Özdeş Hüseyin Utku, Ergen Emre, Köroğlu Muhammed, Karakaplan Mustafa, Acet Ömer, Al Fırat, Çoban İdris, Özdemir Ferdi, Tok Oğuzhan, Sarıbas Tahsin, Köse Harun, Yaşar Şeyma, Ertem Kadir, Aslantürk Okan
Department of Orthopedic and Trauma Surgery, Faculty of Medicine, Inonu University, 44280 Malatya, Türkiye.
Department of Biostatistics and Medical Informatics, Faculty of Medicine, Inonu University, 44280 Malatya, Türkiye.
Medicina (Kaunas). 2025 Apr 20;61(4):759. doi: 10.3390/medicina61040759.
Chainsaw-related injuries vary from skin lacerations to amputation and may cause serious loss of work time in addition to temporary or permanent disability. Most studies in the literature have reported injuries to the lower or upper extremities separately. The aim of our study is to compare the loss of work time between upper- and lower-extremity chainsaw-related non-occupational injuries in rural areas. Chainsaw-related injuries that occurred in rural areas and were treated in our center between 2012 and 2022 were retrospectively reviewed. The patients' demographics, the injured side and structures, the hand dominance of operators, lengths of hospital stays, the numbers of operations, complications, and loss of work time were recorded. In total, 185 patients (181 males and four females) were enrolled in this study. The mean age was 45.5 years (range: 17-81). The mean follow-up time was 9.3 months (range: 6-24). The lower extremities were affected in 109 patients, while the upper extremities were affected in 76. The loss of work time was 60 and 75 days for lower- and upper-extremity injuries, respectively, and was statistically significantly higher for upper-extremity injuries ( < 0.001). The fracture rate was higher in the upper than the lower extremities, at 50% and 26.6%, respectively. : Chainsaws may cause severe injuries in both the upper and lower extremities, and while the lower extremities were affected more frequently, upper-extremity injuries caused a greater loss of work time. Through the use of protective gear and simple precautions, chainsaw-related injuries and the associated loss of work time can be prevented.
链锯相关损伤从皮肤撕裂伤到截肢不等，除了导致暂时或永久性残疾外，还可能造成严重的工作时间损失。文献中的大多数研究分别报告了下肢或上肢的损伤。我们研究的目的是比较农村地区上肢和下肢链锯相关非职业性损伤的工作时间损失情况。对2012年至2022年期间在我们中心接受治疗的农村地区链锯相关损伤进行了回顾性研究。记录了患者的人口统计学资料、受伤部位和结构、操作者的利手、住院时间、手术次数、并发症以及工作时间损失情况。本研究共纳入185例患者（181例男性和4例女性）。平均年龄为45.5岁（范围：17 - 81岁）。平均随访时间为9.3个月（范围：6 - 24个月）。109例患者下肢受伤，76例患者上肢受伤。下肢和上肢损伤的工作时间损失分别为60天和75天，上肢损伤的工作时间损失在统计学上显著更高（<0.001）。上肢骨折率高于下肢，分别为50%和26.6%。链锯可能会对上、下肢造成严重损伤，虽然下肢受伤更为频繁，但上肢损伤导致的工作时间损失更大。通过使用防护装备和采取简单的预防措施，可以预防链锯相关损伤及相关的工作时间损失。
