Can a Blade-Stopping Mechanism on Circular Table Saws Reduce the Severity of Hand Injuries in Contact Scenarios? A Cadaveric Study.


Journal

The Journal of hand surgery
ISSN: 1531-6564
Titre abrégé: J Hand Surg Am
Pays: United States
ID NLM: 7609631

Informations de publication

Date de publication:
02 2023
Historique:
received: 25 05 2021
revised: 10 12 2021
accepted: 31 01 2022
pubmed: 13 3 2022
medline: 8 2 2023
entrez: 12 3 2022
Statut: ppublish

Résumé

Table saws are commonly used woodworking tools that carry a substantial risk of injury. Blade-stopping technology has been developed and has the potential to reduce the frequency and severity of injury. This study aimed to evaluate this technology on human tissue and characterize the resulting injuries. Twenty-seven fresh, frozen cadaveric specimen hands were used. Three scenarios were tested, with the specimen (1) moving forward ("forward"); (2) moving backward, such as in a kickback scenario ("reverse"); and (3) dropped from above the saw blade ("top"). Each scenario was tested at both slow (0.001 m/sec) and fast (forward: 0.6 m/sec; reverse: 0.5 m/sec; top: 2.4 m/sec) approach speeds. The severity of the injuries was characterized by anatomic evaluation and confirmed with radiographic evaluation. Injuries were classified as no laceration, superficial soft tissue injury, deep soft tissue injury, and bony injury. For the slow approach speed, the brake cartridge engaged in 100% of the trials for all 3 scenarios, and 100% of the specimens sustained no injuries. Forward testing at a fast approach speed revealed the brake cartridge engaged in 89% of the trials (injuries: 4 superficial, 2 deep, 3 bony). Reverse testing at a fast approach speed revealed the brake cartridge engaged in 11% of trials (injuries: 1 superficial, 8 bony). Top testing at a fast approach speed revealed the brake cartridge engaged in 89% of the trials (injuries: 9 bony). Modern blade-stopping technology did not prevent all traumatic hand injuries in fast approach speed scenarios, but it reduced the incidence and severity of injuries. The technology was more effective at low approach speed scenarios. The findings of this study provide information to help understand the factors that can prevent or reduce the severity of contact injuries (hand, finger, or thumb) for operators of table saws.

Identifiants

pubmed: 35277301
pii: S0363-5023(22)00068-5
doi: 10.1016/j.jhsa.2022.01.028
pii:
doi:

Types de publication

Journal Article Retracted Publication

Langues

eng

Sous-ensembles de citation

IM

Pagination

141-148

Commentaires et corrections

Type : RetractionIn

Informations de copyright

Copyright © 2023. Published by Elsevier Inc.

Auteurs

Tysen K Timmer (TK)

Department of Graduate Medical Education, Sanford Health, Fargo, ND; School of Medicine & Health Sciences, University of North Dakota, Grand Forks, ND.

Alexander C M Chong (ACM)

Department of Graduate Medical Education, Sanford Health, Fargo, ND; School of Medicine & Health Sciences, University of North Dakota, Grand Forks, ND; Sanford Sports Science Institute, Sanford Health, Fargo, ND. Electronic address: alexander.chong@sanfordhealth.org.

Colin P Murphy (CP)

Department of Graduate Medical Education, Sanford Health, Fargo, ND; School of Medicine & Health Sciences, University of North Dakota, Grand Forks, ND.

Kelly N McKnight (KN)

Department of Graduate Medical Education, Sanford Health, Fargo, ND; School of Medicine & Health Sciences, University of North Dakota, Grand Forks, ND.

Colin W Bond (CW)

Sanford Sports Science Institute, Sanford Health, Fargo, ND.

David A Bailey (DA)

Department of Graduate Medical Education, Sanford Health, Fargo, ND; Sanford Orthopedics & Sports Medicine, Sanford Health, Fargo, ND.

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