1887
Volume 2024, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Introduction: This study aimed to retrospectively analyze patients who presented to the orthopedic and traumatology clinic following the 2023 Kahramanmaraş earthquakes.

Patients and Methods: Over a week after the earthquakes, two hundred and sixty patients were consulted at our clinic. Demographic data of the patients, duration of being under the rubble, fracture locations, types of surgeries performed, number of surgical sessions attended by individuals, and early mortality rate within one month were determined.

Results: The mean age of the patients was 40.2 ± 22.4 years. One hundred thirty-eight (53.1%) were female, and 122 (46.9%) were male. The average duration of being under the rubble was determined as 27.1 ± 28.0 hours. Sixteen patients died within one month after the earthquake. The one-month mortality rate among patients with orthopedic injuries was 6.15%. Forty-seven fasciotomies were performed in 35 patients, and 22 amputations were performed in 19 patients. The most injured region was the lower extremity (78 cases, 40%). The ratio of external and internal fixation in extremity fractures was 22%.

Conclusions: The management of musculoskeletal injuries can be successful with proper triage and treatment plans. Decisions regarding fasciotomy and amputation in patients with crush syndrome following an earthquake should be individualized. Implant sets should be planned accordingly, especially considering the higher occurrence of lower extremity injuries.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2024.10
2024-02-21
2024-04-28
Loading full text...

Full text loading...

/deliver/fulltext/qmj/2024/1/qmj.2024.10.html?itemId=/content/journals/10.5339/qmj.2024.10&mimeType=html&fmt=ahah

References

  1. Elmi A, Ganjpour Sales J, Tabrizi A, Soleimanpour J, Mohseni MA. Orthopedic injuries following the East azerbaijan earthquake. Trauma Mon. 2013 Spring; 18:(1):3–7. doi: [Crossref].
    https://doi.org/10.5812/traumamon.8322 [Google Scholar]
  2. Bortolin M, Morelli I, Voskanyan A, Joyce NR, Ciottone GR. Earthquake-Related Orthopedic Injuries in Adult Population: A Systematic Review. Prehosp Disaster Med. 2017 Apr; 32:(2):201–8. doi: [Crossref].
    https://doi.org/10.1017/S1049023X16001515 [Google Scholar]
  3. Coccolini F, Improta M, Picetti E, Branca Vergano L, Catena F, de ‘Angelis N, et al.. Timing of surgical intervention for compartment syndrome in different body region: systematic review of the literature. World J Emerg Surg. 2020 Oct 21; 15:(1):60. doi: [Crossref].
    https://doi.org/10.1186/s13017-020-00339-8 [Google Scholar]
  4. Héry JC, Maroteau G, Dujeux C, Riffault L, Hulet C. Ultrasound-guided fasciotomy for chronic exertional forearm compartment syndrome: a cadaveric feasibility study. Hand Surg Rehabil. 2023 Sep; 42:(4):298–304. doi: [Crossref].
    https://doi.org/10.1016/j.hansur.2023.04.006 [Google Scholar]
  5. Matsen FA 3rd, Winquist RA, Krugmire RB Jr . Diagnosis and management of compartmental syndromes. J Bone Joint Surg Am. 1980 Mar; 62:(2):286–91.
    [Google Scholar]
  6. Michaelson M. Crush injury and crush syndrome. World J Surg. 1992 Sep-Oct; 16:(5):899-903. doi: [Crossref].
    https://doi.org/10.1007/BF02066989 [Google Scholar]
  7. Matsuoka T, Yoshioka T, Tanaka H, Ninomiya N, Oda J, Sugimoto H, et al.. Long-term physical outcome of patients who suffered crush syndrome after the 1995 Hanshin-Awaji earthquake: prognostic indicators in retrospect. J Trauma. 2002 Jan; 52:(1):33–9. doi: [Crossref].
    https://doi.org/10.1097/00005373-200201000-00008 [Google Scholar]
  8. Ergani HM, Özmut Ö, Yıldırım F, Çit R, Yaşar B, Ünlü RE. Evaluation of the 2023 Kahramanmaras earthquake from the perspective of Plastic Surgery Department: A single-center experience. Jt Dis Relat Surg. 2023 May 25; 34:(2):523–529. doi: [Crossref].
    https://doi.org/10.52312/jdrs.2023.1107 [Google Scholar]
  9. Finkelstein JA, Hunter GA, Hu RW. Lower limb compartment syndrome: course after delayed fasciotomy. J Trauma. 1996 Mar; 40:(3):342–4. doi: [Crossref].
    https://doi.org/10.1097/00005373-199603000-00002 [Google Scholar]
  10. Williams AB, Luchette FA, Papaconstantinou HT, Lim E, Hurst JM, Johannigman JA, et al.. The effect of early versus late fasciotomy in the management of extremity trauma. Surgery. 1997 Oct; 122:(4):861–6. doi: [Crossref].
    https://doi.org/10.1016/s0039-6060(97)90099-4 [Google Scholar]
  11. Bingol O, Karlidag T, Keskin OH, Kilic E, Sarikaya B, Ozdemir G. Preventing extremity amputations after earthquakes: a quantitative analysis of fasciotomy and extrication time. Eur J Trauma Emerg Surg. 2023 Dec; 49:(6):2515–2520. doi: [Crossref].
    https://doi.org/10.1007/s00068-023-02325-6 [Google Scholar]
  12. Tahmasebi MN, Kiani K, Mazlouman SJ, Taheri A, Kamrani RS, Panjavi B, et al.. Musculoskeletal injuries associated with earthquake. A report of injuries of Iran’s December 26, 2003 Bam earthquake casualties managed in tertiary referral centers. Injury. 2005 Jan; 36:(1):27–32. doi: [Crossref].
    https://doi.org/10.1016/j.injury.2004.06.021 [Google Scholar]
  13. Gerdin M, Wladis A, von Schreeb J. Surgical management of closed crush injury-induced compartment syndrome after earthquakes in resource-scarce settings. J Trauma Acute Care Surg. 2012 Sep; 73:(3):758–764. doi: [Crossref].
    https://doi.org/10.1097/TA.0b013e3182513363 [Google Scholar]
  14. Görmeli G, Görmeli CA, Güner S, Ceylan MF, Dursun R. The clinical profile of musculoskeletal injuries associated with the 2011 Van earthquake in Turkey. Eklem Hastalik Cerrahisi. 2012; 23:(2):68–71.
    [Google Scholar]
  15. MacKenzie JS, Banskota B, Sirisreetreerux N, Shafiq B, Hasenboehler EA. A review of the epidemiology and treatment of orthopaedic injuries after earthquakes in developing countries. World J Emerg Surg. 2017 Feb 10; 12:9. doi: [Crossref].
    https://doi.org/10.1186/s13017-017-0115-8 [Google Scholar]
  16. Li CY, Lin CH, Chang CW, Chuang CH, Chung YH, Hu MH, et al.. Musculoskeletal injuries and management of victims from collapsed buildings in the 2016 Taiwan earthquake: Experiences in a tertiary medical center. Injury. 2021 Nov; 52:(11):3334–3339. doi: [Crossref].
    https://doi.org/10.1016/j.injury.2021.08.030 [Google Scholar]
  17. Lebel E, Blumberg N, Gill A, Merin O, Gelfond R, Bar-On E. External fixator frames as interim damage control for limb injuries: experience in the 2010 Haiti earthquake. J Trauma. 2011 Dec; 71:(6):E128–31. doi: [Crossref].
    https://doi.org/10.1097/ TA.0b013e3182147654 [Google Scholar]
  18. Phalkey R, Reinhardt JD, Marx M. Injury epidemiology after the 2001 Gujarat earthquake in India: a retrospective analysis of injuries treated at a rural hospital in the Kutch district immediately after the disaster. Glob Health Action. 2011; 4:7196. doi: [Crossref].
    https://doi.org/10.3402/gha.v4i0.7196 [Google Scholar]
  19. Bar-On E, Lebel E, Kreiss Y, Merin O, Benedict S, Gill A, et al.. Orthopaedic management in a mega mass casualty situation. The Israel Defence Forces Field Hospital in Haiti following the January 2010 earthquake. Injury. 2011 Oct; 42:(10):1053–9. doi: [Crossref].
    https://doi.org/10.1016/j.injury.2011.03.054 [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/qmj.2024.10
Loading
/content/journals/10.5339/qmj.2024.10
Loading

Data & Media loading...

  • Article Type: Research Article
Keyword(s): amputationcrush syndromeEarthquakefasciotomy and fracture
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error