[Analysis of patients with bone injury in Wenchuan earthquake].
OBJECTIVE
To evaluate the patients with bone injury in Wenchuan earthquake.


METHODS
From May 12th to June 15th 2008 the data of 1410 patients with bone injury in Wenchuan earthquake were analyzed to evaluate clinical intervention and remedy-managing experience.


RESULTS
The 1410 patients average age was from 4 to 103 years old. And 744 cases (52.7%) suffered from blunt injuries, 379 cases (26.9%) from buried injuries, 287 cases (20.4%) from falling injuries; And 1317 cases were with fracture, 93 with limbs soft tissue injuries; 261 patients combined with other parts of injuries including 45 cases with paralysis; 66 cases were with crush syndrome, 25 with gas gangrene, 76 with acute kidney failure, 26 with multiple organ failure. And 912 operations were performed including 402 fracture fixation, 224 debridement, 152 debridement and suture, 85 amputation, 29 implant skin, 8 fixation of joint dislocation, 5 surgical flaps transplantation, 4 nerve and tendon suture, 2 arthroscopes, 1 joint replacement. Among the 66 crush syndrome patients, 49 accepted continuous renal replacement therapy, in which 9 cases were bleeding from named arteries and 20 blood vessels were getting embolism. Among the 1410 cases, 1 died from multiple organ failure.


CONCLUSIONS
Among the patients with bone injury in Wenchuan earthquake, the elderly patients are more than the youth; The injuries are always combined with other complications; Opened injuries are polluted severely; It is difficult to deal with the crush syndrome; Paraplegia cases are less, but the amputees are more.
Yi
Min
M
Department of Orthopaedics, West China Hospital of Sichuan University, Chengdu 610041, China.
Pei
Fu-xing
FX
Song
Yue-ming
YM
Yang
Tian-fu
TF
Huang
Fu-guo
FG
Tu
Chong-qi
CQ
Cen
Shi-qiang
SQ
Xiang
Zhou
Z
Li
Jian
J
Liu
Hao
H
Liu
Lei
L
Yang
Jing
J
Wang
Guang-lin
GL
Liu
Li-Min
LM
Shen
Bin
B
Zhou
Zong-ke
ZK
Zeng
Jian-cheng
JC
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D055866:Earthquakes; D005260:Female; D005392:First Aid; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D014947:Wounds and Injuries / Q000601:surgery*