Trauma — Literature for Clinicians

This section collects dated professional resources on trauma: studies, guidelines, consensus statements and analyses that may influence injury management. Professional resources complement rather than replace patient information or general trauma surgery resources.

How should an orthopaedic surgeon read these resources?

A publication’s significance depends on study type, patient selection, outcomes and compared methods. Findings from one study should not automatically be applied to all patients. Where guidelines or wider consensus exist, the discussion should clarify how a new finding relates to current standards.

Open fractures

Open Tibial Fracture — Two or Three Days of Antibiotics? illustrates analysis of a specific aspect of perioperative care. It remains a dated literature discussion, not a stand-alone protocol for every clinical situation.

Proximal femoral fractures

Some injuries require a choice not only of fixation method but between osteosynthesis and primary replacement. For example: Trochanteric Fracture — Nail or Primary Replacement?. This overlaps trauma and clinical decision-making, so it is also accessible from Clinical Decision-Making.

Current topic index

Resources are grouped by clinical problem to make current discussions easier to find.

Open fractures and healing

• Open Tibial Fracture — Two or Three Days of Antibiotics?
• Metabolic disorders and nonunion risk after tibial shaft fracture
• Neutrophil extracellular traps and nonunion — a new treatment target?

Proximal femur and femoral neck fractures

• Trochanteric Fracture — Nail or Primary Replacement?
• Liposomal bupivacaine after proximal femoral fracture — no clear advantage over placebo
• Dual mobility in THA after femoral neck fracture — fewer dislocations

Pelvis

• Abaloparatide after pelvic fracture — faster healing not confirmed

Shoulder girdle and humerus

• First shoulder dislocation — what do new guidelines change?
• Reverse replacement after complex shoulder fracture — an advantage at seven years?
• Proximal humeral fracture — does the type of immobilisation matter?
• Immediate Sarmiento bracing after fracture? Not always
• MIPO or posterior ORIF for distal humeral shaft fractures?

Wrist and upper limb

• Wrist fracture reduction — ultrasound-guided nerve block or haematoma block?

Lower limb

• Lisfranc Injury — Preserve TMT1 or Perform Arthrodesis?
• Weber C Fracture — Should the Deltoid Ligament Be Repaired?
• Patellar Fracture — Locking Plate or Traditional Tension Band?

This section provides professional trauma updates. Patient guides to specific injuries are available separately.