Meat grinder-related hand injuries: a 50-year systematic review of case reports
Systematic review published in Plast Reconstr Surg Glob Open (2025)
Abstract
BACKGROUND: Meat grinder-related hand injuries often result in severe tissue damage, including deep lacerations, avulsions, and amputations, leading to significant functional impairments. This systematic review examines injury characteristics, management approaches, and outcomes, based on published case reports and series. METHODS: A systematic review following PRISMA guidelines was conducted using MEDLINE, PubMed, Web of Science, and the Cochrane Library. English-language case reports and series from January 1975 to June 2024 were analyzed for demographics, injury patterns, treatments, and outcomes. RESULTS: Thirteen studies comprising 121 patients were included, with a slight female predominance (52.89%). Patient ages ranged from 1 to 42 years, and 21.48% presented with hands still entrapped. Fingers were the most frequently injured site (31.40%). Initial management involved debridement (12.39%) and amputations (9.09%). Microsurgical revascularization was attempted in 4.95% of cases. Follow-up data revealed sensory deficits in 57.14% and motor deficits in 46.42% of patients. Only 3 patients utilized prostheses. CONCLUSIONS: Meat grinder-related hand injuries present significant management challenges, with low replantation rates and high rates of long-term functional deficits. Despite surgical interventions, persistent impairments remain common. Further research is necessary to refine treatment protocols and improve patient outcomes.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Zusammenfassung
50-year systematic review of meat-grinder hand-injury case reports including replantation/revascularization with adjunctive therapies.
Warum dies für die Hirudotherapie relevant ist
Diese systematische Übersichtsarbeit analysiert 121 Fälle von Fleischwolf-bedingten Handverletzungen aus Fallberichten, die zwischen Januar 1975 und Juni 2024 veröffentlicht wurden, und untersucht Verletzungscharakteristika, Behandlungsansätze (Débridement, Amputation, mikrochirurgische Revaskularisation) sowie langfristige funktionelle Ergebnisse einschließlich sensorischer und motorischer Defizite. Die Studie fand niedrige Replantationsraten und hohe Raten persistierender Funktionseinschränkungen. Im gesamten Abstract werden Blutegel, Hirudotherapie oder das Blutegel-Sekretom nicht erwähnt. EINSCHRÄNKUNG: Dieser Artikel weist basierend auf seinem Abstract keine vertretbare Relevanz für die Hirudotherapie oder das Tätigkeitsgebiet von ASH auf.
Zitation
Meat grinder-related hand injuries: a 50-year systematic review of case reports.
Alhusain et al. · Plastic and reconstructive surgery. Global open, 2025
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