Corn picker injuries, although more infamous, are less frequent than those produced by the grain auger. The former rarely occurs in other than adult males who are responsible for their carelessness, whereas the grain auger injury frequently involves innocent and uninformed youths. We report 4 arms, 4 forearms, 5 hands, 24 digits, 2 legs, 4 feet, and 4 toes injured by a grain auger in 24 patients. Multiple-level injuries accounted for the larger number of injuries than patients. Twelve amputations or devascularizations were reattached or revascularized successfully. Not all amputations had attempts at reattachment because of the severe crushing of the part and/or stump that was present in all patients to varying degrees. All wounds were heavily contaminated and were treated with voluminous irrigation and adequate debridement. Serial debridements were needed prior to coverage in several patients. Prevention is the best treatment, but given early aggressive care, many injured can regain a high level of function.
JOURNAL AND NATIONAL LIBRARY OF MEDICINE ID#
JOURNAL: Plast Reconstr Surg. 1982; 69(1): 96-102.
Note: Plastic and Reconstructive Surgery.NLOM ID#: 82083008 .
Publication #: 82083008
This document was extracted from the CDC-NIOSH Epidemiology of Farm Related Injuries: Bibliography With Abstracts, U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health.
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