Archives of Trauma Research

ORIGINAL ARTICLE
Year
: 2023  |  Volume : 12  |  Issue : 1  |  Page : 34--38

A study of pattern, management, and outcome of complex soft-tissue injuries


Jayabal Pandiaraja1, Arumugam Shalini2 
1 Department of General Surgery, Be Well Hospitals, Chennai, Tamil Nadu, India
2 Department of Community Medicine, ACS Medical College, Chennai, Tamil Nadu, India

Correspondence Address:
Jayabal Pandiaraja
26/1, Kaveri Street, Rajaji Nagar, Villivakkam, Chennai - 600 049, Tamil Nadu
India

Background and Objectives: Complex soft-tissue injuries are one of the leading causes of morbidity and mortality following road traffic accidents (RTA). This article is regarding the pattern, management, and outcome of complex soft-tissue injuries. Methods: This observational study was conducted on 519 patients, from January 01, 2010, to April 30, 2013, at a tertiary care center in southern India. We analyzed the demographic profile, mechanism of injuries, management, and outcome of complex soft-tissue injuries during this study. Results: Of 519 patients with soft-tissue injury, blunt and penetrating injuries were seen in 81.7% and 18.3% of all cases, respectively. The most common cause of injury was RTA 74.3%. Isolated moral Lavelle injuries without associated neurovascular injuries occurred in 26.3% of patients. Soft-tissue injury was associated with bony, vascular, nerve, and tendon injuries in 52.0%, 44.7%, 20.0%, and 16.3% of all the cases, respectively. Patients who presented early (within 6 h of injuries) and patients with bone-only injuries had higher limb salvage rates. The overall morbidity rate among adults was 16.3% and the mortality rate was 1.9% and the most common cause of death was hemorrhagic shock. Mortality and morbidity in the pediatric group are higher than in the adult group. Conclusions: In summary, health education about road safety and proper safety protocol for two-wheelers and four-wheelers will reduce the incidence of RTA, thereby reducing the incidence of complex soft-tissue injury. The early and aggressive intervention will prevent a high amputation rate in bony injuries combined with vascular injury. A low threshold of blood transfusion and early aggressive treatment in the pediatric population will reduce the high mortality rate.


How to cite this article:
Pandiaraja J, Shalini A. A study of pattern, management, and outcome of complex soft-tissue injuries.Arch Trauma Res 2023;12:34-38


How to cite this URL:
Pandiaraja J, Shalini A. A study of pattern, management, and outcome of complex soft-tissue injuries. Arch Trauma Res [serial online] 2023 [cited 2024 Mar 2 ];12:34-38
Available from: https://www.archtrauma.com/article.asp?issn=2251-953X;year=2023;volume=12;issue=1;spage=34;epage=38;aulast=Pandiaraja;type=0