title: Mutilated Hand due to Sugarcane Machine - Challenge to an Orthopaedician (Case series of three patients).
abstract: BACKGROUND
  Volumes have been written and practiced in relation to the crush injuries involving hands, over the decades. Mutilated hand and its treatment demands a thorough knowledge of rehabilitative techniques, and an in depth knowledge about the anatomy of hand, in order to achieve successful outcomes in its treatment.
  
  
  METHODS
  We present three cases of mutilated hand due to being crushed in a sugarcane machine. All three patients were males, with the age of 14yrs, 30yrs and 34yrs respectively.
  
  
  CONCLUSIONS
  Mutilated hand injuries must be treated aggressively and efficiently which is essential to achieve good functional results. Any delay in effective management may lead to stiffness and very poor functional results.
authors.affiliation: Department of Orthopaedics, Maulana Azad Medical College, New Delhi, India.
authors.forename: Avijit
authors.initials: A
authors.lastname: Mahajan
authors.affiliation: Department of Orthopaedics, Sri Guru Ram Rai Institute of Medical and Health Science, Dehradun, Uttarakhand, India - 248001.
authors.forename: Ravinder Kumar
authors.initials: RK
authors.lastname: Khajuria
keywords: Mutilated Hand; Sugar Cane Machine; Workers