Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Car-tire-related Crushing Injury of the Lower Leg in Children

자동차 바퀴에 의한 소아 아래다리의 압궤 손상

  • Choi, JaeYeon (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Jang, JaeHo (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Woo, JaeHyuck (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Park, WonBin (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Kim, JinJoo (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Hyun, SungYeol (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Lee, Geun (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Gwak, JeeHoon (Department of Orthopedic Surgery, Gachon University Gil Medical Center)
  • 최재연 (가천대 길병원 응급의학교실) ;
  • 장재호 (가천대 길병원 응급의학교실) ;
  • 우재혁 (가천대 길병원 응급의학교실) ;
  • 박원빈 (가천대 길병원 응급의학교실) ;
  • 김진주 (가천대 길병원 응급의학교실) ;
  • 현성열 (가천대 길병원 응급의학교실) ;
  • 이근 (가천대 길병원 응급의학교실) ;
  • 곽지훈 (가천대 길병원 정형외과학교실)
  • Received : 2013.06.26
  • Accepted : 2013.09.02
  • Published : 2013.09.30
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Abstract

Purpose: Crushing injuries by car tires result from a combination of friction, shearing, and compression forces and the severity of injury is influenced by the acceleration. Because car-tire injuries of the lower leg in children are common these days but they have received little attention; thus, our purpose was to look closely into this problem. Methods: A retrospective analysis was conducted of data from children under 15 years old age who visited an emergency department because of a car-tire-related crushing injury to the lower leg in pedestrian traffic accident from January 2008 to September 2012. The patient's age, sex, site of injury, degree of injury, associated injuries, type of surgery, and complications were reviewed. Results: There were 39 children, the mean age was 8.0 years, and 71.8% were boys. The dorsal part of the leg was involved most frequently. According to the severity classification, 15 children were grade I, 6 were grade II, and 18 were grade III. Among 24 patients, 13 were treated with skin graft and 3 were treated using a sural flap. Twelve patients developed complications, such as hypertrophic scarring, contractures, and deformities with significant bone loss. Conclusion: Various degrees of skin or soft tissue defects were caused in children by car tires. In this study, patients were often also had tendon or bone damage. Proper and timely initial treatments are needed to reduce the incidence of infection, the number of operative procedures, and the hospital stay.

Keywords

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