Subscribe to RSS
DOI: 10.1055/a-1402-1649
Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance
Article in several languages: English | deutschAbstract
Introduction The use of forklift trucks during work has a high accident potential. The aim of this study is to describe injury patterns, treatment and outcome after forklift truck accidents in the context of the employersʼ liability insurance association.
Methods Retrospective data collection of all cases between 2004 and 2019. Excluded were patients < 18 years, without follow-up or with definitive external treatment. Trauma mechanism, injury patterns and distribution, treatment, complications, time of incapacity for work, return to work and impairment of earning capacity were recorded.
Results Of 109 patients with 110 injuries, 52.7% showed isolated injuries and 47.3% combined injuries, which affected the lower extremity in 95 cases. There were fractures in 85.5%, including 32.7% in open form. The mean length of stay was 29.1 days (range 1 – 129); an indication for surgery was seen in 80.9%. Surgical treatment required an average of 3 interventions, with significantly more operations for soft tissue closure than for the fractures (p ≤ 0.023). Amputations were necessary in 8 cases; complications occurred in 29.1%. Return to work was possible in 90%, after a mean period of incapacity for work of 33.6 weeks. A total of 40% showed a pensionable impairment of earning capacity.
Conclusion Accidents with forklift trucks result in complex lower extremities injuries with the need of multi-stage treatment and show relatively high complication rates. A return to work is often possible after a long period of convalescence, and a pensionable impairment of earning capacity often persists.
Publication History
Article published online:
19 April 2021
© 2021. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References/Literatur
- 1 Deutsche Gesetzliche Unfallversicherung (DGUV) – Referat Statistik. Hrsg. Arbeitsunfallgeschehen 2019. Im Internet (Stand: 11.01.2020): https://publikationen.dguv.de/widgets/pdf/download/article/3893
- 2 Hong CC, Nashi N, Kuan WS. et al. Forklift-Related Crush Injuries of the Foot and Ankle. Foot Ankle Int 2015; 36: 806-811 doi:10.1177/1071100715576486
- 3 Born CT, Ross SE, Aron B. et al. Patterns of injury and disability caused by forklift trucks. J Trauma 1996; 40: 636-639 doi:10.1097/00005373-199604000-00020
- 4 Collins JW, Smith GS, Baker SP. et al. Injuries related to forklifts and other powered industrial vehicles in automobile manufacturing. Am J Ind Med 1999; 36: 513-521 doi:10.1002/(sici)1097-0274(199911)36:5<513::aid-ajim3>3.0.co;2-k
- 5 Darcy CM, Lovell ME, Metcalfe JW. Injuries from forklift trucks. Injury 1995; 26: 285 doi:10.1016/0020-1383(95)90019-t
- 6 Williams EA, Priestley SE. Fork lift truck injuries. J Soc Occup Med 1980; 30: 149-152 doi:10.1093/occmed/30.4.149
- 7 Riepl C, Lefering R, Lorenz M. et al. [Run-over injuries: causes, injury pattern, treatment and long-term sequelae]. Unfallchirurg 2012; 115: 982-987 doi:10.1007/s00113-010-1947-9
- 8 Baker SP, OʼNeill B, Haddon W. et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974; 14: 187-196
- 9 Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am 1976; 58: 453-458
- 10 Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma 1984; 24: 742-746 doi:10.1097/00005373-198408000-00009
- 11 Tscherne H, Oestern HJ. [A new classification of soft-tissue damage in open and closed fractures (authorʼs transl)]. Unfallheilkunde 1982; 85: 111-115
- 12 Meinberg EG, Agel J, Roberts CS. et al. Fracture and Dislocation Classification Compendium-2018. J Orthop Trauma 2018; 32 (Suppl. 01) S1-S170 doi:10.1097/BOT.0000000000001063
- 13 Hierner R, Nast-Kolb D, Stoel AM. et al. [Degloving injuries of the lower limb]. Unfallchirurg 2009; 112: 55-62 doi:10.1007/s00113-008-1548-z quiz 63
- 14 Hidalgo DA. Lower extremity avulsion injuries. Clin Plast Surg 1986; 13: 701-710
- 15 Hierner R, Cedidi C, Betz AM. et al. [Standardized management of subtotal and total amputation injuries at the lower leg level – the “Integrated Treatment Concept”]. Handchir Mikrochir Plast Chir 2002; 34: 277-291 doi:10.1055/s-2002-36315
- 16 Dalhoff K, Abele-Horn M, Andreas S. et al. [Epidemiology, Diagnosis and Treatment of Adult Patients with Nosocomial Pneumonia – Update 2017 – S3 Guideline of the German Society for Anaesthesiology and Intensive Care Medicine, the German Society for Infectious Diseases, the German Society for Hygiene and Microbiology, the German Respiratory Society and the Paul-Ehrlich-Society for Chemotherapy, the German Radiological Society and the Society for Virology]. Pneumologie 2018; 72: 15-63 doi:10.1055/s-0043-121734
- 17 Hach-Wunderle V, Gerlach H, Konstantinides ST. et al. Bein- und Beckenvenenthrombose (TVT). Vasa 2016; 45: 8-26 doi:10.1024/0301-1526/a000485
- 18 Feihl S, Renz N, Schütz M. et al. [Antibiotic strategies in trauma surgery: Treatment of implant-associated infections]. Unfallchirurg 2017; 120: 486-493 doi:10.1007/s00113-017-0359-5
- 19 Renz N, Feihl S, Dlaska CE. et al. [Osteosynthesis-associated infections: Epidemiology, definition and diagnosis]. Unfallchirurg 2017; 120: 454-460 doi:10.1007/s00113-017-0364-8
- 20 Frölke JP, Patka P. Definition and classification of fracture non-unions. Injury 2007; 38 (Suppl. 02) S19-S22 doi:10.1016/s0020-1383(07)80005-2
- 21 Bengel J, Abilgaard P, Albs B. et al. S2 k-Leitlinie Diagnostik und Behandlung von akuten Folgen psychischer Traumatisierung. Im Internet (Stand: 23.12.2020): https://www.awmf.org/uploads/tx_szleitlinien/051-027l_S2k_Diagnostik_Behandlung_akute_Folgen_psychischer_Traumatisierung_2019-10.pdf
- 22 Harden RN, Bruehl S, Perez RS. et al. Validation of proposed diagnostic criteria (the “Budapest Criteria”) for Complex Regional Pain Syndrome. Pain 2010; 150: 268-274 doi:10.1016/j.pain.2010.04.030
- 23 Schlereth T. Guideline “diagnosis and non interventional therapy of neuropathic pain” of the German Society of Neurology (deutsche Gesellschaft fur Neurologie). Neurol Res Pract 2020; 2: 16 doi:10.1186/s42466-020-00063-3
- 24 St John Smith E. Advances in understanding nociception and neuropathic pain. J Neurol 2018; 265: 231-238 doi:10.1007/s00415-017-8641-6
- 25 Auhuber TC, Reimertz C, Müller WD. et al. [Reorientation of Medical Procedures Covered by Statutory Accident Insurance]. Rehabilitation (Stuttg) 2017; 56: 55-72 doi:10.1055/s-0043-100124
- 26 Deutsche Gestzliche Unfallversicherung (DGUV), Sozialversicherung für Landwirtschaft, Forsten und Gartenbau (SVLFG). Verletzungsartenverzeichnis mit Erläuterungen unter Einschluss des Schwerstverletzungsartenverfahrens (überarbeitete Version 2.0, Stand 1. Juli 2018). Im Internet (Stand: 03.01.2021): https://www.dguv.de/medien/landesverbaende/de/med_reha/documents/verletz3.pdf
- 27 Lugeder A, Berkenbrink A, Zeichen J. [Rehabilitation management system of the German Social Accident Insurance. Initial medical experiences]. Unfallchirurg 2013; 116: 271-276 doi:10.1007/s00113-011-2149-9
- 28 Schmidmaier G, Moghaddam A. [Long Bone Nonunion]. Z Orthop Unfall 2015; 153: 659-674 doi:10.1055/s-0035-1558259 quiz 675–676
- 29 Drechsel-Schlund C, Hauck M. Psychische Folgen nach einem Trauma. Trauma und Berufskrankheit 2015; 17: 96-99 doi:10.1007/s10039-013-1990-1
- 30 Lekuya HM, Alenyo R, Kajja I. et al. Degloving injuries with versus without underlying fracture in a sub-Saharan African tertiary hospital: a prospective observational study. J Orthop Surg Res 2018; 13: 2 doi:10.1186/s13018-017-0706-9
- 31 Papenhoff MC, Teßmann R, Maier C. et al. Schmerzmedizin im Heilverfahren der Deutschen Gesetzlichen Unfallversicherung (DGUV). Trauma und Berufskrankheit 2016; 18: 125-131 doi:10.1007/s10039-015-0114-5