überrollverletzungen

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• 作者：C. Riepl (1)
  R. Lefering (1)
  M. Lorenz (1)
  F. Gebhard (1)
  PD Dr. U.C. Liener (1)
  
• 关键词：überrolltrauma ; Langzeitverlauf ; Décollement ; POLO ; Chart ; Verkehrsunfall ; Run ; over injury ; Soft tissue injury ; Long ; term follow ; up ; Quality of life ; Traffic accident
• 刊名：Der Unfallchirurg
• 出版年：2012
• 出版时间：November 2012
• 年：2012
• 卷：115
• 期：11
• 页码：982-987
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• 作者单位：C. Riepl (1)
  R. Lefering (1)
  M. Lorenz (1)
  F. Gebhard (1)
  PD Dr. U.C. Liener (1)
  
  1. Klinik für Orthop?die und Unfallchirurgie, Zentrum für Schwerbrandverletzte, Marienhospital Stuttgart, B?heimstra?e 37, 70199, Stuttgart, Deutschland
  
• ISSN：1433-044X

文摘

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.