Democratic Republic of Congo
(DRC), a particular form of juvenile delinquency and insecurity intensifies in
the city of Kinshasa. This is the phenomenon Kuluna. It is organized gangs
equipped with machetes and other weapons.
The main objective of this study is
to know the phenomenon Kuluna and describe the upper limb injuries caused by
machetes, while insisting on the specifics of the management of these lesions
in our communities. This retrospective descriptive study examines 14 cases of
wounds of the hand and forearm due to stab phenomenon Kuluna, in Kinshasa. It
covers the period from 1 November 2010 to 1 November 2013.
Among the 14
patients with lesions in the hand and forearm admitted and treated at the Unit
of Plastic Reconstructive and Aesthetic Surgery, Hand Surgery and Burns,
University Clinics of Kinshasa to attacks due to the phenomenon Kuluna. We have
11 men and 3 women. The average age was 33, 5 years (extremes of 21 and 56
years). The right upper limb is reached that the left upper limb, respectively
12 patients and 2 patients. The lesions are localized to the wrist in the
majority of cases (10 patients) in the palm of hand and in 3 patients in the
fingers in 1 patient. The palmar surface is reached (10 cases) and the dorsal
(4 cases). Zone 5 of the International Classification of flexor and Zone 8
topographic classification extensors at hand are the predilection sites of
lesions respectively the palmar surface (6 out of 10) and the dorsal (2 case
4). The median nerve at the wrist is cut in half the cases. On bone lesions
localized to the forearm, we observed a high incidence of fracture of the ulna (62.5%).
The treatment begins with the stabilization of bone pieces, gestures
revascularization and nerve sutures and suture tendon and finally skin
coverage.
Rehabilitation was mandatory, she supervises the actions of repair
and it continues until the recovery of function.
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Rev Med Brux. 2015 Nov-Dec;36(6):468-74.
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