L S Wilson1, M S Mizel, J D Michelson. 1. Department Orthopedic Surgery Memorial Hospital, South Bend, IN, USA. lswilson@pol.net
Abstract
BACKGROUND: We studied foot and ankle (F/A) injuries that occurred in motor vehicle accidents treated in a Level 1 trauma center. METHODS: The records of F/A injuries of 2248 consecutive orthopedic patients were reviewed to find foot and ankle injuries. RESULTS: Pilon fractures were common. Motor Vehicle Accident (MVA) occupants with F/A injuries had a higher injury Severity Score than those without (17.9 vs. 11.6, p <. 001). MVA F/A injury risk was higher without restraint [relative risk ratio (rrr) 1.68, p <. 0032] than with restraint except for air bagged drivers who were similar to unrestrained drivers (rrr 1.18, p > .05, NS). CONCLUSION: Patients with F/A injuries may have serious associated injuries. Air bags may not protect feet.
BACKGROUND: We studied foot and ankle (F/A) injuries that occurred in motor vehicle accidents treated in a Level 1 trauma center. METHODS: The records of F/A injuries of 2248 consecutive orthopedic patients were reviewed to find foot and ankle injuries. RESULTS: Pilon fractures were common. Motor Vehicle Accident (MVA) occupants with F/A injuries had a higher injury Severity Score than those without (17.9 vs. 11.6, p <. 001). MVA F/A injury risk was higher without restraint [relative risk ratio (rrr) 1.68, p <. 0032] than with restraint except for air bagged drivers who were similar to unrestrained drivers (rrr 1.18, p > .05, NS). CONCLUSION:Patients with F/A injuries may have serious associated injuries. Air bags may not protect feet.
Authors: Renata R Almeida; Mohammad Mansouri; David K Tso; Anne H Johnson; Michael H Lev; Ajay K Singh; Efren J Flores Journal: Emerg Radiol Date: 2018-06-06
Authors: Teja Yeramosu; Jibanananda Satpathy; Paul W Perdue; Clarence B Toney; Jesse T Torbert; David J Cinats; Tejas T Patel; Stephen L Kates Journal: J Orthop Trauma Date: 2022-08-01 Impact factor: 2.884