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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(04): 629-635
DOI: 10.1055/s-0041-1729940
Artigo Original
Mão

Evaluation of Circular Saw Injuries in a Reference Center in Microsurgery and Reimplantation[*]

Article in several languages: português | English
Ana Lúcia Campos Faccioni 
1   Programa de Prática Profissionalizante em Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (IOT-HCFMUSP), São Paulo, SP, Brasil
,
Leonardo Kurebayashi 
2   Residência Médica em Cirurgia da Mão e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (IOT-HCFMUSP), São Paulo, SP, Brasil
,
Kátia Campos dos Anjos 
3   Departamento de Assistência Social, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (IOT-HCFMUSP), São Paulo, SP, Brasil
,
Marcelo Rosa de Rezende 
4   Grupo de Cirurgia da Mão e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (IOT-HCFMUSP), São Paulo, SP, Brasil
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Corrected by:

ErratumRev Bras Ortop (Sao Paulo) eFirst
DOI: 10.1055/s-0041-1736228

Abstract

Objective To evaluate the epidemiologic profile, the time until care, and the type of conduct taken regarding patients who are victims of accidents with circular saws and their resulting injuries, and to make a comparison with the literature.

Methods A cross-sectional descriptive study reviewing the medical records of patients cared for from April to December 2018, analyzing age, gender, injured side, affected fingers, month and time of the accident, type of injuries, procedures performed in the emergency room, time elapsed between trauma and admission to the operating room, and reapproach during hospitalization.

Results A total of 54 male patients aged between 15 and 72 years were care for. The left side was more affected, and the most frequent type of lesion involved the thumb, which had to be amputated in many cases. In total, 23 patients underwent reimplantation, 3 of which were macroreimplantations. Regarding the time of trauma, 26 cases occurred between noon and 4 p.m., and the time elapsed between the accident and the admission to the operating room was ≥ 6 hours in 84% of the patients.

Conclusion Circular saw lesions are predominantly severe, with a potential for leaving permanent sequelae, and they affect mainly the thumb. The characterization of the type of injury and the initial care conditions obtained in the present study may contribute to the policy of prevention and care of patients who are victims of circular saw injuries. Level of Evidence IV; Case Series.

Keywords

hand injuries/etiology - hand injuries/epidemiology - hand injuries/prevention and control - accidents

Authors' Contributions

Each author contributed individually and significantly to the development of this article. ALCF: writing of the article and review of the medical records; LK: writing of the article and search for bibliographic references; KCA: data collection and conception of the research; MRR: guidance, writing and review of the article.


Financial Support

This work was supported by the Instituto de Pesquisa e Ensino Home, Brasilia, DF, Brazil.


* Work developed by the Group of Hand Surgery and Microsurgery Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (IOT-HCFMUSP), SãoPaulo, SP, Brazil.




Publication History

Received: 05 August 2020

Accepted: 01 December 2020

Article published online:
27 August 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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