Journal of Trauma & Treatment

The increasing number of Traumatic Brain Injury (TBI), mostly due to accidents, greatly contributes as one of the major cause of long-term disability in the world. The brain injury causes neurological dysfunction via direct tissue disruption and delayed pathophysiological changes in the molecular and cellular level resulting to neuronal death. The pathophysiological changes seen play an important role in chronic neurodegeneration leading to neurological impairment. Reversing this pathophysiological change may help reduce significant morbidity and mortality.

Introduction: Pertrochanteric fractures are frequent fractures. They are the prerogative of the elderly, affecting the young man as a result of a high energy mechanism. The complications are sometimes formidable. Different treatments are possible. In some cases, DHS screwplate osteosynthesis easily reduces these pertrochanteric fractures. The main objective of this work was to study the infectious complications and consolidation defects of DHS screw-plate osteosynthesis of pertrochanteric fractures. The secondary objective was to assess functional results. Our hypothesis was that the complication rate was low.

Materials and methods: This was a retrospective single-center study including internal fixation by DHS screw-plate (March 2017 to May 2020) excluding patients with severe comorbidity.

Results: The series includes 36 internal fixation: 30 predominantly male (83.33%) and young (mean age: 39.1 years) patients, with an average follow-up of 18 months. thirty-four fractures were analyzed. We noted two cutaneous or infectious complications, one of which required revision surgery. One patient had to undergo revision surgery for early unraveling of the osteosynthesis material. The mean PMA score was 12.2: 4-18. Functional results were excellent in 34% and good in 31% of cases. The unstable fractures had a poor prognosis.

Discussion: We found a slightly lower complication rate than in the literature. Functional scores were slightly lower. Dysesthesia of the superior gluteal nerve is a relatively common complication. Two thromboembolic disorders. A high rate of complications and sometimes modest results encourage reflection on the surgical technique and its indication. Minimally invasive and fluoroscopic approaches remain the solution in all cases.

Conclusion: The management of pertrochanteric fractures must be an à la carte surgery, taking into account in our context the technical platform, the patient's condition, and the associated lesions, since the complications associated with open-site surgery without fluoroscopy is not negligible.

The Corona virus SARS-CoV-2 (COVID-19) crisis has rapidly spread worldwide after the emergence of the pandemic in Wuhan in December 2019 it has resulted in health, economic and other non-health impacts with the healthcare systems of developed and developing countries being overwhelmed throughout the globe. It has also impacted the surgical branches and orthopedic surgery worldwide, more so the elective orthopedic surgery causing much apprehension, emotional instability and continued disability in the geriatric population who are waiting for the surgery. While this is true, healthcare professionals from all branches especially the critical care, intensivists, and physicians in high dependency units have been overwhelmed and the resources depleting fast due to stretch by this pandemic. The elective surgeries bear the brunt of the pandemic, with emergency orthopedic surgery and trauma demonstrating an increase after the lockdown has been eased and traffic has resumed on the road. Most orthopedic associations across the globe were quick to issue safety guidelines for healthcare professionals and orthopedic surgeons, including the Indian Orthopedic Association (IOA), the British Orthopedic Association (BOA) and the American Academy of Orthopedic Surgery (AAOS). Teaching and research activities are also being hampered due to these unprecedented times. As we restart elective surgical procedures during and post-COVID-19, it is obligatory to apprehend what techniques and surgical etiquette need modification or enforced to reduce the risk of disease transmission throughout the severe acute respiratory syndrome (SARS)-CoV-2 pandemic. This review focuses on COVID-19 effect on orthopedic surgery before, during and after COVID-19.

Purpose: The concept of social, psychological and biological factors impacting adverse childhood experiences has drawn a significant amount of scholarly interest in the recent past; however, attempts to measure the psychological impacts of adverse childhood experiences remains a fairly unexplored area of research. The present study aimed at understanding the impact of adverse childhood experiences on the future orientation and emotional intelligence in a young adult Indian population. In addition, the impact of gender on childhood traumas was also analyzed.

Method: The study was conducted on a sample of 359 males and females from an urban India population assessing their emotional intelligence, future time perspectives and childhood traumas. The data was analyzed using the linear regression analysis model.

Result: The results indicated that significant gender differences exist on ACE’s. Males were found to score higher on both Emotional Intelligence and Future Time Perspective in comparison to females.

Conclusion: Adverse childhood experiences were found to significantly impact emotional intelligence and future orientation among young adults.

Practical implications: Past literature indicates that, no specific interventions are in existence for children who have undergone adverse childhood experiences in India. The results generated can be helpful for government institutions to initiate interventions focusing on the psychological health of school children whilst laying their focus on childhood traumas experienced by them, factors impacting those experiences and keeping gender differences in mind.

In 15–35% of cases, depending on the specifics of the traumatic event and the subject's subjective experience, a scenario or stressful occurrence that is extraordinarily threatening or catastrophic and could result in clear distress symptoms in the majority of people "causes" PTSD.