Analysis of amputations occurring in the earthquakes centered in Kahramanmaraş: Adıyaman experience.

IF 2 3区医学 Q2 ORTHOPEDICS

International Orthopaedics Pub Date : 2024-10-01 Epub Date: 2024-08-21 DOI:10.1007/s00264-024-06280-8

Esin Akbaş, Abuzer Akbaş, Serkan Usgu, Kezban Bayramlar

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引用次数: 0

Abstract

Purpose: Amputations are a common surgical procedure resulting from trauma during earthquakes, leading to severe disability. This study aims to investigate surgical outcomes specific to amputations that occurred in Adıyaman after the Kahramanmaraş earthquakes.

Methods: This descriptive study included amputees who presented to Adıyaman University Training and Research Hospital. Between March 6, 2024 and March 29, 2024, amputees were contacted by phone and asked the questions in the form. Data analyzed included demographic information, number and level of amputated extremities, phantom limb pain, stump infection, extrication time, time to initiation of rehabilitation, number of revision, and whether a prosthesis was fitted.

Results: The study reached 75 amputees. The mean age was 37.9 ± 19.2, and the most frequently amputated age group was adults. Stump infection was observed in 40 amputees (53.3%), phantom limb pain in 47 (62.6%), and revision in 29 (38.7%). The median extrication time was 36 h and initiation of rehabilitation time was 45 days. It was noted that 35 amputees (62.5%) used prostheses. A statistically significant relationship was found between fasciotomy and stump infection (p = .000). Infection was detected in 65% of those who underwent fasciotomy.

Conclusion: Earthquake-related amputations most frequently affected the adult age group and primarily involved lower extremity amputations, such as transfemoral and transtibial amputations. Phantom limb pain, need for revision, and infection are common in earthquake-induced amputations. Delayed fasciotomy increases the risk of stump infection. The data obtained in this study will help plan local health services to coordinate amputation care in disasters.

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卡赫拉曼马拉什中心地震截肢情况分析：阿德亚曼的经验。

目的：截肢是地震中常见的外科手术，会导致严重残疾。本研究旨在调查卡赫拉曼马拉什地震后在阿德亚曼发生的截肢手术的具体结果：这项描述性研究包括在阿迪亚曼大学培训与研究医院就诊的截肢者。在 2024 年 3 月 6 日至 2024 年 3 月 29 日期间，通过电话与截肢者取得了联系，并询问了表格中的问题。分析的数据包括人口统计学信息、截肢的数量和程度、幻肢痛、残肢感染、拔出时间、开始康复的时间、翻修次数以及是否安装了假肢：研究共涉及 75 名截肢者。平均年龄为（37.9 ± 19.2）岁，截肢最多的年龄组为成年人。40名截肢者（53.3%）出现残端感染，47名截肢者（62.6%）出现幻肢痛，29名截肢者（38.7%）出现翻修。中位拔出时间为 36 小时，开始康复时间为 45 天。35名截肢者（62.5%）使用了假肢。筋膜切开术与残端感染之间存在统计学意义上的重大关系（p = .000）。接受筋膜切开术的截肢者中有 65% 发现感染：结论：与地震有关的截肢最常见于成人年龄组，主要涉及下肢截肢，如经股和经胫截肢。地震导致的截肢常见幻肢痛、需要翻修和感染。延迟筋膜切开术会增加残端感染的风险。这项研究获得的数据将有助于规划当地的医疗服务，以协调灾难中的截肢治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Orthopaedics 医学-整形外科

CiteScore

5.50

自引率

7.40%

发文量

360

审稿时长

1 months

期刊介绍： International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.