Citation

Öztürk Ş, Sevim KZ. Sisli Etfal Hastan Tip Bul 2020; 54(1): e2018.26790.

Affiliation

Department of Plastic Reconstructive and Aesthetic Surgery, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.

Copyright

(Copyright © 2020, Şişli Etfal Hastanesi Yardım Derneği)

DOI

10.14744/SEMB.2018.26790

PMID

32377126

PMCID

PMC7192256

Abstract

OBJECTIVES: In this study, we analyzed patients with upper extremity injuries concerning patient demographics, injury type and etiological factors, and the most common problems encountered during the first 24 hours that were noted in the retrospective analysis.

METHODS: In this study, a total of 82 patients who presented to the emergency plastic surgery clinic in Şişli Hamidiye Etfal Research and Training Hospital, postoperatively these patients were checked after surgery for first 24 hours concerning pain, nausea and vomiting, edema, agitation, arm immobilization arm and vascular patency.

RESULTS: Among etiological factors, 54 patients were sharp-object trauma, 10 patients punched a hard object, 15 patients had work hazard, two patients had traffic accident, one patient from the fight. When these patients were postoperatively analyzed, in 45% patients pain, in 7% nausea and in 14 % bleeding were observed. Plaster was placed in 100% of the patients in order and their arms were elevated to reduce edema. During the first four hours, in 2% of the patients, edema was seen, 16% agitation, 8%vascular problems.

CONCLUSION: When the type of injury is subcategorized to injuries of several compartments (nerve, tendon, muscle, artery, vein), the early postoperative challanges are more easily and correctly handled.

Copyright: © 2020 by The Medical Bulletin of Sisli Etfal Hospital.

Language: en

Keywords

Pain; musculoskeletal pain; postoperative