Investigation of Optimal Timing for Hand Surgery in Farmers Living in Tokachi Region

Kazuhiro Yamamoto; Makoto Motomiya; Shimon Nasu; Shinya Oomoto; Hisashi Koishi; Naoya Watanabe; Keigo Yasui; Tatsuya Iwabuchi

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Investigation of Optimal Timing for Hand Surgery in Farmers Living in Tokachi Region

VernacularTitle:十勝農業従事者における最適な手外科疾患治療時期の検討
Author: Kazuhiro YAMAMOTO ¹ ; Makoto MOTOMIYA ² ; Shimon NASU ¹ ; Shinya OOMOTO ¹ ; Hisashi KOISHI ¹ ; Naoya WATANABE ² ; Keigo YASUI ³ ; Tatsuya IWABUCHI ⁴
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1. Dept. of Medical Technology Occupational Therapy,　Obihiro Kosei Hospital
2. Dept. of Orthopaedic Surgery, Obihiro Kosei Hospital Hand Center
3. Dept. of Orthopaedic Surgery, Obihiro Kosei Hospital
4. Dept. of Rehabilitation, Obihiro Kosei Hospital
From:Journal of the Japanese Association of Rural Medicine 2022;70(6):636-642
CountryJapan
Language:Japanese
Abstract: The balance between treatment and farming work must be considered when performing hand surgery in farmers, but no studies have previously examined the level of busyness in farmers in detail. We conducted a questionnaire survey on busyness by month and desirable time for hand surgery in 20 self-employed farmers in the Tokachi region of Hokkaido who had undergone hand surgery. Busyness in crop farming peaked approximately in May for fertilizer application, sowing, and raising and transplanting seedlings and in August-October for harvesting and transporting crops. On the other hand, livestock farmers were busy with rearing management throughout the year, with a peak of busyness in May-October for fertilizer application, sowing, and harvesting and transporting forage crop. Given the approximately 3-month period of work restriction following hand surgery, all respondents wished to have this period from November to January. If a farmer is injured during the peak farming period, a treatment plan is required that supports an early return to work and allows for two-stage reconstruction and treatment of degenerative disease in the quiet period for farming. Meanwhile, almost no respondents expected to receive support from official organizations and manufacturers, indicating that there is a need to provide the government with information from a medical perspective.