Injury

Although large language models (LLMs) like ChatGPT are increasingly used in clinical reasoning, their reliability in procedural decision-making remains questionable. Wound management provides a standardized framework for evaluating their performance in practical scenarios. The primary goal of this study was to assess the level of agreement between ChatGPT's recommendations and emergency physicians' decisions in the management of traumatic lacerations.

Ulnar styloid fractures (USF) often occur in conjunction with distal radius fractures (DRF). This study aims to compare wrist prognosis between DRF patients with untreated USF and those with isolated DRF, and to assess the impact of different USF fracture types.

Surgical indications for dorsally displaced distal radius fractures (DRFs) are guided by national guidelines, yet variation in clinical practice persists. This study aimed to compare contemporary national guidelines, examine differences in recommended intervention thresholds, and assess their potential impact on treatment decisions and resource utilization.

Socket is one of the components that can determine the comfort of the user. Poor socket fit can induce pain and discomfort to the residual leg. Besides, poor selection of amputation morphological parameters such as length of bone and tibial bevelling angle can hinder the control of prosthesis. Thus, the surgeon needs to make a wise decision, or else it can cause problems later in prescribing prostheses for the amputee. The aim of the study is to investigate the effect of morphological variability of residual limbs such as tibial length, distal tibia bevelling angle, and stiffness of soft tissue.

Lateral epicondylar fractures in young patients have received limited attention in the literature. This study aims to describe their mechanism of injury, concomitant injuries, management, and long-term outcomes in pediatrics.

The fact the clinical medicine continues to generate new evidence at a substantial pace is ongoing. Almost 2 million peer-reviewed articles are published in scientific journals every year [1]. Among them, there are articles propagating radically new ideas or encouraging the further exploration of a technique that was regarded niche just recently.

The initial injury from TBI damages brain tissue, disrupting blood flow and causing the brain to experience hypoxia. Hypoxia contributes significantly to the persistence of neuroinflammation and the progression of secondary brain injury, ultimately leading to long-term neurological deficits. Hyperbaric oxygen (HBO) therapy is a potential intervention to mitigate hypoxia. In our earlier work, we demonstrated that HBO treatment effectively reduced brain hypoxia in rat models, as indicated by decreased levels of hypoxia-inducible factor (HIF)-1α.

To compare the efficacy of three surgical methods—Robot-Assisted Percutaneous Reduction and Screw Fixation (RA-PRSF), Sinus Tarsi Approach for Open Reduction and Plate Fixation (STA-ORPF), and Extended Lateral Approach for Open Reduction and Plate Fixation (ELA-ORPF)—in the treatment of displaced intra-articular calcaneal fractures (DIACFs).

The management of the pink pulseless hand (PPH) following paediatric supracondylar humerus fractures remains controversial, with no clear consensus between conservative management and early surgical exploration. This study aimed to compare outcomes of these strategies through systematic review and meta-analysis.

This study aimed to assess the association between the interval from initial fracture fixation to debridement, antibiotics and implant retention (DAIR) for fracture-related infection (FRI) (referred to as the FF-FRI interval) and treatment outcome in patients with FRI of the lower leg.