Outcome of Orthopaedics Treatment of Lombok Earthquake Victim 2018: A Cross sectional study-lesson learned from Lombok earthquake

Abstract

Background: In earthquakes, there is often an imbalance between overcrowding in hospitals and inadequate resources. The initial management of earthquake victims with musculoskeletal injuries is controversial; whether debridement, external or internal fixation, conservative or operative treatment in an acute onset disaster setting. This study aim is to determine the radiological and clinical outcome after orthopaedic treatment in the Lombok earthquake of 2018 for one year follow-up.Result: Significant difference between ORIF (Open reduction internal fixation) and non-ORIF of the Union Rate result (P = 0.021) with ORIF group has a higher rate of Union than non-ORIF group, but the incidence of infection only appeared in the ORIF group (23.5%). There were significant differences in the clinical outcome of SF 36 general health (P = 0.042) and health changes (P = 0.039) and the ORIF group had lower mean general health and health change clinical outcomes than the non-ORIF groupConclusion: The population group that received the ORIF procedure had better radiological outcomes than the non-ORIF group, however, the ORIF group had lower clinical outcomes of infection and SF-36 than the non-ORIF group. It is recommended to perform debridement and external fixation for open fracture type and conservative treatment for closed fracture in an acute onset disaster setting or evacuation in case immediate treatment is needed urgently. Definitive treatment in acute onset disaster setting should be prevented.