@article{ref1,
title="Retrospective analysis of 15 years of horse-related maxillofacial fracture data at a major German trauma center",
journal="European journal of trauma and emergency surgery",
year="2020",
author="Stier, Rebecca and Tavassol, Frank and Dupke, Claudia and Rüter, Maria and Jehn, Philipp and Gellrich, Nils-Claudius and Spalthoff, Simon",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: The purpose of this study was to estimate the effect of the mechanism of trauma (fall versus kick), rider demographics, equestrian experience, protective equipment, and whether or not a horse was shod on the anatomic site of a horse-related maxillofacial fracture, operating time, postoperative complication rate, and length of hospital stay.   METHODS: We retrospectively reviewed the medical records of patients treated for horse-related maxillofacial fractures at a single institution in Germany between January 2000 and March 2015. We used linear and logistic regression to test the above-mentioned variables for statistical correlations.   RESULTS: During the study period, we treated 138 horse-related facial fractures in 71 patients. The mean patient age was 34.5 years, and 80.3% of the injuries occurred in women. Most of the maxillofacial fractures were the result of a horse kick (71.8%) when unmounted and the majority occurred in more experienced riders (70.4%). There was a significant association of wearing of protective equipment with a shorter hospital stay and lower risk of postoperative complications.   CONCLUSION: More education is needed in the equestrian community regarding the use of protective equipment when unmounted. Safety helmets should be redesigned to include a faceguard and be worn at all times.<p /> <p>Language: en</p>",
language="en",
issn="1863-9933",
doi="10.1007/s00068-020-01450-w",
url="http://dx.doi.org/10.1007/s00068-020-01450-w"
}