The Retrospective Analysis And The Demographics Of Upper Extremity Injury Patients And Their Problems In The Fırst 24 Hours After Operation

Abstract

U pper limb injuries are injuries that may cause serious dysfunction, limb loss or death. [1] Due to their functional importance, they are among the pathologies with high morbidity rate leading to long-term loss of workforce. [2] It is extremely important to collect data regarding the attempts made in this degree of labor loss and cost loss injuries in the society, to determine the problems experienced in the postoperative period and to take necessary measures to eliminate these problems. In this study, we aimed to investigate the demographic features and etiological factors of upper extremity injury cases treated in the Plastic Reconstructive and Aesthetic Surgery Objectives: In this study, we analyzed patients with upper extremity injuries concerning patient demographics, injury type and etiological factors, and the most common problems encountered during the first 24 hours that were noted in the retrospective analysis. Methods: In this study, a total of 82 patients who presented to the emergency plastic surgery clinic in Şişli Hamidiye Etfal Research and Training Hospital, postoperatively these patients were checked after surgery for first 24 hours concerning pain, nausea and vomiting, edema, agitation, arm immobilization arm and vascular patency. Results: Among etiological factors, 54 patients were sharp-object trauma, 10 patients punched a hard object, 15 patients had work hazard, two patients had traffic accident, one patient from the fight. When these patients were postoperatively analyzed, in 45% patients pain, in 7% nausea and in 14 % bleeding were observed. Plaster was placed in 100% of the patients in order and their arms were elevated to reduce edema. During the first four hours, in 2% of the patients, edema was seen, 16% agitation, 8%vascular problems. Conclusion: When the type of injury is subcategorized to injuries of several compartments (nerve, tendon, muscle, artery, vein), the early postoperative challanges are more easily and correctly handled.

Evaluation of extremity and pelvis traumas admitted to the emergency department before and during the pandemic; with laboratory, embolism and mortality data

“…In the study of Öztürk et al (13) on patients with upper extremity trauma, when the distribution of the cases according to gender and age was examined, it was seen that male patients (n=58) were more than female patients (n=24) by 71%, and the age range of the patients was mostly between 14-44 years. The mean age was 30.6 years in the study of Srivastava et al (14) and 32.4 years in the study of Helmi et al (15).…”