권호 표지

Journal of Trauma and Injury

대한외상학회 (The Korean Society of Traumatology)

  • 계간
  • /
  • 2799-4317(pISSN)
  • /
  • 2287-1683(eISSN)

과학기술표준분류

  • 보건의료 ＞ 임상의학

Aim & Scope

The Journal of Trauma and Injury is an official publication of the Korean Society of Trauma and an international, peer-reviewed open access journal. The aim of this journal is to contribute to saving lives of patients who underwent traumatic events through active communication and exchange of study information on trauma and provision of education and training on trauma. For achieving aims, this journal publishes original basic and clinical researches on trauma-associated medical fields such as surgeries including general surgery, chest surgery, orthopedic surgery, neurosurgery, plastic surgery, head and neck surgery, gynecology and ophthalmology, emergency medicine, anesthesiology, neuro-psychiatrics, rehabilitation medicine and radiology including interventional radiology. Furthermore, this journal has established relationship with the Armed Forces Medical Command and Armed Forces Capital Hospital because of the Korean special situation with North Korea and publishes basic and clinical researches about the battle field trauma unique in Korea. Also this journal includes all items closely associated with medicine, disaster and department of emergency, emergency medical technicians and nurses, social infrastructures and systems, government policies and supports. The Journal of Trauma and Injury was launched in June 1988 with Korean and English Languages and has finally settled as an English language. The journal publishes the original articles, case reports/ case series, review articles, editorials, correspondence, and articles commissioned by the Editorial Committee which are related to basic or clinical research on trauma. 대한외상학회에서 발행하는 "Journal of Trauma and Injury(JTI)" 저널은 대한외상학회의 공식 간행물이며 국제적으로 평가 된 공개 저널입니다. 이 저널의 목표는 외상에 대한 연구 정보의 활발한 의사 소통과 교환 및 외상에 대한 교육 및 훈련 제공을 통해 외상성 사건을 겪은 환자의 생명을 구하는 데 기여하는 것입니다. 대한외상학회 저널에는 의학, 재난 및 응급실, 응급 의료 기술자 및 간호사, 사회 기반 시설 및 시스템, 정부 정책 및 지원과 밀접하게 관련된 모든 항목이 포함되어 있습니다. 1988 년 6 월 한국어와 영어로 첫 발행하였으며, 2012년 12월(제25권 4호)부터 대한외상학회지는 학회지명을 "Journal of Trauma and Injury(JTI)"로 변경하여 연 4회 계간으로 발간하고 있으며 현재 학진 등재후보 학술지로 등재학술지 신청과 함께 Scopus, PMC, ESCI(Emerging Sources Citation Index)에 신청을 준비 중입니다.

KSCI KCI

제31권2호

  1. Lee, Hak-Jae;Sun, Hyun-Woo;Lee, Jae-Seok;Choi, Nak-Joon;Jung, Yoon-Joong;Hong, Suk-Kyung 51
    https://doi.org/10.20408/jti.2018.31.2.51 PDF KSCI
    Purpose: Patients with diffuse axonal injury experience various disabilities and have a high cost of treatment. Recent researches have revealed the underlying mechanism and pathogenesis of diffuse axonal injury. This study aimed to investigate the correlation between the radiological grading of diffuse axonal injury and the clinical outcomes of patients. Methods: From January 2011 to December 2016, among 294 patients with traumatic brain injury, 44 patients underwent magnetic resonance imaging (MRI). A total of 18 patients were enrolled in this study except for other cerebral injuries, such as cerebral hemorrhage or hypoxic brain damage. Demographic data, clinical data, and radiological findings were retrospectively reviewed. The grading of diffuse axonal injury was analyzed based on patient's MRI findings. Results: For the most severe diffuse axonal injury patients, prolonged intensive care unit (ICU) stay (p=0.035), hospital stay (p=0.012), and prolonged mechanical ventilation (p=0.030) were observed. However, there was no significant difference in healthcare-associated infection rates between MRI grading (p=0.123). Massive transfusion, initial hemoglobin and lactate levels, and MRI gradings were found to be highly significant in predicting the duration of unconsciousness. Conclusions: This study showed that patients with high grade diffuse axonal injury have prolonged ICU stays and significantly longer hospital stays. Deteriorated mental patients with high energy injuries should be evaluated to identify diffuse axonal injuries by using an appropriate imaging tool, such as MRI. It will be important to predict the duration of consciousness recovery using MRI scans.
  2. Park, Chan Yong;Yeo, Kwang Hee;Ahn, Sora 58
    https://doi.org/10.20408/jti.2018.31.2.58 PDF KSCI
    Purpose: Many doctors have difficulty in deciding the treatment duration in trauma patients to write in the casualty medical certificate. We tried to find a solution for this problem by using abbreviated injury scale (AIS). Methods: A total of 39 patients treated in our regional trauma center who requested an author to write treatment duration on casualty medical certificate from January 2014 to April 2017 were included. And the treatment duration was decided based on the PARK Formula (AIS). PARK Formula $(AIS)=(AIS{\times}2){\sim}([AIS{\times}2]+2)$ Results: Among 39 patients included and 36 (92.3%) had treatment duration on casualty medical certificate within the range of treatment duration calculated by PARK Formula (AIS). Compared to the PARK Formula (AIS), the mean value was 0.13 week (0.90 day) smaller. Comparing the treatment duration between Korean Medical Association (KMA) guideline and PARK Formula (AIS), only 22 patients (56.4%) showed agreement. The mean value was 1.02 week (7.18 days) smaller in KMA guideline. Conclusions: For the decision of the treatment duration in trauma patients, utilizing worldwide used AIS scoring system is very efficient. Using PARK Formula (AIS), doctors can document the treatment duration in the casualty medical certificate with ease. KMA should provide more practical 'treatment duration of each diagnosis in writing casualty medial certificate' for the doctors. We recommend PARK Formula (AIS) as a good alternative for KMA guide.
  3. Son, Shin-Ah;Oh, Tak-Hyuk;Kim, Gun-Jik;Lee, Deok Heon;Lim, Kyoung Hoon 66
    https://doi.org/10.20408/jti.2018.31.2.66 PDF KSCI
    Patients with traumatic aortic rupture rarely reach the hospital alive. Even among those who arrive at the hospital alive, traumatic aortic rupture after high-speed motor vehicle accidents leads to a high in-hospital mortality rate and is associated with other major injuries. Here, we report a rare case of descending midthoracic aortic rupture with blunt diaphragmatic rupture. Successful management with emergency laparotomy after an immediate endovascular procedure resulted in a favorable prognosis in this case.
  4. Seo, Il;Oh, Chang-Wug;Kim, Joon-Woo;Park, Kyeong-Hyun 72
    https://doi.org/10.20408/jti.2018.31.2.72 PDF KSCI
    Acetabular and Pelvic ring fractures are major high-energy trauma injuries and are often combined with other injuries. In particular, cause of long duration of immobilization and combined injuries, venous thromboembolism is a common complication in trauma patients with pelvic or acetabular fractures. We report a case of a fatal pulmonary thromboembolism during the acetabulum fracture operation in a 62-year-old male patient.
  5. Kwon, Woo-Keun;Oh, Jong-Keon;Cho, Jun-Min;Kwon, Taek-Hyun;Park, Youn-Kwan;Moon, Hong Joo;Kim, Joo Han 76
    https://doi.org/10.20408/jti.2018.31.2.76 PDF KSCI
    Fractures at the thoracolumbar region are commonly followed after major traumatic injuries, and up to 20% of these fractures are known to be burst fractures. Making surgical decisions for these patients are of great interest however there is no golden standard so far. Since the introduction of Thoracolumbar Injury Classification and Severity (TLICS) score in 2007, it has been widely used as a referential guideline for making surgical decisions in thoracolumbar fractures. However, there is still limitations in this system. In this clinical case report, we introduce a L1 burst fracture after motor vehicle injury, who was successfully treated conservatively even while she was graded as a TLICS 5 injury. A case report is presented as well as discussion on the limitations of this grading system.
  6. Kim, Hong Rye;Go, Seung Je;Sul, Young Hoon;Ye, Jin Bong;Lee, Jin Young;Choi, Jung Hee;Choi, Seoung Myoung;Kim, Yook;Yoon, Su Young 82
    https://doi.org/10.20408/jti.2018.31.2.82 PDF KSCI
    Craniocerebral gunshot injuries (CGIs) are extremely seldom happened in Korea because possession of individual firearm is illegal. So, CGIs are rarely encountered by Korean neurosurgeons or Korean trauma surgeons, though in other developing countries or Unites states of America their cases are indefatigably increasing. Management goal should focus on early aggressive, vigorous resuscitation. The treatments consist of immediate life salvage through correction of coagulopathy, intracranial decompression, prevention of infection and preservation of nervous tissue. There have been few studies involving penetrating CGIs in Korea. Here we present a case of penetrating gunshot wound in Korea. We present a 58-year-old man who was unintentionally shot by his colleague with a shotgun. The patients underwent computed tomography (CT) for assessment of intracranial injury. The bullet passed through the left parietal bone and right lateral ventricle and exited through the posterior auricular right temporal bone. After CT scan, he arrested and the cardiopulmonary resuscitation was conducted immediately. But we were unable to resuscitate him. This case report underscores the importance of the initial clinical exam and CT studies along with adequate resuscitation to make the appropriate management decision. Physicians should be familiar with the various injury patterns and imaging findings which are poor prognostic indicators.
  7. Lee, Hojun;Kang, Byung Hee;Kwon, Junsik;Lee, John Cook-Jong 87
    https://doi.org/10.20408/jti.2018.31.2.87 PDF KSCI
    Non-operative management has been preferred in blunt spleen injury. Moreover children are more susceptible to post-splenectomy infection, spleen should be preserved if possible. However, splenectomy is inevitable to patients with severe splenic injury. Therefore splenic autotransplantation could be the last chance for preserving splenic function in these patients although efficacy has not proven. Here we reported four cases of children who were underwent splenic autotransplantation successfully after blunt trauma.
  8. Cha, Han Gyu;Kim, Eun Key;Hong, Suk-Kyung 91
    https://doi.org/10.20408/jti.2018.31.2.91 PDF KSCI
    Managing large infected midline abdominal defects are clinically challenging and technically demanding. The alloplastic materials, regional flaps, and component separation are usually infeasible because of the size, location, depth, and state of the defects. In these cases, the free flap is the only option with a large well-vascularized tissue that is free to inset regardless of the location. Herein, we report a case of 44-year-old man with a large infected midline abdominal wall defect who was completely treated with a latissimus dorsi myocutaeous free flap followed by negative pressure wound therapy.
  9. Kim, Beom-Soo;Cho, Jae-Woo;Yeo, Do-Hyun;Oh, Jong-Keon 96
    https://doi.org/10.20408/jti.2018.31.2.96 PDF KSCI
    Ipsilateral fractures of proximal femur with shaft and condylar region are very rare. Current concept of management is based on fixation of each fracture as independent entity using separate fixation modalities for proximal and distal parts of femur. However, we considered that antegrade femoral nailing with cephalomedullary screw fixation is a good option for ipsilateral multi-level femoral fractures. Here, we present an experience of satisfactory treatment for ipsilateral femoral neck fracture, subtrochanteric fracture, comminuted shaft fracture with supracondylar fracture following road traffic accident.
  10. Lee, Hojun;Moon, Jonghwan;Kwon, Junsik;Lee, John Cook-Jong 103
    https://doi.org/10.20408/jti.2018.31.2.103 PDF KSCI
    Fat embolism refers to the presence of fat droplets within the peripheral and lung microcirculation with or without clinical sequelae. However, early diagnosis of fat embolism is very difficult because the embolism usually does not show at the computed tomography as a large fat complex within vessels. Forty-eight-year-old male with pedestrian traffic accident ransferred from a local hospital by helicopter to the regional trauma center by two flight surgeons on board. At the rendezvous point, he had suffered with dyspnea without any airway obstruction sign with 90% of oxygen saturation from pulse oximetry with giving 15 L of oxygen by a reserve bag mask. The patient was intubated at the rendezvous point. The secondary survey of the patient revealed multiple pelvic bone fracture with sacrum fracture, right femur shaft fracture and right tibia head fracture. Abdominal computed tomography was performed in 191 minutes after the injury and fat embolism with Hounsfield unit of -86 in his right common iliac vein was identified. Here is a very rare case that mass of fat embolism was shown within common iliac vein detected in computed tomography. Early detection of the fat embolus and early stabilization of the fractures are essential to the prevention of sequelae such as cerebral fat embolism.
  11. Seo, Il;Oh, Chang-Wug;Kim, Joon-Woo;Park, Kyeong-Hyun 107
    https://doi.org/10.20408/jti.2018.31.2.107 PDF KSCI
    Segmental bone defects of the tibia present a challenging problem for the orthopedic trauma surgeon. These injuries are often complicated by soft tissue defects and infection. Many techniques are reported, from bone graft to bone transport. To our knowledge, bone transport over the plate in the distraction site has not been described for the treatment of tibial bone defect. We report an instance including procedure and subsequent complications after bone transport over the plate, to restore a tibial bone defect.
  12. Kim, Tae-Seong;Oh, Chang-Wug;Kim, Joon-Woo;Park, Kyung-Hyun 112
    https://doi.org/10.20408/jti.2018.31.2.112 PDF KSCI
    Calcaneal fractures are quite often seen in patients with axial loading injury. In the tongue-type of calcaneusal fractures or tuberosity avulsion fractures, bone fragments are often superiorly and posteriorly displaced, because of the insertion of the Achilles tendon and pull of the gastroc-soleus complex. The Ddisplaced bone fragment compresses the soft tissues, leading tothat makes skin necrosis. To prevent further soft tissue injury, early recognition of the injury by the emergency physician and immediate orthopedic consultation is needed.