Hand injury from powered wood splitters

Lindqvist, Aron; Gerdin, Bengt

doi:10.1080/02844310802271196

Cited by 12 publications

(18 citation statements)

References 27 publications

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“…However, we excluded children, which also had an influence on our estimation of the number of amputation injuries of the upper extremity. Surgeons who treat amputation injuries have reported that they peak in the spring when people begin using machines and tools after the winter [10]. Our study also reflects this phenomenon, as few amputation injuries occurred in January and February.…”

Section: Discussionsupporting

confidence: 81%

Incidence, epidemiology, and operative outcome of replantation or revascularisation of injury to the upper extremity

Lindfors

Raatikainen

2010

Journal of Plastic Surgery and Hand Surgery

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We retrospectively studied the epidemiology of adult patients admitted for possible replantation or revascularisation of an injured upper extremity during the period June 2003 to May 2008. A total of 121 patients were admitted (71 graded severe), mean 24 (14 graded severe), being admitted each year. The annual rate of amputation injuries in the referral area of 1.5 million was 1.5/100 000 and for severe amputation injuries 0.9/100 000. Most injuries occurred in patients aged 41-50. Fifty-eight patients had the accident during working hours (36 severe), and 62 during leisure time (34 severe). The survival rate for subtotal amputations was 77% and for total amputations 55%. Of 15 further vascularisation procedures, two succeeded at the metacarpal level. Most of the accidents occurred during wood-processing with circular saws or powered wood splitters. More efforts should focus on preventing such injuries.

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Section: Discussionsupporting

confidence: 81%

Incidence, epidemiology, and operative outcome of replantation or revascularisation of injury to the upper extremity

Lindfors

Raatikainen

2010

Journal of Plastic Surgery and Hand Surgery

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“…Although there is no typical "log splitter hand", some patterns of injury recur in different studies [2]. The screw of a screw splitter may enter in the palm and go either proximally or through the metacarpus to its dorsum causing a "perforation injury" [3,4]. Traumatic amputations and other injuries that cause distal ischaemia have been reported in almost all articles about wedge splitter injuries [2,[4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Assessment of the severity of injuries to hands by powered wood splitters

Lindqvist

Berglund

Kieseritzky

et al. 2010

Journal of Plastic Surgery and Hand Surgery

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Our aim was to rate the severity of injuries to hands by powered wood splitters. The patients were identified from a computerised registry, and the cause of injury was confirmed by written questionnaire and structured telephone interview. Information about the anatomy of the injury was gathered from patients' records and radiographs. Severity of injury was rated according to the Hand Injury Severity Scoring System (HISS system) and the Injury Severity Score (ISS). The reliability of HISS rating was tested. The mean Hand Injury Severity Score (HISS) was 63 and the mean ISS was 3.7. Twenty-five (19%) of patients had minor, 41 (31%) had moderate, 30 (23%) had severe, and 35 (27 %) had major injuries when scored by the HISS system. Children's injuries were more severe than those of adults. There was no difference in severity between injuries made by wedge and screw splitters. It is not possible to avoid serious hand injuries from powered wood splitters completely by prohibiting one of the two main types of splitter.

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“…These had been classified with codes T87.3, T92 and Y86, respectively, which had not previously been included in the search. A complementary search was, therefore, done using these and similar codes (subgroups of T75, T79, T87, T92, T94, T98 and Y86), which added the last two patients for a total of 131 patients [5]. Outpatients were not entered in the patient registration system used until February 9, 1999, and only two outpatients injured with wood splitters before this date were found and included in this study.…”

Section: Methodsmentioning

confidence: 99%

“…They were aged 3-85 years with a mean of 47 and 11% were below the age of 15. Eighty-two percent of the patients had been injured with WES and 18% with SS [5]. About half of the injuries were severe and half were of moderate or minor severity [13].…”

Section: Patient Materialsmentioning

confidence: 99%