外傷と救急治療 オープンアクセス

抽象的な

Early Extremity Reconstruction in Trauma: A Trauma Surgeon’s Perspective

Awaneesh Katiyar*, Neeraj Kumar, Ajay Dhiman, Nilesh Jagne,Vishal Patil and  Ajay Kumar

Context: Early reconstructive surgery done by trauma surgeons, in context with favourable recovery of the wound and good functional outcome.

Aim: To evaluate functional outcome of the early reconstruction by trauma surgeons at level 1 trauma centre.

Settings and design: It was a retrospective study, evaluation of result following early reconstructive surgery

Material and methods: Study was performed in at Level 1 trauma centre in India. Reconstructive surgery of the extremities performed by single surgeon at the centre from February 2019 to February 2020.

Statistical analysis: Data analysis was done by using Microsoft excel 2020.

Results: Total 32 patients underwent reconstructive surgeries; most of the patients were having tendon injury associated with other injuries like vascular, bony fractures and nerve injuries. Most of the patients were managed by tendon repair and K-Wire placement. 78% were hand injury and 22% were foot injuries. Most of the patients 47% were road traffic injuries, second most common injuries we found were machine cut injuries (28%), 16% were fall of object (stones) 6% were accidental glass cut injuries and 3% suicidal wrist cut injuries.

Conclusion: Its well-known fact that early wound wash and repair have better outcome in trauma patients. Across the India, plastic surgeons are not available around the clock in emergency even at level 1 trauma centres. Hand and foot reconstructive surgery can timely manage by trained trauma surgeons with better functional outcome and early recovery.