Gupta Ashish, Gupta Ashok K, Uppal Sanjeev K, Mittal Rajinder K, Garg Ramneesh, Aggarwal Niharika
Department of Plastic & Microvascular Surgery, S.P.S. Apollo Hospitals, 236- Civil Street, Ghumar Mandi, Ludhiana, 141001 India.
Department of Plastic Surgery & Burns, Dayanand Medical College & Hospital, Ludhiana, India.
Indian J Surg. 2013 Dec;75(6):454-61. doi: 10.1007/s12262-012-0536-2. Epub 2012 Jun 10.
There are not many injuries that rival the injured hand in complexity. A better understanding of biologic, behavioral, and socioeconomic risk factors potentially associated with hand injuries can help identify those individuals most at risk and define potential preventative measures to help reduce the incidence. We present a prospective study of 436 consecutive patients of hand and forearm injury treated over a period of 2 years. A serial recording of the demographic profile of the patient along with the type & cause of injury sustained, hand dominance, duration of hospital stay, time lag between injury and admission, type surgery preformed with intra-operative findings and the cost analysis was done. An expected male dominance in economically viable individuals of 21 to 30 years formed 50 % of the patients of which 22.9 % were labourers and students each. The malady was altercation (27.5 %) followed by industrial & road accidents. Post prandial period was most notorious with multiple neuro (27.05 %) vasculo (39.34 %) tendinous (60.66 %) injury common with even simple lacerations. Dominant hand injury was commonest. It is challenging to assess and treat an injured hand. This study defines the demography and the etiology behind the various cases of hand and forearm injury with the detailed trauma profile. The limitation of the study was absence of functional outcome. The necessity of hand trauma registry is a pre-requisite to quantify the burden of hand injuries and formulate a prevention strategy.
没有多少损伤在复杂性上能与受伤的手相匹敌。更好地了解可能与手部损伤相关的生物学、行为学和社会经济风险因素，有助于识别那些风险最高的个体，并确定潜在的预防措施以帮助降低发病率。我们对连续两年内治疗的436例手部和前臂损伤患者进行了一项前瞻性研究。对患者的人口统计学资料、所受损伤的类型和原因、利手情况、住院时间、受伤与入院之间的时间间隔、所进行的手术类型及术中发现以及成本分析进行了系列记录。在经济上有活力的21至30岁个体中，男性占主导，占患者总数的50%，其中劳动者和学生各占22.9%。病因以争吵（27.5%）居首，其次是工业事故和道路交通事故。餐后时段最为危险，即使是简单的撕裂伤也常伴有多种神经（27.05%）、血管（39.34%）、肌腱（60.66%）损伤。优势手损伤最为常见。评估和治疗受伤的手具有挑战性。本研究通过详细的创伤情况描述，明确了各种手部和前臂损伤病例背后的人口统计学特征和病因。该研究的局限性在于缺乏功能预后情况。手部创伤登记是量化手部损伤负担并制定预防策略的先决条件。
