Orto&Trauma with Dr. Polotrauma

This retrospective study compared 20 patients with acetabular fractures against those with pelvic ring fractures, asking whether fracture type and surgical approach affect return to sport. Mean follow-up in the acetabular group was mean 1074.22 ± 402.31 days. Total HOS score among acetabular fracture patients averaged mean 72.22 ± 5.32, with average HSAS of mean 3.50 ± 0.48, while pelvic ring pati...

This multicenter study asked how reliable the reverse sural artery flap (RSAF) really is for reconstructing distal lower extremity defects, and how outcomes vary by anatomical site. Among RSAF patients, 96.7% overall flap survival was achieved, with a mean healing time of mean 21.5 days for patients. Venous congestion occurred in 83.3% of cases, and persistent congestion led to necrosis in 10% of...

Trauma-related necrotizing fasciitis is a rare but devastating infection, and surgeons must decide fast whether a limb can be saved. This episode unpacks a ten-year cohort of one hundred thirty-four patients that found a sixteen point four percent major amputation rate and pinned down which limbs are most at risk. We walk through the two strongest early signals, admission lactate dehydrogenase and...

Opioids have classically been the mainstay of pain control on the trauma ward, but they offer only moderate efficacy while carrying serious risks, including addiction and adverse events that raise mortality and length of stay. This episode reviews the non-opioid alternatives for both simple limb trauma and complex poly-trauma. We walk through the evidence on topical agents, acetaminophen, anti-inf...

Is Germany running out of orthopaedic and trauma surgeons? In this episode we break down a nationwide survey of 185 hospital departments, conducted at the end of 2022 by the German Society for Orthopaedics and Trauma Surgery. The numbers are sobering: 55% of clinics reported vacant doctor positions, with a median of 2.7 unfilled roles each. Junior doctor posts were hardest to fill at 89%, while co...