Epidemiology of extremity injuries in multiple trauma patients

Banerjee, Marc; Bouillon, Bertil; Shafizadeh, Sven; Paffrath, Thomas; Lefering, Rolf; Wafaisade, Arasch

doi:10.1016/j.injury.2012.12.007

Cited by 125 publications

(98 citation statements)

References 17 publications

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“…Extremity injuries are among the most common injuries in the adult population and are a major source of disease burden and productivity loss in society [1, 2, 3]. Both hospitalized and non-hospitalized patients contribute to this burden.…”

Section: Introductionmentioning

confidence: 99%

Health related quality of life and return to work after minor extremity injuries: A longitudinal study comparing upper versus lower extremity injuries

Sluys

Shults

Richmond

2016

Injury

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Purpose To investigate the impact on health related quality of life (HRQL) during the first year after minor extremity injury and to determine whether there is a difference in recovery patterns and return to work between upper extremity injuries (UEI) and lower extremity injuries (LEI). Method A total of 181 adults’ age 18 years or older randomly selected from patients admitted to an emergency department with minor injuries were studied. HRQL was measured using the Functional Status Questionnaire (FSQ) at 1–2 weeks, 3, 6, and 12-months post-injury. Pre-injury FSQ scores were measured retrospectively at admission. A quasi-least square (QLS) model was constructed to examine differences of FSQ scores at each measuring point for UEI and LEI. Results Fractures of the knee/lower leg (25%) were the most frequently injured body area. Slips or falls (57%) and traffic-related events (22%) were the most common injury causes. The mean ISS was 4.2 (SD 0.86). Both groups had significant declines in the FSQ scores physical and social functioning at 1–2 weeks after injury. Patients with UEI made larger improvements in the first 3 months post-injury versus patients with LEI whose improvements extended over the first 6 months. None of the groups reached the pre-injury FSQ scores during the first post-injury year except in the subscale work performance where UEI exceeded the pre-injury scores. At 12 months post-injury, significant lower FSQ scores remained in the LEI group compared to the UEI group in intermediate activities of daily living (p=0.036, d 0.4) and work performance (p=0.004, d 0.7). The return to work at 3 months and 12 months were 76% and 88% for UEI and 58% and 77% for LEI. No significant differences were found between groups in the FSQ scale mental health and social interaction. Conclusions LEI had the highest impact on HRQL and return to work during the first year which exceeded the consequences of UEI. These findings contribute to the information about the consequences of injury in order to give sufficient prognostic information to patients and different stakeholders. Future investigations should aim to investigate specific minor extremity injuries and identify factors that facilitate recovery and return to work.

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Section: Introductionmentioning

confidence: 99%

Health related quality of life and return to work after minor extremity injuries: A longitudinal study comparing upper versus lower extremity injuries

Sluys

Shults

Richmond

2016

Injury

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“…Patients undergoing elective mid/hindfoot and ankle surgery are commonly adults in a working age group (Table 2), which likely contributes to additional economic burden and loss of productivity as well as having a large impact on the patients' health-related quality of life and return to work. 37,38 Multimodal approaches that address patient and provider education, preoperative analgesia assessment, perioperative analgesia combinations, and postoperative non-pharmacological modalities have been recommended with emphasis on tailoring pain management to individuals' characteristics, prior history, and surgical procedure. 39,40 Although all included studies used a multimodal approach, no study included patient or provider education, non-pharmacologic analgesia modalities, or assessed other outcomes, such as functional activities, return to work, and health-related quality of life.…”

Section: Discussionmentioning

confidence: 99%

Perioperative pain management and chronic postsurgical pain after elective foot and ankle surgery: a scoping review

Stiegelmar

Beaupré

et al. 2019

Can J Anesth/J Can Anesth

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Purpose Chronic postsurgical pain (CPSP) can occur after elective mid/hindfoot and ankle surgery. Effective treatment approaches to prevent the development of CPSP in this population have not been extensively investigated. The impact of multimodal strategies to prevent CPSP following elective mid/hindfoot surgery is unknown because of both the heterogeneity of acute pain management and the lack of a recognized definition particular to this surgery. This review aimed to identify

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“…In managing an unstable polytraumatized patient the surgeons must propose a staged treatment strategy [3]. Treatment options for intertrochanteric femoral fracture with dislocation of the hip include either osteosynthesis or primary arthroplasty [6], [7]. In this study because of patient’s younger age we prefered fixation of the femoral head to artroplasty although the delay due to the patient’s coexisting patologies.…”

Section: Discussionmentioning

confidence: 99%

Unusual combination of femoral head dislocation associated acetabular fracture with multipart femoral fractures: Case report

Uzun

Günay

Karaman

et al. 2017

International Journal of Surgery Case Reports

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HighlightsTraumatic hip dislocation associated with multipart femural fractures is a rare and severe injury and it usually occurs following a high energy trauma, associated acetabulum fracture are even more rare.High energy traumas of the hip joint potentially cause devastating consequences including avascular necrosis (AVN) and subsequent early secondary osteoarthritis of the hip.In managing an unstable polytraumatized patient the surgeons must be more careful and propose a staged treatment strategy.

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Epidemiology of extremity injuries in multiple trauma patients

Cited by 125 publications

References 17 publications

Health related quality of life and return to work after minor extremity injuries: A longitudinal study comparing upper versus lower extremity injuries

Health related quality of life and return to work after minor extremity injuries: A longitudinal study comparing upper versus lower extremity injuries

Perioperative pain management and chronic postsurgical pain after elective foot and ankle surgery: a scoping review

Unusual combination of femoral head dislocation associated acetabular fracture with multipart femoral fractures: Case report

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