Perks A G, Penny M, Mutimer K L
Plastic Surgery Unit, Royal Children's Hospital, Parkville, VIC.
Med J Aust. 1991 Sep 16;155(6):368-70. doi: 10.5694/j.1326-5377.1991.tb101309.x.
A previously unreported source of injuries to children, the exercise bicycle, is identified and the associated injuries and their treatment are described.
A retrospective review of clinical records and the records of the Victorian Injury Surveillance System.
The Plastic Surgery Unit of the Royal Children's Hospital, Parkville, Victoria.
Seventeen children with finger injuries from exercise bicycles presented to the Emergency Department of the hospital and one presented to one of us (K L M) at his private practice. Sixteen of the 18 children were under five years of age; 10 were less than two years of age. Five times as many boys as girls were injured.
Fourteen children required surgical treatment of their injuries.
Four children had superficial injuries not in need of surgical repair. Eleven children had single digit injuries--five had injuries that were repaired by suture; five had complete avulsion of the tip of the digit that required flap graft repair; and one child underwent amputation of the index finger. Three boys had multiple digit injuries, each one requiring the amputation of a digit and repair of other digits. Two of these boys underwent replantation of a digit; only one replantation was successful.
The most dangerous parts of the exercise bike were the wheel, the chain and the sprocketwheel. Design modifications and education of parents about the risks for children playing near exercise bikes are warranted.
识别一种此前未报告过的儿童受伤来源——健身自行车，并描述相关损伤及其治疗方法。
对临床记录和维多利亚州伤害监测系统的记录进行回顾性研究。
维多利亚州帕克维尔皇家儿童医院整形外科。
18名因健身自行车导致手指受伤的儿童前往医院急诊科就诊，其中1名儿童在我们（K.L.M.）的私人诊所就诊。18名儿童中有16名年龄在5岁以下；10名年龄小于2岁。受伤男孩的数量是女孩的5倍。
14名儿童的损伤需要手术治疗。
4名儿童为表浅损伤，无需手术修复。11名儿童为单指损伤——5名儿童的损伤通过缝合修复；5名儿童指尖完全撕脱，需要皮瓣移植修复；1名儿童食指被截肢。3名男孩有多指损伤，每人都需要截指并修复其他手指。其中2名男孩接受了断指再植；只有1例再植成功。
健身自行车最危险的部位是车轮、链条和链轮。有必要对健身自行车进行设计改进，并对家长进行关于儿童在健身自行车附近玩耍风险的教育。
