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加纳北部一家三级医疗机构中摩托车轮辐损伤病例不断增加;政策呼吁

Rising Cases of Motorcycle Wheel Spokes Injuries in A Tertiary Facility in Northern Ghana; A Policy Call.

作者信息

Kwarase Raphael, Buunaaim Alexis D B, Alatiiga John Abanga, Bukari Mohammed Issah Suglo, Ighohwo Etuh, Yempabe Tolgou N

机构信息

Department of Trauma and Orthopaedic, Tamale Teaching Hospital, Tamale, Ghana.

Department of Surgery, School of Medicine, University for Development Studies, Tamale, Ghana.

出版信息

J Orthop Case Rep. 2024 Oct;14(10):202-208. doi: 10.13107/jocr.2024.v14.i10.4864.

Abstract

INTRODUCTION

Motorcycle wheel spoke injuries refer to the entrapment of the foot and ankle of a rider or pillion rider into the spokes of a vehicle resulting in varied complex ankle-foot injuries.

CASE REPORTS

We report ten cases of motorcycle wheel spoke injuries between January 1, 2022, to December 31, 2023, majority of whom were children with the youngest being 4 years and the oldest 43 years. A few of the cases sustained both soft tissue injuries and fractures around the ankle while the rest sustained only soft tissue injuries. We believe a lot more of these cases do not get to the tertiary facility for varied reasons.The mean length of hospital stay was 19±13 days potential indirect negative economic impact on the state, patients, and their family/caregivers.These injuries can be prevented by developing policies aimed at public education, baring children from riding pillion, and designing protective wheel covering.

CONCLUSION AND RECOMMENDATION

Cases of motorcycle wheel spoke injuries are on the rise in the Northern part of Ghana. We recommend public education and awareness creation as well as stringent implementation of road traffic regulations.

摘要

引言

摩托车轮辐损伤是指骑手或乘客的足部和踝部陷入车辆轮辐,导致各种复杂的踝足部损伤。

病例报告

我们报告了2022年1月1日至2023年12月31日期间的10例摩托车轮辐损伤病例,其中大多数是儿童,最小的4岁,最大的43岁。部分病例在踝关节周围同时遭受软组织损伤和骨折,其余病例仅遭受软组织损伤。我们认为,由于各种原因,更多此类病例未送至三级医疗机构。平均住院时间为19±13天,这可能对该州、患者及其家庭/护理人员产生间接的负面经济影响。通过制定旨在开展公众教育、禁止儿童乘坐后座以及设计保护性轮罩的政策,可以预防这些损伤。

结论与建议

加纳北部地区摩托车轮辐损伤病例呈上升趋势。我们建议开展公众教育和提高认识,并严格执行道路交通法规。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e918/11458225/029a2b76bf84/JOCR-14-202-g001.jpg

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