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Orthopaedic Watercraft Injuries: Characterization of Mechanisms, Fractures, and Complications in 216 Injuries
Joseph Christensen1, Sean Spence2, David Watson3
1The Permanente Medical Group, Inc, Fresno, CA.
Journal of Orthopaedic Trauma
|March 21, 2018
Summary
Watercraft-related orthopaedic injuries are severe, especially open fractures, leading to high rates of infection, nonunion, and amputation. Prompt surgical intervention is crucial for managing these devastating injuries.
Area of Science:
- Orthopaedic Surgery
- Trauma Care
- Biomechanics of Watercraft Injuries
Background:
- Watercraft activities pose significant risks for severe orthopaedic trauma.
- Understanding injury patterns and outcomes is crucial for effective treatment strategies.
Purpose of the Study:
- To review surgically treated orthopaedic injuries from watercraft.
- To identify common fracture types, mechanisms, and complications.
Main Methods:
- Retrospective case series analysis of 146 patients with 216 fractures.
- Data collected from 1998-2015 at a Level I trauma center.
- Inclusion of demographics, injury mechanisms, fracture patterns, and outcomes.
Main Results:
- Lower extremity fractures were most common (67%), followed by upper extremity (23%) and pelvic (10%).
- Open fractures (40%) had higher complication rates: 17% infection, 8% nonunion, and 16% amputation.
- Overall infection rate was 9%, with polymicrobial organisms frequently identified.
Conclusions:
- Watercraft-related orthopaedic injuries are often severe and challenging to manage.
- Open fractures present a substantial risk for infection, nonunion, and amputation.
- This study highlights the significant morbidity associated with these injuries.
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