PMC5811296_01
Intraoperative showing the stump part and amputation part.
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PMC5811296_01_gox-6-e1637-g001.jpg
F1
On examination, the amputated part appeared pale, with multiple-level fractures, the tendons avulse from common flexor and extensor origin, and the vessels and nerves suffered at the level of mid-forearm (Fig. 1). The stump was seemed to be physiological degloving injury, contusion wound with skin loss over cubital fossa, contaminated with oil and dust of the machine (Fig. 1).
Preoperative plain x-ray showing the amputated hand and stump with multiple-level fractures.
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PMC5811296_01_gox-6-e1637-g002.jpg
F2
Preoperative laboratory studies including a complete blood count, cross matching, complete metabolic panel, coagulation profile, and an x-ray of the right hand were ordered (Fig. 2).
Postoperative plain x-ray showing the fixation with maintained alignment of the wrist joint.
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F3
Next, trans-carpal fixation with a total of six 2.0 K-wires was performed (Fig. 3).
Postoperative 3 months later after removal of K-wires at the clinic.
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PMC5811296_01_gox-6-e1637-g004.jpg
F4
The K-wires were removed 2 months later (Fig. 4).