Deunk Jaap, Harmsen Annelieke M K, Schonhuth Casper P, Bloemers Frank W
Department of Trauma Surgery, VU University Medical Center, Amsterdam, The Netherlands.
Department of Orthopedic Surgery, VU University Medical Center, Amsterdam, The Netherlands.
Arch Trauma Res. 2014 Nov 19;3(4):e23083. doi: 10.5812/atr.23083. eCollection 2014 Nov.
In cities with trams as public transportation, tram tracks are often on public roads, creating a shared road situation with other road participants like cyclists. Beside the risk of direct collisions, this situation can also lead to bicycle wheels getting wedged in tram tracks, causing cyclists to fall.
The aim of this study was to gain more insight in the injury pattern of this trauma mechanism and to draw attention to the risks of the infrastructural situation with on-road tram tracks.
A one-year, prospective, observational cohort study was conducted. All patients admitted after presentation to the emergency department of a level 1 trauma center, who got injured because their bicycle wheels got wedged in tram tracks, were included. Data were collected on patient demographics, type of injury and treatment.
Ten patients were included. Six were male. The mean age was 38 years. Six patients required surgery, mostly because of extremity injuries. Mean duration of admission was 4 days. Mean injury severity score was 13. One patient died as a result of the injuries sustained in the accident.
Tram tracks on public roads are potentially dangerous and can lead to serious injuries and even mortality amongst cyclist. Operative intervention is frequently needed.
在以有轨电车作为公共交通的城市中，电车轨道常常铺设在公共道路上，从而形成了与骑自行车者等其他道路使用者共享道路的情况。除了直接碰撞的风险外，这种情况还可能导致自行车车轮卡在电车轨道中，致使骑车人摔倒。
本研究的目的是更深入地了解这种创伤机制的损伤模式，并引起人们对带有路面电车轨道的基础设施状况所带来风险的关注。
开展了一项为期一年的前瞻性观察队列研究。纳入所有因自行车车轮卡在电车轨道中而受伤，在一级创伤中心急诊科就诊后入院的患者。收集了患者的人口统计学数据、损伤类型和治疗情况。
纳入了10名患者。其中6名男性。平均年龄为38岁。6名患者需要进行手术，主要是因为四肢受伤。平均住院时间为4天。平均损伤严重程度评分为13分。1名患者因事故中所受损伤死亡。
公共道路上的电车轨道存在潜在危险，可能导致骑自行车者受到严重伤害甚至死亡。通常需要进行手术干预。
