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[Run-over injuries : causes, injury pattern, treatment and long-term sequelae]
C Riepl1, R Lefering, M Lorenz
1Klinik für Orthopädie und Unfallchirurgie, Zentrum für Schwerbrandverletzte, Marienhospital Stuttgart, Böheimstraße 37, 70199, Stuttgart, Deutschland.
Background:
The rate of long-term disability following run-over injuries has not been investigated so far. Therefore the aim of this study was to evaluate the long-term outcome following run-over injuries.
Material And Methods:
A total of 71 patients were enrolled in the study. Data were collected regarding the injury pattern, surgical treatment and clinical outcome. The quality of life was measured with the POLO chart
Results:
The median ISS was 15. Eight patients died. The injuries were predominantly located at the lower extremities (39%) with severe soft tissue injuries in 68% of the cases. Patients were operated on a median of four times. In the follow-up evaluation with the SF36 7 years post-trauma, 57% of the patients had reduced physical functioning and 46% reduced psychological health.
Conclusions:
The long-term disability following run-over injuries is severe and requires a multidisciplinary approach. Treatment should therefore be conducted in appropriate trauma centres.
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