Crush injuries to the lower limbs at a major UK trauma centre: a retrospective observational study
2025

Crush Injuries to the Lower Limbs: A Study

Sample size: 27 publication Evidence: moderate

Author Information

Author(s): Rama Essam, Jayawant Saania, Zhang James, Krkovic Matija

Primary Institution: University of Cambridge, Cambridge, UK

Hypothesis

What are the characteristics and outcomes of crush injuries to the lower limbs in a non-disaster setting?

Conclusion

Crush injuries in the non-disaster setting show distinct mechanisms and injury patterns, with more severe cases resembling those seen in disaster situations.

Supporting Evidence

  • 27 patients were included in the study.
  • The right leg was the most frequently injured site.
  • Fractures were the most common acute injuries.
  • Fluid resuscitation was required in 17 patients.
  • 58 surgeries were performed on 18 patients.

Takeaway

This study looked at people who got hurt when something heavy crushed their legs. It found that how they got hurt and how bad their injuries were can be very different from what happens in big disasters.

Methodology

Patients with lower limb crush injuries were identified from an internal database, excluding those under 18 and non-crush injuries.

Limitations

The retrospective design may have led to missed injuries due to incorrect coding, and the small sample size limits statistical comparisons.

Participant Demographics

{"median_age":43,"gender_distribution":{"male":18,"female":9},"comorbidities":{"type_ii_diabetes":4,"hypertension":4}}

Digital Object Identifier (DOI)

10.1007/s00590-024-04164-6

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