Awais Syed, Saeed Ayesha, Ch Asad
Department of Orthopedics, Spine Surgery and Traumatology (DOST-1), King Edward Medical University, Mayo Hospital Lahore, Lahore, Punjab, Pakistan,
Int Orthop. 2014 Aug;38(8):1563-8. doi: 10.1007/s00264-014-2436-5. Epub 2014 Jul 15.
In the 2005 Pakistan earthquake, the great many injured with multiple fractures and open wounds provided a unique opportunity to practice damage-control orthopaedics. External fixators remain a time-tested tools for operating surgeons on such occasions. The locally manufactured, readily available Naseer-Awais (NA) external fixator filled such needs of this disaster with good outcome.
This is a retrospective descriptive study of 19,700 patients that presented over seven months to the two centres established by the lead author (SMA) in Muzaffarabad and Mansehra just one night after the 2005 earthquake. A series of local and foreign orthopaedic surgeon teams operated in succession. The computerised patient data collection of 1,145 operations was retrospectively analysed.
Of the 19,700 patients presenting to the SMA centres, 50% had limb injuries. Total fracture fixations were 1,145, of which 295 were external fixations: 185 were applied on the lower limb and 90 on upper limb, the majority were applied on tibia.
External fixators are valuable damage-control tools in natural disasters and warfare injuries. The locally manufactured NA external fixator served the needs of the many limb injuries during the 2005 Pakistan earthquake.
在2005年巴基斯坦地震中，大量伤员伴有多处骨折和开放性伤口，这为实施损伤控制骨科提供了独特的机会。外固定器对于手术医生来说，在这种情况下仍然是经过时间考验的工具。当地制造、易于获得的纳赛尔 - 阿维斯（NA）外固定器满足了这场灾难的此类需求，并取得了良好的效果。
这是一项回顾性描述性研究，研究对象为19700名患者，他们在2005年地震发生仅一晚后，在由第一作者（SMA）在穆扎法拉巴德和曼塞赫拉设立的两个中心就诊长达七个月。一系列国内外骨科医生团队相继开展手术。对1145例手术的计算机化患者数据收集进行了回顾性分析。
在前往SMA中心就诊的19700名患者中，5
0%有肢体损伤。总共进行了1145例骨折固定手术，其中295例为外固定手术：185例应用于下肢，90例应用于上肢，大多数应用于胫骨。
外固定器在自然灾害和战争伤中是有价值的损伤控制工具。当地制造的NA外固定器满足了2005年巴基斯坦地震期间众多肢体损伤的需求。
