Faccioni Ana Lúcia Campos, Kurebayashi Leonardo, Anjos Kátia Campos Dos, Rezende Marcelo Rosa de
Programa de Prática Profissionalizante em Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (IOT-HCFMUSP), São Paulo, SP, Brasil.
Residência Médica em Cirurgia da Mão e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (IOT-HCFMUSP), São Paulo, SP, Brasil.
Rev Bras Ortop (Sao Paulo). 2021 Aug 27;57(4):629-635. doi: 10.1055/s-0041-1729940. eCollection 2022 Aug.
To evaluate the epidemiologic profile, the time until care, and the type of conduct taken regarding patients who are victims of accidents with circular saws and their resulting injuries, and to make a comparison with the literature. A cross-sectional descriptive study reviewing the medical records of patients cared for from April to December 2018, analyzing age, gender, injured side, affected fingers, month and time of the accident, type of injuries, procedures performed in the emergency room, time elapsed between trauma and admission to the operating room, and reapproach during hospitalization. A total of 54 male patients aged between 15 and 72 years were care for. The left side was more affected, and the most frequent type of lesion involved the thumb, which had to be amputated in many cases. In total, 23 patients underwent reimplantation, 3 of which were macroreimplantations. Regarding the time of trauma, 26 cases occurred between noon and 4 p.m., and the time elapsed between the accident and the admission to the operating room was ≥ 6 hours in 84% of the patients. Circular saw lesions are predominantly severe, with a potential for leaving permanent sequelae, and they affect mainly the thumb. The characterization of the type of injury and the initial care conditions obtained in the present study may contribute to the policy of prevention and care of patients who are victims of circular saw injuries.
评估圆锯事故受害者及其受伤情况的流行病学特征、获得治疗的时间以及采取的治疗方式，并与文献进行比较。 一项横断面描述性研究，回顾了2018年4月至12月接受治疗的患者的病历，分析了年龄、性别、受伤侧、受影响手指、事故发生月份和时间、损伤类型、在急诊室进行的手术、创伤至进入手术室的时间以及住院期间的再次治疗情况。 共护理了54名年龄在15至72岁之间的男性患者。左侧受影响更严重，最常见的损伤类型涉及拇指，在许多情况下拇指不得不被截肢。共有23例患者接受了再植手术，其中3例为大段再植。关于创伤时间，26例发生在中午至下午4点之间，84%的患者事故至进入手术室的时间≥6小时。 圆锯损伤主要为严重损伤，有可能留下永久性后遗症，并主要影响拇指。本研究中获得的损伤类型特征和初始治疗情况可能有助于制定圆锯伤患者的预防和治疗策略。
