Upper Extremity Wood Saw Injuries: Experience at a Single Level 1 Trauma Center.

IF 1.8 Q2 ORTHOPEDICS HAND Pub Date : 2024-11-01 Epub Date: 2023-05-24 DOI:10.1177/15589447231174044
Matthew T Hoffa, Alex Benedick, Jeffrey S Simske, Heather A Vallier
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Abstract

Background: Saw injuries are common, with more 75 000 occurring each year in the United States alone. While these injuries occur frequently, management strategies are not universally agreed upon, and data regarding outcomes and complications are lacking. We propose to provide a comprehensive picture of upper extremity saw injury patterns, management strategies, complications, and outcomes.

Methods: Patients presenting to a single level 1 trauma center between 2012 and2019 with upper extremity laceration, crush, or amputation were identified. In all, 10 721 patients were reviewed, and those without wood saw injuries were excluded. Patient demographic information, injury details, management strategy, and outcomes were collected.

Results: In all, 283 upper extremity wood saw injuries were analyzed. Injuries most commonly affected the fingers (92.2%), and the frequencies of simple lacerations and complicated injuries were nearly identical. The table saw was the most commonly implicated saw (48%) with more than half of the injuries being complicated, the most common being bone injury. Most patients were treated nonsurgically (81.3%), with the majority undergoing wound care in the emergency department followed by home antibiotics (68.2%). Subsequent complications were exceedingly rare (4.2%), with wound infection occurring in 5 patients. Amputations occurred in 19.4% of patients, leading to permanent functional impairment.

Conclusions: Wood saw injuries are common, generating functional and financial burden. While injuries range in severity, management can typically be conducted within the emergency department with local wound care and outpatient oral antibiotics. Injury complications and long-term issues are rare. Ongoing efforts to promote saw safety are required to minimize the burden of these injuries.

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上肢木锯伤:一家一级创伤中心的经验。
背景:锯伤很常见,仅在美国每年就有 75 000 多例。虽然这些损伤经常发生,但管理策略并未得到普遍认同,也缺乏有关结果和并发症的数据。我们建议全面了解上肢锯伤的模式、处理策略、并发症和结果:方法:对 2012 年至 2019 年期间在一家一级创伤中心就诊的上肢撕裂伤、挤压伤或截肢的患者进行鉴定。共审查了 10 721 例患者,排除了无木锯锯伤的患者。收集了患者的人口统计学信息、损伤细节、处理策略和结果:结果:共分析了 283 例上肢木锯伤患者。最常见的受伤部位是手指(92.2%),单纯撕裂伤和复杂伤的频率几乎相同。台锯是最常见的锯子(48%),半数以上的损伤为复杂性损伤,最常见的是骨损伤。大多数患者都接受了非手术治疗(81.3%),其中大部分人在急诊科接受了伤口护理,随后在家中接受了抗生素治疗(68.2%)。随后出现的并发症极为罕见(4.2%),5 名患者出现伤口感染。19.4%的患者发生截肢,导致永久性功能障碍:结论:木锯损伤很常见,会造成功能和经济负担。虽然受伤的严重程度不一,但通常可在急诊科进行局部伤口护理和门诊口服抗生素治疗。损伤并发症和长期问题很少见。要想最大限度地减轻这些伤害的负担,就必须不断努力促进锯木安全。
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来源期刊
HAND
HAND Medicine-Surgery
CiteScore
3.30
自引率
0.00%
发文量
209
期刊介绍: HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.
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