Rehabilitation of Fractures in Disasters and Conflicts
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Introduction[edit | edit source]
A fracture is a discontinuity in a bone (or cartilage) resulting from mechanical forces that exceed the bone's ability to withstand them[1], and are one of the most common injuries seen in disaster and conflict settings, with at least one fracture seen in half of the patients presenting for treatment. The number and type of fractures vary depending on the type of disaster or conflict but in general during disasters and conflicts patients present with multiple injuries, with open and complex fractures common, which can complicate your rehabilitation plan. Earthquakes in particular cause a significant burden of injuries, mainly of the limb with fracture incidence shown to correlate with the Richter Magnitude Scale, where high-energy earthquakes cause more fractures.[2][3] MacKenzie et al [4] found that fractures accounted for 65% of the total injuries following earthquakes with lower extremities fractures accounting for 59% of those injuries. Bortolin et al [2] found that 10% of fractures involved the pelvic ring, while spinal column fractures accounted for 17% of the total injuries, with more than 4% of these involving spinal cord injury.[3]
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References [edit | edit source]
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- ↑ Radiopedia Fracture Available from:https://radiopaedia.org/articles/fracture-1 (last accessed 2.4.2020)
- ↑ 2.0 2.1 Bortolin M, Morelli I, Voskanyan A, Joyce NR, Ciottone GR. Earthquake-related orthopedic injuries in adult population: a systematic review. Prehospital and disaster medicine. 2017 Apr;32(2):201-8.
- ↑ 3.0 3.1 Bartholdson S, von Schreeb J. Natural disasters and injuries: what does a surgeon need to know?. Current trauma reports. 2018 Jun;4(2):103-8.
- ↑ MacKenzie JS, Banskota B, Sirisreetreerux N, Shafiq B, Hasenboehler EA. A review of the epidemiology and treatment of orthopaedic injuries after earthquakes in developing countries. World journal of emergency surgery. 2017 Dec;12(1):1-7.
