ArticleScandinavian journal of trauma, resuscitation and emergency medicine2024
Aftermath Türkiye's double earthquake: detailed analysis of fracture characteristics and acute management from a level I trauma center.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- Integrating orthotic and prosthetic solutions into disaster risk management: a multimethod study protocol.BMJ open · 2026Article
- Are orthopedists mentally ready for the next disaster? Surgeons who performed amputations after the 2023 Kahramanmaraş earthquakes report high traumatic stress symptoms.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
- Postoperative outcomes in earthquake victims with orthopedic trauma: a focus on mortality and dialysis needs.BMC anesthesiology · 2025Article
- Management of extremity and pelvic fractures in earthquake: our observations and recommendations.BMC musculoskeletal disorders · 2025Article
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Abstract
backgroundThis research investigated surgical interventions for the treatment of extremity and pelvic fractures and aimed to provide an analysis of management challenges under crisis conditions in a Level I Trauma Center after Türkiye's February 6, 2023, earthquakes.
methodsThe study was a retrospective examination of the medical records of 243 fracture cases associated with the earthquakes. The age, gender, time of admission, types of extremity and pelvic fractures, anatomical localizations, and surgical treatment methods for fractures were recorded. The results of these parameters were evaluated in detail, together with the results of other surgical treatments performed in the hospital in the first week after the disaster, such as fasciotomy, amputation, and wound debridement.
resultsMost of the 243 (119 males and 124 females) patients with extremity fractures and pelvic fractures receiving surgical treatment were adults (n = 182, 74.9%). The most common lower extremity fractures among all fracture cases were tibial shaft (30.8%) and femoral shaft (20.6%) fractures. A total of 33 patients had surgical procedures for the treatment of two or more significant bone fractures involving either the extremity or the pelvic ring. The analysis showed that the median age of patients who underwent surgery due to extremity and pelvic fractures was 36 years, with a range of 1 to 91 years, which was statistically increased compared to patients who received surgery for other musculoskeletal injuries such as fasciotomy, amputation and debridement (p < 0.001).
conclusionFractures were one of the most common musculoskeletal injuries in the first days after earthquakes, and the management of fractures differs significantly from soft tissue injuries and amputation surgeries as they require implants, special instruments, and imaging devices. The delivery of healthcare is often critically impaired after a severe earthquake. Shortages of consumables such as orthopedic implants, power drills, fluoroscopy equipment, and the need for additional staff should be addressed immediately after the earthquake, ideally by the end of the first day.
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