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Related Experiment Video

Updated: Jun 16, 2025

Pseudofracture: An Acute Peripheral Tissue Trauma Model
10:08

Pseudofracture: An Acute Peripheral Tissue Trauma Model

Published on: April 18, 2011

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Revisiting Amputation Rates in High-Pressure Injection Injuries.

Sohan Kumar Jakkaraju1, Brian W Sager1, Christina I Brady1

  • 1UT Health San Antonio Department of Orthopedics, University of Texas Health Science Center, San Antonio, TX.

Journal of Hand Surgery Global Online
|August 21, 2024
PubMed
Summary

High-pressure injection injuries, though serious, may have better outcomes than previously thought. Latex-based paints are associated with lower amputation rates and fewer complications compared to grease or oil-based paints.

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Area of Science:

  • Trauma surgery
  • Orthopedics
  • Emergency medicine

Background:

  • High-pressure injection injuries (HPIIs) are rare but severe traumas.
  • Historically, HPIIs have been linked to high rates of limb amputation.

Purpose of the Study:

  • To evaluate amputation rates, common materials involved, and patient outcomes for HPIIs.
  • To reassess the prognosis of HPIIs based on contemporary data.

Main Methods:

  • Retrospective analysis of 53 HPII cases from 2007-2023.
  • Data collected included demographics, injury specifics, injected materials, surgical treatments, and follow-up outcomes.
  • Level-1 trauma center setting.

Main Results:

  • The overall amputation rate was 2.2%.
Keywords:
AmputationHandHigh-pressure injection injuryMorbidityTrauma

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  • Latex-based paints were associated with more favorable outcomes than grease or oil-based paints.
  • Fewer reoperations and postoperative complications were observed with latex-based paint injuries.

    • Conclusions:

    • HPII prognosis may be more optimistic than historically reported.
    • The evolution of injected materials, particularly latex-based paints, may contribute to lower amputation rates.
    • Re-evaluation of HPII outcomes is warranted.