Traumatismes de l'appareil locomoteur liés à la pratique du jet-ski: À propos de 127 cas

Translated title of the contribution: Orthopedic injuries associated with jet skis (personal watercrafts): A review of 127 in-patients

C. J. Donnally, P. M. Rothenberg, G. Metser, D. H. Massel, A. J. Butler, D. Damodar, S. H. Shin, Tanya Zakrison

Research output: Contribution to journalArticle

Abstract

Background: Personal watercrafts (PWC) account for a disproportionate amount of water based injuries. Current literature suggests those with less PWC experience are more at risk for injury. Previous studies have not specifically evaluated the orthopedic implications of PWC usage or how various mechanisms of injury (MOI) contribute to different injury patterns. Hypothesis: PWC injuries will frequently require orthopedic intervention. The presence of an orthopedic injury will result in increased injury severity score (ISS), hospital and intensive care unit (ICU) length-of-stay (LOS). Patients visiting our region will have less PWC experience and so are more prone to serious injuries. Materials and methods: Retrospective cohort study at a single level 1 trauma center of admitted patients sustaining PWC injuries from 02/2004-03/2017. The following were studied: demographics, mechanism, season, ISS, hospital and ICU LOS, follow-up, fracture characteristics and management. Results: Overall, 127 patients were admitted due to PWC injury, 66 (52.0%) sustained an orthopedic injury, totaling 103 fractures [48 (46.6%) lower extremity, 26 (25.2%) upper extremity, 14 (13.6%) vertebral, 11 (10.7%) pelvic ring and 4 (3.9%) acetabulum]. The mean age of orthopedic patients was 29 years (range: 8-62). Handle bar injuries were significantly associated with open fractures, (13 of 25 open fractures, 3 of which became infected). Injuries occurring during the winter were associated with a higher ISS, yet more injuries occurred in the summer. A patient being a "visitor" to the region did not influence ISS. The mean LOS was 12.6 days for orthopedic patients. Eighteen orthopedic patients (27.3%) required ICU admission, and 36 (54.5%) patients required orthopedic surgery (mean: 2.11 operations). Discussion: A majority of PWC injuries resulted in extremity fractures with a moderate percentage requiring orthopedic surgery. Correlations between PWC experience and injury incidence can provide information for increased safety. Level of evidence: IV; retrospective.

Original languageFrench
JournalRevue de Chirurgie Orthopedique et Traumatologique
DOIs
StateAccepted/In press - Jan 1 2018
Externally publishedYes

Fingerprint

Orthopedics
Wounds and Injuries
Injury Severity Score
Intensive Care Units
Length of Stay
Open Fractures
Acetabulum
Trauma Centers
Upper Extremity
Lower Extremity
Cohort Studies
Extremities
Retrospective Studies
Demography

Keywords

  • Aquatic injuries
  • Fractures
  • Jet-ski
  • Orthopedics
  • Personal watercraft
  • Sea-Doo

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Traumatismes de l'appareil locomoteur liés à la pratique du jet-ski : À propos de 127 cas. / Donnally, C. J.; Rothenberg, P. M.; Metser, G.; Massel, D. H.; Butler, A. J.; Damodar, D.; Shin, S. H.; Zakrison, Tanya.

In: Revue de Chirurgie Orthopedique et Traumatologique, 01.01.2018.

Research output: Contribution to journalArticle

Donnally, C. J. ; Rothenberg, P. M. ; Metser, G. ; Massel, D. H. ; Butler, A. J. ; Damodar, D. ; Shin, S. H. ; Zakrison, Tanya. / Traumatismes de l'appareil locomoteur liés à la pratique du jet-ski : À propos de 127 cas. In: Revue de Chirurgie Orthopedique et Traumatologique. 2018.
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abstract = "Background: Personal watercrafts (PWC) account for a disproportionate amount of water based injuries. Current literature suggests those with less PWC experience are more at risk for injury. Previous studies have not specifically evaluated the orthopedic implications of PWC usage or how various mechanisms of injury (MOI) contribute to different injury patterns. Hypothesis: PWC injuries will frequently require orthopedic intervention. The presence of an orthopedic injury will result in increased injury severity score (ISS), hospital and intensive care unit (ICU) length-of-stay (LOS). Patients visiting our region will have less PWC experience and so are more prone to serious injuries. Materials and methods: Retrospective cohort study at a single level 1 trauma center of admitted patients sustaining PWC injuries from 02/2004-03/2017. The following were studied: demographics, mechanism, season, ISS, hospital and ICU LOS, follow-up, fracture characteristics and management. Results: Overall, 127 patients were admitted due to PWC injury, 66 (52.0{\%}) sustained an orthopedic injury, totaling 103 fractures [48 (46.6{\%}) lower extremity, 26 (25.2{\%}) upper extremity, 14 (13.6{\%}) vertebral, 11 (10.7{\%}) pelvic ring and 4 (3.9{\%}) acetabulum]. The mean age of orthopedic patients was 29 years (range: 8-62). Handle bar injuries were significantly associated with open fractures, (13 of 25 open fractures, 3 of which became infected). Injuries occurring during the winter were associated with a higher ISS, yet more injuries occurred in the summer. A patient being a {"}visitor{"} to the region did not influence ISS. The mean LOS was 12.6 days for orthopedic patients. Eighteen orthopedic patients (27.3{\%}) required ICU admission, and 36 (54.5{\%}) patients required orthopedic surgery (mean: 2.11 operations). Discussion: A majority of PWC injuries resulted in extremity fractures with a moderate percentage requiring orthopedic surgery. Correlations between PWC experience and injury incidence can provide information for increased safety. Level of evidence: IV; retrospective.",
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AU - Metser, G.

AU - Massel, D. H.

AU - Butler, A. J.

AU - Damodar, D.

AU - Shin, S. H.

AU - Zakrison, Tanya

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KW - Aquatic injuries

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KW - Personal watercraft

KW - Sea-Doo

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