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management of spoke wheel injury

Hafiz U Farooq, Rizwan Ishtiaq, Shabana Mehr, Sadia Ayub, Umer H Chaudhry, Anam Ashraf
OBJECTIVE: Soft tissue injuries at the level of lower extremities, plantar, and dorsal foot pose a surgical challenge for reconstructive surgeons. This kind of injury commonly occurs when lower limbs get stuck in between the spokes of the wheel. Reverse sural artery flap has been proven to be an effective option to cover such defects. The aim of this study is to analyze the demographic variables of affected individuals, technical aspects of reverse sural artery flap, quantify the effectiveness of reverse sural artery flap among various treatment options available, and to study the outcome of injury...
June 10, 2017: Curēus
Pritish Singh, Ashok Kumar, Vishal Shekhawat
PURPOSE: Scarf is a long loose piece of cloth worn around the neck and shoulder. Despite cultural association of this apparel, it is part of numerous injury episodes of varying enormity. Entanglement of loose scarf in spoke wheels of bike, tricycle, belt driven machines like sugarcane juice machine, thresher, grinding machines, etc is observed both in social and industrial milieu. This study aims to investigate the scarf-related injuries at a major trauma center in northern India. METHODS: From June 2013 to May 2015, a hospital-based prospective observational study was done in patients who presented to a level 1 trauma center in northern India with the mode of injury involving scarf around the neck...
April 2017: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
Tariq Masood, Riaz Ahmed, Obaidullah
BACKGROUND: Distally based sural fascio-cutaneous flap is a commonly performed plastic surgery procedure for the coverage of distal third of leg, ankle and foot defects. However congestion is the main complication of this flap which results into partial or complete loss of the flap. We devised a special splint to reduce this complication and retrospectively reviewed its effect on this complication between two groups. METHODS: This retrospective study was carried out at Northwest General hospital between 1995 and 2012...
January 2016: Journal of Ayub Medical College, Abbottabad: JAMC
Manav Parveshchander Suri, Nishal R Naik, Santosh C Raibagkar, Devesh R Mehta
AIM: To compare and discuss motorcycle and bicycle spoke heel flap injuries and also to discuss the pathomechanics and treatment modalities of spoke wheel injuries. METHODS: The study comprises 42 heel flap injuries patients who were selected from amongst 216 cases of lower extremity trauma. The injuries were graded into three classes: I-III, depending upon the severity and extent of the injury. The management was based on this classification. Posterior heel injuries were covered with various flaps depending upon the defect size, its exact location, associated injuries, extent of zone of trauma, and complexity of the defect...
May 2007: Injury
L S Benson, P M Waters, S W Meier, J L Visotsky, C S Williams
The clinical presentation and management of 19 children who sustained injuries by stationary exercise bicycles were reviewed retrospectively. These injuries represented 32 traumatized digits with a minimum of 2-year follow-up. The index and long fingers were most commonly involved. Wheel-spoke injuries typically produced repairable nerve and tendon lacerations, and full functional recovery in these cases was common. The chain/sprocket injury involved a crushing mechanism and frequently produced severe injury including amputations that were not salvageable...
January 2000: Journal of Pediatric Orthopedics
S Das De, R W Pho
Thirteen cases of heel flap injuries following motorcycle spoke accidents have been analysed. The injuries have been graded into three Grades (I, II and III) depending upon the severity and extent of the injury to the foot. The different forms of management are outlined. Most of the injuries have been confined to the right side because of poor assembly of the rear wheel of the motorcycle. Inadequate footwear is a contributory factor. It is urged that protective footwear be made compulsory for both the driver and the pillion passenger...
September 1983: Injury
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