Motor cycle spoke wheel injuries in children: a preventable accident [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. Ahead of Print: UTD-04052 | DOI: 10.14744/tjtes.2019.04052  

Motor cycle spoke wheel injuries in children: a preventable accident

Fatima Naumeri1, Bilal Qayyum1, Nadeem Ilahi Cheema1, Muhammad Sohail2, Muhammad Mustehsan Bashir2
1Paediatric Surgery Department, King Edward Medical University, Lahore, Pakistan
2Plastic Surgery Department, King Edward Medical University, Lahore, Pakistan

Background:
The incidence of motorcycle induced spoke wheel injury is on the rise in our set up. These injuries range from minor soft tissue laceration to extensive crush injuries. The objective of this study was to evaluate the mechanism, characteristics, incidence and management of wheel spoke injuries.
Methods:
Data of all children presenting in Pediatric Surgery Emergency from January 2014 to December 2017, presenting with wheel spoke injuries was analyzed. Incidence, mechanism and characteristics of injury, along with management plan, were noted. Outcome was assessed by evaluating patients in follow up.
Results:
Total study patients were 120 with incidence of 21.7%. Mean age was 8.03+2.28 years. Male patients were 101. All patients were passengers and were sitting astride. Most of the patients were wearing shoes and hind foot area of right foot was mainly involved. Grade 2 injury was seen in 55 (45.8%) and Grade 3 in 55 (45.8%) patients. Flap was needed in 27(22.5%) patients. All patients were mobile at time of follow up.
Conclusions:
We noted rising incidence of these entrapment injuries, however we had satisfactory outcome in our patients by using different management techniques. We recommend implementation of safety protocols to avoid such catastrophic injuries.

Keywords: Spoke injuries, child, motorcycle, entrapment, foot injuries.




Corresponding Author: Fatima Naumeri, Pakistan


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