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Four years of orthopaedic activities in Chinese Role 2 Hospital of eastern Mali peacekeeping area
  1. Dawei Zhang,
  2. Z Li,
  3. X Cao and
  4. B Li
  1. Department of Orthopedics and Traumatology, Jinan Military General Hospital, Jinan, China
  1. Correspondence to Dr B Li, Department of Orthopedics and Traumatology, Jinan Military General Hospital, Jinan 250031, China; 95623869{at}


Introduction The Chinese Role 2 Hospital (CHN-Role 2H) Medical Treatment Facility (MTF) was founded in July 2013 as part of the Chinese commitment to Multidimensional Integrated Stabilization Mission in Mali (MINUSMA). It provides medical care for approximately 5200 personnel of the whole Sector East of MINUSMA including UN military personnel, UN police and UN civilian staff. The aim of this study was to determine the orthopaedic surgical activity over a 4-year period to facilitate the training of future Chinese military surgical teams.

Materials and methods Surgical records of all patients operated on at the CHN-Role 2H between 28 March 2014 to 28 March 2018 were identified, and all orthopaedic activity were analysed.

Results During this period, 1190 patients underwent 2024 surgical procedures. Orthopaedic procedures represented 961/2024 (47.5%) of all the procedures. Battle injury (BI) represented 43% of patients. Improvised explosive devices (IEDs) were responsible for 15.8 % casualties. Fractures (49%) and soft tissue injures (43%) were the most common injuries, with 61% of the fractures being open. Damage control surgery including debridement (23.52%) and external fixation (17.90%) were the most frequently performed interventions.

Conclusion Orthopaedic surgery is the most frequently performed surgery in the CHN-Role 2H in Mali. The complexity and severity of injuries demonstrate the urgent need for tailored training and extended skill sets for deploying military orthopaedic surgeons.

  • mali
  • trauma
  • peacekeeping
  • orthopedics surgery
  • training

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  • Contributors DZ contributed to the conception and draft/revise the manuscript. BL contributed significantly to analysis and revision of the manuscript. XC is responsible for collecting the data. ZL helped perform the analysis with constructive discussions.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.