Surgical exploration of hand wounds in the emergency room: Preliminary study of 80 personal injury claims

Mouton, Jordane; Houdre, H.; Beccari, R.; Tarissi, Nicolas; Autran, Mélanie; Auquit-Auckbur, I.

doi:10.1016/j.otsr.2016.09.018

Cited by 14 publications

(3 citation statements)

References 6 publications

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“…The cumulative incidence of arthrodesis within 15 years after primary knee arthroplasty was 0.26% and frequent comorbidities were extensor mechanism disruption, soft-tissue deficiency and severe bone loss. Considering the chosen technique an intramedullary nail fixation showed a significant higher fusion rate than external fixation or plate fixation [40][41][42][43]. A study surveying patients after single-stage knee arthrodesis using a cemented nail showed low pain levels with a mean VAS score of 1.44 ± 1.48 and an infection recurrence in 14.8% of the cases [41].…”

Section: Discussionmentioning

confidence: 99%

Modulares Kniearthrodesesystem TITAN (KAM-TITAN) nach fehlgeschlagener Knieendoprothetik

Gathen

Schmolders

Wimmer

et al. 2019

Oper Orthop Traumatol

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Section: Discussionmentioning

confidence: 99%

Modulares Kniearthrodesesystem TITAN (KAM-TITAN) nach fehlgeschlagener Knieendoprothetik

Gathen

Schmolders

Wimmer

et al. 2019

Oper Orthop Traumatol

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“…A subgroup analysis ( For this population, an inappropriate initial patient care can lead to heavy professional and social consequences. An initial optimal patient care is therefore needed (2,3), because unfortunately hand wounds are still too often disregarded (9).…”

Section: Resultsmentioning

confidence: 99%

Ambulatory hand emergency: 2 years-experience in an public university hospital center

Carricaburu¹,

Mouton²,

Nseir³

et al. 2021

Acta Orthop Belg

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Hand emergencies represent the most frequent traumatic injuries and outpatient surgery is still improving. It will achieve 70% of total surgeries by 2022. Our hand trauma center has been able to set up an emergency day surgery department in a university hospital center. With this article, we would like to report the ambula- tory care management and practice for hand emer- gencies in our university hospital center over 2 years. 892 patients suffering from hand traumas and managed in our day surgery department, were retro-spectively reviewed between January 2016 and December 2017. Patients’ demographic data, anesthe- tic data, trauma’s circumstances, medical care and surgical outcomes have been disclosed. A descriptive analysis and a statistical assessment was realized. Cut injury was the most recorded case, followed by impactions. Tendon injuries were the most frequent (32%), followed by fractures (26%), and exposed joints (18%). 13% of injuries were nil findings. Average patient care delay was 1.16 days. Mean of hospitalization was 7.5 hours. 16/892 patients needing intravenous antibiotics required hospitalization. 41 complications including 27 secondary surgeries were reported. Hospital facilities are forced to reassess their entire procedures to achieve efficiency and improvement for healthcare. Progress in outpatient surgery permits emergency management in hand surgery, improving patient cares both medically and economically.

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“…Our results indicated that hand complications were the highest, this is closely related to the negative impact it has on the patient’s occupational, social, and mental status. Mouton et al [ 19 ] reported a study on eighty claims of hand wounds, ﬁled between 2007 and 2010 that most of the claims, the patient had major cutbacks on occupational and social activities. In a survey by Atrey et al [ 1 ], which reviewed 1473 trauma and elective cases of all orthopedic anatomical sites, the most common cause of chief complaint was hip.…”

Section: Discussionmentioning

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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Surgical exploration of hand wounds in the emergency room: Preliminary study of 80 personal injury claims

Abstract: IV.

Cited by 14 publications

References 6 publications

Modulares Kniearthrodesesystem TITAN (KAM-TITAN) nach fehlgeschlagener Knieendoprothetik

Modulares Kniearthrodesesystem TITAN (KAM-TITAN) nach fehlgeschlagener Knieendoprothetik

Ambulatory hand emergency: 2 years-experience in an public university hospital center

Investigation of litigation in trauma orthopaedic surgery

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