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Ippokratis Pountos Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, UK

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Peter V. Giannoudis Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, and NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, LS7 4SA Leeds, West Yorkshire, Leeds, UK

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cartilage, which is essential for its viability. 19 A number of studies have demonstrated that abnormal impact loading increases the risk of progressive joint wear and tear leading to post-traumatic osteoarthritis (PA). 20 - 22 Qualitative changes

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Logan Petit Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut, USA

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Theodore Zaki Department of Dermatology, Yale University School of Medicine, New Haven, Connecticut, USA

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Walter Hsiang Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut, USA

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Michael P. Leslie Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut, USA

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Daniel H. Wiznia Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut, USA

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(s) Crash type Head Head-leading collisions Topside/highside Upper extremity: shoulder girdle Direct vertical impact Collision Upper extremity: wrist Motorcycle radius Topside/highside Upper extremity: hand

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Abdel Rahim Elniel Leeds Teaching Hospitals Trust, UK

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Peter V. Giannoudis Academic Department of Trauma and Orthopaedics, Leeds Teaching Hospitals, University of Leeds, UK; NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, UK

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tibial/ femoral fractures are caused by high impact trauma, so the potential for concomitant life-threatening injury should be ruled out before addressing traumatic limb injury. 22 Patients require adequate exposure to complete an examination of all

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Juan Ramón Cano Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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José Manuel Bogallo Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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Alicia Ramirez Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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Enrique Guerado Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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last decades due to rapid on-site intervention ( 2 , 14 , 15 ). Pelvic binder use should be standard in high-impact blunt trauma patients, independently of the trauma mechanism ( 16 ). In a survey carried out by the Société Internationale de Chirurgie

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Vasileios P Giannoudis Major Trauma Centre, Leeds Teaching Hospitals NHS Trust
Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom

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Paul Rodham Major Trauma Centre, Leeds Teaching Hospitals NHS Trust
Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom

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Peter V Giannoudis Major Trauma Centre, Leeds Teaching Hospitals NHS Trust
Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom

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Nikolaos K Kanakaris Major Trauma Centre, Leeds Teaching Hospitals NHS Trust
Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom

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roadside intervention occurred in June 2014. Studies demonstrate that REBOA can have a positive impact in trauma cases where patients have suffered traumatic cardiac arrests (59% return of spontaneous circulation) ( 46 ). In reality, the literature still

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Arvin Eslami Bone and Joint reconstruction research center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

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Mohammadreza Chehrassan Bone and Joint reconstruction research center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

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Shaya Alimoghadam Bone and Joint reconstruction research center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

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Karim Pisoudeh Bone and Joint reconstruction research center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

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Amir Kasaeian Digestive Oncology Research Center, Digestive Diseases Research Institute; Research Center for Chronic Inflammatory Diseases; Clinical Research Development Unit, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

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Omid Elahifar Bone and Joint reconstruction research center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

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hypovolemia, head injuries, and vaginal bleeding, which have a profound impact on both maternal and fetal outcomes. These findings emphasize the urgent need for tailored and individualized treatment strategies to effectively manage the complexities associated

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Elizabeth K Tissingh The Bone Infection Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals, Oxford, UK
King’s Global Health Partnerships, School of Life Course and Population Sciences, King’s College London, London, UK

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Leonard Marais Department of Orthopaedic Surgery, School of Clinical Medicine, University of KwaZulu-Natal, KwaZulu-Natal, South Africa

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Antonio Loro Comprehensive Rehabilitation Services for People with Disability in Uganda (CoRSU) Hospital, Kisubi, Uganda

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Deepa Bose University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Nilo T Paner Department of Orthopaedics, University of the Philippines, Philippine General Hospital Manila, The Phillipines

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Jamie Ferguson The Bone Infection Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals, Oxford, UK
Department of Orthopaedics, University of the Philippines, Philippine General Hospital Manila, The Phillipines

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Mario Morgensten Centre for Musculoskeletal Infections, Department of Orthopaedic and Trauma Surgery, University Hospital Basel, Basel, Switzerland

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Martin McNally The Bone Infection Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals, Oxford, UK

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– such as delays in accessing care, resource constraints, population demographics, pathogen patterns and host comorbidities – may have an impact on how applicable guidelines are to these different contexts. In LMICs where fracture fixation with metalwork

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Andrew J Harrison Bioventus International, Taurusavenue, Hoofddorp, Netherlands

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Michael R Redler Connecticut Orthopaedics, Department of Orthopaedics, University of Virginia, Frank H. Netter School of Medicine, Quinnipiac University, USA

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David M Taylor Leeds General Infirmary, Leeds, UK

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Ansar Mahmood Department Trauma & Orthopaedic Surgery, Queen Elizabeth Hospital, Birmingham, UK

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John T Jones Statistician - Raleigh, NC

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Yukihiro Arai Department of Orthopaedic Surgery, Teikyo University School of Medicine

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Yoshinobu Watanabe Department of Orthopaedic Surgery, Teikyo University School of Medicine

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can be challenging for clinicians and devastating for patients. The time required for the healing of fresh fractures can have a serious economic impact for the patient. In the 5% of patients who go on to non-union, that economic impact can increase

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Mario Herrera-Pérez Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain
School of Medicine, Universidad de La Laguna, Tenerife, Spain

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Pablo Martín-Vélez Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain

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David González-Martín Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain
School of Medicine, Universidad de La Laguna, Tenerife, Spain

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Miguel Domínguez-Meléndez Foot and Ankle Unit, Complejo Hospitalario Universitario de Badajoz, Badajoz, Spain

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Ahmed E Galhoum Specialty Doctor Trauma and Orthopaedics, George Eliot Hospital NHS Trust, Nuneaton, UK

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Victor Valderrabano Schmerzklinik, Basel, Switzerland
University of Basel, Basel, Switzerland

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Sergio Tejero Foot and Ankle Unit, Hospital Universitario Virgen del Rocío, Sevilla, Spain
School of Medicine, Universidad de Sevilla, Sevilla, Spain

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Status Classification (ASA Classification). ASA 1 Healthy patient without organic, biochemical or psychiatric disease. ASA 2 A patient with mild systemic disease. No significant impact on daily activity. Unlikely impact on anaesthesia

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Jordi Tomás-Hernández Department of Orthopaedic and Trauma Surgery, Hospital Vall d’Hebron, Barcelona, Spain

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injuries may be caused by high- or low-energy mechanisms. Axial compression injuries where the talus impacts on the distal articular surface, causing implosion of the tibial plafond are caused by high-energy mechanisms with key characterisitcs including

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