Machete Injuries in Haiti

Wiedeman, James E.; Zierold, Dustin; Klink, Brian

doi:10.1093/milmed/166.11.1023

Cited by 10 publications

(9 citation statements)

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“…Of these, 126 were selected for review of the full text after primary screening, and 67 were judged to meet the criteria for inclusion in the present study[78910111213141516171819202122232425262728293031323334353637383940414243444546474849505152535455565758596061626364656667686970717273]. …”

Section: Resultsmentioning

confidence: 99%

Factors predicting sensory and motor recovery after the repair of upper limb peripheral nerve injuries

Zhu

et al. 2014

Neural Regen Res

114

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OBJECTIVE:To investigate the factors associated with sensory and motor recovery after the repair of upper limb peripheral nerve injuries.DATA SOURCES:The online PubMed database was searched for English articles describing outcomes after the repair of median, ulnar, radial, and digital nerve injuries in humans with a publication date between 1 January 1990 and 16 February 2011.STUDY SELECTION:The following types of article were selected: (1) clinical trials describing the repair of median, ulnar, radial, and digital nerve injuries published in English; and (2) studies that reported sufficient patient information, including age, mechanism of injury, nerve injured, injury location, defect length, repair time, repair method, and repair materials. SPSS 13.0 software was used to perform univariate and multivariate logistic regression analyses and to investigate the patient and intervention factors associated with outcomes.MAIN OUTCOME MEASURES:Sensory function was assessed using the Mackinnon-Dellon scale and motor function was assessed using the manual muscle test. Satisfactory motor recovery was defined as grade M4 or M5, and satisfactory sensory recovery was defined as grade S3+ or S4.RESULTS:Seventy-one articles were included in this study. Univariate and multivariate logistic regression analyses showed that repair time, repair materials, and nerve injured were independent predictors of outcome after the repair of nerve injuries (P < 0.05), and that the nerve injured was the main factor affecting the rate of good to excellent recovery.CONCLUSION:Predictors of outcome after the repair of peripheral nerve injuries include age, gender, repair time, repair materials, nerve injured, defect length, and duration of follow-up.

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Section: Resultsmentioning

confidence: 99%

Factors predicting sensory and motor recovery after the repair of upper limb peripheral nerve injuries

Zhu

et al. 2014

Neural Regen Res

114

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“…The early presentation witnessed here may have occurred due to the emergency nature of the cases and pressure from police personnel on the victims to get medical treatment and report. Wiedeman et al [5] reported that over 60% of their cases presented after 24 h of injury.…”

Section: Discussionmentioning

confidence: 99%

“…Our patients were aged between 21 and 30 years with a mean age of 24.8 years, this is similar to findings from other studies. [4,5] This implies that the productive age-group is mainly involved and thus may result in far reaching negative impact on the socio-economic growth of the nation. The two university students that are presented in this report could have been victims of secret cult groups' rivalry, which are common on University campuses.…”

Section: Discussionmentioning

confidence: 99%

Machete-cut injuries are occurring in the maxillofacial region in Zaria, Nigeria

2015

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Five cases of machete cut injuries to the maxillofacial region seen over a period of 8 months (January-September, 2012), at the Maxillofacial Unit of Ahmadu Bello University Teaching Hospital, Zaria, Nigeria, are presented. The severity of the injuries is evident from the extent of tissue disruption as shown in the pictures. The immediate threats to life in the cases were hemorrhage and airway obstruction. Surgical repairs were performed under local anesthetic infiltration in three cases while the rest were performed under general anesthesia. There was no nerve repair done due to lack of facilities, although, adequate apposition of soft and hard tissues were achieved. Four patients had rapid postoperative recovery in our facility while one absconded after wound debridement and repair was achieved. Two patients who had nerve injuries were followed-up to monitor recovery of the injured nerves. There was no tetanus, gangrene, pseudoaneurysm or death recorded in our cases. There is a need for relevant authorities to check the occurrence of this kind of injury, especially as the weapon used is a house-hold tool, which is readily available and accessible to all and sundry.

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“…Machete-related wounds are a leading cause of morbidity in developing nations. [1][2][3][4] Historically, these injuries have been underreported. 2,3 However, they are associated with significant physical, interpersonal, economic, and societal costs.…”

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confidence: 99%

“…6 Existing literature is mainly comprised of case reports and small-center studies. [1][2][3][4][7][8][9] There is only one study detailing the management of machete injuries at a level-one trauma center in the United States. This study by Donnally et al described the management of machete injuries in 48 patients during an 8-year time period.…”

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confidence: 99%

Beyond the Tip of the Blade: An Investigation of Upper Extremity Machete Injuries in Honduras

Johnson

Laínez

Santos

et al. 2020

J Reconstr Microsurg

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Background Machete injuries constitute a major cause of morbidity in Honduras. In this study, we aimed to determine the incidence, initial management, surgical treatment, and follow-up patterns for machete injuries at the national public hospital in Honduras. Microsurgery in Honduras is currently in transition with limitations at multiple levels. This study aims to provide critical information to better prepare visiting surgeons and establishes a blueprint to improve microsurgical reconstruction. Methods A retrospective chart review was performed to identify patients with machete injuries to the upper extremity (UE) who presented to the Hospital Escuela Universitario (HEU) for treatment from 2015 to 2017. Additional microsurgical data was obtained by personal communication with members of the plastic surgery department at the HEU. Results Complete data was retrieved for 100 patients who presented to the HEU with a UE machete wound. The cohort was male dominated (93%), employed as farmers (47%), and had a mean age of 32.1 years. Violence was the most common mechanism of injury (p < 0.001). The majority of UE machete injuries involved tendon (70%), nerve (28%), and an open fracture (55%). Of the 76% of patients who were scheduled for a follow-up visit, only 25% attended. Within the last calendar year, one replantation, 10 revascularizations at the wrist and forearm level, three microvascular free tissue transfers, and 175 nerve repairs were performed. Conclusion Management of UE machete injuries in Honduras is challenging and requires early recognition of possible injuries to multiple anatomical systems. The majority of injuries required operative intervention. Only a small percentage of patients presented for follow up. A program to streamline care starting at injury recognition up to final follow-up is currently unavailable and needs to be developed to optimize microsurgical care.

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Machete Injuries in Haiti

Cited by 10 publications

References 0 publications

Factors predicting sensory and motor recovery after the repair of upper limb peripheral nerve injuries

Factors predicting sensory and motor recovery after the repair of upper limb peripheral nerve injuries

Machete-cut injuries are occurring in the maxillofacial region in Zaria, Nigeria

Beyond the Tip of the Blade: An Investigation of Upper Extremity Machete Injuries in Honduras

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