Salimi Maryam, Heidari Mohammad Bagher, Ravandi Zohre, Mosalamiaghili Seyedarad, Mirghaderi Peyman, Jafari Kafiabadi Meisam, Biglari Farsad, Salimi Amirhossein, Sabaghzadeh Irani Amir, Khabiri Seyyed Saeed
Department of Orthopaedic Surgery, Shiraz University of Medical Sciences, Shiraz 7138433608, Iran.
Department of General Surgery, Kermanshah University of Medical Sciences, Kermanshah 71384333608, Iran.
World J Clin Cases. 2023 Feb 16;11(5):1000-1008. doi: 10.12998/wjcc.v11.i5.1000.
It has been said that the number of orthopaedic claims has increased in the last few years. Investigation through the most prevalent cause would help to prevent further cases.
To review the cases of medical complaints in orthopedic patients who had been involved in a traumatic accident.
A retrospective multi-center review of trauma orthopaedic-related malpractice lawsuits from 2010 to 2021 was conducted utilizing the regional medicolegal database. Defendant and plaintiff characteristics along with fracture location, allegations, and litigation outcomes were investigated.
A total of 228 claims referred to trauma-related conditions with a mean age of 31.29 ± 12.56 were enrolled. The most common injuries were at hand, thigh, elbow, and forearm, respectively. Likewise, the most common alleged complication was related to malunion or nonunion. In 47% of the cases, the main problem that led to the complaint was the inappropriate or insufficient explanation to the patient, and in 53%, there was a problem in the surgery. Eventually, 76% of the complaints resulted in a defense verdict, and 24% resulted in a plaintiff verdict.
Surgical treatment of hand injuries and surgery in non-educational hospitals received the most complaints. The majority of litigation outcomes were caused by a physician's failure to fully explain and educate the traumatic orthopedic patients and technological errors.
据说在过去几年里，骨科索赔案件的数量有所增加。通过调查最常见的原因将有助于预防更多此类案件。
回顾因创伤性事故而就医的骨科患者的医疗投诉案例。
利用地区法医学数据库对2010年至2021年与创伤骨科相关的医疗事故诉讼进行回顾性多中心研究。调查了被告和原告的特征，以及骨折部位、指控和诉讼结果。
共纳入228例与创伤相关疾病的索赔案例，平均年龄为31.29±12.56岁。最常见的损伤部位分别是手部、大腿、肘部和前臂。同样，最常见的所谓并发症与骨不连或骨愈合不良有关。在47%的案例中，导致投诉的主要问题是对患者的解释不当或不足，在53%的案例中，手术存在问题。最终，76%的投诉结果是被告胜诉，24%的投诉结果是原告胜诉。
手部损伤的手术治疗和非教学医院的手术收到的投诉最多。大多数诉讼结果是由于医生未能充分向创伤骨科患者解释和说明情况以及技术失误导致的。
