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Related Experiment Video

Updated: Sep 12, 2025

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
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Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

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Amputations and Avulsion Injuries due to Human/Equine Interaction.

Randall T Loder1, Alyssa L Walker1, Laurel C Blakemore2

  • 1Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.

Wilderness & Environmental Medicine
|August 6, 2025
PubMed
Summary
This summary is machine-generated.

Horse-related activities rarely cause amputations and avulsions, but these severe injuries occur. A national database study found ropes were involved in a quarter of these equine injuries, highlighting a key risk factor.

Keywords:
AmputationNEISSavulsiondemographicsemergency departmenthorseinjury

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Area of Science:

  • Traumatology
  • Public Health
  • Equine Science

Background:

  • Horse-associated injuries, including amputations and avulsions, can lead to significant long-term impairment.
  • Understanding the epidemiology of these rare but severe injuries is crucial for prevention.

Purpose of the Study:

  • To investigate the incidence, demographics, and mechanisms of horse-associated amputation and avulsion injuries.
  • To analyze injury patterns using a national emergency department database.

Main Methods:

  • Utilized the US National Electronic Injury Surveillance System (NEISS) from 2000-2023.
  • Collected demographic data (age, sex) and injury details for identified cases.
  • Analyzed injury mechanisms, including riding, equipment issues, and falls, with a focus on rope involvement.

Main Results:

  • Identified 120 amputation/avulsion cases (0.35% of 34,091 equine injuries).
  • Average age was 37 years; 78 females and 42 males.
  • Riding (31%) and rope involvement (24%) were common injury mechanisms; ropes were more frequent in amputations (42% vs. 10%).

Conclusions:

  • This is the largest study on horse-associated amputations/avulsions to date.
  • Multiple injury mechanisms exist, with ropes being a significant factor in a quarter of cases.
  • Findings provide baseline data for developing targeted prevention strategies.