Investigation of litigation in trauma orthopaedic surgery  

作　　者：Maryam Salimi Mohammad Bagher Heidari Zohre Ravandi Seyedarad Mosalamiaghili Peyman Mirghaderi Meisam Jafari Kafiabadi Farsad Biglari Amirhossein Salimi Amir Sabaghzadeh Irani Seyyed Saeed Khabiri 

机构地区：[1]Department of Orthopaedic Surgery,Shiraz University of Medical Sciences,Shiraz 7138433608,Iran [2]Department of General Surgery,Kermanshah University of Medical Sciences,Kermanshah 71384333608,Iran [3]Student Research Committee,Kermanshah University of Medical Sciences,Shiraz 7138438756,Iran [4]Student Research Committee,Shiraz University of Medical Sciences,Shiraz 716549834,Iran [5]Students’Scientific Research Center(SSRC),Tehran University of Medical Sciences,Tehran 714356743,Iran [6]Clinical Research Development Unit of Shohada-e Tajrish Hospital,Shahid Beheshti University of Medical Sciences,Tehran 715643498,Iran [7]Student Research Committee,Shahid Sadoughi University of Medical Sciences,Yazd 719167534,Iran

出　　处：《World Journal of Clinical Cases》2023年第5期1000-1008,共9页世界临床病例杂志

基　　金：the Clinical Research Development Center of Taleghani and Imam Ali Hospital, University of Medical Sciences, Kermanshah, Iran;Shohada Tajrish Clinical Research Development Center at Shahid Beheshti University of Medical Sciences in Tehran, Iran, for their support。

摘　　要：BACKGROUND It has been said that the number of orthopaedic claims has increased in the last few years. Investigation through the most prevalent cause would help to prevent further cases.AIM To review the cases of medical complaints in orthopedic patients who had been involved in a traumatic accident.METHODS A retrospective multi-center review of trauma orthopaedic-related malpractice lawsuits from 2010 to 2021 was conducted utilizing the regional medicolegal database. Defendant and plaintiff characteristics along with fracture location, allegations, and litigation outcomes were investigated.RESULTS A total of 228 claims referred to trauma-related conditions with a mean age of 31.29 ± 12.56 were enrolled. The most common injuries were at hand, thigh, elbow, and forearm, respectively.Likewise, the most common alleged complication was related to malunion or nonunion. In 47% of the cases, the main problem that led to the complaint was the inappropriate or insufficient explanation to the patient, and in 53%, there was a problem in the surgery. Eventually, 76% of the complaints resulted in a defense verdict, and 24% resulted in a plaintiff verdict.CONCLUSION Surgical treatment of hand injuries and surgery in non-educational hospitals received the most complaints. The majority of litigation outcomes were caused by a physician’s failure to fully explain and educate the traumatic orthopedic patients and technological errors.

关 键 词：Clinical negligence LITIGATION Medicolegal claims MISMANAGEMENT Patient satisfaction 

分 类 号：R68[医药卫生—骨科学]