TY  - JOUR
PY  - 1995//
TI  - Major lower extremity lawn mower injuries in children
JO  - Journal of pediatric orthopedics
A1  - Dormans, J. P.
A1  - Azzoni, M.
A1  - Davidson, R. S.
A1  - Drummond, D. S.
SP  - 78
EP  - 82
VL  - 15
IS  - 1
N2  - Between 1983 and 1993, 16 children with 18 lower extremity power lawn mower-related injuries were treated at Children's Hospital of Philadelphia. Eleven of 16 patients (69%) were bystanders or nonoperators. The average age at injury was 4 years 9 months. Length of follow-up averaged 3 years 10 months. There was an average of 4.9 procedures per patient. Fourteen of the 18 limbs injured required eventual amputation (78%). We propose a new classification of lawn mower injuries in children. The most common injury (16 of 18 limbs) was a shredding type injury and was either intercalary or distal. The second was a paucilaceration type (two of 18 limbs). Of the four salvaged limbs, there were two shredding type injuries, and on most recent follow-up are considered to have poor results. The two patients with the paucilaceration type injuries and limb salvage are considered to have excellent results. All patients with a shredding type injury ultimately required amputation or had poor results with the salvaged limb. Limb salvage surgery was associated with prolonged hospitalizations, a higher incidence of surgical problems, a longer treatment course, and more complications than early ablative procedures.<p /> <p>Language: en</p>
LA  - en
SN  - 0271-6798
UR  - http://dx.doi.org/
ID  - ref1
ER  -