FOOT AND ANKLE FORKLIFT INJURIES; DIAGNOSIS TO TREATMENT OPTIONS, RETURN TO WORK AND FUNCTIONAL OUTCOMES

As our tertiary-level trauma center is close to an industrial zone and associated international port, industrial injuries are seen more often than is expected in routine practice. The aim of this study was to present the demographic data, treatment options, and changes in worklife of patients with f...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2023-11, Vol.62 (6), p.967-973
Main Authors: Şahbat, Yavuz, Bekiroğlu, Gülnaz Nural, Koç, Erdem, Canşı, Mehmet, İğrek, Servet, Kart, Hayati, Topkar, Osman Mert, Baysal, Özgür
Format: Article
Language:English
Subjects:
Accidents, Occupational
Adolescent
Adult
Aged
Ankle Injuries - diagnosis
Ankle Injuries - therapy
Clinical Outcome
Female
Foot and Ankle
Foot Injuries - surgery
Foot Injuries - therapy
Forklift Injuries
Humans
Male
Middle Aged
Recovery of Function
Retrospective Studies
Return to Work - statistics & numerical data
Treatment Outcome
Workforce Loss
Young Adult
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Summary:As our tertiary-level trauma center is close to an industrial zone and associated international port, industrial injuries are seen more often than is expected in routine practice. The aim of this study was to present the demographic data, treatment options, and changes in worklife of patients with foot and ankle injuries due to a forklift accident, and to determine the factors affecting the clinical outcome. The study was conducted in our University hospital and included patients who presented with a foot and ankle injury resulting from a forklift accident. Data were collected including age, sex, dominant extremity, history of trauma, presence of fracture, management (surgical or conservative), complications, time of return to work, workforce loss, and the AOFAS and SF-36 scores at the final follow-up examination. Evaluation was made of 132 patients, comprising 113 (85.6%) males and 19 (14.4%) females with a mean age of 32 years (range, 16-65 years). The most frequently recorded occupational group was shipyard workers (50%). The most common mechanism of injury was crushing under the forklift wheel (n=63, 47.7%). The most frequently injured foot region was the forefoot (47%). A total of 90 (68.1%) patients continued to work in the same position on return to work. The lowest mean AOFAS score (73.4) and SF-36 (physical component) score (37.3) were determined in cases with mixed region injuries (p=0.0001, p=0.0001). The wearing of protective footwear had no effect on the rate of return to work (p=0.195), workforce loss (p=0.34) and AOFAS score (p=0.166). This study is the largest series of patients with foot and ankle injuries related to forklift accidents. Forklift injuries can be treated conservatively or surgically according to the clinical condition of the patient. The main indicators of return to work and functional outcome are which foot region is injured and whether or not the injury causes a fracture.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2023.07.005