Department of Orthopedics and Traumatology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Tevfik Sağlam St., Number 11, 34147, Bakırköy/Istanbul, Turkey.
Department of Orthopedics and Traumatology, Haseki Training and Research Hospital, Uğur Mumcu Ave., Belediye St., Number 7, 34265, Sultangazi/Istanbul, Turkey.
Int Orthop. 2021 Mar;45(3):649-656. doi: 10.1007/s00264-021-04950-5. Epub 2021 Jan 23.
Several factors affect injury types in childhood. The aim of the study was to evaluate the musculoskeletal injury types, treatment modalities, and demographic characteristics of refugee children and to reveal the differences from native children.
A total of 1297 patients (897 females, 400 males) treated in our clinic between January 2014 and January 2019 were included in the study. The mean age of the patients was 8.9 ± 5.1 in refugees and 7.5 ± 4.6 in the native group (range, 0-18 years). The patients were evaluated in terms of age, gender, mechanism of injury, location and type of fracture, presence of accompanying injuries, surgical technique, complications, and treatment modalities.
The trauma mechanism differed significantly between the groups, high-energy traumas such as falling from a height, fight/assault injury, gunshot injury, and work injury were found more frequently in the refugee group (p = 0.001). The rates of CRIF, ORIF, graft/flap surgery, and hospitalization time were observed to be significantly higher in the refugee group (p = 0.013). No significant difference was observed between groups in terms of demographic distribution, injury location, and complications.
This population-based, cross-sectional study emphasizes that the refugee children have different injury mechanisms. Improved living conditions may reduce musculoskeletal injury in this population.
有几个因素会影响儿童的受伤类型。本研究旨在评估难民儿童的肌肉骨骼损伤类型、治疗方式和人口统计学特征，并揭示其与本地儿童的差异。
本研究纳入了 2014 年 1 月至 2019 年 1 月期间在我们诊所接受治疗的 1297 名患者（897 名女性，400 名男性）。难民组患者的平均年龄为 8.9±5.1 岁，本地组为 7.5±4.6 岁（年龄范围为 0-18 岁）。对患者的年龄、性别、损伤机制、骨折部位和类型、伴随损伤的存在、手术技术、并发症以及治疗方式进行评估。
两组患者的创伤机制存在显著差异，难民组中高处坠落伤、打斗/袭击伤、枪伤和工伤等高能创伤更为常见（p=0.001）。难民组中接受闭合复位内固定、切开复位内固定、植骨/皮瓣手术以及住院时间的比例明显更高（p=0.013）。两组在人口统计学分布、损伤部位和并发症方面无显著差异。
这项基于人群的横断面研究强调，难民儿童的受伤机制不同。改善生活条件可能会降低该人群的肌肉骨骼损伤发生率。
