Yıl: 2019 Cilt: 6 Sayı: 1 Sayfa Aralığı: 64 - 68 Metin Dili: İngilizce DOI: 10.14744/nci.2018.09225 İndeks Tarihi: 20-05-2020

Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system

Öz:
OBJECTIVE: To analyze the effects of weapon type, medical interventions, and transportation time on complications due tocombat-related injuries of the musculoskeletal and soft tissue (ST).METHODS: A total of 108 patients treated at the emergency department (ED) over a period of 3.5 years were included inthis study. The effects of weapon type, type of first intervention team, interventions at the ED, and transport time on complications were compared by retrospectively assessing patients’ recorded data.RESULTS: The average age of 108 patients with ST injuries was 24 years. 25 patients developed complications. The ratio ofcomplications in patients with injuries from explosive weapons was 25.42% and was significantly greater (p<0.05) than therate observed from non-explosive weapons. Regarding the transport time of patients reaching the hospital, the greatest complication rate was 30.77% in patients transported to the hospital in 2–4 h; this rate was significantly (p<0.05) greater thanfor those transported in other time ranges. Regarding the ED procedures, the complication rate was 37.50% and significantlyhigher (p<0.05) in the group that received debridement + irrigation + late primary repair.CONCLUSION: Transporting the injured to the ED within the first 2 h, treatment including irrigation and debridement, andsecondary healing following explosive injuries containing contamination and dead tissue appear to be good options for reducing complications.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Covey DC. Blast and fragment injuries of the musculoskeletal system. J Bone Joint Surg Am 2002;84-A:1221–34. [CrossRef ]
  • 2. Ritenour AE, Blackbourne LH, Kelly JF, McLaughlin DF, Pearse LA, Holcomb JB, et al. Incidence of primary blast injury in US military overseas contingency operations: A retrospective study. Ann Surg 2010;251:1140–4. [CrossRef ]
  • 3. Özpek A, Hasbahçeci M, Kabak İ, Yücel M, Çalışkan M, Alimoğlu O. Therapeutic approachs to the abdominal gunshot wounds. Turk J Surg 2012;28:76–80. [CrossRef ]
  • 4. Hill PF, Edwards DP, Bowyer GW. Small fragment wounds: Biophysics, pathophysiology and principles of management. J R Army Med Corps 2001;147:41–51. [CrossRef ]
  • 5. Bartlett CS, Helfet DL, Hausman MR, Strauss E. Ballistics and gunshot wounds: Effects on musculoskeletal tissues. J Am Acad Orthop Surg 2000;8:21–36. [CrossRef ]
  • 6. Mérens A, Rapp C, Delaune D, Danis J, Berger F, Michel R, et al. Prevention of combat-related infections: Antimicrobial therapy in battlefield and barrier measures in French military medical treatment facilities. Travel Med Infect Dis 2014;12:318–29. [CrossRef ]
  • 7. Murray CK, Obremskey WT, Hsu JR, Andersen RC, Calhoun JH, Clasper JC, et al. Prevention of infections associated with combat-related extremity injuries. J Trauma 2011;71:S235–57. [CrossRef ]
  • 8. Manring MM, Hawk A, Calhoun JH, Andersen RC. Treatment of war wounds: A historical review. Clin Orthop Relat Res 2009;467:2168–91.
  • 9. Murray CK, Hsu JR, Solomkin JS, Keeling JJ, Andersen RC, Ficke JR, et al. Prevention and management of infections associated with combatrelated extremity injuries. J Trauma 2008;64:S239–51. [CrossRef ]
  • 10. Taş H, Mesci A, Eryılmaz M, Zeybek N, Peker Y. The affecting factors on the complication ratio in abdominal gunshot wounds. Ulus Travma Acil Cerrahi Derg 2011;17:450–4. [CrossRef ]
  • 11. Persad IJ, Reddy RS, Saunders MA, Patel J. Gunshot injuries to the extremities: Experience of a U.K. Trauma centre. Injury 2005;36:407–11.
  • 12. Murad MK, Larsen S, Husum H. Prehospital trauma care reduces mortality. Ten-year results from a time-cohort and trauma audit study in Iraq. Scand J Trauma Resusc Emerg Med 2012;20:13. [CrossRef ]
  • 13. Hebrang A, Henigsberg N, Hrabac P. Evacuation times of civilians and soldiers wounded during the war in Croatia. Mil Med 2006;171:1045–50.
  • 14. Leppäniemi AK. Abdominal war wounds-experiences from red cross field hospitals. World J Surg 2005;29 Suppl 1:S67–71. [CrossRef ]
APA şenocak r, TAŞ H, Ureyen O, Kaymak Ş, HANÇERLİOĞULLARI O (2019). Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system. , 64 - 68. 10.14744/nci.2018.09225
Chicago şenocak rahman,TAŞ Hüseyin,Ureyen Orhan,Kaymak Şahin,HANÇERLİOĞULLARI OĞUZ Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system. (2019): 64 - 68. 10.14744/nci.2018.09225
MLA şenocak rahman,TAŞ Hüseyin,Ureyen Orhan,Kaymak Şahin,HANÇERLİOĞULLARI OĞUZ Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system. , 2019, ss.64 - 68. 10.14744/nci.2018.09225
AMA şenocak r,TAŞ H,Ureyen O,Kaymak Ş,HANÇERLİOĞULLARI O Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system. . 2019; 64 - 68. 10.14744/nci.2018.09225
Vancouver şenocak r,TAŞ H,Ureyen O,Kaymak Ş,HANÇERLİOĞULLARI O Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system. . 2019; 64 - 68. 10.14744/nci.2018.09225
IEEE şenocak r,TAŞ H,Ureyen O,Kaymak Ş,HANÇERLİOĞULLARI O "Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system." , ss.64 - 68, 2019. 10.14744/nci.2018.09225
ISNAD şenocak, rahman vd. "Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system". (2019), 64-68. https://doi.org/10.14744/nci.2018.09225
APA şenocak r, TAŞ H, Ureyen O, Kaymak Ş, HANÇERLİOĞULLARI O (2019). Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system. İstanbul Kuzey Klinikleri, 6(1), 64 - 68. 10.14744/nci.2018.09225
Chicago şenocak rahman,TAŞ Hüseyin,Ureyen Orhan,Kaymak Şahin,HANÇERLİOĞULLARI OĞUZ Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system. İstanbul Kuzey Klinikleri 6, no.1 (2019): 64 - 68. 10.14744/nci.2018.09225
MLA şenocak rahman,TAŞ Hüseyin,Ureyen Orhan,Kaymak Şahin,HANÇERLİOĞULLARI OĞUZ Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system. İstanbul Kuzey Klinikleri, vol.6, no.1, 2019, ss.64 - 68. 10.14744/nci.2018.09225
AMA şenocak r,TAŞ H,Ureyen O,Kaymak Ş,HANÇERLİOĞULLARI O Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system. İstanbul Kuzey Klinikleri. 2019; 6(1): 64 - 68. 10.14744/nci.2018.09225
Vancouver şenocak r,TAŞ H,Ureyen O,Kaymak Ş,HANÇERLİOĞULLARI O Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system. İstanbul Kuzey Klinikleri. 2019; 6(1): 64 - 68. 10.14744/nci.2018.09225
IEEE şenocak r,TAŞ H,Ureyen O,Kaymak Ş,HANÇERLİOĞULLARI O "Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system." İstanbul Kuzey Klinikleri, 6, ss.64 - 68, 2019. 10.14744/nci.2018.09225
ISNAD şenocak, rahman vd. "Effects of weapon types, interventions, and transport times on complications in combat injuries to musculoskeletal system". İstanbul Kuzey Klinikleri 6/1 (2019), 64-68. https://doi.org/10.14744/nci.2018.09225