The Journal of Bone and Joint Surgery, Vol 77, Issue 5 719-725, Copyright © 1995 by Journal of Bone and Joint Surgery, Inc
Injuries of the foot related to the use of lawn mowers
DM Anger, BR Ledbetter, PJ Stasikelis and JH Calhoun
Department of Orthopaedics and Rehabilitation, University of Texas Medical Branch, Galveston 77555, USA.
We managed thirty-three patients who had open injuries of the foot related
to the use of a lawn mower from 1985 through 1992. Twenty-eight of the
patients were male and five were female. They ranged in age from four to
seventy-three years old. The injuries were associated with the use of push
lawn mowers (twenty-two patients), riding lawn mowers (nine patients), and
self-propelled lawn mowers (two patients). The injuries included forty open
fractures, twenty amputations, eighteen lacerations of the skin and nail
beds, nine lacerations of tendons, two closed fractures, segmental loss of
bone in two patients, and segmental loss of the Achilles tendon in one
patient. The findings on culture of intraoperative specimens revealed a
mean of 3.1 organisms (range, one to nine organisms) per patient. All of
the patients were managed with at least one operative procedure (mean, 2.4
operations; range, one to five operations), and all were treated with
parenteral antibiotic therapy (mean, 2.3 antibiotics; range, one to six
antibiotics) except for one patient who had oral antibiotic therapy. The
mechanism of injury was documented for twenty of the twenty-two patients
who had been injured by a push lawn mower. Seventeen patients were injured
while pulling the push lawn mower backward, and eight of those patients had
been pulling the lawn mower up a slope.(ABSTRACT TRUNCATED AT 250 WORDS)