Epidemiology of and Risk Factors for Table Saw Injuries of the Hands and Fingers

The purpose of this study was to evaluate circumstances surrounding power saw injuries. We hypothesized that power saw injuries are caused by either inexperienced or inappropriate usage of saws. A retrospective review of patients at our level 1 trauma center from January 2011 to April 2022 was condu...

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Published inJournal of hand surgery global online Vol. 5; no. 3; pp. 300 - 302
Main Authors Herekar, Rajeev N., Bokemper, Michael K., Doarn, Michael C., Coutelle, Nino A., Nydick, Jason A.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.05.2023
Elsevier
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Abstract The purpose of this study was to evaluate circumstances surrounding power saw injuries. We hypothesized that power saw injuries are caused by either inexperienced or inappropriate usage of saws. A retrospective review of patients at our level 1 trauma center from January 2011 to April 2022 was conducted. Patients were screened using surgical billing records based on Current Procedural Terminology codes. Codes associated with revascularization; amputation of digits; and repair of tendon, nerve, and open metacarpal and phalanx fractures were queried. Patients who sustained power saw injuries were identified. They were then contacted by phone, and a standardized questionnaire was administered. Verbal consent was included in the standardized script, which was approved by the institutional review board. One hundred eleven patients were identified who underwent surgical treatment for power saw injuries of the hands. Of them, we were able to contact 44 patients, who consented to and completed the questionnaire. Of all of the contacted patients, 40 (91%) were men, with an average age of 55 years (range, 27–80 years). No patients were intoxicated when the injury occurred. Thirty-two (73%) patients had used the same saw for more than 25 times. Sixteen (36%) patients had not received formal training regarding safe use of their saw, and 7 (16%) had removed a safety mechanism prior to the injury. Thirteen (30%) patients had used the saw on an unstable surface, and 17 (39%) reported not having changed the saw blade regularly. Power saw injuries occur for a multitude of reasons. Contrary to our hypothesis, more experience with the use of saws does not necessarily protect one from saw injuries. These findings highlight the need for formal training among new saw users and continuing education for the more experienced to help reduce the incidence of saw injuries that require surgical intervention. Prognostic IV.
AbstractList The purpose of this study was to evaluate circumstances surrounding power saw injuries. We hypothesized that power saw injuries are caused by either inexperienced or inappropriate usage of saws. A retrospective review of patients at our level 1 trauma center from January 2011 to April 2022 was conducted. Patients were screened using surgical billing records based on Current Procedural Terminology codes. Codes associated with revascularization; amputation of digits; and repair of tendon, nerve, and open metacarpal and phalanx fractures were queried. Patients who sustained power saw injuries were identified. They were then contacted by phone, and a standardized questionnaire was administered. Verbal consent was included in the standardized script, which was approved by the institutional review board. One hundred eleven patients were identified who underwent surgical treatment for power saw injuries of the hands. Of them, we were able to contact 44 patients, who consented to and completed the questionnaire. Of all of the contacted patients, 40 (91%) were men, with an average age of 55 years (range, 27–80 years). No patients were intoxicated when the injury occurred. Thirty-two (73%) patients had used the same saw for more than 25 times. Sixteen (36%) patients had not received formal training regarding safe use of their saw, and 7 (16%) had removed a safety mechanism prior to the injury. Thirteen (30%) patients had used the saw on an unstable surface, and 17 (39%) reported not having changed the saw blade regularly. Power saw injuries occur for a multitude of reasons. Contrary to our hypothesis, more experience with the use of saws does not necessarily protect one from saw injuries. These findings highlight the need for formal training among new saw users and continuing education for the more experienced to help reduce the incidence of saw injuries that require surgical intervention. Prognostic IV.
PurposeThe purpose of this study was to evaluate circumstances surrounding power saw injuries. We hypothesized that power saw injuries are caused by either inexperienced or inappropriate usage of saws. MethodsA retrospective review of patients at our level 1 trauma center from January 2011 to April 2022 was conducted. Patients were screened using surgical billing records based on Current Procedural Terminology codes. Codes associated with revascularization; amputation of digits; and repair of tendon, nerve, and open metacarpal and phalanx fractures were queried. Patients who sustained power saw injuries were identified. They were then contacted by phone, and a standardized questionnaire was administered. Verbal consent was included in the standardized script, which was approved by the institutional review board. ResultsOne hundred eleven patients were identified who underwent surgical treatment for power saw injuries of the hands. Of them, we were able to contact 44 patients, who consented to and completed the questionnaire. Of all of the contacted patients, 40 (91%) were men, with an average age of 55 years (range, 27-80 years). No patients were intoxicated when the injury occurred. Thirty-two (73%) patients had used the same saw for more than 25 times. Sixteen (36%) patients had not received formal training regarding safe use of their saw, and 7 (16%) had removed a safety mechanism prior to the injury. Thirteen (30%) patients had used the saw on an unstable surface, and 17 (39%) reported not having changed the saw blade regularly. ConclusionsPower saw injuries occur for a multitude of reasons. Contrary to our hypothesis, more experience with the use of saws does not necessarily protect one from saw injuries. These findings highlight the need for formal training among new saw users and continuing education for the more experienced to help reduce the incidence of saw injuries that require surgical intervention. Type of study/level of evidencePrognostic IV.
Author Herekar, Rajeev N.
Bokemper, Michael K.
Coutelle, Nino A.
Nydick, Jason A.
Doarn, Michael C.
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Cites_doi 10.1097/PRS.0b013e3182a3bfb1
10.1016/j.jhsa.2017.01.025
10.1016/j.jhsa.2009.02.002
10.1016/S0363-5023(87)80256-3
10.1177/1558944717695754
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Issue 3
Keywords Prevention
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References Justis, Moore, LaVelle (bib2) 1987; 12
Hoxie, Capo, Dennison, Shin (bib3) 2009; 34
Chung, Shauver (bib5) 2013; 132
Vosbikian, Harper, Byers, Gutman, Novack, Iorio (bib1) 2017; 42
bib6
Smith, Kendrick, Huntsman (bib4) 2017; 13
Hoxie (10.1016/j.jhsg.2023.01.017_bib3) 2009; 34
Vosbikian (10.1016/j.jhsg.2023.01.017_bib1) 2017; 42
Chung (10.1016/j.jhsg.2023.01.017_bib5) 2013; 132
Justis (10.1016/j.jhsg.2023.01.017_bib2) 1987; 12
Smith (10.1016/j.jhsg.2023.01.017_bib4) 2017; 13
References_xml – volume: 132
  start-page: 777e
  year: 2013
  ident: bib5
  article-title: Table saw injuries: epidemiology and a proposal for preventive measures
  publication-title: Plast Reconst Surg
  contributor:
    fullname: Shauver
– volume: 42
  start-page: 296.e1
  year: 2017
  end-page: 296.e10
  ident: bib1
  article-title: The impact of safety regulations on the incidence of upper-extremity power saw injuries in the United States
  publication-title: J Hand Surg Am
  contributor:
    fullname: Iorio
– volume: 34
  start-page: 886
  year: 2009
  end-page: 889
  ident: bib3
  article-title: The economic impact of electric saw injuries to the hand
  publication-title: J Hand Surg Am
  contributor:
    fullname: Shin
– ident: bib6
  article-title: The Condition of Education; 2009
– volume: 13
  start-page: 181
  year: 2017
  end-page: 183
  ident: bib4
  article-title: Table saw injuries: are our safety features really keeping US safe?
  publication-title: Hand
  contributor:
    fullname: Huntsman
– volume: 12
  start-page: 890
  year: 1987
  end-page: 895
  ident: bib2
  article-title: Woodworking injuries: an epidemiologic survey of injuries sustained using woodworking machinery and hand tools
  publication-title: J Hand Surg Am
  contributor:
    fullname: LaVelle
– volume: 132
  start-page: 777e
  issue: 5
  year: 2013
  ident: 10.1016/j.jhsg.2023.01.017_bib5
  article-title: Table saw injuries: epidemiology and a proposal for preventive measures
  publication-title: Plast Reconst Surg
  doi: 10.1097/PRS.0b013e3182a3bfb1
  contributor:
    fullname: Chung
– volume: 42
  start-page: 296.e1
  issue: 4
  year: 2017
  ident: 10.1016/j.jhsg.2023.01.017_bib1
  article-title: The impact of safety regulations on the incidence of upper-extremity power saw injuries in the United States
  publication-title: J Hand Surg Am
  doi: 10.1016/j.jhsa.2017.01.025
  contributor:
    fullname: Vosbikian
– volume: 34
  start-page: 886
  issue: 5
  year: 2009
  ident: 10.1016/j.jhsg.2023.01.017_bib3
  article-title: The economic impact of electric saw injuries to the hand
  publication-title: J Hand Surg Am
  doi: 10.1016/j.jhsa.2009.02.002
  contributor:
    fullname: Hoxie
– volume: 12
  start-page: 890
  issue: 5
  year: 1987
  ident: 10.1016/j.jhsg.2023.01.017_bib2
  article-title: Woodworking injuries: an epidemiologic survey of injuries sustained using woodworking machinery and hand tools
  publication-title: J Hand Surg Am
  doi: 10.1016/S0363-5023(87)80256-3
  contributor:
    fullname: Justis
– volume: 13
  start-page: 181
  issue: 2
  year: 2017
  ident: 10.1016/j.jhsg.2023.01.017_bib4
  article-title: Table saw injuries: are our safety features really keeping US safe?
  publication-title: Hand
  doi: 10.1177/1558944717695754
  contributor:
    fullname: Smith
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SubjectTerms Hand
Injury
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Prevention
Safety
Saw
Title Epidemiology of and Risk Factors for Table Saw Injuries of the Hands and Fingers
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