Mahdian Mehrdad, Fazel Mohammad R, Sehat Mojtaba, Khosravi Gholamreza, Mohammadzadeh Mahdi
Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Arch Bone Jt Surg. 2017 May;5(3):186-192.
Apart from the mortality, road traffic injuries are associated with significant morbidities. This study has aimed to examine the pattern of traffic accident-related extremity fractures/dislocations and their related disabilities.
A retrospective hospital-based study was conducted to assess the characteristics of limb fractures/dislocations among road traffic accident victims registered in Trauma Research Center registry of Kashan University of Medical Sciences, Kashan, Iran, during 2012-2013. Age and sex distribution, cause of injury, and site of fractures/dislocations were recorded. Years lived with disability (YLD) was calculated as a scale to measure the disability. One-way ANOVA and chi-square tests were used for data analysis.
From a total of 962 subjects, 812 (84.4%) were males (the male/female sex ratio: 5.4:1). The mean age of victims was 32.7±17.9. Leg (37%) and forearm (19%) fractures were the most frequent fractures. Shoulder dislocations were among the most affected joints accounting for 36.6% of the cases. The total calculated YLD was 135.6 (34.4 for temporal and 101.2 for lifelong disabilities, and totally 117.3 and 18.3 for males and females, respectively). The highest YLD was for motorcyclists (104) and while the most YLD was for 15-29 years (68.2).
Young men motorcyclist accidents are a major problem in Kashan region. Generally, they have been accounted for the highest YLD due to fractures/dislocations, especially in lower extremity. Although the calculated YLD will be decreased with increasing age, the elder people also had the high rate of traffic-related limb injuries.
除了死亡率外，道路交通事故还会导致严重的发病情况。本研究旨在探讨与交通事故相关的四肢骨折/脱位模式及其相关残疾情况。
进行了一项基于医院的回顾性研究，以评估2012 - 2013年期间在伊朗卡尚医科大学创伤研究中心登记的道路交通事故受害者中肢体骨折/脱位的特征。记录年龄和性别分布、受伤原因以及骨折/脱位部位。计算伤残调整生命年（YLD）作为衡量残疾的指标。采用单因素方差分析和卡方检验进行数据分析。
在总共962名受试者中，812名（84.4%）为男性（男女比例为5.4:1）。受害者的平均年龄为32.7±17.9岁。腿部骨折（37%）和前臂骨折（19%）是最常见的骨折类型。肩关节脱位是受影响最严重的关节之一，占病例的36.6%。计算出的YLD总数为135.6（暂时残疾为34.4，终身残疾为101.2，男性和女性分别为117.3和18.3）。YLD最高的是骑摩托车者（104），而YLD最高的年龄段是15 - 29岁（68.2）。
年轻男性骑摩托车发生事故是卡尚地区的一个主要问题。总体而言，他们因骨折/脱位导致的YLD最高，尤其是下肢。尽管随着年龄增长计算出的YLD会降低，但老年人与交通相关的肢体损伤发生率也很高。
