ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2025
Kahramanmaraş earthquake: From a microsurgical perspective of an orthopaedic hand surgery unit.
Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarthquakes stand as the most devastating form of natural disaster. Turkey, situated within fault zone has witnessed numerous catastrophic earthquakes throughout its history. On February 6th, a powerful earthquake severely impacted eleven cities in the southeastern part of the country. The purpose of this study is to evaluate the treatment management of a specific group of patients initially advised amputation but who rejected this procedure were referred to our clinic for reconstruction.
methodsThis is single-center retrospective analysis included 15 patients (8 female, 7 male) with 17 flaps. Cases not requiring microsurgery were excluded. Data on admission conditions, time spent under debris, debridement surgeries, flap surgeries, anastomosis details, lab values, angiography, reoperations, wound closure times, complications, flap outcomes, hospitalization duration and amputations or death were collected.
resultsThe average age of 15 patients was 30.67+-18.51, with 5 of the patients being pediatric (33.33%). Patients spent an average of 41.77+-40.68 hours under debris with an 11.40 +- 5.80-day admission delay. They underwent an average of 4.41+-3.02 debridement surgeries before flap surgery, occurring around 21.06+-18.24 days post-admission. Wound closure took about 37.93+-37.58 days on average, with an average hospital stay of 77.33+-36.67 days. 46% received hyperbaric oxygen treatment. Various flap types were used, with no failures in anterolateral thigh (ALT) or sural artery flaps. Latissimus dorsi + serratus anterior chimeric flaps were for larger defects, required more blood product replacements and fraught with difficulties. In total, 4 of the flaps were failed, 3 patients needed amputation despite all efforts, and 1 patient has died.
conclusionEarthquake victims with 'worse than it seems' nature due vascular and infectious concerns require careful microsurgery. Proximal anastomosis, venous complication monitoring, meticulous debridement, VAC therapy and adjuvant treatments like hyperbaric oxygen therapy are crucial in managing these complex cases.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.