Almdahl S M, Saebøe-Larsen J, Due J
Department of Surgery, University Hospital of Tromsø, Norway.
J Trauma. 1989 Feb;29(2):227-8. doi: 10.1097/00005373-198902000-00014.
In the period January 1, 1975, through December 31, 1986, 28 patients were treated for hand injuries caused by small home rotary snowcutters. These injuries were characterized by extensive lacerations and contusions, particularly on the dorsal side of the hand and the fingers, with concomitant extensor tendon ruptures, comminuted and complicated fractures, and traumatic amputations of fingers of the dominant hand. The index and middle finger were nearly always injured; the thumb was usually totally spared. The frequency of postoperative complications was low after delayed primary surgical treatment. In this series the mean permanent medical disablement was found to be 12%, ranging from 0 to 50%. The present observations, when made available, alarmed national authorities. In turn, manufacturers were required to equip rotary snowcutters with motorquenchers. This device will probably effectively prevent these injuries in the future.
在1975年1月1日至1986年12月31日期间，28例患者因家用小型旋转式吹雪机导致手部受伤而接受治疗。这些损伤的特点是广泛的撕裂伤和挫伤，特别是在手背和手指背侧，同时伴有伸肌腱断裂、粉碎性和复杂性骨折以及优势手手指的创伤性截肢。示指和中指几乎总是受伤；拇指通常完全幸免。延迟一期手术治疗后术后并发症发生率较低。在该系列中，平均永久性医疗致残率为12%，范围为0至50%。本观察结果一经公布，便引起了国家当局的警觉。相应地，制造商被要求为旋转式吹雪机配备电机熄火装置。该装置可能会在未来有效预防这些损伤。
