Agriculture related traumatic hand injuries and reconstructive interventions: an observational study at a tertiary care centre

Darsh K. Patel; Ajitsingh P.  Chadha; Chinmay  Wingkar; Sunil V. Jagtap

doi:10.18203/2349-2902.isj20253016

Authors

Darsh K. Patel Department of Plastic Surgery, KVV, Krishna Institute of Medical Sciences, Karad, Maharashtra, India https://orcid.org/0009-0008-4166-9209
Ajitsingh P. Chadha Department of Plastic Surgery, KVV, Krishna Institute of Medical Sciences, Karad, Maharashtra, India https://orcid.org/0009-0001-2541-1362
Chinmay Wingkar Department of Plastic Surgery, KVV, Krishna Institute of Medical Sciences, Karad, Maharashtra, India https://orcid.org/0009-0009-0271-1264
Sunil V. Jagtap Department of Pathology, KVV, Krishna Institute of Medical Sciences, Karad, Maharashtra, India https://orcid.org/0000-0002-4844-7624

DOI:

https://doi.org/10.18203/2349-2902.isj20253016

Keywords:

Hand injury, Agricultural hand tools, Surgical interventions, Hand reconstructive surgery

Abstract

Background: India contributes 10% (225 million) to global agricultural workforce, where hand injuries are frequent and major health related problem and economically significant issues. Farming has fatality rate over five times higher than other sectors. Risk factors include poor ergonomics, lack of safety awareness, and environmental hazards. Aim was to study agriculture related traumatic hand injuries and reconstructive intervention, and to educate surgeon on importance of sophisticated surgical care and aggressive physiotherapy in rehabilitating patients to early hand function.

Methods: This prospective observational study of 3 years conducted at KVV hospital, Karad. Structured proforma was completed for 386 patients presenting with agriculture-related hand and wrist injuries distal to wrist. Data on demographics, injury type, hand dominance and seasonal trends were studied.

Results: Males were more frequently impacted than females belonged to age group of 31 to 45 with right-handed dominance along with injury caused by hand tools (63.47%) and sugarcane machine (48.70%), most frequently occurred in October month with majority of lacerated wounds (41%) correlating with peak harvesting season. Common causes include entanglement in machinery and traditional tools, leading to amputations and fractures.

Conclusions: Farm equipment causing injury is major health issue. It needs educating farmers, prohibiting children from entering areas with agricultural machinery, disseminating information about agricultural accidents and how to prevent them, and modifying working hours of farming staff. This study focuses on type and severity of hand injuries in agriculture and emphasizes need for systematic assessment to guide effective treatment and prevention.

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References

Neitzel RL, Krenz J, de Castro AB. Safety and Health Hazard Observations in Hmong Farming Operations. J Agromedicine. 2014;19(2):130-49. DOI: https://doi.org/10.1080/1059924X.2014.886319

Campbell DA, Kay SPJ. The hand injury severity scoring system. J Hand Surg Eur. 1996;21(3):295-8. DOI: https://doi.org/10.1016/S0266-7681(05)80187-1

Toscano G Dangerous jobs: Fatal workplace injuries in 1995: A collection of data and analysis, US Department of Labor, Bureau of Labor Statistics, Washington, DC. 1997.

Copuroglu C, Heybeli N, Ozcan M, Yilmaz B, Ciftdemir M, Copuroglu E. Major extremity injuries associated with farmyard accidents. Sci World J. 2012;2012:314038. DOI: https://doi.org/10.1100/2012/314038

Pickett W, Hartling L, Dimich-Ward H, Guernsey JR, Hagel L, Voaklander DC, et al. Surveillance of hospitalized farm injuries in Canada. Inj Prev. 2001;7(2):123-8. DOI: https://doi.org/10.1136/ip.7.2.123

Hartling L, Pickett W, Guernsey JR, Alberg N, Redekop TD, et al. Injuries associated with the farm harvest in Canada. CMAJ. 1998;158(11):1493-6.

Karthikeyan C, Veeraragavathatham D, Karpagam D, Ayisha FS. Traditional tools in agricultural practices. IJTK. 2009;8(2):212-7.

Murphy JD, Safety and Health for Production Agriculture, American Society of Agricultural Engineers, St. Joseph, Mich, USA. 1992.

Jawa RS, Young DH, Stothert JC, Yetter D, Dumond R, Shostrom VK, et al. Farm machinery injuries: the 15-year experience at an urban joint trauma centre system in a rural state. J Agromedicine. 2013;18(2):98-106. DOI: https://doi.org/10.1080/1059924X.2013.766145

Hansen TB, Carstensen O: Hand injuries in agricultural accidents. J Hand Surg Br. 1999;24(2):190-2. DOI: https://doi.org/10.1054/JHSB.1998.0189

Hartling L, Pickett W, Guernsey JR, Alberg N, Redekop TD, Brison RJ: Injuries associated with the farm harvest in Canada. CMAJ. 1998;158(11):1493-6.

Nag PK, Nag A. Drudgery, accidents, and injuries in Indian agriculture. Ind Health. 2004;42(4):149-62. DOI: https://doi.org/10.2486/indhealth.42.149

Omer GE Jr. Development of hand surgery: education of hand surgeons. J Hand Surg Am. 2000;25(4):616-28. DOI: https://doi.org/10.1053/jhsu.2000.9752

Goldcamp M, Hendricks KJ, Myers JR. Farm fatalities to youth 1995-2000: a comparison by age groups. J Safety Res. 2004;35(2):151-7. DOI: https://doi.org/10.1016/j.jsr.2003.11.005

Richter JS, Hall BG, Deere GD. Initiation of farm safety programs in the Arkansas Delta: a case study of participatory methods. J Rural Health. 2007;23(1):89-91. DOI: https://doi.org/10.1111/j.1748-0361.2006.00073.x

Shrihari V. Spectrum of hand injuries and their management at a tertiary care hospital using the hand injury scoring system. Int Surg J. 2016;3:1761-6. DOI: https://doi.org/10.18203/2349-2902.isj20163554

Ravikumar G, Manoharan R, Sugapradha GR, Jenifer P. A clinical and epidemiological study of upper limb injuries resulting from agricultural accidents. Int Surg J. 2017;4:3622-6. DOI: https://doi.org/10.18203/2349-2902.isj20174680

Patavegar ZN, Tahsildar MS, Patil SB, Patil BK, Wader JV, Jagtap SV. Knowledge, Attitude and Practice towards Haemovigilance among medical interns- Future of our health care system. J Cardiovasc Dis Res. 2023;14:688-92.

Prasad R, Bhamidi A, Rajeswaran A, Muthukumar S, Kothandaraman P, Sivaraj M. Epidemiology and Sequelae of Workplace Hand Injuries at a Tertiary Trauma Care Centre. Surg Sci. 2014;5:150-8. DOI: https://doi.org/10.4236/ss.2014.54027

Jagtap SV, Jagtap SS, Borade DS, Patil GA, Gaur S. Invasive mucormycosis in an adolescent female with type I diabetes mellitus. IJPRP. 2023;12(1):29-33.

Devendra A, Nishith P G, Dilip Chand Raja S, Dheenadhayalan J, Rajasekaran S. Current updates in management of extremity injuries in polytrauma. J Clin Orthop Trauma. 2021;12(1):113-22. DOI: https://doi.org/10.1016/j.jcot.2020.09.031

Shabadi N, Anil D, Kumar S, Hegde S, Nagendra L, Kruthika BN, et al. Occupational injuries: Prevalence, Patterns and Associated factors among Agriculture Workers in a developing country". GJMEDPH. 2022;11:6.

Serinken M, Türkçüer I, Dağlı B, Karcıoğlu O, Zencir M, Uyanık E. Work-related injuries in textile industry workers in Turkey. Ulus Travma Acil Cerrahi Derg. 2012;18(1):31-6. DOI: https://doi.org/10.5505/tjtes.2012.54376