重新审视高压注射伤的截肢率
Revisiting Amputation Rates in High-Pressure Injection Injuries.
作者信息
Jakkaraju Sohan Kumar, Sager Brian W, Brady Christina I
机构信息
UT Health San Antonio Department of Orthopedics, University of Texas Health Science Center, San Antonio, TX.
出版信息
J Hand Surg Glob Online. 2024 May 22;6(4):540-544. doi: 10.1016/j.jhsg.2024.04.007. eCollection 2024 Jul.
PURPOSE
High-pressure injection injuries are a rare, and potentially serious, trauma that has historically been associated with high-amputation rates. This study aimed to assess the amputation rates, materials involved, and outcomes at a single institution.
METHODS
A retrospective analysis of 53 cases at a level-1 trauma center in South Central Texas between 2007 and 2023 was conducted. Patient demographics, injury details, materials injected, surgical interventions, complications, and follow-up data were collected and analyzed.
RESULTS
There was an amputation rate of 2.2. Latex-based paints showed more favorable outcomes when compared with grease injections and oil-based paints. There were also fewer reoperations and postoperative complications with latex-based paint injuries.
CONCLUSIONS
The study signals the need for a re-evaluation of high-pressure injection injury outcomes, highlighting a more optimistic prognosis than previously thought. The evolution of materials in paints, especially latex-based paints, may have been associated with a lower rate of amputation than what was previously reported.
TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic IV.
目的
高压注射伤是一种罕见且可能严重的创伤，历来与高截肢率相关。本研究旨在评估单一机构的截肢率、所涉及的物质以及治疗结果。
方法
对2007年至2023年期间德克萨斯州中南部一家一级创伤中心的53例病例进行回顾性分析。收集并分析了患者人口统计学资料、损伤细节、注入物质、手术干预、并发症及随访数据。
结果
截肢率为2.2。与油脂注射和油性涂料相比，乳胶基涂料显示出更有利的结果。乳胶基涂料所致损伤的再次手术和术后并发症也更少。
结论
该研究表明需要重新评估高压注射伤的治疗结果，突出显示其预后比先前认为的更为乐观。涂料中物质的演变，尤其是乳胶基涂料，可能与比先前报道更低的截肢率相关。
研究类型/证据水平：预后性IV级。
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