Propeller injuries incurred in boating accidents

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Abstract
Water skiing, boat racing, skin and scuba diving, as well as just pleasure cruising are increasing in popularity. As a result, the incidence of injuries secondary to motor propellers is becoming more frequent. In a 15-year period (1963 to 1978), the author has collected a total of 32 cases of propeller injuries. In some cases amputations were necessary and in other cases amputa tions occurred at the time of injury. Problems with bacterial flora (Pseudomonas sp.) occur in open sea water. Salt water enclosed near docks and fresh lake water may have many different organisms because of contamination with raw or treated sewage. Bacterial contamination was a problem in the majority of the cases. The initial handling of the wounds was important in the final outcome. Difficulties with prosthetic fitting and management have occurred. It is hoped that legislation requiring safety propellers and compulsory third-party presence in water ski boats will be forthcoming. A search of the orthopaedic literature both in English and foreign languages revealed sparse information referable to propeller injuries.

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