Citation

Kolima AKE, Kanfitine KN, Damessane L, Fare GP, Dolès SH, Yaovi AM, Sarakawabalo A, Komi A, Anani A. Pan. Afr. Med. J. 2018; 30: e295.

Vernacular Title

Prise en charge des lésions traumatiques de membres au cours des missions de pacification au Nord du Mali.

Affiliation

Service de Chirurgie d'Orthopédie et Traumatologie du Centre Hospitalo-Universitaire Sylvanus Olympio, Lomé, Togo.

Copyright

(Copyright © 2018, African Field Epidemiology Network)

DOI

10.11604/pamj.2018.30.295.16648

PMID

30637079

PMCID

PMC6320446

Abstract

In February 2016, the camp of the United Nations Multidimensional Integrated Stabilization Mission in Mali (MINUSMA), in Kidal, was attacked and many people were wounded and killed. This study aims to determine the nature of extremity traumas and to describe their treatment. We conducted a descriptive cross-sectional study of extremity traumas in the victims of the attack on the camp of MINIUSMA in Kidal. The parameters studied were age, sex, admission delay, seat of the lesions and type of emergency surgical treatment performed. The study involved 60 wounded patients: 57(95%) men and 3(5%) women. The average age of patients was 28.9 years; 127 lesions were identified, of which 109 (85.8%) on the limbs. Clinical and radiological examinations revealed 32 (29.3%) musculocutaneous disruptions, 11 (10.1%) open fractures, 15 (13.7%) burns, 8 (7.3%) vascular and nervous injuries and 7 sprains. Severely wounded patients underwent resuscitation upon admission. Four of them underwent emergency surgery. The remaining wounded patients underwent surgery after restoration of hemodynamic stability with resuscitation. Six patients (10%) were transferred to a Level 3 Hospital for further treatment. Four wounded patients (6.7%) died. Extremity traumas are frequent but not life-threatening when isolated. They have a higher risk of infection and gangrene which can result in amputation.

Language: fr

Keywords

Mali; Treatment; lesions; limbs