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Graham Simon M. Render Luke Maqungo Sithombo Ferreira Nando Marais Leonard Charles Held Michael Laubscher Maritz 《European journal of orthopaedic surgery & traumatology : orthopedie traumatologie》2023,33(3):533-540
European Journal of Orthopaedic Surgery & Traumatology - Musculoskeletal (MSK) injuries are one of the leading causes of disability worldwide. Despite improvements in trauma-related morbidity... 相似文献
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Simon Matthew Graham Maheshi P. Wijesekera Maritz Laubscher Sithombo Maqungo Michael Held Nando Ferreira William J. Harrison 《Injury》2019,50(2):235-243
Introduction
The management of long bone lower limb fractures secondary to gunshot wounds (GSWs) in the civilian setting are complex and there is currently no consensus regarding the optimal approach to managing such fractures. This study aims to address the relationship of implant related sepsis in fractures secondary to GSWs.Methods
A systematic review of the literature was performed on both Pubmed and Scopus databases that look at fractures caused by GSWs in the lower limb. A total of 14 studies met the inclusion criteria set in this study.Results
Current literature suggests that low and high velocity injuries managed with internal fixation, such as intramedullary nails, may carry a low risk of superficial and deep infection, with no obvious risk of osteomyelitis. However, infection was poorly defined across all studies and no study used a validated scoring system for infection making it difficult to draw any valid conclusion on the rate of infection following internal fixation of lower limb fractures following both high and low velocity GSWs.Conclusion
There is no clear evidence to confirm or refute that internal fixation is the ideal method of management in these complex injuries and guidance is needed due to the high and increasing proportion of patients presenting with these complex injuries worldwide. 相似文献3.
Ciaran Brennan Maritz Laubscher Sithombo Maqungo Simon Matthew Graham 《World journal of orthopedics》2021,12(3):169-177
BACKGROUNDThere is little research investigating how human immunodeficiency virus (HIV) affects outcomes in orthopaedic surgery. With advances in treatment, HIV has become a chronic health problem and the chance of orthopaedic surgeons encountering it in clinical practice is increasing.AIMTo ascertain the quantity and quality of peer-reviewed publications in orthopaedic journals about HIV.METHODSA search of the Web of Science database was carried out, identifying any articles relating to HIV published in orthopaedic journals. These were assessed for geographic origin and level of evidence. RESULTSOf 48.7% of orthopaedic journals listed on the Web of Science database had published articles relating to HIV. There were 168 articles about HIV in orthopaedic journals with only 40.5% (n = 68) published in the time frame we analysed (January 2007 to September 2017). Very few articles came from low-income countries and any articles published from that setting were collaborations. All of the articles were low level of evidence. CONCLUSIONThere is a need for more high level orthopaedic and trauma research investigating the effects of HIV, particularly research from low-income countries, where higher level research will help to guide improvements in their treatment of its musculoskeletal manifestations and complications. 相似文献
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