Treatment of war injuries of the upper extremity during war in south-western Croatia

  • Tedi Cicvaric
  • Miljenko Uravic
  • Hrvoje Stalekar
  • Alan Sustic
  • Alen Protic
  • Tomislav Tadin
Keywords: Croatia, treatment outcome, upper extremity, war injuries, war surgery, wound healing

Abstract

Objectives: The aim of this study was to analyze the epidemiology, treatment and incidence of complications among the patients with upper extremity war injury. Methods: In retrospective study, 123 patients with war injuries of the upper extremity have been analyzed. The results of treatment were assessed according to the rate of: complications, amputations, fracture healing and mortality. Results: Complications appeared in 17.9% of cases. Traumatic amputations were present in 19.4% of cases and in 2.4% of cases amputation was performed due to III C open fracture. Satisfactory bone healing was achieved in 49 of 55 patients available to follow up. Mortality rate was 2.4%. Conclusion: Self-inflicted injuries resulted in 41.6% amputation rate. High-energy war injuries of the upper extremity could be treated between 6 and 12 hours after injury without an increase in complication rate, compared to treatment up to 6 hours from injury. In selected cases primary reconstruction of war injury could be performed.

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Published
2011-12-01
How to Cite
1.
Cicvaric T, Uravic M, Stalekar H, Sustic A, Protic A, Tadin T. Treatment of war injuries of the upper extremity during war in south-western Croatia. Acta Chir. Croat. [Internet]. 2011Dec.1 [cited 2023Jan.30];8(1):43-2. Available from: https://acc.hkd.com.hr/index.php/ACC/article/view/44
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