Car tire injuries : A review of 35 patients

Abstract

W ith the increasing number of road traffic accidents, a new type of pedestrian injury has emerged that is described as a "car tire injury". 1,2 Most of the victims of this type of accident are children. The main reason behind such injuries is reckl l less driving and drivers who are younger than the legal age. The main objective of this study was to shed light on this problem, which has received little attention as evidenced from the literature, as only two papers have been published. 1,2 PATIENTS AND METHODS During the period from October 2001 to March 2007 (66 months), 35 patients, all pedestrians, were treated for injury to the foot and ankle due to road traffic acl l cidents. Patients were treated initially in the emergency department at the time of injury as is routinely done for all victims of accidents and trauma, to stabilize them bel l fore definitive repair of their injuries. The types of injul l ries share common features and are grouped in a distinct entity known as "car tire injuries". The details of patients studied were retrieved from their medical records. The same surgeon did all operations. Pictures of the patients

Outcomes of grafted skin on the dorsum of the foot after car-tire friction injuries

“…Hypertrophic scarring is a major complication in car-tire injuries regardless of treatment, to the point that it outnumbers infections [7]. Hypertrophic scarring has a reported incidence of 32% to 94% in patients with burn injuries and is characterized by long-lasting adverse psychological, functional, and aesthetic outcomes [10].…”

“…However, car-tire injuries frequently involve additional friction, shearing, and compressive forces that result in more severe and deep tissue injury than may be apparent at initial presentation [4,5]. When a car-tire injury involves a child's lower leg, the damage due to friction may involve deep tissues in a manner that is not easily appreciated, even when the injury does not appear to be particularly severe upon the initial physical examination [1], and the formation of hypertrophic scars is a common complication [6,7]. Typically, acute complex damage to the extremities requires early debridement and coverage with healthy tissue to prevent infection, with secondary objectives of correcting functional impairment and avoiding contour deformities [8].…”

Uncontacted tire explosion causing trauma to bilateral lower extremities: A case report

“…Several cases of injuries caused by explosion of a tire have been reported, where most cases are facial injuries and upper extremity injuries 1, 2, 3, 4. However, tire explosion related injuries on the lower extremity are uncommon.…”