L’amputation des doigts par morsure de serpent : à propos de trois cas

Essi, F. Ait; Benhima, M.A.; Abkari, I.; Najeb, Y.; Latifi, M.A.; Khallouki, M.; Samkaoui, M.A.

doi:10.1016/j.main.2013.02.001

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…A total of 73.8% of the investigated military personnel were aware of immobilizing the whole of the victim’s body, specifically the bitten limb, which is a desirable practice for decreasing venom absorption [ 29 ]. Application of tourniquet is a dangerous intervention, carrying a high risk of well-known adverse consequences, such as ischemic damage and rhabdomyolysis, contributing to amputation and skin grafting [ 5 , 29 , 30 , 31 ]. However, a substantial proportion of the respondents (93.5%) said that applying a tourniquet was a good idea.…”

Section: Discussionmentioning

confidence: 99%

A Survey of Snakebite Knowledge among Field Forces in China

Chen

Gui

Kan

et al. 2016

IJERPH

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Background: A snakebite is a neglected extrinsic injury associated with high morbidity and global mortality. Members of Chinese field forces are at high risk of snakebites, and their perception and knowledge of snakebites are unknown. The aim of this study is to assess perception and knowledge of snakebites in field forces in southeast China; Methods: A cross-sectional questionnaire-based survey was conducted in July 2016. A total of 216 field force members participated in this study; Results: A total of 10.3% had experienced snakebites and 86.4% rated their demands for knowledge about snakebite as “high”. No significant correlation between the actual and perceived snakebite knowledge status was detected (κ = 0.0237, p = 0.3852). Ineffective and harmful traditional first-aid methods, such as the application of tourniquets, sucking the venom out of the wound, and making local incisions, were used by more than three quarters of the respondents. However, pressure immobilization bandages were applied by only 17.3% of members. The proportion of responses for each question was not significantly different among the respondents when considering separate demographic groups; Conclusions: Snakebite knowledge among Chinese field force members is inadequate and in some cases misleading, when focusing on manifestation, prevention, and first-aid. A pragmatic, intensive educational scheme should be undertaken in at-risk populations.

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Section: Discussionmentioning

confidence: 99%

A Survey of Snakebite Knowledge among Field Forces in China

Chen

Gui

Kan

et al. 2016

IJERPH

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“…Not everybody is lucky as the patient mentioned above. Ait Essi et al reported three cases of amputation of fingers following a snake bite [28]. The authors stated that the virulence of the venom, its concentration in a small volume of tissue, and use of a tourniquet contributed to the poor outcome.…”

Section: Snake Bitesmentioning

confidence: 99%

Bite Injuries to the Hand - Review of the Literature

Raval¹,

Khan²,

Haddad³

et al. 2014

Open Orthopaedics J

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Patients presenting to the emergency department with bite injuries to the hand sustain them through a number of causes including domesticated as well as stray animal bites, and human bites commonly sustained as a result of violence. The nature of the injuries sustained can be very deceptive. A small tooth mark on the exterior can be a fulminant infection in the tissues deeper down. Tendon injuries, fractures of the metacarpals and phalanges and management of the wound are critical issues faced by a surgeon in dealing with such patients. Similarly the less common bite injuries to the hand, often with disastrous and sometimes fatal complications, do also present to the emergency department. A high incidence of suspicion is needed in dealing with these injuries effectively. In our article we discuss the common as well as uncommon causes of bite injuries to the hand and their management. In addition to reviewing the literature to ascertain the management of such injuries, we also discuss interesting and rare case reports.

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“…Nakagawa et al also reported good or excellent results in 7 out of 8 knees using bioabsorbable pins [27]. Despite reports of good clinical results using bioabsorbable screws there have been reports of inflammatory reactions, backing out and breakage of such implants [28]. …”

Section: Discussionmentioning

confidence: 99%

Knee Osteochondritis Dissecans Treated by the AO Hook Fixation System: A Four Year Follow-Up of an Alternative Technique

Pengas

Assiotis

Kokkinakis

et al. 2014

TOORTHJ

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Surgical fixation is recommended for stable osteochondritis dissecans (OCD) lesions that have failed nonoperative management and for all unstable lesions. In this study we set out to describe and evaluate an alternative method of surgical fixation for such lesions. Five knees with unstable OCD lesions in four male adolescent patients with open physes were treated with the AO Hook Fixation System. The outcome was evaluated both clinically and with three separate outcome systems (IKDC 2000, KOOS, Lysholm) at one and a mean four year follow-up. We demonstrated excellent clinical results in all patients. At four years, all scoring systems demonstrated statistically significant improvement when compared to the preoperative status. Our study suggests that the AO Hook Fixation System is an alternative method of surgical intervention with comparable medium term results with other existing modes of fixation and the added biomechanical advantage of the absence of distracting forces during hardware removal.

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L’amputation des doigts par morsure de serpent : à propos de trois cas

Cited by 5 publications

References 7 publications

A Survey of Snakebite Knowledge among Field Forces in China

A Survey of Snakebite Knowledge among Field Forces in China

Bite Injuries to the Hand - Review of the Literature

Knee Osteochondritis Dissecans Treated by the AO Hook Fixation System: A Four Year Follow-Up of an Alternative Technique

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