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Pediatric lower extremity mower injuries.

Sean M Hill¹, Eric T Elwood

¹University of Illinois College of Medicine at Peoria, Peoria, IL, USA. shill8@uic.edu

Annals of Plastic Surgery

|April 22, 2011

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Pediatric lawn mower injuries are common, with no standard treatment. This study used negative pressure wound therapy (NPWT) as a bridge to closure for lower extremity injuries, achieving minimal functional limitations.

Area of Science:

Plastic and reconstructive surgery
Pediatric trauma care
Wound management

Background:

Lawn mower injuries in children are a frequent challenge for plastic reconstructive surgeons.
Approximately 68,000 such injuries occur annually in the United States.
A standardized treatment algorithm for these injuries is lacking.

Observation:

This study reviewed 7 pediatric patients with lower extremity lawn mower injuries.
Patients presented with varying degrees of soft tissue damage.
All patients received negative pressure wound therapy (NPWT) as an interim measure before definitive wound closure.

Findings:

Treatment outcomes included skin grafts (4 patients), primary closure (1 patient), lower extremity amputation (1 patient), and cross-leg flap repair (1 patient).

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Negative pressure wound therapy (NPWT) was utilized as a bridge to definitive closure in all cases.

Post-reconstruction functional limitations were minimal across all patients.

Implications:

The study proposes a basic treatment algorithm involving initial debridement and NPWT.
This approach facilitates wound closure using the simplest effective method.
The findings suggest NPWT is a valuable tool in managing pediatric lower extremity lawn mower injuries, promoting good functional outcomes.