Evidence map›Paper›PMID 40886017›Full record

ArticleJournal of orthopaedic surgery and research2025

Functional outcomes and mortality after multi-limb amputations following the 2023 Türkiye earthquake: a two-year follow-up study from a level I trauma center.

Nihat Yiğit, İbrahim Alper Yavuz, Tahsin Aydın, Şahan Güven, Ceyhun Çağlar, İbrahim Bozkurt, Özgür Doğan, Enver Kılıç, Ahmet Özgür Yıldırım

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Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Nihat YiğitDepartment of Orthopedics and Traumatology, Sincan Training and Research Hospital, Ankara, Türkiye. nihatyigit3@gmail.com.ORCID http://orcid.org/0009-0002-8670-5484
İbrahim Alper YavuzDepartment of Orthopedics and Traumatology, Bilkent City Hospital, Ankara, Türkiye.
Tahsin AydınDepartment of Orthopedics and Traumatology, Bilkent City Hospital, Ankara, Türkiye.
Şahan GüvenDepartment of Orthopedics and Traumatology, Bilkent City Hospital, Ankara, Türkiye.
Ceyhun ÇağlarDepartment of Orthopedics and Traumatology, Bilkent City Hospital, Ankara, Türkiye.
İbrahim BozkurtDepartment of Orthopedics and Traumatology, Bilkent City Hospital, Ankara, Türkiye.
Özgür DoğanDepartment of Orthopedics and Traumatology, Bilkent City Hospital, Ankara, Türkiye.
Enver KılıçDepartment of Orthopedics and Traumatology, Bilkent City Hospital, Ankara, Türkiye.
Ahmet Özgür YıldırımDepartment of Orthopedics and Traumatology, Bilkent City Hospital, Ankara, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMulti-limb amputations are extremely rare and devastating injuries, particularly in the context of civilian disasters. The 2023 Türkiye earthquake resulted in a significant number of complex traumatic injuries, including multiple limb amputations. This study aims to investigate early mortality, surgical complications, and functional outcomes at two-year follow-up in civilian patients who underwent two or more limb amputations following the disaster.

methodsA retrospective analysis was conducted on 22 patients who sustained multiple limb amputations after the earthquake. Demographic data, amputation levels, surgical interventions, complications, and outcomes at two-year follow-up were recorded. The primary outcomes were mortality, the number and type of reoperations, and functional recovery at two years.

resultsAmong the cohort, two-limb amputations were performed in 17 patients, three-limb amputations in 4 patients, and four-limb amputation in 1 patient. Twenty patients required at least one additional surgical procedure during hospitalization, most commonly surgical debridement for soft tissue infection. Eight patients died, of whom five had undergone amputation of three or more limbs. Sepsis was the leading cause of death. Follow-up data at two years were available for 14 survivors. Of these, only 3 patients were able to ambulate independently using prosthetic devices. Phantom limb pain was reported in 6 patients, and all received medical management. The average hospital stay exceeded 80 days in patients with bilateral amputations.

conclusionsThis study presents one of the largest case series of multi-limb amputees following a civilian earthquake. The findings highlight the high rate of reoperation, substantial mortality, and limited functional recovery at two-year follow-up in this population. Early multidisciplinary rehabilitation strategies should be prioritized to improve outcomes in future mass-casualty settings.

Indexed as

Amputation, SurgicalEarthquakesTrauma CentersAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPhantom LimbRecovery of FunctionReoperationRetrospective StudiesTime FactorsTreatment OutcomeCrush injuryDisaster rehabilitationEarthquake traumaFunctional outcomeMultiple amputationsProsthetic mobilitySepsis

Identifiers

PMID40886017
PMCPMC12398020

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.