ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023
Preventing extremity amputations after earthquakes: a quantitative analysis of fasciotomy and extrication time.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 21 citations in OpenAlex.
- Anesthetic management and early outcomes in patients with earthquake-induced crush and compartment syndrome: A single-center retrospective an.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Evaluation of critical parameters for optimizing the therapeutic approach in pediatric patients with compartment syndrome during the 2023 Türkiye earthquake disaster.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- The surgical team's amputation approaches in orthopaedic traumas following the Great Kahramanmaraş Earthquake.Journal of orthopaedic surgery and research · 2025Article
- Microbial profiles and risk of amputation in fasciotomy and open wounds following the 2023 Türkiye earthquakes.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Experimental evaluation of timing and preference of surgical ıntervention for crush syndrome in disaster scenarios: fasciotomy or amputation? A rat model study.Journal of orthopaedic surgery and research · 2025Article
- The effects of timing on fasciotomy outcomes in compartment syndrome - experience from crush-induced trauma following 2023 Turkey earthquakes.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Sepsis predictors in earthquake survivors: A comparative analysis of amputation and fasciotomy patients.Joint diseases and related surgery · 2025Article
- Analysis of amputations occurring in the earthquakes centered in Kahramanmaraş: Adıyaman experience.International orthopaedics · 2024Article
- Data analysis of patients admitted to the emergency medicine clinic of Mersin City Training and Research Hospital after the Kahramanmaraş earthquake.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- Commentary on "Preventing extremity amputations after earthquakes: a quantitative analysis of fasciotomy and extrication time".European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Evaluation of musculoskeletal system injuries after the 2023 Kahramanmaraş Turkey earthquakes: Our single-center experience.Qatar medical journal · 2024Article
- Surgical and critical care management of earthquake musculoskeletal injuries and crush syndrome: A collective review.Turkish journal of emergency medicineReview
- Prehospital management of earthquake crush injuries: A collective review.Turkish journal of emergency medicineArticle
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study is to evaluate the impact of prolonged extrication time and the time to fasciotomy applications on amputation requirement by giving quantitative and cutoff values.
methodsIn this single-center study, the clinical records of patients with musculoskeletal injuries due to the 6 February Kahramanmaraş earthquake in Turkey were retrospectively reviewed. All patients who underwent fasciotomy or amputation regardless of age and gender were included in the study. 163 extremities of 140 patients who met the inclusion criteria were evaluated. Demographic data of the patients, such as age and gender, were recorded in this study. The primary outcome of this study was the correlation of the time between injury and fasciotomy applications with the amputation requirement. At the same time, the effect of prolonged extrication time of earthquake victims on amputation requirement.
resultsThe mean age was 29.01 ± 15.55 of earthquake victims included in the current study and the gender distribution of the patients is almost equal. 87 amputations of 65 patients were performed and transtibial amputation was the most common type (41.3%). The mean fasciotomy time was 38.78 ± 23.64 h. Delayed fasciotomies performed after 45.5 h increase 28.48 times the amputation requirement. The mean extrication time in the current study was 36.49 h. The patients with extrication time longer than 23 h was associated with an 8.8 times higher risk of amputation.
conclusionsAuthors believe that knowledge of the relationship between earthquake survivors' prognosis and time of extrication, as well as the impact of fasciotomy timing on extremity loss, is essential for a more successful treatment management in future disasters.
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