Retrospective analysis of puncture wounds with retained foreign bodies in the extremities requiring surgical intervention

Puncture wounds with retained foreign bodies in the extremities constitute an important part of orthopedic emergency admissions. In this study, we aimed to retrospectively examine the epidemiological data of patients, as well as diagnostic and treatment methods applied and complications that occurred in patients who underwent surgery with the diagnosis of puncture wounds with retained foreign bodies in our clinic. In the present study, 95(44 female - 51 male) patients who underwent surgical intervention with the diagnosis of puncture wound with retained foreign body in our clinic were examined retrospectively. Of the patients, 44.21% were in the pediatric age group (0-17 years), and 55.79% were in the adult age group (18 years and above). The most common foreign body causing puncture wound was needle in 49 patients (51.58%). The most commonly affected anatomical area was the foot area, at a rate of 48.42%. In our patient group, 91.58% could be diagnosed by direct radiography. Ultrasound was required in 8.42% of the patients. Among anesthetic methods, local anesthesia was the most commonly used method (49.47%). Fluoroscopy was sufficient as the imaging method during the surgical procedure in 87.37% of the patients. Puncture wounds with retained foreign bodies requiring surgical intervention in the extremities affect the pediatric population as well as the adult population. The first imaging method to be applied is direct radiography, and if it is insufficient, ultrasound can be used. Although they are usually simple injuries, they may rarely cause complications such as infection, tendon injury, and vascular-nerve injury.

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