TY - JOUR T1 - ANALYSIS OF EXTREMITY FOREIGN BODY INJURIES Ekstremite Yabancı Cisim Yaralanmalarının Analizi AU - İmre, Erdi PY - 2023 DA - June DO - 10.16919/bozoktip.1142598 JF - Bozok Tıp Dergisi PB - Yozgat Bozok University WT - DergiPark SN - 2146-4006 SP - 14 EP - 20 VL - 13 IS - 2 LA - tr AB - ABSTRACTObjective: Extremity foreign body injuries are common in trauma departments. In this study, we aimed tofind a relation to demographics, treatment methods, injury characteristics, environmental and injury conditionsso that prevention methods could be more effective.Material and Methods: Hospital digital archives were searched between July 2014 and March 2020 retrospectivelyand 146 patients were included. The demographic information, injury place, injured extremitywith side, foreign body type and opacity, presence of infection, type of anesthesia performed, operationtime, incision length were recorded. Data were analyzed statistically.Results: The mean age of the patients was 25.9 ± 17.99 (2-78). According to gender and side examination,90 patients were male and 56 patients were female. Metallic object and bullet injuries were mostly seen inmales and needle injuries were mostly seen in females. Injuries caused by metallic objects were significantlymore common in the upper extremity (p: 0.001). Glass and needle injuries were seen significantly as indoorinjuries; as well as bullet, wooden part, and metallic part injuries were seen as outdoor injuries (p<0.001).The infection rate was significantly higher in outdoor injuries (p: 0.006). Age (p: 0.005), operation time (p:0.007) and incision length (p: 0.019) were significantly higher in outdoor injuries. Indoor injuries were significantlyhigher under 18 years of age (p:0.036). There was a significant correlation between upper extremityinjury and age (r: 0.358, p <0.001) and between upper extremity injury and male gender (r: 0.241, p: 0.003).Conclusion: Foreign body injuries are common injuries seen in wide age range. Antibiotic prophylaxis andtetanus vaccine should be applied as primary care. Since firearm injuries, wooden part injuries, and injuriesin the rural environment are found to be associated with infection, further studies are needed to discussextending the duration of antibiotic prophylaxis in these cases. KW - Foreign Body KW - Extremity KW - Infection KW - Removal KW - Injury CR - 1. Gulati D, Agarwal A. Wooden foreign body in the forearm - presentation after eight years. Ulus Travma Acil Cerrahi Derg. 2010;16(4):373-5. CR - 2. Kurtulmuş T, Sağlam N, Saka G, Imam M, Akpinar F. Tips and tricks in the diagnostic workup and the removal of foreign bodies in extremities. Acta Orthopaedica et Traumatologica Turcica. 2013;47(6):387-92. CR - 3. Özer M, Türker M, Başbuğ V, Kesik K, Türkmen F, Kaçıra BK, et al. Evaluation of Deep-Seated Soft Tissue Foreign Bodies According to Gender and Age Groups. Selcuk Medical Journal. 2019;35(1):24-30. CR - 4. Uludağ A, Tosu HB, Çiçek N, Şirik M, Uludağ Ö, Atiç R. Surgical approach to foreign bodies observed in the soft tissue of extremities after injury. Dicle Medical Journal. 2019;46(2):215-23. CR - 5. Öztürk AM, Aljasim O, Şanlıdağ G, Taşbakan M. Retrospective evaluation of 377 patients with penetrating foreign body injuries: a university hospital experience (a present case of missed sponge foreign body injury). Turkish Journal of Medical Sciences. 2021;51(2):570-82. CR - 6. Agarwal A. Foreign Body-Related Extremity Trauma in Children: A Single-Center Experience. Indian Journal of Orthopaedics. 2018;52(5):481-8. CR - 7. Alemdar C, Demirtaş A, Azboy İ, Gem M, Özkul E, Bulut M, et al. Orthopedic Approach to Foreign Body Injuries. J Clin Exp Invest. 2013;4(4):443-8. CR - 8. Ekinci Y, Gürbüz K, Çirakli A, Ekinci D, Çirakli S. Pseudomonas aeruginosa as a Cause of Septic Arthritis After a Sewing Needle Injury. Ege Journal of Medicine. 2016;55(2):95-7 CR - 9. Chandrashekara CM, George MA, Al-Marboi BS. Neglected Foreign Body, the Cause of Navicular Osteomyelitis in a Paediatric Foot: A Case Report. Journal of Orthopaedic Case Reports. 2013;3(3):26- 9. CR - 10. Markiewitz AD, Karns DJ, Brooks PJ. Late Infections of The Foot Due to Incomplete Removal of Foreign Bodies: A Report of Two Cases. Foot & Ankle International. 1994;15(1):52-5. UR - https://doi.org/10.16919/bozoktip.1142598 L1 - https://dergipark.org.tr/en/download/article-file/3213015 ER -