title: [Pest control in your garden - a case series of severe hand injuries caused by privately used explosives and shot traps].
abstract: Booby traps and gun-like devices for vole control can lead to complex trauma requiring emergency medical care. We present a case series of patients who suffered severe hand and facial trauma through detonation of booby traps and paraphernalia (n = 9, Ø 60 years of age). All patients were admitted to the emergency department of Hannover Medical School for primary care. Between 2011 and 2015 we treated six patients with hand trauma due to gun-like devices, two patients with hand trauma due to booby traps, and one patient with injury to the face including eyes due to a gas cartridge explosion. All hand trauma patients (n = 8) showed injuries of the soft tissue. Six of these patients also presented fractures or lesions of capsular or tendon structures. Therapies included debridement as well as skin grafts or flaps for tissue defect coverage. We informed the Department for Commercial Safety (Gewerbeaufsicht Hannover) in 2014 because we believe that these traps pose a serious safety hazard.
authors.affiliation: Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Carl- Neuberg-Str. 1, 30625, Hannover, Deutschland. koenneker.soeren@mh-hannover.de.
authors.forename: S
authors.initials: S
authors.lastname: Könneker
authors.affiliation: Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Carl- Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: N
authors.initials: N
authors.lastname: Krezdorn
authors.affiliation: Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Carl- Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: P M
authors.initials: PM
authors.lastname: Vogt
authors.affiliation: Klinik für Plastische und Ästhetische Chirurgie/Handchirurgie, Bergmannsheil und Kinderklinik Buer GmbH, Schernerweg 4, 45894, Gelsenkirchen, Deutschland.
authors.forename: M A
authors.initials: MA
authors.lastname: Altintas
authors.affiliation: Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Carl- Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: M T
authors.initials: MT
authors.lastname: Hiller
authors.affiliation: Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Carl- Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Ipaktchi
authors.affiliation: Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Carl- Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Radtke
mesh_terms: D000368:Aged; D000818:Animals; D003411:Arvicolinae; D001753:Blast Injuries / Q000175:diagnosis / Q000628:therapy*; D003646:Debridement / Q000379:methods; D005593:Fracture Fixation, Internal / Q000379:methods; D050723:Fractures, Bone / Q000175:diagnosis / Q000628:therapy*; D006230:Hand Injuries / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis / Q000628:therapy; D019651:Plastic Surgery Procedures / Q000379:methods; D012375:Rodent Control; D017695:Soft Tissue Injuries / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000175:diagnosis / Q000628:therapy*
keywords: Booby trap; Clinical case series; Hand injury; Shooting tools; Shot trap