@article{ref1,
title="Analysis of machete cut fractures in Nigerian civilian trauma setting",
journal="Scientific reports",
year="2021",
author="Lasebikan, Omolade Ayoola and Omoke, Njoku Isaac and Nwigwe, Gregory Chinedu and Nnadozie, Ugochukwu Uzodimma and Ahaotu, Francis Ndubuisi",
volume="11",
number="1",
pages="e76-e76",
abstract="Machete cut fracture is an important component of morbidity associated with machete injuries although it is under reported. This was a retrospective study to assess  machete cut fractures in patients seen in Federal Teaching Hospital Abakaliki and  National Orthopaedic Hospital Enugu from 2009 to 2018. There were 91 patients with  154 fractures, male- to- female ratio was 10:1 and mean age was 31.6 ± 14.6 years. The aetiological factors were assault (57, 62.6%), armed robbery (29, 31.9%) and  accidental injury (5, 5.5%). The three top bones involved were ulna, metacarpal and  finger-phalanx. Fracture was communited in (17, 11.0%), and Gustilo Anderson grade  IIIC in (22, 14.3%). Injury to hospital arrival interval later than 6 h was common  and correlated with prolonged length of hospital stay (p < 0.001). Anaemia, wound  infection and hemorrhagic shock were the three top complications. Nine (5.8%)  fractures ended in extremity amputation. Eleven (12.1%) patients left against  medical advice, and 5 (5.5%) were transferred. Normal union in 98.3% of the  fractures treated and followed up for a minimum of one year. Case fatality rate was  2.2%; none of the patient that died had pre hospital care, and hemorrhagic shock  accounted for all the mortality. These call for appropriate injury preventive  mechanisms, and improved rates of early presentation of patients to hospital, and  pre hospital care.<p /> <p>Language: en</p>",
language="en",
issn="2045-2322",
doi="10.1038/s41598-020-79981-w",
url="http://dx.doi.org/10.1038/s41598-020-79981-w"
}