Background: Chaff cutter is a device used in farms to cut maize stalks into small pieces and feed to livestock. There has been increase in number of cases of upper limb injuries due to use of the device in Kenya. However, there is little published or documented research in this area, hence the need for the study. Objective: To discuss the management of patients with upper limb chaff cutter injuries at Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. Methods: A prospective study conducted at MTRH, involving census of 44 patients being managed for upper limb injuries caused by chaff cutters, after satisfying inclusion criteria (all ages and gender, specifically injured by the device, and consented to participate). Structured questionnaires were used for data collection on sociodemographic factors, clinical characteristics and treatment modalities, while validated Quick Disabilities of the Arm, Shoulder and Hand (QDASH) questionnaires were used for data collection on the assessed patient reported short- term outcome measures during the follow up at 2, 6 and 12 weeks. Data was analyzed for variables listed in both the Structured and the QDASH questionnaires using SPSS version 21. Kruskal Wallis test was used to assess QDASH scores. Results: Chaff cutter injuries patients were 44 out of 214 who had upper limbs injured due to other causes, giving a burden of 20.56% of all in-patient upper limb injuries. Mean age was 29.42 (SD: 9.27) years. Males were 42 while females were 2. Full- time farmers were 45.5%. Right upper limb injuries were 59.1% and no formal training had been done for 97.7%. There were a total of 102 different types of injuries with about two-thirds being traumatic amputation/disarticulation with 50% of the participants having injury up to the fingers level. Tetanus toxoid injection, analgesics and antibiotics were administered before surgery to all and 90.9% had formal amputation/disarticulation.