Retrospective analysis of 15 years of horse-related maxillofacial fracture data at a major German trauma center.
Complications
Equestrian experience
Horse
Maxillofacial fractures
Protective equipment
Trauma mechanism
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
received:
14
04
2020
accepted:
16
07
2020
pubmed:
24
7
2020
medline:
11
8
2022
entrez:
24
7
2020
Statut:
ppublish
Résumé
The purpose of this study was to estimate the effect of the mechanism of trauma (fall versus kick), rider demographics, equestrian experience, protective equipment, and whether or not a horse was shod on the anatomic site of a horse-related maxillofacial fracture, operating time, postoperative complication rate, and length of hospital stay. We retrospectively reviewed the medical records of patients treated for horse-related maxillofacial fractures at a single institution in Germany between January 2000 and March 2015. We used linear and logistic regression to test the above-mentioned variables for statistical correlations. During the study period, we treated 138 horse-related facial fractures in 71 patients. The mean patient age was 34.5 years, and 80.3% of the injuries occurred in women. Most of the maxillofacial fractures were the result of a horse kick (71.8%) when unmounted and the majority occurred in more experienced riders (70.4%). There was a significant association of wearing of protective equipment with a shorter hospital stay and lower risk of postoperative complications. More education is needed in the equestrian community regarding the use of protective equipment when unmounted. Safety helmets should be redesigned to include a faceguard and be worn at all times.
Identifiants
pubmed: 32699917
doi: 10.1007/s00068-020-01450-w
pii: 10.1007/s00068-020-01450-w
pmc: PMC9360122
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2539-2546Informations de copyright
© 2020. The Author(s).
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