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Year : 2018  |  Volume : 26  |  Issue : 1  |  Page : 20-23

Pediatric upper extremity fence-penetrating traumas

1 Clinic of Plastic, Reconstructive and Aesthetic Surgery, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey
2 Dr. Ersin Aksam Training and Research Hospital, Clinic of Plastic, Reconstructive and Aesthetic Surgery, Gaziantep, Turkey
3 Department of Plastic, Reconstructive and Aesthetic Surgery, Yildirim Beyazit University, Ankara, Turkey

Correspondence Address:
Dr. Ugur Horoz
Dr. Ersin Arslan Training and Research Hospital, Plastik, Rekonstrüktif ve Estetik Cerrahi Kliniği, Eyupoğlu Mah, Hürriyet Cd, 27010 Şahinbey, Gaziantep
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjps.tjps_8_18

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Purpose: Penetrating hand injuries related to sharp metal or wooden fences are rarely reported in pediatric population. Most of these traumas occur after accidentally falling on the fence. The aim of this study is to evaluate the characteristics of the patients suffering from fence injuries and to present our management. Materials and Methods: In this study, 14 patients admitted to our emergency department with fence postpenetrating traumas between March 2013 and April 2016 were retrospectively examined. Eleven pediatric patients with fence postpenetrating trauma to upper extremity were included. Patient demographics, zone of injury, injury type, surgical intervention, and follow-up results were documented. Statistical analysis was performed using Chi-square test. Results: In the past 4 years, 11 patients aged 4 to 15 years with fence-related upper extremity traumas were treated in our clinic. Preteen age group was the most affected group. The most commonly penetrated region was below the elbow (7 patients). All wounds were surgically explored for accompanying injuries and repaired if any neurovascular or muscle injuries were present. Conclusion: To be able to prevent and appropriately treat these types of injuries in children, it is necessary to surgically explore and understand the mechanism.

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