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“Most cited” articles are those published within the last 2 years (2022– ). The list of the most cited articles can be downloaded by clicking on the “Cited-by list” button.

Original Articles
Quality monitoring of resuscitative endovascular balloon occlusion of the aorta using cumulative sum analysis in Korea: a case series
Hyunsik Choi, Joongsuck Kim, Kwanghee Yeo, Ohsang Kwon, Kyounghwan Kim, Wu Seong Kang
J Trauma Inj. 2023;36(2):78-86.   Published online December 21, 2022
DOI: https://doi.org/10.20408/jti.2022.0069
  • 2,143 View
  • 46 Download
  • 2 Citations
AbstractAbstract PDF
Purpose
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a state-of-the-art lifesaving procedure. However, due to its high mortality and morbidity, including ischemia and reperfusion injury, well-trained medical staff and effective systems are needed. This study was conducted to investigate the learning curve for REBOA.
Methods
To monitor this learning curve, we used cumulative sum (CUSUM) analysis and graphs of mortality and aortic occlusion time within 60, 90, and 120 minutes for consecutive patients. The procedures performed between July 2017 and June 2021 were divided into pre-trauma center (pre-TC; July 2017–February 2020) and TC (February 2020–June 2021) periods.
Results
REBOA was performed for 31 consecutive patients with trauma. The pre-TC (n=12) and TC (n=19) periods did not differ significantly with regard to Injury Severity Score, age, injury mechanism, initial systolic blood pressure, prehospital cardiopulmonary resuscitation (CPR), or CPR in the emergency department. At the 17th consecutive patient during the TC period, CUSUM failure graphs for mortality and aortic occlusion time exhibited a downward inflection, indicating an improvement in performance.
Conclusions
The mortality and aortic occlusion time of REBOA improved, and these parameters can be monitored using CUSUM analysis at the hospital level.
Summary

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  • Emergency department laparotomy for patients with severe abdominal trauma: a retrospective study at a single regional trauma center in Korea
    Yu Jin Lee, Soon Tak Jeong, Joongsuck Kim, Kwanghee Yeo, Ohsang Kwon, Kyounghwan Kim, Sung Jin Park, Jihun Gwak, Wu Seong Kang
    Journal of Trauma and Injury.2024; 37(1): 20.     CrossRef
  • Nonselective versus Selective Angioembolization for Trauma Patients with Pelvic Injuries Accompanied by Hemorrhage: A Meta-Analysis
    Hyunseok Jang, Soon Tak Jeong, Yun Chul Park, Wu Seong Kang
    Medicina.2023; 59(8): 1492.     CrossRef
Impact of obesity on the severity of trauma in patients injured in pedestrian traffic accidents
Pillsung Oh, Jin-Seong Cho, Jae Ho Jang, Jae Yeon Choi, Woo Sung Choi, Byungchul Yu
J Trauma Inj. 2022;35(4):240-247.   Published online December 8, 2021
DOI: https://doi.org/10.20408/jti.2021.0050
  • 14,282 View
  • 108 Download
  • 2 Citations
AbstractAbstract PDF
Purpose
Studies on the relationship between obesity and injuries, especially those sustained in pedestrian traffic accidents, are lacking. We aimed to assess the effects of obesity on the severity of injury at the time of admission to the emergency room in patients who experienced pedestrian traffic accidents.
Methods
This study included trauma patients registered in the Korean Trauma Database from July 1, 2018 to December 31, 2020, whose mechanism of injury was pedestrian traffic accidents and who were treated at a single institution. Those aged below 15 years were excluded. Patients were assigned to nonobese and obese groups based on a body mass index of 25 kg/m². An Injury Severity Score of 25 or greater was considered to indicate a critical injury.
Results
In total, 679 cases of pedestrian traffic accidents were registered during the study period, and 543 patients were included in the final analysis. Of them, 360 patients (66.3%) and 183 patients (33.7%) were categorized as nonobese and obese, respectively. The median age was significantly higher in the nonobese group than in the obese group (60 vs. 58 years). Multivariate analysis demonstrated that the odds ratio for critical injury in obese patients was 1.59 (95% confidence interval, 1.01–2.48) compared with nonobese patients.
Conclusions
Obesity affected the likelihood of sustaining severe injuries in pedestrian traffic accidents. Future studies should analyze the effects of body mass index on the pattern and severity of injuries in patients with more diverse injury mechanisms using large-scale data.
Summary

Citations

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  • Changes in incidence and severity of commercial motorcycle accidents due to the use of delivery service platforms in Korea: a retrospective cohort study
    Dam Moon, Jae Ho Jang, Jin Seong Cho, Jae Yeon Choi, Jae-hyug Woo, Woo Sung Choi, Sung Yeol Hyun, Seung Hwan Lee
    Journal of Trauma and Injury.2023; 36(2): 121.     CrossRef
  • Pregnancy is associated with more severe injuries from motor vehicle crashes
    Ya-Hui Chang, Yu-Wen Chien, Chiung-Hsin Chang, Ping-Ling Chen, Tsung-Hsueh Lu, Chung-Yi Li
    Journal of the Formosan Medical Association.2023;[Epub]     CrossRef
Clinical characteristics of patients with the hardware failure after surgical stabilization of rib fractures in Korea: a case series
Na Hyeon Lee, Sun Hyun Kim, Seon Hee Kim, Dong Yeon Ryu, Sang Bong Lee, Chan Ik Park, Hohyun Kim, Gil Hwan Kim, Youngwoong Kim, Hyun Min Cho
J Trauma Inj. 2023;36(3):196-205.   Published online September 5, 2023
DOI: https://doi.org/10.20408/jti.2023.0026
  • 1,187 View
  • 49 Download
  • 1 Citations
AbstractAbstract PDF
Purpose
Surgical stabilization of rib fractures (SSRF) is widely used in patients with flail chests, and several studies have reported the efficacy of SSRF even in multiple rib fractures. However, few reports have discussed the hardware failure (HF) of implanted plates. We aimed to evaluate the clinical characteristics of patients with HF after SSRF and further investigate the related factors.
Methods
We retrospectively reviewed the electronic medical records of patients who underwent SSRF for multiple rib fractures at a level I trauma center in Korea between January 2014 and January 2021. We defined HF as the unintentional loosening of screws, dislocation, or breakage of the implanted plates. The baseline characteristics, surgical outcomes, and types of HF were assessed.
Results
During the study period, 728 patients underwent SSRF, of whom 80 (10.9%) were diagnosed with HF. The mean age of HF patients was 56.5±13.6 years, and 66 (82.5%) were men. There were 59 cases (73.8%) of screw loosening, 21 (26.3%) of plate breakage, 17 (21.3%) of screw migration, and seven (8.8%) of plate dislocation. Nine patients (11.3%) experienced wound infection, and 35 patients (43.8%) experienced chronic pain. A total of 21 patients (26.3%) underwent reoperation for plate removal. The patients in the reoperation group were significantly younger, had fewer fractures and plates, underwent costal fixation, and had a longer follow-up. There were no significant differences in subjective chest symptoms or lung capacity.
Conclusions
HF after SSRF occurred in 10.9% of the cases, and screw loosening was the most common. Further longitudinal studies are needed to identify risk factors for SSRF failure.
Summary

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  • Komplikationen nach operativer vs. konservativer Versorgung des schweren Thoraxtraumas
    Lars Becker, Marcel Dudda, Christof Schreyer
    Die Unfallchirurgie.2024; 127(3): 204.     CrossRef
Case Report
Exercise-induced traumatic muscle injuries with active bleeding successfully treated by embolization: three case reports
Yoonjung Heo, Hye Lim Kang, Dong Hun Kim
J Trauma Inj. 2022;35(3):219-222.   Published online September 28, 2022
DOI: https://doi.org/10.20408/jti.2022.0028
  • 1,564 View
  • 44 Download
  • 1 Citations
AbstractAbstract PDF
Muscle injuries caused by indirect trauma during exercise are common. Most of these injuries can be managed conservatively; however, further treatment is required in extreme cases. Although transcatheter arterial embolization is a possible treatment modality, its role in traumatic muscle injuries remains unclear. In this case series, we present three cases of exercise-induced muscle hemorrhage treated by transcatheter arterial embolization with successful outcomes. The damaged muscles were the rectus abdominis, adductor longus, and iliopsoas, and the vascular injuries were accessed via the femoral artery during the procedures.
Summary

Citations

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  • Thermal and Magnetic Dual-Responsive Catheter-Assisted Shape Memory Microrobots for Multistage Vascular Embolization
    Qianbi Peng, Shu Wang, Jianguo Han, Chenyang Huang, Hengyuan Yu, Dong Li, Ming Qiu, Si Cheng, Chong Wu, Mingxue Cai, Shixiong Fu, Binghan Chen, Xinyu Wu, Shiwei Du, Tiantian Xu
    Research.2024;[Epub]     CrossRef
Original Article
An analysis of missed injuries in patients with severe trauma
EunGyu Ju, Sun Young Baek, Sung Soo Hong, Younghwan Kim, Seok Hwa Youn
J Trauma Inj. 2022;35(4):248-254.   Published online September 14, 2022
DOI: https://doi.org/10.20408/jti.2022.0017
  • 2,000 View
  • 72 Download
  • 1 Citations
AbstractAbstract PDF
Purpose
To analyze the data of trauma patients with undetected injuries at the time of initial resuscitation during the primary and secondary surveys.
Methods
We retrospectively reviewed the medical records of 807 patients who were hospitalized at the National Trauma Center, Seoul, Korea from June 1, 2019 to June 30, 2021.
Results
In trauma patients with an Injury Severity Score ≥16 accounted for 38.0% in the non-missed injury group (non-MIG), but this rate was considerably higher at 71.2% in MIG. The mean hospitalization longer in MIG (50.90±39.56) than in non-MIG (24.74±26.11). The proportion of patients with missed injuries detected through tertiary trauma survey (TTS) was 28 patients (23.5%) within 24 hours, 90 patients (75.6%) after 24 hours to before discharge. The majority of missed injuries were fractures (82.4%) and ligament tears (8.4%), which required consultation with the orthopedic department. The final diagnoses of missed injuries were confirmed by computed tomography (44.5%), magnetic resonance imaging (19.3%), X-ray (19.3%), bone scan (11.8%), and physical examination (5.0%).
Conclusions
TTS is considered a useful process for detecting missed injuries that were not identified at the time of initial resuscitation in the primary and secondary surveys. In the future, to detect missed injuries quickly, it is necessary to develop a suitable TTS program for each trauma center. In addition, further research is needed to verify the effectiveness of the protocolized TTS and survey chart to improve the effectiveness of TTS.
Summary

Citations

Citations to this article as recorded by  
  • Tertiary Trauma Survey on Emergency Department Observational Units: A Systematic Literature Review
    Tamkeen Pervez, Mehreen Malik
    Cureus.2024;[Epub]     CrossRef
Editorial
Tactical field management of penetrating arrow injuries in ancient Asia
Kun Hwang
J Trauma Inj. 2022;35(4):229-231.   Published online June 23, 2022
DOI: https://doi.org/10.20408/jti.2022.0018
  • 2,026 View
  • 43 Download
  • 1 Citations
PDF
Summary

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  • Medieval (arrow) weapon injuries in contemporary surgical practice: Impaled posterior thoracic wall arrowhead leading to haemo-thorax: Management protocols. Case report
    Ahmed Shabhay, Zarina Shabhay, Fabian Anaclet Massaga, Amri Salim Mwami, Samwel Chugulu
    International Journal of Surgery Case Reports.2023; 111: 108866.     CrossRef
Review Article
Evolution of trauma care and the trauma registry in the West Australian health system
Mayura Thilanka Iddagoda, Maxine Burrell, Sudhakar Rao, Leon Flicker
J Trauma Inj. 2022;35(2):71-75.   Published online May 31, 2022
DOI: https://doi.org/10.20408/jti.2021.0060
  • 2,383 View
  • 69 Download
  • 1 Citations
AbstractAbstract PDF
Trauma care is evolving throughout the world to meet the demand resulting from rapidly increasing rates of mortality and morbidity related to external injuries. The State Major Trauma Service was designated to Royal Perth Hospital in 2004 to provide comprehensive care for trauma patients in Western Australia (WA), which is the largest state by area in the country. The State Major Trauma Unit, which was established in 2008, functions as a level I center and admits over 1,000 major trauma patients per year, making it the second busiest trauma center in Australia. The importance of recording data related to trauma was identified by the trauma service in WA to inspire higher standards of patient care and injury prevention. In 1994, the service established a trauma registry, which has undergone significant changes over the last two decades. The current State Trauma Registry is linked to a statewide database called the Data Linkage System. The linked data are available for policy development, quality assurance, and research. This article discusses the evolution of the trauma service and the registry database in the WA health system. The State Trauma Registry has enormous potential to contribute to research and quality improvement studies along with its ability to link with other databases.
Summary

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  • Development of a standardized minimum dataset for including low‐severity trauma patients in trauma registry collections in Australia and Aotearoa New Zealand
    Grant Christey, Jacelle Warren, Cameron S. Palmer, Maxine Burrell, Kirsten Vallmuur
    ANZ Journal of Surgery.2023; 93(3): 572.     CrossRef
Case Reports
Acute pyomyositis of the adductor magnus muscle involving the posterior and lateral thigh compartments: a case report of diagnosis and management
Rajesh Bawale, Jay Watson, Karshe Yusuf, Dilip Pillai, Bijayendra Singh
J Trauma Inj. 2022;35(2):139-143.   Published online May 26, 2022
DOI: https://doi.org/10.20408/jti.2021.0022
  • 2,155 View
  • 39 Download
  • 1 Citations
AbstractAbstract PDF
Bacterial infection of skeletal muscle can lead to the formation of abscesses. Primary pyomyositis is typically seen in tropical countries, and Staphylococcus aureus is the commonest causative organism. We present a case of acute adductor magnus muscle abscess (pyomyositis) with spread to adjacent thigh compartments via the perforators without iliopsoas muscle involvement. Due to the involvement of the entire thigh compartment, systemic antibiotic treatment alone was insufficient, whereas surgical drainage improved the clinical picture. The aetiological organism was S. aureus. Herein, we report the case of a patient who had primary pyomyositis, rather than a secondary type, that spread to the posterior and lateral aspect of the thigh through the second and third perforators, which pierce the adductor magnus muscle belly before entering the femur.
Summary

Citations

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  • Wheel of misfortune: A unique case of MRSA pyomyositis of the adductor muscle group from blunt unicycle trauma
    Jordan I. Gaelen, Toluwalase Awoyemi, Emmanuel Okematti, Meera Ramanathan
    Clinical Case Reports.2023;[Epub]     CrossRef
Portal vein embolization in intrahepatic portal vein injury after blunt trauma: a case report
Sung Hoon Cho, Sang Yub Lee, Jung Geun Cha, Jihoon Hong, Sangcjeol Lee, Kyoung Hoon Lim
J Trauma Inj. 2022;35(Suppl 1):S31-S34.   Published online May 19, 2022
DOI: https://doi.org/10.20408/jti.2022.0013
  • 2,358 View
  • 56 Download
  • 1 Citations
AbstractAbstract PDF
Mortality from hepatic injury has declined over the last several decades for various reasons, including nonoperative management, such as angioembolization, in more than 80% of cases. Conversely, surgical treatment is preferred in intrahepatic portal vein injury due to several reasons. Here, we report a case that treatment of blunt traumatic liver injury accompanied by intrahepatic portal vein injury through portal vein embolization. A 29-year-old female patient was transferred to our trauma center for vehicular accident injuries. Contrast-enhanced abdominal computed tomography showed a massive hemoperitoneum and liver laceration (grade IV) with contrast extravasation suspected of the right portal vein branch but no other organ injury. Since vital signs were stable, we decided to perform nonsurgical radiologic intervention. Portography showed active bleeding of the posterior branch of the right portal vein. A pseudoaneurysm in the portal vein was embolized through percutaneous transhepatic portal vein puncture. On follow-up liver dynamic computed tomography performed 2 days after embolization, the posterior branch of the right portal vein was sufficiently embolized, and no liver parenchymal necrosis was observed. The patient was discharged without any complications 2 weeks later. This report suggests portal vein embolization as a good alternative treatment method for portal vein injury in patients with stable vital signs.
Summary

Citations

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  • Portal vein embolization following arterial portography for the management of an active portal bleeding after blunt liver trauma in a cirrhotic patient
    Romain L’Huillier, Bénédicte Cayot, Jean Turc, Laurent Milot
    CVIR Endovascular.2024;[Epub]     CrossRef
Bilateral foot drop caused by T12 infectious spondylitis after vertebroplasty: a case report
Dong Hwan Kim, Yong Beom Shin, Mahnjeong Ha, Byung Chul Kim, In Ho Han, Kyoung Hyup Nam
J Trauma Inj. 2022;35(1):56-60.   Published online March 21, 2022
DOI: https://doi.org/10.20408/jti.2021.0083
  • 2,942 View
  • 72 Download
  • 1 Citations
AbstractAbstract PDF
The most common cause of foot drop is lumbar degenerative disc herniation, particularly at L4/5. We present a rare case of spinal cord injury accompanied by a thoracolumbar lesion that presented with bilateral foot drop. A 69-year-old male patient presented with sudden-onset severe bilateral leg pain and bilateral foot drop. Radiologic findings revealed T12 spondylitis compressing the conus medullaris. He had undergone vertebroplasty for a T12 compression fracture after a fall 6 months before. A physical examination showed bilateral foot drop, paresthesia of both L5 dermatomes, increased deep tendon reflex, and a positive Babinski sign. An acute bilateral L5 root lesion and a conus medullaris lesion were suspected based on electromyography. A surgical procedure was done for decompression and reconstruction. After the operation, bilateral lower extremity muscle strength recovered to a good grade from the trace grade, and the patient could walk without a cane. The current case is a very rare report of bilateral foot drop associated with T12 infectious spondylitis after vertebroplasty. It is essential to keep in mind that lesions of the thoracolumbar junction can cause atypical neurological symptoms. Furthermore, understanding the conus medullaris and nerve root anatomy at the T12–L1 level will be helpful for treating patients with atypical neurological symptoms.
Summary

Citations

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  • Evaluating Acute Bilateral Foot Drop: A Case Report
    Arsh N Patel, Colby Kihara, Carter Gay, Katie Oakley, P.J. Reddy
    Cureus.2022;[Epub]     CrossRef
Chronic epidural hematoma evacuated through surgical treatment: a case report
Eui Gyu Sin
J Trauma Inj. 2022;35(1):43-45.   Published online March 21, 2022
DOI: https://doi.org/10.20408/jti.2021.0036
  • 3,054 View
  • 177 Download
  • 1 Citations
AbstractAbstract PDF
Epidural hematoma (EDH) can sometimes be life-threatening, although small-volume EDHs can resolve spontaneously like other intracranial hematomas. However, in rare cases, EDH can transform into a chronic form instead of disappearing. In contrast to subdural hematoma, there is no agreed-upon definition or treatment of chronic EDH. A 41-year-old male patient with acute EDH in the bilateral paravertical area due to partial rupture of the sagittal sinus was operated first, and then remnant contralateral hematoma was treated conservatively. One month after surgery, he showed hemiparesis, and brain imaging revealed chronic EDH at the location of the remnant acute hematoma. We performed surgery again to treat chronic EDH through a large craniotomy. Although many cases of EDH are self-limited, clinicians must keep in mind that some cases of EDH, especially those of venous origin and arising in young people, can become chronic and require surgical treatment.
Summary

Citations

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  • Chronic epidural hematoma: a systematic review and meta-analysis
    Nicaise Kpègnon Agada, Nourou Dine Adeniran Bankole, Mèhomè Wilfried Dossou, Omar Boladji Adébayo Badirou, Emeka Alfred Clement, Fresnel Lutèce Ontsi Obame, Laté Dzidoula Lawson, Romeo Bujiriri Murhega, Arsène Daniel Nyalundja, Nukunté David Lionel Togben
    Egyptian Journal of Neurosurgery.2023;[Epub]     CrossRef
Traumatic abdominal wall hernia with hemoperitoneum caused by blunt injury: laparoscopic exploration with mini-laparotomy repair. A case report
Euisung Jeong, Hyunseok Jang, Younggoun Jo, Yunchul Park, Naa Lee, Jungchul Kim
J Trauma Inj. 2022;35(1):61-65.   Published online December 23, 2021
DOI: https://doi.org/10.20408/jti.2021.0062
  • 2,647 View
  • 66 Download
  • 1 Citations
AbstractAbstract PDF
Traumatic abdominal wall hernia is a very rare clinical entity. Herein, we report the case of a patient who was transferred from a local clinic to the emergency department because of left lower abdominal pain. Initially, an intra-abdominal hematoma was observed on computed tomography and no extravasation was noted. Conservative treatment was initiated, and the patient’s symptoms were slightly relieved. However, though abdominal pain was relieved during the hospital stay, bowel herniation was suspected in the left periumbilical area. Follow-up computed tomography showed traumatic abdominal wall hernia with hemoperitoneum in the abdomen. We performed a laparoscopic exploration of the injury site and hernia lesion. The anterior abdominal wall hernia was successfully closed.
Summary

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  • Unique laparoscopic emergency management of traumatic obstructed abdominal wall hernia: A case report and review of literature
    Arwa M Aljuhani, Ghaith A Al Saied, Arjmand Reyaz, Mohammed A Alkahlan, Ibrahim M Aljohani, Muhammed M Abukhater
    International Journal of Abdominal Wall and Hernia.2024;[Epub]     CrossRef
Acute methemoglobinemia after a blast injury: a case report
Donghoon Kim, Yoonhyun Lee, Sung Yub Jeong, Hojun Lee
J Trauma Inj. 2022;35(Suppl 1):S15-S17.   Published online December 10, 2021
DOI: https://doi.org/10.20408/jti.2021.0089
  • 8,846 View
  • 73 Download
  • 1 Citations
AbstractAbstract PDF
Methemoglobin is a structurally modified form of hemoglobin incapable of binding oxygen, and elevated levels of methemoglobin cause tissue hypoxia. Occupational exposure to 2,4,6-trinitrotoluene, commonly called trinitrotoluene, causes methemoglobinemia. This case report describes a 27-year-old male sergeant who developed methemoglobinemia upon exposure to trinitrotoluene after a blast injury while welding the walls of tank shells. This is the first case of its kind in Korea. The patient had multiple burns in his abdomen and open fractures in his right leg. While his body temperature, heart rate, respiratory rate, arterial blood pressure, and chest X-ray were normal, arterial gas analysis revealed acute (methemoglobinemia concentration, 13.5%; oxygen saturation, 92.0%), probably caused by nitroglycerin exposure. Aspiration and adsorption through the skin and respiratory system were suspected to be the routes of entry. His methemoglobinemia normalized after 4 days after treating the wounds surgically, administering oxygen therapy, and performing blood transfusion.
Summary

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  • Methemoglobinemia screening and treatment in tank warfare survivors: A case series
    Shahar Negev, Shaun Gruenbaum, Amit Frenkel, Alexander Zlotnik, Ohad Gabay
    The American Journal of Emergency Medicine.2024;[Epub]     CrossRef
Original Articles
Plastic surgery in a trauma center: a multidisciplinary approach for polytrauma patients
Kyung-Chul Moon, Yu-Kyeong Yun
J Trauma Inj. 2022;35(4):261-267.   Published online December 10, 2021
DOI: https://doi.org/10.20408/jti.2021.0086
  • 2,902 View
  • 74 Download
  • 1 Citations
AbstractAbstract PDF
Purpose
With the increasing number of polytrauma patients treated at high-level trauma centers, plastic surgery has entered the specialty of traumatology. Plastic surgeons specialize in the simultaneous surgical care of patients with facial or hand trauma and soft tissue injuries requiring microsurgery. The purpose of this study was to introduce the role of plastic surgery in a high-level trauma center.
Methods
Between January 2020 and December 2020, 5,712 patients with traumatic injuries were admitted to the emergency department of a tertiary hospital. Of these 5,712 patients, 1,578 patients were hospitalized for surgical treatment and/or critical care. Among the 1,578 hospitalized trauma patients, 551 patients (35%) required at least one plastic surgery procedure. The patient variables included age, sex, etiology, the injured area, and injury characteristics. We also retrospectively investigated surgical data such as the duration of the operation, hospital stay, length of time from injury to surgery, and collaboration with other departments.
Results
The most common injury referred to plastic surgery was facial trauma (41%), followed by hand trauma (36%), and soft tissue injuries requiring microsurgery in various parts of the body other than the hand (7%). The majority of facial and hand traumas were concomitant injuries. Sixteen percent of patients underwent collaborative surgical management for polytrauma involving both plastic surgery and another department.
Conclusions
The role of plastic surgery in multidisciplinary teams at high-level trauma centers has become increasingly important. The results of this study may help in the development of multidisciplinary trauma team strategies and future workforce planning.
Summary

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  • Interdisziplinäres Extremitäten-Board in der Behandlung von Komplexverletzungen
    T. Omar Pacha, P. Mommsen, V. Brauckmann, G. Aktas, M. Krempec, B. Wilhelmi, J.-D. Clausen, V. März, N. Krezdorn, P. M. Vogt, S. Sehmisch, J. B. Hinrichs, J. Ernst
    Die Unfallchirurgie.2023; 126(3): 175.     CrossRef
Perioperative complications of the modified Stoppa approach for the treatment of pelvic bone fractures: a single-institution review of 48 cases
Hyeonjoon Lee, Suenghwan Jo, Gwangchul Lee, Yongjin Cho
J Trauma Inj. 2022;35(1):19-24.   Published online November 23, 2021
DOI: https://doi.org/10.20408/jti.2021.0061
  • 3,910 View
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  • 1 Citations
AbstractAbstract PDF
Purpose
The current study aimed to report the perioperative complications of the modified Stoppa approach for the treatment of pelvic bone fractures. Methods: We analyzed 48 consecutive operations in 45 patients who were treated with internal fixation using the modified Stoppa approach between March 2016 and July 2018. This included three revision operations. The mean age of the patients was 54.5 years, and the patients included 35 male patients and 10 female patients. All fractures occurred as a consequence of high-energy trauma and 70.3% had associated injuries at the time of the fracture. The mean Injury Severity Score was 9.03±5.60. The perioperative complications found during and immediately after surgery were recorded and were classified into three categories: vascular injuries, nerve injuries, and other complications. Results: Overall, 14 perioperative complications (29.2%) in 14 cases were identified. The most common complications were nerve injuries, which occurred in seven cases, all involving the obturator nerve. Uncontrollable vascular injuries occurred in six cases, which required additional incisions and support of vascular surgeons or postoperative interventions. Additionally, one case of peritoneal tearing occurred, which required help from an abdominal surgeon. Conclusions: While the modified Stoppa approach seems to be a viable method to treat pelvic fractures, significant perioperative complications may occur, suggesting that surgeons should pay careful attention to minimize the damage to other structures and that appropriate support from other surgical departments is paramount.
Summary

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  • Severe intraoperative vascular bleeding as main complication of acetabular fractures treated with plate osteosynthesis via the modified Stoppa approach
    Julia Riemenschneider, Maren Janko, Tilmann Vollrath, Christoph Nau, Ingo Marzi
    Injury.2023; 54(7): 110773.     CrossRef

J Trauma Inj : Journal of Trauma and Injury