THE IMPACT OF THE BROADER SOCIAL COMMUNITY ON THE PREVENTION OF SEVERE TRAUMATIC DEFORMITIES IN CHILDREN – A CASE SERIES

Authors

  • Radomir Stanković Clinic for Children's Surgery, Children's Orthopedics and Traumatology, University Clinical Center Niš https://orcid.org/0009-0003-2249-7249
  • Nikola Bojović Clinic for Pediatric Surgery, Pediatric Orthopedy and Traumatology, University Clinical Center Niš, Niš, Faculty of Medicine, University of Niš, Niš, Serbia https://orcid.org/0000-0003-0357-6833
  • Ivona Đorđević Clinic for Pediatric Surgery, Pediatric Orthopedy and Traumatology, University Clinical Center Niš, Niš, Faculty of Medicine, University of Niš, Niš, Serbia https://orcid.org/0000-0001-5879-9626
  • Nikola Vacić Clinic for Pediatric Surgery, Pediatric Orthopedy and Traumatology, University Clinical Center Niš, Niš https://orcid.org/0000-0002-6826-1747
  • Danijela Đerić Clinic for Pediatric Surgery, Pediatric Orthopedy and Traumatology, University Clinical Center Niš, Niš
  • Aleksandar Marinković Clinic for Pediatric Surgery, Pediatric Orthopedy and Traumatology, University Clinical Center Niš, Niš
  • Aleksandar Janković Clinic for Pediatric Surgery, Pediatric Orthopedy and Traumatology, University Clinical Center Niš, Niš https://orcid.org/0009-0000-6003-6986
  • Andrijana Jovanović Clinic for Pediatric Surgery, Pediatric Orthopedy and Traumatology, University Clinical Center Niš, Niš https://orcid.org/0009-0009-0974-4894
  • Višnja Živanović Faculty of Medicine, University of Niš, Niš, Serbia https://orcid.org/0009-0009-4515-471X

DOI:

https://doi.org/10.46793/PP260307019S

Keywords:

pyrotechnic devices, injuries, children

Abstract

Introduction: The use of pyrotechnic devices among children and adolescents, particularly during holiday seasons, is highly prevalent worldwide as a form of entertainment. Improper handling of these explosive devices frequently results in severe injuries, including blast wounds and burns. Despite appropriate medical treatment, such injuries often lead to significant deformities and long-term disability. The fingers and hands are most commonly affected, representing crucial anatomical structures for the performance of manual activities, although injuries to the eyes, face, and chest are also observed. The aim of this study is to emphasize the seriousness of the consequences of improper handling of pyrotechnic devices, as well as to highlight the importance of prevention and the mitigation of trauma-related outcomes.

Case Series: We present 10 patients injured by pyrotechnic devices during the New Year holiday periods from 2024 to 2026 (December and January), who were treated at the Clinic for Pediatric Surgery, Pediatric Orthopedics and Traumatology, University Clinical Center Nis. The injuries consisted predominantly of complex hand trauma, but also affecting other body regions such as the face, neck, and chest.

Conclusion: Given that injuries caused by pyrotechnic devices result not only in severe physical deformities but also have a profound impact on mental health and overall quality of life in children and adolescents, the role of prevention is unequivocal. Preventive efforts should reflect shared societal responsibility, implemented through public media outreach, school-based initiatives, and education of both parents and children.

Author Biographies

Radomir Stanković, Clinic for Children's Surgery, Children's Orthopedics and Traumatology, University Clinical Center Niš

Odeljenje opšte dečje hirurgije

Doktor medicine, lekar na specijalizaciji, student doktorskih akademskih studija - medicinske nauke

Nikola Bojović, Clinic for Pediatric Surgery, Pediatric Orthopedy and Traumatology, University Clinical Center Niš, Niš, Faculty of Medicine, University of Niš, Niš, Serbia

Odsek za dečju ortopediju i traumatologiju.

Klinički asistent, specijalista dečje hirurgije i ortopedije, subspecijalista dečje ortopedije i traumatologije

Ivona Đorđević, Clinic for Pediatric Surgery, Pediatric Orthopedy and Traumatology, University Clinical Center Niš, Niš, Faculty of Medicine, University of Niš, Niš, Serbia

Odeljenje za intenzivnu negu perinatusa i neonatusa

Vanredni profesor, specijalista dečje hirurgije i ortopedije

Nikola Vacić, Clinic for Pediatric Surgery, Pediatric Orthopedy and Traumatology, University Clinical Center Niš, Niš

Odeljenje za intenzivnu negu perinatusa i neonatusa

Specijalista dečje hirurge i ortopedije

Danijela Đerić, Clinic for Pediatric Surgery, Pediatric Orthopedy and Traumatology, University Clinical Center Niš, Niš

Odsek dečje ortopedije i traumatologije

Primarijus, specijalista dečjeg hirurgije i ortopedije, subspecijalista dečje ortopedije i traumatologije

Aleksandar Marinković, Clinic for Pediatric Surgery, Pediatric Orthopedy and Traumatology, University Clinical Center Niš, Niš

Odsek dečje ortopedije i traumatologije

Specijalista dečje hirurgije i ortopedije

Aleksandar Janković, Clinic for Pediatric Surgery, Pediatric Orthopedy and Traumatology, University Clinical Center Niš, Niš

Odsek dečje ortopedije i traumatologije

Specijalista dečje hirurgije i ortopedije

Andrijana Jovanović, Clinic for Pediatric Surgery, Pediatric Orthopedy and Traumatology, University Clinical Center Niš, Niš

Odeljenje opšte dečje hirurgije

Doktor medicine, lekar na specijalizaciji, student doktorskih akademskih studija - medicinske nauke

Višnja Živanović, Faculty of Medicine, University of Niš, Niš, Serbia

Doktor medicine, lekar na specijalizaciji

Student doktorskih akademskih studija - medicinske nauke

 

References

Puri V, Mahendru S, Rana R, Deshpande M. Firework injuries: a ten-year study. J Plast Reconstr Aesthet Surg. 2009;62(9):1103-1111. doi:10.1016/

j.bjps.2007.12.080

Bagri N, Saha A, Chandelia S, et al. Fireworks injuries in children: A prospective study during the festival of lights. Emerg Med Australas. 2013;25(5):452-456. doi:10.1111/1742-6723.12114

Saucedo JM, Vedder NB. Firework-related injuries of the hand. J Hand Surg Am. 2015;40(2):383-387. doi:10.1016/j.jhsa.2014.08.041, PMID: 25443164

John D, Philip SS, Mittal R, John SS, Paul P. Spectrum of ocular firework injuries in children: A 5-year retrospective study during a festive season in Southern India. Indian J Ophthalmol. 2015;63(11):843-846. doi:10.4103/0301-4738.171966

Canner JK, Haider AH, Selvarajah S, et al. US emergency department visits for fireworks injuries, 2006-2010. J Surg Res. 2014;190(1):305-311. doi:10.1016/j.jss.2014.03.066

Wang C, Zhao R, Du WL, Ning FG, Zhang GA. Firework injuries at a major trauma and burn center: A five-year prospective study. Burns. 2014;40(2):305-310. doi:10.1016/j.burns.2013.06.007, PMID: 23838077

Bezirgan U, Vatansever G, Yoğun Y, Alpat SE, Bozkurt OE, Dumlupinar E. Analysis of pediatric hand injuries in a tertiary care children's hospital. J Pediatr Orthop B. 2025;34(2):142-150. doi:10.1097/BPB.0000000000001188

Surke C, Kunzli M, Vogelin E, Garcia D, Lollgen RM. An analysis of finger and hand injuries in children in a tertiary paediatric emergency department. Swiss Med Wkly. 2022;152:w30134. Published 2022 Mar 29. doi:10.4414/smw.2022.w30134

Vassilia K, Eleni P, Dimitrios T. Firework-related childhood injuries in Greece: a national problem. Burns. 2004;30(2):151-153. doi:10.1016/j.burns.2003.09.019

Smittenberg MN, Lungelow D, Rode H, van As AB, Millar AJ. Can fireworks-related injuries to children during festivities be prevented?. S Afr Med J. 2010;100(8):525-528. doi:10.7196/samj.3964

Savaş S, Altuntaş SH, Uslusoy F, Karaibrahimoğlu A. Epidemiology and injury characteristics of children with acute traumatic hand injuries undergoing surgery: a 10-year retrospective cohort study. Cerrahi geçiren akut travmatik el yaralanmalı çocukların epidemiyolojisi ve yaralanma özellikleri: 10 yıllık retrospektif bir kohort analiz. Ulus Travma Acil Cerrahi Derg. 2025;31(8):729-738. doi:10.14744/tjtes.2025.07892

Matheron AS, Hendriks S, Facca S, Liverneaux PA. Hand injuries due to firework devices: a series of 58 cases. Chir Main. 2014;33(2):124-129. doi:10.1016/j.main.2013.12.005

American Academy of Pediatrics: Committee on Injury and Poison Prevention. Fireworks-related injuries to children. Pediatrics. 2001;108(1):190-191. doi:10.1542/peds.108.1.190

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Published

04/18/2026

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Original Articles