OBJECTIVES To establish the primary determinants of operative radiation use during fixation of proximal femur fractures. DESIGN Retrospective cohort study. SETTING Level I trauma centre. COHORT 205 patients treated surgically for subtrochanteric and intertrochanteric femoral fractures. MAIN OUTCOME MEASURES Fluoroscopy time, dose-area-product (DAP). RESULTS Longer fluoroscopy time was...

When an orthopedic surgeon threw a pair of scissors in the OR last summer at North Shore Medical Center’s Salem Hospital, a policy was in place to address the incident. Introducing a “civility and respect” policy was one of the first things Marc Rubin, MD, did when becoming chief of surgery in 2005. The policy was invoked to address the scissors incident. The surgeon was disciplined, and there ...

BACKGROUND Fractures resulting in segmental bone loss challenge the orthopedic surgeon. Orthopedic surgeons in developed countries have the option of choosing vascularized bone transfers, bone transport, allogenic bone grafts, bone graft substitutes and several other means to treat such conditions. In developing countries where such facilities or expertise may not be readily available, the surg...

HYPOTHESIS During terrorist-related multiple-casualty events (TMCEs), the role of the surgeon expands beyond providing traditional trauma care. DESIGN Survey and expert opinion poll. SETTING Interviews (structured, open/closed questions) conducted in 14 Israeli hospitals. PARTICIPANTS Sixty hospital physicians selected for their experience in TMCEs. MAIN OUTCOME MEASURES Identification ...

Trauma is the leading cause of death in patients younger than 40 years of age. Thoracic injuries are common and often can be managed by tube thoracostomy. In many patients, however, the thoracic injuries must be repaired surgically in one of three time periods: immediate, urgent, or delayed thoracotomy. In this article, we describe the general approach to effectively managing thoracic trauma pa...

Duodenal injuries constitute a challenge to the Trauma Surgeon, mainly due to their retroperitoneal location. When identified, they present associated with other abdominal injuries. Consequently, they have an increased morbidity and mortality. At best estimates, duodenal lesions occur in 4.3% of all patients with abdominal injuries, ranging from 3.7% to 5%, and because of their anatomical proxi...

A total of 1820 victims of alleged police torture were examined at the office of Surgeon Medicolegal Punjab Lahore during a period of 5 years. Most of the victims at the time of examination were showing visible evidence of Physical trauma. Victims were mainly men. Examination was conducted on the directions of various courts (Judicial Magistrates, District and Session Judges, and Lahore High Co...

Most acute laryngeal injuries are caused by motor vehicle accidents. Patients with multiple injuries who present with head or chest wounds should be carefully examined for signs or symptoms of laryngeal trauma. Primary patients with laryngeal injury presenting with life-threatening airway obstruction present a special problem to the accident surgeon. Tracheostomy rather than intubation is then ...

Varus and valgus ankle deformities were once considered contraindications for TAA, primarily treated by tibiotalar fusions. As the total implant generations matured in conjunction with evolving surgeon techniques indications arthroplasty grew. Currently, may receive if deformity is corrected either at time of implantation or beforehand. There exists a lack consensus literature regarding most ap...