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How many acute orthopaedic injuries are preventable?

Luke Duggleby1, Lysander Gourbault1, Thomas Parsons1

  • 1Royal United Hospital, Combe Park, Bath BA1 3NG UK.

Injury
|June 8, 2022
PubMed
Summary

Nearly a quarter of acute orthopaedic injuries are preventable. Occupational injuries present the greatest opportunity for prevention, highlighting the need for targeted interventions to reduce accident rates and associated costs.

Keywords:
OrthopaedicPreventable injuryTrauma

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Area of Science:

  • Orthopaedic Surgery
  • Trauma Medicine
  • Public Health

Background:

  • Accidental injuries incur significant individual and societal costs.
  • Understanding injury mechanisms is crucial for developing effective prevention strategies.
  • Acute orthopaedic injuries represent a substantial burden on healthcare systems.

Purpose of the Study:

  • To determine the proportion of acute orthopaedic injuries that are preventable through human intervention.
  • To identify common mechanisms leading to preventable orthopaedic injuries.
  • To explore potential areas for injury reduction in orthopaedic trauma.

Main Methods:

  • Prospective study conducted in a UK district general hospital.
  • Review of all patients referred to the Orthopaedic department over a 4-week period.
  • Thematic analysis of injury mechanisms, patient demographics, and injury characteristics.

Main Results:

  • 516 acute traumatic injuries were identified from 502 patients.
  • A significant proportion (23.9%) of acute orthopaedic injuries were deemed preventable.
  • Upper limb injuries, particularly to the hand and forearm, were most common.
  • Common preventable injury mechanisms included occupational factors, falls on stairs, road traffic accidents, cycling, alcohol-related incidents, trampolines, DIY activities, and assaults.

Conclusions:

  • A substantial number of acute orthopaedic injuries are potentially preventable.
  • Occupational injuries represent a key area for intervention to reduce preventable accidents.
  • Further research into injury prevention strategies is warranted to mitigate the impact of orthopaedic trauma.