Adelaide Medical School Level 2, Room N207, Helen Mayo North The University of Adelaide Frome Road Adelaide 5005, SA, Australia; Forensic Science, SA, Australia.
Adelaide Medical School Level 2, Room N207, Helen Mayo North The University of Adelaide Frome Road Adelaide 5005, SA, Australia.
J Forensic Leg Med. 2021 Aug;82:102225. doi: 10.1016/j.jflm.2021.102225. Epub 2021 Jul 31.
Traumatic limb amputation is rare in occupants following a motor vehicle collision (MVC). A retrospective analysis of autopsy reports at Forensic Science South Australia (FSSA) over a 19 year period from January 2000 to December 2018 was performed to determine the incidence of limb amputation in lethal collisions and to identify predisposing factors. Only 18 cases (1.54%) of occupant fatalities had a traumatic limb amputation with an age range of 18-78 years (mean 44.2 years), male to female ratio 13:5, and an average body mass index (BMI) of 28.5 (overweight). There were nine cases of upper limb amputation and nine cases of lower limb amputation (one case had both upper and lower limb amputations). Head on impacts without subsequent rollover were the most common collision type in both upper and lower amputation. The likely cause of limb amputation in vehicle crashes is, therefore, speed on impact rather than rollovers as has been previously suggested.
创伤性肢体截肢在机动车碰撞（MVC）后的乘客中较为罕见。对 2000 年 1 月至 2018 年 12 月期间在南澳大利亚法医科学局（FSSA）进行的尸检报告进行了回顾性分析，以确定致命碰撞中肢体截肢的发生率，并确定诱发因素。只有 18 例（1.54%）乘客死亡存在创伤性肢体截肢，年龄范围为 18-78 岁（平均 44.2 岁），男女比例为 13:5，平均体重指数（BMI）为 28.5（超重）。有 9 例上肢截肢和 9 例下肢截肢（1 例同时有上肢和下肢截肢）。正面碰撞且未随后翻滚是上肢和下肢截肢最常见的碰撞类型。因此，导致车辆碰撞中肢体截肢的原因可能是碰撞时的速度，而不是以前认为的翻滚。
