Citation

Rubin LE, Miki RA, Taksali S, Bernstein RA. Occup. Med. 2007; 57(5): 383-385.

Affiliation

Yale University Department of Orthopaedics and Rehabilitation, Yale New Haven Hospital, New Haven, CT, USA. lee.rubin@yale.edu

Copyright

(Copyright © 2007, Oxford University Press)

DOI

10.1093/occmed/kqm019

PMID

17404393

Abstract

BACKGROUND: While treating an unusual amputation caused by a meat band saw in a 35-year-old butcher, we sought information from the medical literature that would be useful to other physicians who might encounter similar occupational injuries. METHODS: Using the Medline database and relevant search terms, we reviewed the literature concerning occupational saw blade injuries and porcine microbiology as they related to this injury. RESULTS: Among meat workers using powered cutting equipment, hand injuries and distal fingertip amputations appear to be common. The greatest risk for a wound infection after open exposure to raw pork meat appears primarily related to environmental flora rather than enteric-borne porcine pathogens. CONCLUSIONS: Decision-making strategy when formulating a treatment plan for debridement or reconstruction of saw blade amputations should rely on a detailed understanding of the injury and occupational environment to achieve an optimal patient outcome. When considering operative and antibiotic treatment for porcine meat-related amputation injury, surgeons should adhere to open fracture-related guidelines, since porcine-borne illnesses are most often caused by ingestion rather than transcutaneous inoculation.

Language: en