Department of Orthopaedic Surgery and Traumatology, King Edward Medical University & Mayo Hospital, Lahore, Pakistan.
Int Orthop. 2012 Nov;36(11):2323-6. doi: 10.1007/s00264-012-1589-3. Epub 2012 Jul 24.
On 8 October 2005 a massive earthquake hit the northern mountainous areas of Pakistan and Kashmir causing 73,338 deaths and leaving over 125,000 severely injured. In a region which was less prepared for such an enormous disaster, mobilising rescue, relief and rehabilitation posed great challenges. The lead author (SMA) established two level 1 orthopaedic trauma and rehabilitation units in existing public hospitals through private philanthropy in the earthquake struck cities of Muzaffarabad in Kashmir and Mansehra in Khyber Pakhtun Khuwa (KPK) Province. The purpose was to combat the major catastrophe and later study the pattern of injuries especially amputations so as to improve the future strategies in similar scenarios.
This is a retrospective descriptive study of patients suffering from injuries of the limbs due to the earthquake who were managed in these centres with special emphasis on the patients with amputated limbs. The patients were received, worked up, investigated and prepared for definitive surgical procedures, in this case amputations. All patients were provided assistance for the fitting of a prosthesis and rehabilitation by referring them to specialised centres.
Of 128,304 patients, 19,700 were managed in the centres established by the lead author over a period of seven months. Of these, 112 patients underwent amputations of upper and lower limbs.
In a massive calamity over a wide geographic area away from big university hospitals, such as the 2005 Pakistan earthquake, the level 1 operating theatre facilities must be established within the area to meet the needs of the patients nearest to their homes and families, and run forever so that patients can have excellent follow-up and can use the same facilities regularly. For example, in this study we managed 112 amputees and placed them in a rehabilitation programme, and transferred these centres to the hospital authorities after five years.
2005 年 10 月 8 日，一场大规模地震袭击了巴基斯坦和克什米尔北部山区，造成 73338 人死亡，超过 125000 人重伤。在这样一个准备不足的地区，调动救援、救济和恢复工作带来了巨大的挑战。主要作者（SMA）通过私人慈善机构在受地震影响的穆扎法拉巴德市和开伯尔-普赫图赫瓦省的曼塞赫拉市的两所现有公立医院中建立了两个 1 级骨科创伤和康复单位。目的是应对这场重大灾难，随后研究受伤模式，特别是截肢，以便在类似情况下改进未来的战略。
这是一项对在这些中心接受治疗的因地震导致四肢受伤的患者的回顾性描述性研究，特别强调了截肢患者。这些患者在中心接受了接收、检查、调查和准备进行确定性手术（在这种情况下是截肢）。所有患者都通过转介到专门中心获得了安装假肢和康复的帮助。
在七个月的时间里，共有 128304 名患者在主要作者建立的中心接受了治疗。其中，112 名患者接受了上下肢截肢手术。
在远离大型大学医院的广大地理区域发生大规模灾难时，必须在该地区建立 1 级手术室设施，以满足离患者家庭和住所最近的患者的需求，并持续运行，以便患者能够得到极好的随访，并能够定期使用相同的设施。例如，在本研究中，我们管理了 112 名截肢者，并将他们纳入康复计划，五年后将这些中心移交给医院管理部门。
