Versorgung der offenen Décollementverletzung der unteren Extremität

Hierner, R.; Stoel, A.M.; Lendemans, Sven; Täger, G.; Nast-Kolb, D.; Husain, Nik Rosmawati Nik; Schmitz, Daniel

doi:10.1007/s00113-008-1549-y

Cited by 4 publications

(4 citation statements)

References 17 publications

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“…Eine Fraktureinteilung in die AO-Klassifikation 12 wurde aufgrund der häufig aufgetretenen multiplen Frakturen einer Körperregion nicht unternommen, um eine bessere Übersicht zu gewährleisten. Décollementverletzungen wurden als Ablederungsverletzungen definiert, bei denen die Haut durch Einwirkung von Scherkräften in der Schicht oberhalb der Faszie abgerissen wurde 13 und entsprechend dem Defekttyp eingeteilt 14 , 15 . Sämtliche Weichteilschäden, die nicht auf (offenen) Frakturen oder Décollementverletzungen beruhten, wurden als Gelenkbinnenschädigung, Hohlorganperforation oder als Hämatom bezeichnet.…”

Section: Methodikunclassified

“…AO classification of fractures 12 was not done due to the high incidence of multiple fractures in a given body region to ensure a better overview. Decollement injuries were defined as degloving injuries in which the skin is torn off in the layer above the fascia by shearing forces 13 and classified according to the defect type 14 , 15 . All soft tissue injuries not accompanying (open) fractures or decollement injuries were designated as internal joint damage, hollow organ perforation or haematoma.…”

Section: Methodsmentioning

confidence: 99%

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Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance

Ull¹,

Ehlers²,

Yılmaz³

et al. 2021

Z Orthop Unfall

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Introduction The use of forklift trucks during work has a high accident potential. The aim of this study is to describe injury patterns, treatment and outcome after forklift truck accidents in the context of the employersʼ liability insurance association. Methods Retrospective data collection of all cases between 2004 and 2019. Excluded were patients < 18 years, without follow-up or with definitive external treatment. Trauma mechanism, injury patterns and distribution, treatment, complications, time of incapacity for work, return to work and impairment of earning capacity were recorded. Results Of 109 patients with 110 injuries, 52.7% showed isolated injuries and 47.3% combined injuries, which affected the lower extremity in 95 cases. There were fractures in 85.5%, including 32.7% in open form. The mean length of stay was 29.1 days (range 1 – 129); an indication for surgery was seen in 80.9%. Surgical treatment required an average of 3 interventions, with significantly more operations for soft tissue closure than for the fractures (p ≤ 0.023). Amputations were necessary in 8 cases; complications occurred in 29.1%. Return to work was possible in 90%, after a mean period of incapacity for work of 33.6 weeks. A total of 40% showed a pensionable impairment of earning capacity. Conclusion Accidents with forklift trucks result in complex lower extremities injuries with the need of multi-stage treatment and show relatively high complication rates. A return to work is often possible after a long period of convalescence, and a pensionable impairment of earning capacity often persists.

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Section: Methodikunclassified

Section: Methodsmentioning

confidence: 99%

Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance

Ull¹,

Ehlers²,

Yılmaz³

et al. 2021

Z Orthop Unfall

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show abstract

“…12,16,17 The use of the avulsed skin as a source of skin graft has been described in the literature. 2,18 For this purpose, the avulsed skin must be intact, and it needs to be defatted and fenestrated before grafting. 2,18,19 For smaller and functionally important areas, local or free flaps (►Fig.…”

Section: Soft Tissue Reconstructionmentioning

confidence: 99%

“…2,18 For this purpose, the avulsed skin must be intact, and it needs to be defatted and fenestrated before grafting. 2,18,19 For smaller and functionally important areas, local or free flaps (►Fig. 6) can achieve satisfying defect coverage, but they cannot be applied when extended lesions are present.…”

Section: Soft Tissue Reconstructionmentioning

confidence: 99%

Management of Avulsion Injuries

Boettcher-Haberzeth

Schiestl

2013

Eur J Pediatr Surg

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The optimal management sequence to treat avulsion injuries in children is particularly difficult because of the following problems: (1) Assessment of these rare but frequently massive injuries can be very difficult and treacherous, as the extent of the injury is often underestimated and treatment therefore considered inappropriate; (2) Avulsion injuries have a high risk of infection: lesions are always contaminated due to the mechanism of injury (mostly vehicle accidents) and subsequent long-term hospitalization adds an additional risk for nosocomial infections; (3) Children with avulsion injuries have an increased risk to develop functional deficits: although the body grows, scars and reconstructed tissues may not adapt sufficiently and this may lead to serious constraints. Because of these problems, avulsion injuries may lead to a high morbidity and even mortality, especially if the injury is mismanaged. Reviewing the most recent data regarding the management of avulsion injuries yields the following key points: (1) A scoring system may help to assess the primary dimension of the defect; (2) Innovative techniques such as the use of a Vacuum Assisted Closure system may lower the risk of infection; (3) Choosing a comprehensive, reconstructive approach taking the growth of the child into consideration, may reduce the development of serious functional deficits and improve cosmetic outcome.

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Weichteilverletzungen

Schnyder

2011

Praxis Der Kinder- Und Jugendtraumatologie

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Versorgung der offenen Décollementverletzung der unteren Extremität

Cited by 4 publications

References 17 publications

Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance

Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance

Management of Avulsion Injuries

Weichteilverletzungen

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