Percutaneous sacroiliac screw fixation in a pediatric with unstable bilateral superior rami and sacral fracture-dislocation; a case report and review of the literature

Fard, Shahabaldin Beheshti; Moharrami, Alireza; Salimi, Maryam; Zarei, Mohammad

doi:10.1016/j.tcr.2022.100657

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…Trauma and orthopedic surgery have generally been viewed as a highly litigious specialty because of the volume of operations performed and the accompanying concerns if errors or complications happen[ 3 , 4 ]. Orthopedics is ranked as the third most dangerous medical specialty by medical indemnity insurers, after obstetrics and neurosurgery[ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Investigation of litigation in trauma orthopaedic surgery

Salimi¹,

Heidari²,

Ravandi³

et al. 2023

World J Clin Cases

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BACKGROUND It has been said that the number of orthopaedic claims has increased in the last few years. Investigation through the most prevalent cause would help to prevent further cases. AIM To review the cases of medical complaints in orthopedic patients who had been involved in a traumatic accident. METHODS A retrospective multi-center review of trauma orthopaedic-related malpractice lawsuits from 2010 to 2021 was conducted utilizing the regional medicolegal database. Defendant and plaintiff characteristics along with fracture location, allegations, and litigation outcomes were investigated. RESULTS A total of 228 claims referred to trauma-related conditions with a mean age of 31.29 ± 12.56 were enrolled. The most common injuries were at hand, thigh, elbow, and forearm, respectively. Likewise, the most common alleged complication was related to malunion or nonunion. In 47% of the cases, the main problem that led to the complaint was the inappropriate or insufficient explanation to the patient, and in 53%, there was a problem in the surgery. Eventually, 76% of the complaints resulted in a defense verdict, and 24% resulted in a plaintiff verdict. CONCLUSION Surgical treatment of hand injuries and surgery in non-educational hospitals received the most complaints. The majority of litigation outcomes were caused by a physician’s failure to fully explain and educate the traumatic orthopedic patients and technological errors.

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Section: Introductionmentioning

confidence: 99%

Investigation of litigation in trauma orthopaedic surgery

Salimi¹,

Heidari²,

Ravandi³

et al. 2023

World J Clin Cases

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“…Venous thromboembolism (VTE) is a major complication of severe trauma. The incidence of DVT in the aforementioned injuries ranges from 10% to 20%, with PE rates between 1% and 2% [5][6][7]. Injured patients, for various reasons, are predisposed to developing deep vein thrombosis (DVT) or pulmonary embolism (PE).…”

Section: Introductionmentioning

confidence: 99%

Thromboembolic Events among Multiple Trauma Victims with Pelvic Fractures with Injury Severity Score Greater Than 16 with and without Deep Vein Thrombosis Prophylactic Doses of Enoxaparin

2022

Surg Insights

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Introduction: Venous thromboembolism (VTE) is a common life-threatening complication in patients affected by severe trauma. The clinical manifestations of VTE are deep venous thrombosis (DVT) and pulmonary embolism (PE). Various prophylactic pharmacological strategies are used.We studied the efficacy of enoxaparin in preventing VTE in our level 1 trauma center. Materials and Methods:This cross-sectional study included patients with polytrauma with an Injury Severity Score (ISS) of greater than 16 units and a pelvis fracture diagnosis. Clinical features, laboratory data, and images were reviewed from medical documents. Moreover, the prophylactic medication regimens were recorded. Development of VTE was identified in patients, and a p-value <0.05 was considered statistically significant.Results: A total of 327 patients were examined, of which 18 had developed VTE (5.5%). The frequency was relatively higher in males, cases with fractures, and cases with a history of VTE.Patients with two or more pelvic fracture sites and those with a history of VTE manifested are statistically more likely to develop VTE than those with fewer than two pelvic fracture sites and no history of VTE (p-value = 0.02 and 0.006, respectively). Moreover, the administration of prophylactic doses of enoxaparin n had no statistically significant effect on VTE prevention (pvalue = 0.08). Conclusion:In conclusion, we found no significant correlation between the prophylactic doses of enoxaparin and VTE probability. Furthermore, a history of VTE and more fracture sites would increase the probability of VTE.

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Percutaneous sacroiliac screw fixation in a pediatric with unstable bilateral superior rami and sacral fracture-dislocation; a case report and review of the literature

Cited by 2 publications

References 21 publications

Investigation of litigation in trauma orthopaedic surgery

Investigation of litigation in trauma orthopaedic surgery

Thromboembolic Events among Multiple Trauma Victims with Pelvic Fractures with Injury Severity Score Greater Than 16 with and without Deep Vein Thrombosis Prophylactic Doses of Enoxaparin

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