Çiftlik Kazalarında İzole Ortopedik Yaralanma Mekanizmalarının Değerlendirilmesi

Abstract

Aim: This study aimed to investigate the mechanisms and characteristics of isolated orthopedic injuries from farm accidents which involve the extremities. Methods: The medical records of 138 patients (31 females, 107 males) who presented to the emergency department with isolated orthopedic injuries from farm accidents were reviewed retrospectively. Data on patient age and sex, mechanism of injury, injured site/extremity, injury type, treatment performed, distance from accident location to hospital, approximate time from ac¬cident to hospital arrival, season of injury, and whether skin integrity was impaired were recorded. Results: The mean patient age was 35.08 (7–71) years. The injuries occurred during the use of riding animals (n=14, 10.1%), combine harvester/tractor equipment (n=14, 10.1%), cattle (n=24, 17.4%), saw/ ax/hammer (n=47, 34.1%) and tractors (n=23, 16.7%) and due to falling from height (n=16, 11.6%). Of all accidents, 23 (16.7%) occurred in spring, 66 (47.8%) in summer, 30 (21.7%) in autumn, and 19 (13.8%) in winter. Mechanism of injury was statistically significantly related to season, sex, and site of injury (p=0.001). The time to emergency department visit was shorter in cases with impaired skin integrity (p<0.05). Conclusion: The mechanism of injury can vary seasonally together with the works performed and machines used. The time to emergency department visit can vary according to whether skin integrity is impaired. As a result of the division of labor in families working in agricul¬ture, mechanism of injury can also vary by sex.