No abstract

Tscherne classification (grade 0 to 3) is the most commonly used grading system to determine the extent of tissue damage. Management may involve multiple surgeries, including debridement of dead and devitalized tissues, repair of tendons, fracture fixation, skin grafting and flaps to salvage the limbs. [3,4] Our study objective was to evaluate the mechanism, characteristics, incidence and management of wheel spoke injuries. A previous study conducted in Pakistan in 2004 showed that children predominantly presented with spoke wheel injuries due to bicycles. [5] Our study shows the alarming trend of all children presenting after spoke wheel injuries due to the mo