FUNCTIONAL OUTCOME IN A CASE OF CIRCULAR SAW HAND TRAUMA

C.A. Vișan1, Laura Răducu1,2, Cristina Costache1, I.R. Toader 1, C.D. Sandu 1

1The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
2Plastics and Reconstructive Microsurgery Department, “Prof. Dr. AgripaIonescu” Emergency Clinical Hospital, Bucharest, Romania


Corresponding author: CiprianAlexandruVișan
Phone no. 0040 726384777
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Abstract

Hand injuries are considered to be the most frequent body injuries. The hand is a complex and dynamic collection of different tissues, and, consequently, patients with hand trauma present with a wide variety of conditions, with different outcomes and therefore, proper assessment and management of the injuries is essential.We present a case of a 54 year old male, right-hand-dominant patient, admitted for a circular saw trauma of his left hand, which he had sustained 72 hours prior. He reported that immediately after the trauma, he had presented to a local emergency department where amputation of the hand had been proposed as the only possible treatment. He presented to our hospital 3 days later.His medical history was significant for urothelial carcinoma, currently under chemotherapeutic treatment with doxorubicin. He denied allergic reactions or anticoagulant medication. Upon presentation, he had smoked one pack of cigarettes a day for the past 30 years.

Keywords: hand, circular saw hand trauma, complex injury, nerve repair, tendon repair, distant flap, soft tissue reconstruction

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