title: Major extremity injuries associated with farmyard accidents.
abstract: BACKGROUND
  The aim of the study is to analyze the major agricultural injuries related to the extremities.
  
  
  METHODS
  We evaluated a 3-year period including 41 patients. Data on age, sex, injury patterns, anatomical localizations, injury season, length of stay in the hospital, and infections were evaluated, and the patients were examined with SF-36 in the follow-up period.
  
  
  RESULTS
  Hand was the most commonly injured part (n: 9) followed by the distal part of the lower limb (cruris) (n: 7) and foot (n: 7). Mean time between trauma and emergency-department arrival was 115 minutes (60-360). Mean length of stay was 24 days (4-150), and mean number of operations during hospitalization was 2.4 (1-30). Deep wound infection was seen in 8 patients. Seasonal distribution for accidents was even for spring and fall (27% each), high for summer (36%), and less for winter (10%).
  
  
  CONCLUSIONS
  Distal parts of the elbow and knee were affected more frequently. Due to the high microbiological load and high incidence of crush-type injuries, repetitive debridements and long duration of hospital stay were needed. Attention should be paid in the harvesting times to the farmyard injuries. Due to the seasonal variation, more resources should be allocated to treat the increasing incidence of injury over the period from spring to fall.
authors.affiliation: Department of Orthopaedics and Traumatology, Trakya University, 22050 Edirne, Turkey. cemcopur@hotmail.com
authors.forename: Cem
authors.initials: C
authors.lastname: Copuroglu
authors.forename: Nurettin
authors.initials: N
authors.lastname: Heybeli
authors.forename: Mert
authors.initials: M
authors.lastname: Ozcan
authors.forename: Baris
authors.initials: B
authors.lastname: Yilmaz
authors.forename: Mert
authors.initials: M
authors.lastname: Ciftdemir
authors.forename: Elif
authors.initials: E
authors.lastname: Copuroglu
mesh_terms: D000328:Adult; D000383:Agriculture; D001424:Bacterial Infections / Q000188:drug therapy; D005260:Female; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000473:pathology* / Q000628:therapy; D005592:Fracture Fixation / Q000379:methods; D050723:Fractures, Bone / Q000473:pathology / Q000628:therapy; D006230:Hand Injuries / Q000473:pathology* / Q000628:therapy; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D060051:Occupational Injuries / Q000188:drug therapy / Q000473:pathology*; D012189:Retrospective Studies; D012621:Seasons; D016896:Treatment Outcome; D014945:Wound Healing