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논문 기본 정보

자료유형
학술저널
저자정보
Dong Hee Kim (Department of Orthopedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea) Hyo Seok Jang (Department of Orthopedic Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Korea) Sang Ho Kwak (Department of Orthopedic Surgery, SNU Hospital, Seoul, Korea) Sung Yoon Jung (Department of Orthopedic Surgery, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Korea) 박찬익 (Department of Trauma Surgery, Regional Trauma Center, Pusan National University Hospital, Korea) Chul Ho Lee (Department of Orthopedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea) Kyoungwon Park (Department of Orthopedic Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Korea) Sang Hyun Lee (Department of Orthopedic Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Korea)
저널정보
대한수부외과학회 Archives of Hand and Microsurgery Archives of Hand and Microsurgery 제29권 제3호
발행연도
2024.9
수록면
196 - 202 (7page)
DOI
10.12790/ahm.24.0020

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Purpose: This study investigated the epidemiology and treatment outcomes of patients with traumatic limb amputation who visited a regional trauma center. Methods: From November 2015 to December 2021, patients with traumatic limb amputation who visited the Regional Trauma Center at Pusan University Hospital were retrospectively studied. The injury mechanism, number of operations for accompanying injuries, hospitalization period, injury severity score, insurance classification, and medical costs were investigated using medical records. We analyzed medical costs according to the injury site and treatment method. Results: We enrolled 57 patients who visited the hospital for traumatic limb amputation. The median patient age was 55 years, and there were 48 males and nine females. Seventeen patients underwent replantation, and 40 patients underwent amputation. Replantations were performed in 43.7% of cases of upper extremity injuries and in 12.0% of cases of lower extremity injuries. Six operations were performed per patient for replantation and three for amputation (p=0.027). In an analysis of the total medical costs submitted to the national health insurance system, replantation surgery was over twice as expensive as amputation surgery for the upper extremities (p=0.029). However, no significant cost difference was observed for lower limb amputations. Conclusion: As a treatment for limb amputation patients, replantation requires a higher number of operations and a longer hospital stay than amputation. There was no difference in patients’ contributions to medical costs between replantation and amputation, but from the standpoint of national health insurance coverage, upper extremity injuries cost more when treated by replantation than by amputation.
#Traumatic amputation #Replantation #Surgical amputation #Health care costs

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