractures. Plate fixation represents the most frequently used instrumentation option in fibula fractures and fav...
Surgical implant material has changed over time, from metal to stainless steel to titanium. In recent decades a new material, carbon-fibre-reinforced polyether ether ketone, has been introduced. The aim of thi...
Small gauze is used in laparoscopy; therefore, retention of gauze can occur. We experienced a case of retention of a radiopaque thread that ruptured from a piece of gauze and moved into the peritoneum during a...
The Surgical Risk Preoperative Assessment System (SURPAS) is a parsimonious set of models providing accurate preoperative prediction of common adverse outcomes for individual patients. However, focus groups wi...
Morbidity & Mortality (M&M) meetings are a critical component of clinical governance. They have the potential to improve patient outcomes, quality of care, attitudes towards patient safety and they contribute ...
Healthcare-associated illnesses, of which surgical site infection is the most common are significant causes of morbidity and mortality. Therefore, this study aimed to determine the prevalence and root causes o...
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an effective adjunct in hemodynamic unstable patients with uncontrolled and non-compressible torso hemorrhage promoting temporary stability ...
Respect for patient autonomy and the requirement of informed consent is an essential basic patient right. It is constituted through international conventions and implemented in health law in Norway and most ot...
Patients with hemodynamically unstable pelvic fractures have high mortality due to delayed hemorrhage control. We hypothesized that the availability of interventional radiology (IR) for angioembolization may v...
Daily routine laboratory testing is unnecessary in most admitted patients. The opportunity to reduce daily laboratory testing in orthopaedic trauma patients has not been previously investigated.
Shoulder arthroscopy is a safe and effective procedure with a low complication rate. Although rare, there are potentially life-threatening risks such as fluid extravasation causing airway compromise.
The most common complications after total mastectomy with axillary lymph node treatment are prolonged drainage and seroma formation. The aim of this study was to find factors correlated with prolonged fluid di...
Closed reduction with long leg casting is a widely practiced method of acute management of lower extremity fractures but may be cumbersome and time consuming. To our knowledge, only one method of single practi...
Major life changes are among factors that cause anxiety, and one of these changes is surgery. Hospitalization, regardless of disease, is known to provoke anxiety in the patient admitted for surgery. Anxiety is...
Hemangiomas are benign tumors usually found in the lower extremity yet their surgical management on the location in the foot is rarely documented.
Acetabular fractures are fractures that extend into the hip joint and pose a challenge for orthopaedic trauma surgeons. The first known descriptions of surgical fixation of acetabular fractures were case repor...
Nipple-sparing mastectomy (NSM) has gained much attention by enhancing the aesthetic outcome in breast carcinoma patients. The aim of this study was to assess the prevalence of malignant affection of the nippl...
The World Health Organization (WHO) Surgical Safety Checklist is used globally to ensure patient safety during surgery. Two years after its implementation in the University Hospital Basel’s operating rooms, ad...
Knowledge of periacetabular anatomy is crucial for prosthetic cup placement in total hip arthroplasty and for screw placement in anterior fixation with acetabular fractures. It is known that degree of hip dysp...
Proximal humerus fractures are frequent, and several studies show low diagnostic agreement among the observers, as well as an inaccurate classification of these lesions. The divergences are generally correlate...
Healthcare-associated infections (HAI) is a major problem for patient safety and surgical site infection (SSI) is a type of HAI and the most common form of infection related to surgical health care. Transmissi...
Surgical Site Infections (SSI) are the most reported health acquired infection and common surgical complication in both developed and developing countries. In developing countries such as Rwanda, there is a pa...
The deltopectoral approach is a well-described surgical approach to the proximal humerus and glenohumeral joint. One of the structures at risk during this approach is the axillary nerve. Typically, the axillar...
Orthopedic trauma surgery has multiple, both patient-based and surgeon-based risk factors. Evaluating and modifying certain patient safety factors could mitigate some of these risks. This study investigates th...
In terms of upper extremity fractures by patients with multiple injuires, a lot of studies have assessed the functional outcome following trauma to have less favorable outcomes in regards to functional recover...
The integration of artificial intelligence (AI) into acute care brings a new source of intellectual thought to the bedside. This offers great potential for synergy between AI systems and the human intellect al...
Cognitive errors have a considerable effect on procedural outcome. They play a major role in situational judgement and decision making, especially during cognitively demanding tasks. As such they need to be co...
Mortality from hemodynamically unstable pelvic fractures remains high. Guidelines offer varying care approaches including the use of pelvic packing (PP), which was recently adopted for potential control of ble...
Bile duct injury is the most feared complication during laparoscopic cholecystectomy. Real-time intraoperative imaging using indocyanine green (ICG) might reduce the risk of bile duct injury by improving visua...
Arthrofibrosis after total knee arthroplasty represents a considerable burden for the patient and a therapeutic challenge for the practitioner. One possible cause discussed in the literature is a low-grade inf...
Multiple disciplines have described an “after-hours effect” relating to worsened mortality and morbidity outside regular working hours. This retrospective observational study aimed to evaluate whether diagnost...
Nonoperative management for blunt splenic injury is the preferred treatment. To improve the outcome of selective nonoperative therapy, the current challenge is to identify factors that predict failure. Little ...
Recent advances have led to the design of a new cephalomedullary nail, which aims to decrease the risk of failures in patients with intertrochanteric hip fractures by allowing for insertion of two interdigitat...
Dexamethasone has been routinely used in the pre-operative setting to enhance analgesia and decrease the incidence of nausea and vomiting in patients undergoing primary arthroplasty. However, dexamethasone has...
Open reduction of the congenitally dislocated hip may not be possible without femoral shortening. The goal of this study is to develop a prognostic prediction model for the need of femoral shortening in childr...
Spinal myelitis is an infrequent manifestation of spinal cord infection. It is caused by the Schistosoma species, which are endemic in South America, part of the Middle East, and Africa.
Angiotensin II receptor blockers are a class of antihypertensive agent that is developed to exclude the adverse effects of angiotensin converting enzyme inhibitors. However, as angiotensin II receptor blockers...
There have been no large-scale epidemiological studies of outcomes and perioperative complications in morbidly obese trauma patients who have sustained closed pelvic ring or acetabular fractures. We examined t...
Elective surgical case cancellation refers to any elective surgical case that is the list on the day prior to surgery but not operated upon as scheduled. Case cancellation has a major cause of psychological tr...
Bowel incarceration represents a dreaded complication amongst patients with hernias. The intraoperative evaluation of the bowel perfusion following hernia reduction with regard to the need for resection of isc...
The marginal mandibular branch of the facial nerve is vulnerable to iatrogenic injuries during surgeries involving the submandibular region. This leads to significant post-operative morbidity. Studies assessin...
Venous thromboembolism (VTE) remains a significant complication following knee and hip arthroplasty. National and international guidelines recommend pharmacological and mechanical thromboprophylaxis following ...
A retained surgical sponge remains a dreaded complication of modern surgery. Despite the increasing focus on patient safety instances of “a sponge being left in the abdomen”, are all too common in popular medi...
Unintended retention of foreign bodies remain the most frequently reported sentinel events. Surgical sponges account for the majority of these retained items. The purpose of this study was to describe reports ...
The use of multiple infusions through one cannula is an increasingly common practice in anaesthesia. High pressures in the line often lead to occlusion alarms and pump disconnection. In this study, we aim to d...
Accurate anatomical landmarks to locate the thoracodorsal nerve are important in axillary clearance surgery.
The Joint Trauma System has demonstrated improved outcomes through coordinated research and process improvement programs. With fewer combat trauma patients, our military American College of Surgeons level 2 tr...
Widespread legislative efforts to legalize marijuana have increased the prevalence of marijuana use and abuse. The effects of marijuana on pain tolerance and analgesic pain management in the acute pain setting...
There are limited efficacious treatment options for severe osteoarthritis of the knee (OAK). The Low Molecular Weight Fraction of 5% human serum Albumin (LMWF-5A) is in development to treat severe OAK. This st...
Editors-in-Chief
Prof Philip F Stahel, Mission Health, USA
Prof Pierre-Alain Clavien, University Hospital Zurich, Switzerland
Managing Editors
Prof Sebastian Weckbach, University Hospital Ulm, Germany
Dr Navid Ziran, St. Joseph's Hospital and Medical Center, Arizona, USA
Senior Editor Emeritus
Dr Steven Schelkun, AO North America, USA
Prof George Youngson, Royal College of Surgeons of Edinburgh, Scotland
Associate Editors
Prof Walter Biffl, Scripps Memorial Hospital, USA
Prof Markus W Buechler, University Hospital Heidelberg, Germany
Dr Jeffrey Galinkin, The Medical Center of Aurora, USA
Prof Christoph E Heyde, University Hospital Leipzig, Germany
Prof James Kellam, Carolinas Medical Center, USA
Dr Fernando Kim, Denver Health Medical Center, USA
Prof Martin A Makary, The Johns Hopkins Hospital, USA
Dr Claudia Medina, IPS Universitaria Clinica Leon XIII, Colombia
Prof Philip S Mehler, Eating Recovery Center, USA
Prof Ernest E Moore, Denver Health Medical Center, USA
Prof Hans-Christoph Pape, University Hospital Zurich, Switzerland
Prof Rodrigo Pesántez, Universidad de los Andes Bogotá, Colombia
Dr Carlos Rodriguez, Walter Reed National Military Medical Center, USA
Prof Andrew H Schmidt, Minnesota University, USA
Dr Andie Slivinski, Mission Health, USA
Dr Jeffrey Smith, Orthopaedic Trauma & Fracture Specialist Medical Corp, USA
Prof Wade R Smith, Swedish Medical Center, USA
Prof Adam Starr, University of Texas Southwestern Medical School, USA
Prof Charles Vincent, University of Oxford, UK
Dr Boris A. Zelle, University of Texas Health, USA
Prof Bruce Ziran, Hughston Clinic at Gwinnett Medical Center, USA
Statistical Advisors
Dr Stefan Sauerland, Institute for Quality and Efficiency in Healthcare (IQWiG), Germany
Dr Allison E Williams, Bay Pines VA Health Care System, USA
Editorial Board
Prof Fernando Baldy dos Reis, UNIFESP-Federal University of São Paulo, Brazil
Prof Jeffrey Barkun, McGill University Health Center, Canada
Dr Nathan C Butler, University of California Davis, USA
Dr. Bayley E. Clarke, Georgetown University, USA
Dr Ted Clarke, Colorado Physician Insurance Companies (COPIC), USA
Prof Nicolas Demartines, University Hospital Lausanne (CHUV), Switzerland
Dr Johannes Fakler, University of Leipzig, Germany
Prof Beat Gloor, University of Bern, Switzerland
Dr Andrew Grose, Westchester Medical Center, USA
Prof Dieter Hahnloser, University Hospital Lausanne (CHUV), Switzerland
Prof Jiandong Hao, The Third Hospital of Hebei Medical University, China
Prof Kirk Hogan, University of Wisconsin, USA
Prof Markus Huber-Lang, University of Ulm, Germany
Dr Kyros Ipaktchi, Denver Health Medical Center, USA
Dr Thilo John, DRK Hospital Berlin-Westend, Germany
Dr Jeffrey L Johnson, Henry Ford Hospital, USA
Prof Jeffry Kashuk, Tel Aviv University-Sackler School of Medicine, Israel
Prof Christian K Lackner, LMU University, Germany
Dr Geeta Lal, University of Iowa, USA
Dr Alan Lembitz, Colorado Physician Insurance Companies (COPIC), USA
Prof Matthias Majetschak, Loyola University, USA
Dr Timothy Moore, MetroHealth Medical Center, USA
Dr John Mukhopadhaya, Mukhopadhaya Orthopaedic Clinic, India
Prof Giuseppe Nigri, Sapienza University of Rome, Italy
Dr Lena Nilsson, Linköping University Hospital, Sweden
Dr Fredric Pieracci, Denver Health Medical Center, USA
Dr Andrew Robson, University of Edinburgh, UK
Dr Jeffrey Varnell, Colorado Physician Insurance Companies (COPIC), USA
Dr Ryan Will, Olympia Orthopaedic Association, USA
Dr Gerald Zarlengo, Colorado Physician Insurance Companies, USA