Four years of orthopaedic activities in Chinese Role 2 Hospital of eastern Mali peacekeeping area

Abstract

IntroductionThe Chinese Role 2 Hospital (CHN-Role 2H) Medical Treatment Facility (MTF) was founded in July 2013 as part of the Chinese commitment to Multidimensional Integrated Stabilization Mission in Mali (MINUSMA). It provides medical care for approximately 5200 personnel of the whole Sector East of MINUSMA including UN military personnel, UN police and UN civilian staff. The aim of this study was to determine the orthopaedic surgical activity over a 4-year period to facilitate the training of future Chinese military surgical teams.Materials and methodsSurgical records of all patients operated on at the CHN-Role 2H between 28 March 2014 to 28 March 2018 were identified, and all orthopaedic activity were analysed.ResultsDuring this period, 1190 patients underwent 2024 surgical procedures. Orthopaedic procedures represented 961/2024 (47.5%) of all the procedures. Battle injury (BI) represented 43% of patients. Improvised explosive devices (IEDs) were responsible for 15.8 % casualties. Fractures (49%) and soft tissue injures (43%) were the most common injuries, with 61% of the fractures being open. Damage control surgery including debridement (23.52%) and external fixation (17.90%) were the most frequently performed interventions.ConclusionOrthopaedic surgery is the most frequently performed surgery in the CHN-Role 2H in Mali. The complexity and severity of injuries demonstrate the urgent need for tailored training and extended skill sets for deploying military orthopaedic surgeons.

How Should Access to Military Health Care Facilities Be Controlled in Conflict?

“…1 This pattern has been replicated in the US military experience in Iraq 2 and Afghanistan, 3 the German experience in Afghanistan, 4 and the Chinese experience in a UN peacekeeping mission in Mali. 5 Parties in armed conflict have a general duty to ensure that the wounded and sick receive the medical care that they require with minimum delay and without distinction, except on medical grounds. This provision is made in all of the Geneva Conventions and Associated Protocols and covers wounded enemy combatants, prisoners, civilians, and the shipwrecked.…”