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Machete injuries in Haiti
J E Wiedeman1, D Zierold, B K Klink
1Department of General and Plastic Surgery, David Grant U.S. Air Force Medical Center, Travis Air Force Base, CA 94535, USA.
Abstract:
Machete-related wounds are a source of appreciable morbidity in many developing nations. We describe a case of radial nerve injury resulting from a machete attack in Haiti. Twenty-two additional cases of machete-related wounds treated during a 3-month humanitarian mission to Haiti are reported. Sixty-five percent were accidental in nature, occurring from a variety of routine activities, whereas the remainder were secondary to assaults. The upper extremity was injured in 85% of the cases, often resulting in complicated wounds with nerve, tendon, and joint injuries. A treatment protocol for peripheral nerve injuries incurred in austere conditions is presented.
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