Orthopedic treatment, complications, and cost analysis of 67 soldiers injured in a three-month period
| Autor: | Barış Polat, Yunus Emre Bektaş, Nihat Demirhan Demirkıran, Ramadan Özmanevra, Mehmet Kabay |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent External Fixators Cost open fracture Arthrodesis medicine.medical_treatment Bone Screws law.invention Intramedullary rod Fractures Bone Young Adult Injury Severity Score Treatment complications Blast Injuries law Humans Medicine Orthopedics and Sports Medicine war Retrospective Studies Syria business.industry Rehabilitation Extremities Retrospective cohort study Syrian Armed Conflicts Middle Aged medicine.disease Surgery Military Personnel Concomitant Orthopedic surgery Musculoskeletal injury Cost analysis Original Article Wounds Gunshot business |
| Zdroj: | Joint Diseases and Related Surgery |
| ISSN: | 2687-4792 2687-4784 |
| DOI: | 10.5606/ehc.2020.71808 |
| Popis: | Objectives This study aims to analyze the musculoskeletal injury types, injury mechanisms, treatment modalities, complications, and costs of 67 consecutive soldiers wounded in the battlefield in Syria civil war over a period of three months. Patients and methods This retrospective study was conducted between January 2018 and March 2018 at Kilis State Hospital. The study included 67 male patients (median age 28.5 years; range, 15 to 46 years). Patients' ages, injury mechanisms, fracture types, fracture locations, injury severity scores, mangled extremity severity scores, complications, and treatment costs were evaluated. Results Twenty-three patients were injured due to handmade explosives, 21 patients due to gunshots, 16 patients due to landmines, five patients due to rockets, and two patients due to grenades. A total of 35.8% of the patients (n=24) had concomitant trauma. The mean hospitalization period was 10.2 days (range, 1-45 days). A total of 88 treatments were performed on these patients. Thirty-six of these treatments were external fixators, 21 were amputations, 12 were open reduction internal fixations, seven were closed reduction internal fixations, five were intramedullary nailings, three were cannulated screws, three were fasciotomies, and one was an arthrodesis. The treatment costs ranged from 1,577 to 296,286 Turkish Liras. Complications were observed in 17 patients and 11 of them developed infections, three of them had compartment syndrome, and three died during the hospitalization period. Conclusion The increase in warfare technology is correlated with the severity of military injuries in the battlefields. These injuries still lead to high traumatic amputation rates, high-risk complications, and high costs. |
| Databáze: | OpenAIRE |
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