Analysis of a Military Parachutist Injury – A Retrospective Review of Over 37,000 Landings‡

Zakowski, Bartosz; Wagner, Ilona; Domżalski, Marcin

doi:10.1093/milmed/usy315

Cited by 10 publications

(10 citation statements)

References 18 publications

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“…This injury rate difference may be due to the larger number of patients included in our study. In a retrospective study by Zakowski et al, the injury rate was 1.48-3.76/1000 jumps [26]. In our study, 11 people were operated on by orthopaedists, and 54.5% (n = 6) had lower extremity surgery, 27.3% (n = 3) had upper extremity surgery and 18.2% (n = 2) had shoulder surgery.…”

Section: Discussionmentioning

confidence: 43%

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A descriptive study of orthopaedic injuries due to parachute jumping in soldiers

Şahin

Batın

2020

BMC Emerg Med

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Background: While parachute jumping, soldiers may suffer minor or life-threatening injuries in various parts of the body. Several trauma scoring systems assess the severity of such injuries. The primary goal of this study was to assess clinical characteristics and the severity of orthopaedic, musculoskeletal, and other injuries from military training-related parachute jumping using two trauma scoring systems (AIS and ISS). Our secondary goal was to assess whether there was an increase in injury rates with age. Methods: In total, 185 military personnel between 19 and 51 years old who were injured as a result of daytime static parachute jumping during 44 months between January 2016 and August 2019 were included in the study. Demographic data; vital signs; the level of consciousness; the Glasgow Coma Scale; ISS trauma region classifications; anatomical injury sites; AIS and ISS scores; diagnoses; treatment methods; hospitalization status; and duration of hospital stay were examined descriptively. Results: There were 184 male and one female participant. The most commonly injured body site was the foot (33.5%), and the most common diagnosis was soft tissue trauma (64.3%). The most commonly injured body site was the foot (33.5%), and the most common diagnosis was soft tissue trauma (64.3%). Regarding treatment methods, 51.4% received analgesic pills and cold pack application, 42.7% received a plaster splint, and 5.9% had orthopaedic surgery. The mean ISS score was 5.16 ± 3.92. The hospitalization rate was significantly higher for patients with a critical AIS score than those with a severe AIS score (p < 0.001). Conclusions: The use of trauma scoring systems to assess injury severity among patients admitted to an ED due to a parachute jumping injury may facilitate treatment selection. We found that AIS and ISS were useful in determining injury severity. Therefore, we recommend the use of trauma scoring systems for assessing the injury severity and the therapeutic approach, and we advocate for the use of the 17 anatomical regions we used in this study. We also found that with increasing age, the severity of injury could increase.

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Section: Discussionmentioning

confidence: 43%

“…Previous studies in the literature on parachute injuries are usually in the form of a case report or a literature summary [1,7,9,25,26]. In our study, 28 patients had lower extremity fractures, four patients had upper extremity fractures, and one patient had pelvic fractures.…”

Section: Discussionmentioning

confidence: 62%

A descriptive study of orthopaedic injuries due to parachute jumping in soldiers

Şahin

Batın

2020

BMC Emerg Med

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“…In a study by G. B. Farrow, 63 of 8886 jumps reported that death was seen and the injury rate was 7.1/1000 (5). In a retrospective study by B Zakowski et al, the injury rate was determined as 1.48-3.76/1000 jumps (24). In the study where A.Westman et al examined the deadly events due to free fall between 1981-2006, Building-Antenna-Span-Earth jumping(BASE), due to reasons related to human, environment and equipment (parachute-related problems, due to reverse airflow, loss of vision due to weather, or acrobatic movements), deaths have been reported (6).…”

Section: Resultsmentioning

confidence: 99%

Orthopedic injuries due to parachute jumping in soldiers and the effect of trauma scoring systems in determining injury level: A prospective observational study

Şahin¹,

Batın

2020

Preprint

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BackgroundDuring parachute jumping in soldiers, minör or life-threatining majör injuries may be occur in various parts of the body. Various trauma scoring systems have been developed to determine the severity of these injuries. The aim of this study is to determine orthopedic injuries and other injuries due to parachute jumping for military training who admitted to ED and the severity of their injuries using by anatomical and physiological trauma scores (AIS and ISS), to examine applied treatment methods, their hospitalization conditions and the length of hospital stay prospectively over a 44-month period Methods 200 military personnel were included in the study, between the ages of 18-52, who were injured as a result of daytime static parachute jumping for military training. Demographic data such as age, gender, ISS trauma region classification, anatomical injury sites, AIS and ISS scores, diagnosis, treatment methods applied, hospitalization status and duration of hospitalization were examined prospectively in a total of 185 patients. ResultsAmong 184 individuals included in the study, 184 were male and 1 was female. The most common injured body site were 33.5% foot. and the most common diagnosis was 64.3% soft tissue trauma.Considering the treatment methods applied, 51.4% was determined as medication cold application, 42.7% as splint plaster, and 5.9% as surgery. The mean ISS of the patients was 5.16 ± 3.92. The hospitalization rate of patients with a critical AIS score was significantly higher than those with a severe AIS score (p <0.001). ConclusionsThe use of trauma scoring systems in determining the severity of injury to patients who come to ED due to parachute injury may facilitate treatment selection.

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“…Parachuting landing, one kind of landing with high impact force, was common in military and civil activities. Injuries, such as ankle fracture, ankle sprains, and hip contusions, occurred on lower-extremity joints (i.e., hip, knee, and ankle) due to the high impact force on the lower extremity ( Ekeland, 1997 ; Knapik et al, 2011 ; Zakowski et al, 2019 ). Half-squat parachuting landing is one kind of parachuting landing in China, in which the left and right knees and ankles hug each other and the feet are in parallel with the ground ( Niu et al, 2010 ).…”

Section: Introductionmentioning

confidence: 99%

Protection by Ankle Brace for Lower-Extremity Joints in Half-Squat Parachuting Landing With a Backpack

Jiang

Chen

Fan

et al. 2021

Front. Bioeng. Biotechnol.

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Half-squat parachuting landing is a kind of activity with high impact force. Injuries on lower-extremity joints are common in half-squat parachuting landing and would be increased with a backpack. An ankle brace was used to prevent ankle injuries in landing. However, few quantitative studies reported about the protection of an ankle brace for lower-extremity joints in half-squat parachuting landing with a backpack. This study focused on evaluating the protective effects of an ankle brace in half-squat parachuting landing with a backpack. Seven male participants landed from 120 cm with a backpack and an ankle brace. Each participant performed three landing trials on every experimental condition. Kinetics and kinematics of the hip, knee, and ankle were analyzed. It was found that the ankle brace did not significantly affect the ground reaction force with backpack but increased the ground reaction force from 14.7 ± 2.0 bodyweight to 16.2 ± 1.9 bodyweight (p = 0.017) without the backpack. The ankle brace significantly (p < 0.05) decreased the angular displacement, angular velocity, and angular acceleration of the ankle both without and with the backpack. In conclusion, the ankle brace could restrict ankle motion and significantly increase ground reaction force without the backpack. However, the ankle brace did not significantly influence ground reaction force and still restricted ankle motion with the backpack. Therefore, the ankle brace was more effective in half-squat parachuting landing with the backpack than no-backpack landing.

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Analysis of a Military Parachutist Injury – A Retrospective Review of Over 37,000 Landings‡

Cited by 10 publications

References 18 publications

A descriptive study of orthopaedic injuries due to parachute jumping in soldiers

A descriptive study of orthopaedic injuries due to parachute jumping in soldiers

Orthopedic injuries due to parachute jumping in soldiers and the effect of trauma scoring systems in determining injury level: A prospective observational study

Protection by Ankle Brace for Lower-Extremity Joints in Half-Squat Parachuting Landing With a Backpack

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