Hôpital du Valais, Sion, Switzerland.
Hôpital du Valais, Sion, Switzerland.
Orthop Traumatol Surg Res. 2022 Nov;108(7):103370. doi: 10.1016/j.otsr.2022.103370. Epub 2022 Jul 19.
Lacerations comprise 5.6-33.6% of skiing/snowboarding related injuries. This study aimed to investigate the mechanism of injury and the location of these lacerations and propose preventive measures.
After our state ethics committee approval, we retrospectively reviewed the medical records and surgical protocols of 46 patients (mean age (±SD) 34.6 (±15.3); 71.4% men) treated for severe skiing/snowboarding lacerations at our level-1 trauma centre between 2016 and 2021. Patients were asked to answer a questionnaire on their skiing experience, equipment used and the circumstances of the accident.
Lacerations around the hip, thigh, and knee accounted for 94%. The latter was the most common location (45%). Although 91.3% of patients wore appropriate clothing and full standard protection equipment, it did not offer any extra-resistance against skiing/snowboarding's edges. Skiers were more affected (91.3%) than snowboarders (8.7%). The most common mechanism of injury was inadvertent release of the bindings (52.2%), followed by insufficient ski level for the slope (21.7%) and collisions (17.4%). Long-term trends demonstrated an increasing incidence.
Identification of body areas at risk and the mechanisms of injury were the most significant findings of this work. These data encourage the development of specific injury prevention programs as the occurrence of these lesions tended to increase over the last few years. To reduce their incidence, we propose skiers to have their bindings regularly adjusted and manufacturers to develop cut-resistant skiwear.
IV.
滑雪/单板滑雪相关损伤中，撕裂伤占 5.6-33.6%。本研究旨在探讨此类撕裂伤的损伤机制和发生部位，并提出预防措施。
在获得本州伦理委员会批准后，我们回顾性分析了 2016 年至 2021 年期间在我们的 1 级创伤中心接受严重滑雪/单板滑雪撕裂伤治疗的 46 名患者（平均年龄（±标准差）34.6（±15.3）；71.4%为男性）的病历和手术方案，并要求患者回答有关其滑雪经验、使用的装备以及事故发生情况的问卷。
臀部、大腿和膝盖周围的撕裂伤占 94%。其中，膝盖是最常见的部位（45%）。尽管 91.3%的患者穿着合适的衣服和全套标准防护装备，但它们并不能提供额外的阻力来防止滑雪/单板滑雪的边缘伤害。滑雪者（91.3%）比单板滑雪者（8.7%）更容易受伤。最常见的损伤机制是固定器意外释放（52.2%），其次是滑雪水平不适合坡面（21.7%）和碰撞（17.4%）。长期趋势显示发生率呈上升趋势。
本研究的最显著发现是确定了风险部位和损伤机制。这些数据鼓励制定特定的损伤预防计划，因为这些损伤在过去几年中呈上升趋势。为了降低其发生率，我们建议滑雪者定期调整固定器，并建议制造商开发防切割的滑雪服。
IV 级。
