National Health Service (NHS) statistics in the United Kingdom demonstrate an increase in clinical negligence claims over the past 30 years. Reasons for this include elements of a cultural shift in attitudes toward the medical profession and the growth of the legal services industry. This issue affects medical and surgical health providers worldwide.The authors analyzed 2117 NHS Litigation Auth...

BACKGROUND In September 2011, Kingston General Hospital (KGH) opened a dedicated orthopedic weekend trauma room. Previously, 1 weekend operating room (OR) was used by all surgical services. We assessed the impact this dedicated weekend trauma room had on hospital length of stay (LOS), time to surgery and 30-day mortality for patients with hip fractures. METHODS Patients admitted between Oct. ...

CELECOXIB ENHANCES THE RADIORESPONSE OF SECONDARY BONE TUMORS OF A HUMAN NONSMALL CELL LUNG CANCER VIA ANTIANGIOGENESIS IN VIVO Frank Michael Klenke, Amir Abdollahi, Heike Zieher, Martha-Maria Gebhard, Volker Ewerbeck, Peter Huber, Axel Sckell 1 Department of Orthopedic Surgery, Inselspital, University of Berne, CH-3010 Berne, Switzerland 2 Department of Trauma and Reconstructive Surgery, Chari...

What are the initial steps you take when a patient presents with a traumatic spinal cord injury? Trauma patients are worked up in the emergency department through the general surgery trauma team in conjunction with the orthopedic trauma team. Initial management is done under the guidelines of the Advanced Trauma Life Support (ATLS) protocol, where we recognize and manage potential vital threats...

OBJECTIVE Fewer orthopedic surgery trainees are choosing careers in trauma. The impact of stressors on health-related quality of life has not been evaluated among orthopedic surgical residents. The current study aimed to determine predictors of unsatisfactory resident quality of life during trauma rotations. METHOD This was a prospective observational study in which we chose orthopedic trauma...

Pseudoaneurysms (PSA) of deep femoral artery (DFA) have been reported following penetrating and blunt trauma to the thigh and orthopedic procedures of the proximal femur. We describe a case of pseudoaneurysm of DFA as a late complication of limb trauma which was confirmed by exploration in an urgent surgery. After two operations successful surgical repair was performed.