{"title":"The surgical team's amputation approaches in orthopaedic traumas following the Great Kahramanmaraş Earthquake.","authors":"Gül Özlem Yildirim, Bektaş Sari, Gülseren Keskin","doi":"10.1186/s13018-025-05767-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The aim of this study is to explore and document the surgical team's experiences with amputations in orthopaedic trauma cases following the Great Kahramanmaraş Earthquake.</p><p><strong>Methods: </strong>This research utilized a phenomenological approach to explore the meaning of experiences related to amputation surgery after the earthquake. Twelve orthopaedic surgeons and surgical nurses were selected through purposive sampling. After obtaining ethical approval (Report No: 23-12T/22), data collection commenced on January 6, 2024. Data were collected via 424-minute semi-structured interviews, each lasting 22 to 63 min, and analyzed using MAXQDA software.</p><p><strong>Results: </strong>Elective procedures were cancelled at two remote trauma centres, and patients were evacuated to free up hospital wards. Surgical shifts were organized, and a dedicated communication channel was established via WhatsApp. Triage was performed in the operating room, focusing on pediatric cases. Common cases included lower extremity fractures, with fasciotomy as the typical procedure. The surgical team noted the importance of extending the amputation indication period to save extremities and give patients a chance. The team experienced symptoms such as sorrow, exhaustion, and moments of crying.</p><p><strong>Conclusion: </strong>Orthopaedic surgeons and nurses play a crucial role in earthquake-related surgical procedures. After the Great Kahramanmaraş Earthquake, they volunteered for extended hours beyond their scheduled shifts, deriving moral satisfaction from their efforts. While amputation is complicated and often unwanted, it can be necessary to save lives, resulting in profound emotional experiences such as sadness and fatigue for surgeons and nurses. Mandatory training for all healthcare professionals on earthquake injuries is recommended.</p><p><strong>Reporting method: </strong>Adhered to the COREQ checklist.</p>","PeriodicalId":16629,"journal":{"name":"Journal of Orthopaedic Surgery and Research","volume":"20 1","pages":"878"},"PeriodicalIF":2.8000,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Surgery and Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s13018-025-05767-3","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The aim of this study is to explore and document the surgical team's experiences with amputations in orthopaedic trauma cases following the Great Kahramanmaraş Earthquake.
Methods: This research utilized a phenomenological approach to explore the meaning of experiences related to amputation surgery after the earthquake. Twelve orthopaedic surgeons and surgical nurses were selected through purposive sampling. After obtaining ethical approval (Report No: 23-12T/22), data collection commenced on January 6, 2024. Data were collected via 424-minute semi-structured interviews, each lasting 22 to 63 min, and analyzed using MAXQDA software.
Results: Elective procedures were cancelled at two remote trauma centres, and patients were evacuated to free up hospital wards. Surgical shifts were organized, and a dedicated communication channel was established via WhatsApp. Triage was performed in the operating room, focusing on pediatric cases. Common cases included lower extremity fractures, with fasciotomy as the typical procedure. The surgical team noted the importance of extending the amputation indication period to save extremities and give patients a chance. The team experienced symptoms such as sorrow, exhaustion, and moments of crying.
Conclusion: Orthopaedic surgeons and nurses play a crucial role in earthquake-related surgical procedures. After the Great Kahramanmaraş Earthquake, they volunteered for extended hours beyond their scheduled shifts, deriving moral satisfaction from their efforts. While amputation is complicated and often unwanted, it can be necessary to save lives, resulting in profound emotional experiences such as sadness and fatigue for surgeons and nurses. Mandatory training for all healthcare professionals on earthquake injuries is recommended.
期刊介绍：
Journal of Orthopaedic Surgery and Research is an open access journal that encompasses all aspects of clinical and basic research studies related to musculoskeletal issues.
Orthopaedic research is conducted at clinical and basic science levels. With the advancement of new technologies and the increasing expectation and demand from doctors and patients, we are witnessing an enormous growth in clinical orthopaedic research, particularly in the fields of traumatology, spinal surgery, joint replacement, sports medicine, musculoskeletal tumour management, hand microsurgery, foot and ankle surgery, paediatric orthopaedic, and orthopaedic rehabilitation. The involvement of basic science ranges from molecular, cellular, structural and functional perspectives to tissue engineering, gait analysis, automation and robotic surgery. Implant and biomaterial designs are new disciplines that complement clinical applications.
JOSR encourages the publication of multidisciplinary research with collaboration amongst clinicians and scientists from different disciplines, which will be the trend in the coming decades.
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