Journal Article > Short ReportFull Text
BMJ Mil Health. 29 July 2019; Volume 166 (Issue 3); 210-210.; DOI:10.1136/jramc-2019-001269
Mathieu L, Alqassab S, Fakhi RM
BMJ Mil Health. 29 July 2019; Volume 166 (Issue 3); 210-210.; DOI:10.1136/jramc-2019-001269
Journal Article > ResearchAbstract Only
Injury. 24 October 2014; Volume 45 (Issue 12); 1996-2001.; DOI:10.1016/j.injury.2014.10.003
Teicher CL, Foote N, Al Ani AM, Alras MS, Alqassab S, et al.
Injury. 24 October 2014; Volume 45 (Issue 12); 1996-2001.; DOI:10.1016/j.injury.2014.10.003
BACKGROUND/OBJECTIVES
The MSF programme in Jordan provides specialized reconstructive surgical care to war-wounded civilians in the region. The short musculoskeletal functional assessment score (SMFA) provides a method for quantitatively assessing functional status following orthopaedic trauma. In June 2010 the Amman team established SMFA as the standard for measuring patients’ functional status. The objective of this retrospective study is to evaluate whether the SMFA scores can be useful for patients with chronic war injuries.
METHODS
All patients with lower limb injuries requiring reconstruction were enrolled in the study. Each patient's SMFA was assessed at admission, at discharge from Amman and during follow-up in home country. In the analysis we compared patients with infected versus non-infected injuries as well as with both high and low admissions dysfunctional index (ADI).
RESULTS
Among infected patients, higher ADI correlated with more surgeries and longer hospital stay. Infected patients with ADI >50 required an average of 2.7 surgeries while those with ADI <50, averaged 1.7 operations (p = 0.0809). Non-infected patients with ADI >50 required an average of 1.6 operations compared to 1.5 for those with ADI <50 (p = 0.4168).
CONCLUSIONS
The ADI score in our sample appeared to be useful in two areas: (1) hospital course in patients with infection, where a high ADI score correlated with longer hospital stays and more surgeries, and (2) prognosis, which was better for non-infected patients who had high ADI scores. A scoring system that predicts functional outcome following surgical reconstruction of lower limb injuries would be enormously useful.
The MSF programme in Jordan provides specialized reconstructive surgical care to war-wounded civilians in the region. The short musculoskeletal functional assessment score (SMFA) provides a method for quantitatively assessing functional status following orthopaedic trauma. In June 2010 the Amman team established SMFA as the standard for measuring patients’ functional status. The objective of this retrospective study is to evaluate whether the SMFA scores can be useful for patients with chronic war injuries.
METHODS
All patients with lower limb injuries requiring reconstruction were enrolled in the study. Each patient's SMFA was assessed at admission, at discharge from Amman and during follow-up in home country. In the analysis we compared patients with infected versus non-infected injuries as well as with both high and low admissions dysfunctional index (ADI).
RESULTS
Among infected patients, higher ADI correlated with more surgeries and longer hospital stay. Infected patients with ADI >50 required an average of 2.7 surgeries while those with ADI <50, averaged 1.7 operations (p = 0.0809). Non-infected patients with ADI >50 required an average of 1.6 operations compared to 1.5 for those with ADI <50 (p = 0.4168).
CONCLUSIONS
The ADI score in our sample appeared to be useful in two areas: (1) hospital course in patients with infection, where a high ADI score correlated with longer hospital stays and more surgeries, and (2) prognosis, which was better for non-infected patients who had high ADI scores. A scoring system that predicts functional outcome following surgical reconstruction of lower limb injuries would be enormously useful.
Journal Article > Case Report/SeriesAbstract Only
J Forensic Leg Med. 1 January 2021; Volume 77; 102085.; DOI:10.1016/j.jflm.2020.102085
Alqassab S, Mathieu L
J Forensic Leg Med. 1 January 2021; Volume 77; 102085.; DOI:10.1016/j.jflm.2020.102085
The authors report an unusual case of hand electrical injury related to torture in a war refugee. The patient was referred for the reconstruction of bilateral hand function several years after being tortured. He presented with severe hand contractures combined with motor and sensory loss. After nonoptimal treatment in the acute period, the reconstruction options were limited by the delayed management. This unique clinical presentation can be explained by repetition of prolonged electrical shocks using a low-voltage current.