Background The 1994 Northern Ireland ceasefire heralded a new beginning for the region after 30-years of violence. In the 20-years following the cessation of hostilities, paramilitary punishment attacks continue to occur in breach of the ceasefire. The aim of this study was to review trends in these attacks over the 20-years and their impact on orthopaedic services. Methods We conducted a ret...

The disability adjusted life years (DALYs) associated with injuries have increased by 34% from 1990 to 2010, making it the 10th leading cause of disability worldwide, with most of the burden affecting low-income countries. Although disability from injuries is often preventable, limited access to essential surgical services contributes to these increasing DALY rates. Similar to many other low- a...

Pediatric orthopaedic surgeons commonly interact with PM&R specialists as part of the rehabilitation team. This invited communication is intended to present the residency and fellowship education requirements for a pediatric orthopaedic surgeon and give a review of current work-force issues. Pediatric orthopaedic and PM&R collaboration may be in an acute setting, e.g., post injury or post surge...

PURPOSE Research on venous thromboembolism events (VTE), such as deep venous thrombosis (DVT) and pulmonary embolism (PE), in pediatric orthopaedic trauma patients is sparse. We describe the incidence in the USA of VTE associated with pediatric lower extremity orthopaedic trauma, and characterize injury patterns and VTE treatment methods. METHODS The Pediatric Health Information System (PHIS)...

BACKGROUND Sleep deprivation may slow reaction time, cloud judgment, and impair the ability to think. Our purpose was to study the cognitive and psychomotor performances of orthopaedic trauma surgeons on the basis of the amount of sleep that they obtained. METHODS We prospectively studied the performances of thirty-two orthopaedic trauma surgeons (residents, fellows, and attending surgeons) o...

Several aspects of the management of an orthopaedic surgical patient are not directly related to the surgical technique but are nevertheless essential for a successful outcome. Blood management is one of these. This paper considers the various strategies available for the management of blood loss in patients undergoing orthopaedic and trauma surgery.

1Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, Hebei 050051, China 2Department of Orthopaedics, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO 80204, USA 3Mountain Orthopaedic Trauma Surgeons at Swedish, 701 East Hampden Avenue, Suite 515, Englewood, CO 80113, USA 4Chirurgie Orthopédique et Traumatologique, Clin...

Since the first description in 2002 by Paley and Herzenberg, antibiotic bone cement nails (ACNs) have become an effective tool in the orthopaedic trauma surgeons' hands. They simultaneously elute high amounts of antibiotics into medullary canal dead space and provide limited stability to the debrided long bone. In this paper, we perform a systematic review of current evidence on ACNs in orthopa...

BACKGROUND The present paper aims to demonstrate that physiotherapy in orthopaedic and trauma departments is part and parcel of a comprehensive treatment plan. MATERIAL AND METHODS Hospital records of 66 patients treated in three orthopaedic trauma departments in 2011 were analysed. Basing on the requirements of the National Health Fund (Narodowy Fundusz Zdrowia--NFZ), reports were generated ...