Lawn Mower Injuries to the Lower Extremity: A 10-Year Retrospective Review

Robert M. Greenhagen, Katherine M. Raspovic, Brandon E. Crim, Michael T. Ryan, Gary G. Gruen

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

Introduction. Lawn mower injuries occur frequently in the United States and oftentimes result in extensive trauma to the lower extremities. These injuries can be quite devastating and cause there to be loss of function and amputation. The purpose of this study was to determine if there are specific factors that would help determine the best treatment protocol, patient outcomes, and prognosis after lawn mower injury to the foot and ankle. Material and Methods. A retrospective review of medical records was performed on all patients treated at a university level 1 trauma center from 2000 to 2010. Only subjects 18 years or older who sustained an injury below the level of the knee were included for review. Results. Seventy-three patients were included in this review. The results revealed that patients who developed a complication were significantly older than the group of patients without complications (P = .03). Digits were found to be injured most often but the odds of developing a complication were much higher if these injuries involved the plantar foot, dorsal foot, or ankle. Interestingly, patients on prolonged antibiotic therapy had a significantly higher risk of developing complications. The presence of comorbidities significantly increased the risk of complication (P = .008); the greatest risk factors were cardiovascular disease (P = .001) and diabetes (P = .06). Discussion. The authors present the largest cohort of lawn mower injuries in the medical literature, which demonstrates that factors such as age, location of injury, and the presence of comorbidities influence the outcome and increase the risk of injury to the foot and ankle. These results may be useful in determining the best treatment plan possible for patients with these severe injuries.Levels of Evidence: Therapeutic, Level IV, Retrospective case series

Original languageEnglish (US)
Pages (from-to)119-124
Number of pages6
JournalFoot and Ankle Specialist
Volume6
Issue number2
DOIs
StatePublished - Mar 28 2013

Fingerprint

antineoplaston A10
Lower Extremity
Wounds and Injuries
Foot Injuries
Ankle Injuries
Comorbidity
Foot
Trauma Centers
Clinical Protocols
Amputation
Ankle
Medical Records
Knee
Cardiovascular Diseases
Therapeutics
Anti-Bacterial Agents

Keywords

  • amputation and limb salvage
  • complex foot and ankle conditions
  • general disorders
  • reconstructive foot and ankle surgery
  • soft-tissue repair
  • trauma

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery
  • Podiatry
  • Medicine(all)

Cite this

Lawn Mower Injuries to the Lower Extremity : A 10-Year Retrospective Review. / Greenhagen, Robert M.; Raspovic, Katherine M.; Crim, Brandon E.; Ryan, Michael T.; Gruen, Gary G.

In: Foot and Ankle Specialist, Vol. 6, No. 2, 28.03.2013, p. 119-124.

Research output: Contribution to journalReview article

Greenhagen, Robert M. ; Raspovic, Katherine M. ; Crim, Brandon E. ; Ryan, Michael T. ; Gruen, Gary G. / Lawn Mower Injuries to the Lower Extremity : A 10-Year Retrospective Review. In: Foot and Ankle Specialist. 2013 ; Vol. 6, No. 2. pp. 119-124.
@article{dbc10a957b134e23abc78c9b2dfea2f8,
title = "Lawn Mower Injuries to the Lower Extremity: A 10-Year Retrospective Review",
abstract = "Introduction. Lawn mower injuries occur frequently in the United States and oftentimes result in extensive trauma to the lower extremities. These injuries can be quite devastating and cause there to be loss of function and amputation. The purpose of this study was to determine if there are specific factors that would help determine the best treatment protocol, patient outcomes, and prognosis after lawn mower injury to the foot and ankle. Material and Methods. A retrospective review of medical records was performed on all patients treated at a university level 1 trauma center from 2000 to 2010. Only subjects 18 years or older who sustained an injury below the level of the knee were included for review. Results. Seventy-three patients were included in this review. The results revealed that patients who developed a complication were significantly older than the group of patients without complications (P = .03). Digits were found to be injured most often but the odds of developing a complication were much higher if these injuries involved the plantar foot, dorsal foot, or ankle. Interestingly, patients on prolonged antibiotic therapy had a significantly higher risk of developing complications. The presence of comorbidities significantly increased the risk of complication (P = .008); the greatest risk factors were cardiovascular disease (P = .001) and diabetes (P = .06). Discussion. The authors present the largest cohort of lawn mower injuries in the medical literature, which demonstrates that factors such as age, location of injury, and the presence of comorbidities influence the outcome and increase the risk of injury to the foot and ankle. These results may be useful in determining the best treatment plan possible for patients with these severe injuries.Levels of Evidence: Therapeutic, Level IV, Retrospective case series",
keywords = "amputation and limb salvage, complex foot and ankle conditions, general disorders, reconstructive foot and ankle surgery, soft-tissue repair, trauma",
author = "Greenhagen, {Robert M.} and Raspovic, {Katherine M.} and Crim, {Brandon E.} and Ryan, {Michael T.} and Gruen, {Gary G.}",
year = "2013",
month = "3",
day = "28",
doi = "10.1177/1938640012473149",
language = "English (US)",
volume = "6",
pages = "119--124",
journal = "Foot and Ankle Specialist",
issn = "1938-6400",
publisher = "SAGE Publications Ltd",
number = "2",

}

TY - JOUR

T1 - Lawn Mower Injuries to the Lower Extremity

T2 - A 10-Year Retrospective Review

AU - Greenhagen, Robert M.

AU - Raspovic, Katherine M.

AU - Crim, Brandon E.

AU - Ryan, Michael T.

AU - Gruen, Gary G.

PY - 2013/3/28

Y1 - 2013/3/28

N2 - Introduction. Lawn mower injuries occur frequently in the United States and oftentimes result in extensive trauma to the lower extremities. These injuries can be quite devastating and cause there to be loss of function and amputation. The purpose of this study was to determine if there are specific factors that would help determine the best treatment protocol, patient outcomes, and prognosis after lawn mower injury to the foot and ankle. Material and Methods. A retrospective review of medical records was performed on all patients treated at a university level 1 trauma center from 2000 to 2010. Only subjects 18 years or older who sustained an injury below the level of the knee were included for review. Results. Seventy-three patients were included in this review. The results revealed that patients who developed a complication were significantly older than the group of patients without complications (P = .03). Digits were found to be injured most often but the odds of developing a complication were much higher if these injuries involved the plantar foot, dorsal foot, or ankle. Interestingly, patients on prolonged antibiotic therapy had a significantly higher risk of developing complications. The presence of comorbidities significantly increased the risk of complication (P = .008); the greatest risk factors were cardiovascular disease (P = .001) and diabetes (P = .06). Discussion. The authors present the largest cohort of lawn mower injuries in the medical literature, which demonstrates that factors such as age, location of injury, and the presence of comorbidities influence the outcome and increase the risk of injury to the foot and ankle. These results may be useful in determining the best treatment plan possible for patients with these severe injuries.Levels of Evidence: Therapeutic, Level IV, Retrospective case series

AB - Introduction. Lawn mower injuries occur frequently in the United States and oftentimes result in extensive trauma to the lower extremities. These injuries can be quite devastating and cause there to be loss of function and amputation. The purpose of this study was to determine if there are specific factors that would help determine the best treatment protocol, patient outcomes, and prognosis after lawn mower injury to the foot and ankle. Material and Methods. A retrospective review of medical records was performed on all patients treated at a university level 1 trauma center from 2000 to 2010. Only subjects 18 years or older who sustained an injury below the level of the knee were included for review. Results. Seventy-three patients were included in this review. The results revealed that patients who developed a complication were significantly older than the group of patients without complications (P = .03). Digits were found to be injured most often but the odds of developing a complication were much higher if these injuries involved the plantar foot, dorsal foot, or ankle. Interestingly, patients on prolonged antibiotic therapy had a significantly higher risk of developing complications. The presence of comorbidities significantly increased the risk of complication (P = .008); the greatest risk factors were cardiovascular disease (P = .001) and diabetes (P = .06). Discussion. The authors present the largest cohort of lawn mower injuries in the medical literature, which demonstrates that factors such as age, location of injury, and the presence of comorbidities influence the outcome and increase the risk of injury to the foot and ankle. These results may be useful in determining the best treatment plan possible for patients with these severe injuries.Levels of Evidence: Therapeutic, Level IV, Retrospective case series

KW - amputation and limb salvage

KW - complex foot and ankle conditions

KW - general disorders

KW - reconstructive foot and ankle surgery

KW - soft-tissue repair

KW - trauma

UR - http://www.scopus.com/inward/record.url?scp=84875321135&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875321135&partnerID=8YFLogxK

U2 - 10.1177/1938640012473149

DO - 10.1177/1938640012473149

M3 - Review article

C2 - 23349382

AN - SCOPUS:84875321135

VL - 6

SP - 119

EP - 124

JO - Foot and Ankle Specialist

JF - Foot and Ankle Specialist

SN - 1938-6400

IS - 2

ER -