Z Orthop Unfall 2022; 160(05): 539-548
DOI: 10.1055/a-1402-1649
Original Article/Originalarbeit

Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance

Article in several languages: English | deutsch
1   Department of General and Trauma Surgery, BG University Hospital, Bochum, Germany
,
Hans Ehlers
2   Department of Anaesthesiologie Intensive Care Palliative Medicine and Pain Medicine, BG University Hospital, Bochum, Germany
,
Emre Yilmaz
1   Department of General and Trauma Surgery, BG University Hospital, Bochum, Germany
,
Sebastian Lotzien
1   Department of General and Trauma Surgery, BG University Hospital, Bochum, Germany
,
Thomas A. Schildhauer
1   Department of General and Trauma Surgery, BG University Hospital, Bochum, Germany
,
Charlotte Reinke
1   Department of General and Trauma Surgery, BG University Hospital, Bochum, Germany
,
Christiane Kruppa
1   Department of General and Trauma Surgery, BG University Hospital, Bochum, Germany
› Author Affiliations

Abstract

Introduction The use of forklift trucks during work has a high accident potential. The aim of this study is to describe injury patterns, treatment and outcome after forklift truck accidents in the context of the employersʼ liability insurance association.

Methods Retrospective data collection of all cases between 2004 and 2019. Excluded were patients < 18 years, without follow-up or with definitive external treatment. Trauma mechanism, injury patterns and distribution, treatment, complications, time of incapacity for work, return to work and impairment of earning capacity were recorded.

Results Of 109 patients with 110 injuries, 52.7% showed isolated injuries and 47.3% combined injuries, which affected the lower extremity in 95 cases. There were fractures in 85.5%, including 32.7% in open form. The mean length of stay was 29.1 days (range 1 – 129); an indication for surgery was seen in 80.9%. Surgical treatment required an average of 3 interventions, with significantly more operations for soft tissue closure than for the fractures (p ≤ 0.023). Amputations were necessary in 8 cases; complications occurred in 29.1%. Return to work was possible in 90%, after a mean period of incapacity for work of 33.6 weeks. A total of 40% showed a pensionable impairment of earning capacity.

Conclusion Accidents with forklift trucks result in complex lower extremities injuries with the need of multi-stage treatment and show relatively high complication rates. A return to work is often possible after a long period of convalescence, and a pensionable impairment of earning capacity often persists.



Publication History

Article published online:
19 April 2021

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