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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.

Military Medicine

|December 1, 2001

Summary

Machete wounds cause significant injury, especially to the upper extremity, in developing nations. This study presents a case and protocol for treating peripheral nerve injuries in austere environments.

Area of Science:

Traumatology
Neurosurgery
Global Health

Background:

Machete-related injuries represent a significant cause of morbidity in developing countries.
These injuries often affect the upper extremity and can involve complex nerve, tendon, and joint damage.
Humanitarian missions frequently encounter such trauma in austere settings.

Purpose of the Study:

To report a case of radial nerve injury from a machete attack in Haiti.
To describe the characteristics of machete-related wounds treated during a humanitarian mission.
To present a treatment protocol for peripheral nerve injuries in resource-limited conditions.

Main Methods:

Case report of a radial nerve injury.
Retrospective review of 22 additional machete-related wound cases.

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Analysis of injury mechanisms, affected extremities, and injury types.

Development of a treatment protocol for peripheral nerve injuries.

Main Results:

The majority of injuries (65%) were accidental, while the remainder were assault-related.
The upper extremity was the most commonly injured site (85% of cases).
Injuries frequently involved nerves, tendons, and joints, leading to complex wound presentations.

Conclusions:

Machete injuries are a substantial problem, particularly in developing nations.
A systematic approach and treatment protocol are essential for managing peripheral nerve injuries in austere environments.
Effective management requires addressing nerve, tendon, and joint involvement in complex extremity wounds.