Kerala state of India is producing large quantities of natural rubber and crump rubber industries and foam making industries are very common. Similarly wood industries and brick makingmachineries are commonly used in Kerala. These are producing large number of hand injuries to such an extend that may times it is impossible for complete recovery. This is a major issue in common man’s life and this article tries to study the matter and suggest for a protocolbased management of major hand injuries in view of the manual laborers. We have studied 232 cases of various grades of injuries during 3 yr. period and analyzed the various aspects of treatment and suggest the protocol. The cases other than the industrial injuries are also included in study for comparison.

Keywords: Crush Injury Hand; Rubber Industries; Planner Machine; Flaps; Amputations; Reconstruction.