Zhang Yunxuan, Liu Yan, Yuan Xingang, Xiao Jun, Ding Xionghui, Chen Qiang, Qiu Lin
Burn and Plastic Surgery Department, Children's Hospital of Chongqing Medical University, Chongqing, China.
Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China.
Front Pediatr. 2021 Feb 17;9:633091. doi: 10.3389/fped.2021.633091. eCollection 2021.
With the progress of modernization, treadmill hand injury in pediatric population is taking on a global trend in recent years. The purpose of this study was to investigate the epidemiology and clinical features in a developing country, thereby providing some experience in the treatment and prevention of this particular type of injury. A 5-year retrospective review of patients with treadmill hand injury in Burn and Plastic Surgery ward at Children' Hospital of Chongqing Medical University was conducted. Demographics, injury details, therapy performed, length of hospital stay, complications, and outcome were analyzed. Forty-six patients were surveyed, with a mean age of 3.5 ± 2.0 years old, including 24 males and 22 females. Injuries (77.8%) occurred between dinner to bedtime, and 95.7% happened indoors. Fingers were the most vulnerable part, of which the middle finger, ring finger, and index finger were the top three ones. The mean body surface area (BSA%) was 0.3 ± 0.2, but at least in deep dermal. Dressing changes, full-thickness skin grafts (FTSG), and Negative Pleasure Wound Therapy (NPWT) assisted FTSG were performed. The scar contracture, as the most severe complication, occurred in 26 patients, of which 22 originally received dressing changes at the time of injury. Treadmill hand injury in children should be highly regarded. Compared with conservative dressing changes, surgical intervention from a professional team may achieve more satisfactory prognosis and fewer complications. A prevention strategy based on "Time-Space-Person" was summarized according to its epidemiological characteristics, may help to decrease the incidence of this specific type of injury theoretically.
随着现代化进程的推进，近年来儿童跑步机手部损伤呈全球趋势。本研究旨在调查一个发展中国家的流行病学和临床特征，从而为这种特殊类型损伤的治疗和预防提供一些经验。对重庆医科大学附属儿童医院烧伤整形科病房收治的跑步机手部损伤患者进行了为期5年的回顾性研究。分析了患者的人口统计学资料、损伤细节、治疗方法、住院时间、并发症及预后情况。共调查了46例患者，平均年龄3.5±2.0岁，其中男性24例，女性22例。损伤（77.8%）发生在晚餐至就寝时间之间，95.7%发生在室内。手指是最易受伤的部位，其中中指、无名指和食指位列前三。平均体表面积（BSA%）为0.3±0.2，但至少达真皮深层。进行了换药、全厚皮片移植（FTSG）以及负压伤口治疗（NPWT）辅助FTSG。瘢痕挛缩是最严重的并发症，发生在26例患者中，其中22例在受伤时最初接受了换药治疗。儿童跑步机手部损伤应引起高度重视。与保守换药相比，专业团队的手术干预可能会取得更满意的预后且并发症更少。根据其流行病学特征总结了基于“时间 - 空间 - 人”的预防策略，理论上可能有助于降低这种特定类型损伤的发生率。
