Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Centre Munich, University Hospital, Ludwig-Maximillians-University, Munich, Germany.
Department of Hand Surgery, Helios Klinikum München West, Munich, Germany.
PLoS One. 2023 Mar 24;18(3):e0283388. doi: 10.1371/journal.pone.0283388. eCollection 2023.
Hand and forearm injuries are the most frequent reason for consultations in German emergency departments. Therefore, full recovery has a high social and economic relevance. In this study, data on surgically treated hand injuries in a regional German trauma centre between 01.01.2019 and 31.01.2021 were collected using the new German HandTraumaRegister of the German Society for Hand Surgery. These data were retrospectively analysed and correlated with mobility data of the Bavarian population, the 7-day incidence of Covid-19 infections in Germany and the number of elective hand surgeries. We found that a fall from standing height with consecutive distal radius fracture was the most common injury in women, whereas mechanism of injury and diagnosis were more diverse in men. The populations' mobility correlated well with the number of accidents, which in turn was reciprocal to the 7-day-incidence of Covid-19 infections. The number of elective hand surgeries expectedly dropped significantly during the state-imposed lockdowns. Knowing that mainly young men and elderly women suffer from hand injuries, tailored prevention measures may be elaborated. In order to reduce socioeconomic burden, care for hand injuries and elective hand surgeries must be guaranteed according to the frequency of their occurrence.
手部和前臂损伤是德国急诊部门最常见的就诊原因。因此，完全康复具有很高的社会和经济意义。在这项研究中，使用德国手部外科学会的新德国手部创伤登记系统，收集了 2019 年 1 月 1 日至 2021 年 1 月 31 日期间在德国一家地区性创伤中心接受手术治疗的手部损伤数据。对这些数据进行了回顾性分析，并与巴伐利亚人口的流动性数据、德国新冠病毒感染的 7 天发病率和择期手部手术数量进行了相关性分析。我们发现，女性最常见的损伤是从站立高度坠落导致的远端桡骨骨折，而男性的损伤机制和诊断则更为多样化。人群的流动性与事故数量密切相关，而事故数量又与新冠病毒感染的 7 天发病率成反比。在国家实施封锁期间，择期手部手术的数量明显下降。鉴于手部损伤主要发生在年轻男性和老年女性身上，因此可以制定有针对性的预防措施。为了减轻社会经济负担，必须根据手部损伤和择期手部手术的发生频率来保证其治疗。
