- Abdominal Impalement Injury Caused by Scaffolding Pipe following a Traffic Accident: A Case Report
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Se Youl Lee, Jeong Moon Lee, Seok Jin Choi
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J Trauma Inj. 2016;29(1):33-36. Published online March 31, 2016
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DOI: https://doi.org/10.20408/jti.2016.29.1.33
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- Traffic accidents involving agricultural machinery have been decreasing, but mortality is still high due to a lack of safety devices such as seat belts. Furthermore, secondary damage, such as abdominal impalement injury caused by loaded materials, is more likely to occur, and this type of injury leads to a poor prognosis. Impalement with pipes is often more fatal than other penetrating injuries because the diameter of the pipe is usually larger in size than other loaded materials.
We report a case of a 72-year-old man with secondary abdominal impalement injury caused by a scaffolding pipe following a traffic accident.
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- Crowbar impalement: the PHEM perspective
Saad Jawaid, Dan Cody BMJ Case Reports.2018; 11(1): e227293. CrossRef
- Clinical Outcome of a Precontoured Symphysis Pubis Plate with Tension Band Wiring for Traumatic Symphysis Pubis Rupture in Pelvic Fractures
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Jeong Moon Lee, Sun Jung Yoon, Myung Sik Park, Kyung Jin Song
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J Trauma Inj. 2016;29(1):22-27. Published online March 31, 2016
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DOI: https://doi.org/10.20408/jti.2016.29.1.22
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The optimal method of fixation of symphysis pubis (SP) diastasis in pelvic ring injuries is still controversial. In this study, we investigated the radiological and the clinical results of a precontoured 4.5-mm symphysis pubis (SP) plate with tension band wiring (TBW) after an anterior pelvic injury in pelvic fractures. METHODS We treated 25 patients with traumatic SP diastasis by open reduction and internal fixation with plates and wires. We used a four-hole 4.5-mm precontoured SP plate with a tension band wiring. RESULTS Patients with a SP with TBW fixation achieved excellent or good results at final follow-up. Post-operative complications included two (8%) patients with metal work movement. The mean symphyseal width was smaller in 4.5 mm SP plate with TBW during 1-year follow up period. CONCLUSION A precontoured symphysis pubis plate (4.5 mm) with figure-of-eight fashion tension band wiring shows favorable radiological results, excellent or good clinical outcome, and a lower complication (hardware failure and revision surgery).
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- Is there a clinical benefit of additional tension band wiring in plate fixation of the symphysis?
Myung-sik Park, Sun-Jung Yoon, Seung-min Choi, Kwanghun Lee BMC Musculoskeletal Disorders.2017;[Epub] CrossRef
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