PMID- 2071203
OWN - NLM
STAT- MEDLINE
DCOM- 19910821
LR  - 20190820
IS  - 0020-1383 (Print)
IS  - 0020-1383 (Linking)
VI  - 22
IP  - 3
DP  - 1991 May
TI  - Initial management of open fractures sustained in the M1 aircraft disaster. 
      Nottingham, Leicester, Derby and Belfast (NLDB) Study Group.
PG  - 207-11
AB  - There were 83 survivors of the M1 aircrash admitted to hospital; of these, 28 
      patients sustained a total of 40 open fractures. These open fractures were 
      classified as 19 grade 3, 16 grade 2 and five grade 1. There were six upper limb 
      fractures and 34 lower limb fractures. A high proportion of grade 3 open 
      fractures were identified in this series (47 per cent) and one-half of these 
      occurred at or below the ankle. This reflected the high energy and direction of 
      the forces involved in the aircrash. The early results in terms of the incidence 
      of wound infection (15 per cent), delayed wound healing (7.5 per cent) and skin 
      flap necrosis (7.5 per cent) were similar to other series. The controversy over 
      whether to leave grade 3 wounds open or closed was not clarified by this study, 
      but the closure of grade 3 wounds after internal fixation is to be avoided. This 
      study emphasizes the need for provision of adequate specialist manpower, 
      equipment and resources to manage the unexpected major disaster successfully.
FAU - Learmonth, D J
AU  - Learmonth DJ
AD  - Department of Orthopaedic Surgery, Leicester Royal Infirmary, UK.
FAU - Martindale, J P
AU  - Martindale JP
FAU - Rowles, J M
AU  - Rowles JM
FAU - Tait, G R
AU  - Tait GR
FAU - Kirsh, G
AU  - Kirsh G
FAU - Sheppard, I
AU  - Sheppard I
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Injury
JT  - Injury
JID - 0226040
SB  - IM
MH  - *Accidents, Aviation
MH  - Adult
MH  - Aged
MH  - *Disasters
MH  - Emergencies
MH  - Female
MH  - First Aid
MH  - Fracture Fixation/methods
MH  - Fractures, Open/surgery/*therapy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications
MH  - Surgical Wound Infection/etiology
MH  - Wounds and Injuries/therapy
EDAT- 1991/05/01 00:00
MHDA- 1991/05/01 00:01
CRDT- 1991/05/01 00:00
PHST- 1991/05/01 00:00 [pubmed]
PHST- 1991/05/01 00:01 [medline]
PHST- 1991/05/01 00:00 [entrez]
AID - 0020-1383(91)90042-D [pii]
AID - 10.1016/0020-1383(91)90042-d [doi]
PST - ppublish
SO  - Injury. 1991 May;22(3):207-11. doi: 10.1016/0020-1383(91)90042-d.