title: [Severe mutilations of the hand. Preliminary evaluation of a study of 24 cases in an African milieu].
abstract: Mutilations of the hand are very frequent in Africa. More than any other disease, they destroy the hopes for a normal active life. The authors report the preliminary results of a study of 28 severe mutilations occurring between September 1983 and December 1985. The principal cause was traumatic, dominated by work accidents and household accidents. In the majority of cases, the anatomical defect was severe, but not always proportional to the functional and psycho-social repercussions. The inadequacies of the final result do not always depend on the simple and effective techniques used, but rather on a lack of appropriate rehabilitation and ignorance of the patient's needs, which include aesthetic aspects.
authors.affiliation: Service d'Orthopédie-Traumatologie, CHU Le Dantec, Dakar, Sénégal.
authors.forename: S I
authors.initials: SI
authors.lastname: Seye
authors.forename: N
authors.initials: N
authors.lastname: Bassene
authors.forename: E S
authors.initials: ES
authors.lastname: Camara
authors.forename: I
authors.initials: I
authors.lastname: Pouye
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery; D005260:Female; D006230:Hand Injuries / Q000523:psychology / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008297:Male; D012675:Senegal
vernacular_title: Mutilations graves de la main. Bilan préliminaire d'une étude de vingt-huit cas en milieu africain.