INJURIES OF THE EXTREMITIES CAUSED BY HIGH ENERGY GUNSHOTS AND LAND-MINES

Hospital records of patients who had extremity injuries caused by high energy gunshots and land-mines and treated in Þýrnak Military Hospital between January 1997 and July 1999 were reviewed retrospectively. Among 236 cases 147 (62.3%) had lover extremity wounds and 89 (37.7%) had upper extremity wounds. The most frequently injured part was hands for the upper extremity and feet for the lower extremity. The most dramatic wounds were caused by slapping on anti personnel mines trapped with anti tank mines. The localization and the extension of the wounds worries with type and power of the gun, the position of the victim at the time of explosion and the distance between the victim and the gun.

YÜKSEK ENERJÝLÝ ATEÞLÝ SÝLAHLARLA VE MAYINA BASMA SONUCU MEYDANA GELEN EKSTREMÝTE YARALANMALARI

Bu çalýþmada Þýrnak Askeri Hastanesinde Ocak 1997 ile Temmuz 1999 tarihleri arasýnda yüksek enerjili ateþli silahlarla ve mayýna basma sonucu meydana gelen, acil olarak ameliyata alýnan ekstremite yaralanmalarý retrospektif olarak deðerlendirildi. Toplam 236 olgunun 147'si (%62.3) alt ekstremite yaralanmasý 89'u (%37.7) üst ekstremite yaralanmasýydý. En sýk görülen yaralanmalar üst ekstremitede el; alt ekstremitede ayak yaralanmasý þeklindeydi. En dramatik yaralanmalar anti tank mayýnla tuzaklanmýþ, anti personel mayýna basma sonucu meydana gelirken; kaþarlanmanýn yeri ve þiddeti ateþli silahýn cinsine, gücüne, þahsýn yaralanma anýndaki pozisyonuna ve ateþli silahtan olan uzaklýðýna baðlý olarak deðiþmekteydi.