Revisiting Amputation Rates in High-Pressure Injection Injuries.

J Hand Surg Glob Online

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

Published: July 2024

Purpose: High-pressure injection injuries are a rare, and potentially serious, trauma that has historically been associated with high-amputation rates. This study aimed to assess the amputation rates, materials involved, and outcomes at a single institution.

Methods: A retrospective analysis of 53 cases at a level-1 trauma center in South Central Texas between 2007 and 2023 was conducted. Patient demographics, injury details, materials injected, surgical interventions, complications, and follow-up data were collected and analyzed.

Results: There was an amputation rate of 2.2. Latex-based paints showed more favorable outcomes when compared with grease injections and oil-based paints. There were also fewer reoperations and postoperative complications with latex-based paint injuries.

Conclusions: The study signals the need for a re-evaluation of high-pressure injection injury outcomes, highlighting a more optimistic prognosis than previously thought. The evolution of materials in paints, especially latex-based paints, may have been associated with a lower rate of amputation than what was previously reported.

Type Of Study/level Of Evidence: Prognostic IV.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331214PMC
http://dx.doi.org/10.1016/j.jhsg.2024.04.007DOI Listing

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