Günaydın Fatih, Kılınç Öner, Sakarya Bülent, Demirtaş İdris, Aydın Mahmud, Çelik Ali
Department of Orthopaedic Surgery, Mersin Training and Research State Hospital, Korukent Mah. 96015 Sok. Mersin Entegre Sağlık Kampüsü, Toroslar, Mersin, 33240, Turkey.
Department of Orthopaedic Surgery, University of Üsküdar, İstanbul, Turkey.
Eur J Trauma Emerg Surg. 2025 Jul 21;51(1):258. doi: 10.1007/s00068-025-02940-5.
The Kahramanmaraş earthquake that occurred on February 6, 2023, caused significant destruction and resulted in a high incidence of pediatric injuries, especially musculoskeletal pathologies. This study aims to contribute to an effective health service model that will meet the special needs of children in natural disasters by identifying the frequency and variety of trauma and musculoskeletal pathologies observed in children following the Kahramanmaraş earthquake, as well as the treatment methods implemented for these injuries.
In this study, 135 pediatric patients who were admitted to the hospital within the first three days after the February 6, 2023, Kahramanmaraş earthquake were analyzed retrospectively. The study examined the demographic characteristics of the patients (age, gender), types of injuries (musculoskeletal injuries, soft tissue traumas, etc.), and surgical procedures performed. Kruskal-Wallis and chi-square tests were used for data analysis. The statistical significance level was accepted as 5% (p < 0.05).
The median age was 12 years (IQR: 8, 15), with females constituting 62.2%. The most prevalent injuries included vertebral fractures (14.1%), lower extremity amputations (9.6%), and fasciotomies (52.6%). Age and injury type distribution significantly varied across intervention groups, with older patients more likely to undergo fasciotomy (p < 0.001). Fractures declined over the three-day period, while fasciotomies increased significantly.
This study highlights the orthopedic trauma patterns and surgical needs of pediatric patients following the 2023 Kahramanmaraş earthquake. The findings underscore the importance of early fasciotomy, amputation preparedness, and effective fracture management in mass casualty care. These findings support the establishment of pediatric-specific triage and surgical protocolsto strengthen future disaster preparedness.
2023年2月6日发生的卡赫拉曼马拉什地震造成了严重破坏，导致儿童受伤率很高，尤其是肌肉骨骼疾病。本研究旨在通过确定卡赫拉曼马拉什地震后儿童中观察到的创伤和肌肉骨骼疾病的频率及种类，以及针对这些损伤所采用的治疗方法，为满足自然灾害中儿童特殊需求的有效卫生服务模式做出贡献。
在本研究中，对2023年2月6日卡赫拉曼马拉什地震后三天内入院的135名儿科患者进行了回顾性分析。该研究考察了患者的人口统计学特征（年龄、性别）、损伤类型（肌肉骨骼损伤、软组织创伤等）以及所实施的外科手术。采用Kruskal-Wallis检验和卡方检验进行数据分析。统计学显著性水平设定为5%（p < 0.05）。
中位年龄为12岁（四分位间距：8，15），女性占62.2%。最常见的损伤包括椎体骨折（14.1%）、下肢截肢（9.6%）和筋膜切开术（52.6%）。年龄和损伤类型分布在各干预组之间存在显著差异，年龄较大的患者更有可能接受筋膜切开术（p < 0.001）。骨折在三天内有所减少，而筋膜切开术显著增加。
本研究突出了2023年卡赫拉曼马拉什地震后儿科患者的骨科创伤模式和手术需求。研究结果强调了早期筋膜切开术、截肢准备以及在大规模伤亡救治中有效处理骨折的重要性。这些发现支持建立针对儿童的分诊和手术方案，以加强未来的灾害防范。
