Pattern, Etiology, and Outcomes of Isolated Blast Injuries to the Hand: a Malaysian Tertiary Center Experience

Wan Haiery Wan Nor; Mohd Naim Mohd Nasir; Syahril Rizal Arsad; Rashdeen Fazwi Muhammad N

doi:10.36948/ijfmr.2026.v08i03.78971

Pattern, Etiology, and Outcomes of Isolated Blast Injuries to the Hand: a Malaysian Tertiary Center Experience

Author(s)	Dr. Wan Haiery Wan Nor, Dr. Mohd Naim Mohd Nasir, Dr. Syahril Rizal Arsad, Dr. Rashdeen Fazwi Muhammad N
Country	Malaysia
Abstract	Background: Blast injuries to the hand can have devastating consequences due to the loss of critical hand functions. However, the epidemiology of such injuries remains poorly characterized in Malaysia. This study aimed to investigate the pattern, etiology, and outcomes of isolated blast hand injuries presenting to the Hand and Microsurgery Unit, Hospital Selayang. Materials and Methods: A single-center, retrospective, cross-sectional study was conducted including all patients with isolated blast injuries to the hand between January 2020 and December 2025. Demographic data, injury characteristics, surgical interventions, length of stay, and complications were analyzed using descriptive statistics. Results: Twenty-five patients were included, with a mean age of 24.8 ± 14.1 years. The majority were male (88%, n=22) and of Malay ethnicity (72%, n=18). Right-hand dominance was reported in 96% of patients. Misuse of the explosive device was the primary mechanism (64%, n=16). The most common injury types were abrasion (96%), amputation (52%), and fracture (48%). Fingers were the most frequently injured region (68%, n=17). Moderate injuries accounted for 60% of cases. Surgical management consisted of wound debridement alone (44%), refashioning (44%), K-wire fixation (8%), and joint disarticulation (4%). The mean length of hospital stay was 4.4 ± 3.3 days. Postoperative joint stiffness occurred in 12% of patients. Conclusion: Blast hand injuries in Malaysia predominantly affect young males, with finger involvement and amputation being common. Device misuse is the leading mechanism, highlighting the preventable nature of these injuries. Specialized hand surgery services and structured rehabilitation are essential for optimal outcomes.
Keywords	Blast injury, hand injury, Malaysia, amputation, hand trauma
Field	Biology > Medical / Physiology
Published In	Volume 8, Issue 3, May-June 2026
Published On	2026-05-19
DOI	https://doi.org/10.36948/ijfmr.2026.v08i03.78971

View / Download PDF File

E-ISSN 2582-2160

doi

CrossRef DOI is assigned to each research paper published in our journal.

IJFMR DOI prefix is
10.36948/ijfmr

Downloads

Research Paper Format Copyright Permission Form and Undertaking Form Cover Page Vol 8 Isu 3 Cover Page Vol 8 Isu 2 Cover Page Vol 8 Isu 2

All research papers published on this website are licensed under Creative Commons Attribution-ShareAlike 4.0 International License, and all rights belong to their respective authors/researchers.

CC-BY-SA

About IJFMR Fees & Payment Current Issue Publication Archive	Submit Research Paper Track Submission Status Publication Guidelines Publication Ethics Peer Review & Plagiarism	Join as a Reviewer Editors & Reviewers Reviewer Referral Program Get Reviewer Membership Certi.	Website/Journal Policies Usage Policy Content Policies Privacy Policy

Contact Us		+91-9687-828-838	editor@ijfmr.com

International Journal For Multidisciplinary Research

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Pattern, Etiology, and Outcomes of Isolated Blast Injuries to the Hand: a Malaysian Tertiary Center Experience

Share this