Adıyaman University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Adıyaman, Turkey.
Adıyaman Training and Research Hospital, Physical therapy unit, Adıyaman, Turkey.
Int Orthop. 2024 Oct;48(10):2513-2518. doi: 10.1007/s00264-024-06280-8. Epub 2024 Aug 21.
Amputations are a common surgical procedure resulting from trauma during earthquakes, leading to severe disability. This study aims to investigate surgical outcomes specific to amputations that occurred in Adıyaman after the Kahramanmaraş earthquakes.
This descriptive study included amputees who presented to Adıyaman University Training and Research Hospital. Between March 6, 2024 and March 29, 2024, amputees were contacted by phone and asked the questions in the form. Data analyzed included demographic information, number and level of amputated extremities, phantom limb pain, stump infection, extrication time, time to initiation of rehabilitation, number of revision, and whether a prosthesis was fitted.
The study reached 75 amputees. The mean age was 37.9 ± 19.2, and the most frequently amputated age group was adults. Stump infection was observed in 40 amputees (53.3%), phantom limb pain in 47 (62.6%), and revision in 29 (38.7%). The median extrication time was 36 h and initiation of rehabilitation time was 45 days. It was noted that 35 amputees (62.5%) used prostheses. A statistically significant relationship was found between fasciotomy and stump infection (p = .000). Infection was detected in 65% of those who underwent fasciotomy.
Earthquake-related amputations most frequently affected the adult age group and primarily involved lower extremity amputations, such as transfemoral and transtibial amputations. Phantom limb pain, need for revision, and infection are common in earthquake-induced amputations. Delayed fasciotomy increases the risk of stump infection. The data obtained in this study will help plan local health services to coordinate amputation care in disasters.
地震导致的创伤常导致截肢，这是一种常见的手术，会导致严重残疾。本研究旨在调查发生在卡赫拉曼马拉什地震后的阿达纳的截肢手术的具体结果。
本研究为描述性研究，纳入了到阿达纳大学培训和研究医院就诊的截肢患者。2024 年 3 月 6 日至 2024 年 3 月 29 日，通过电话联系截肢患者并以表格形式提问。分析的数据包括人口统计学信息、截肢的肢体数量和水平、幻肢痛、残端感染、解救时间、开始康复的时间、修正次数以及是否安装假肢。
本研究共纳入 75 例截肢患者。患者的平均年龄为 37.9±19.2 岁，最常发生截肢的年龄组为成年人。40 例（53.3%）患者出现残端感染，47 例（62.6%）患者出现幻肢痛，29 例（38.7%）患者需要修正。中位解救时间为 36 小时，开始康复的时间为 45 天。注意到 35 例（62.5%）患者使用了假肢。筋膜切开术与残端感染之间存在显著的统计学关系（p=0.000）。接受筋膜切开术的患者中有 65%出现感染。
与地震相关的截肢最常影响成年年龄组，主要涉及下肢截肢，如股骨截肢和胫骨截肢。幻肢痛、需要修正和感染是地震引起的截肢的常见并发症。延迟筋膜切开术会增加残端感染的风险。本研究获得的数据将有助于规划当地卫生服务，协调灾害中的截肢护理。
