1. bookVolume 4 (2021): Issue 2 (December 2021)
Journal Details
License
Format
Journal
eISSN
2544-8978
First Published
30 May 2018
Publication timeframe
1 time per year
Languages
English
access type Open Access

Complex table saw hand injury-case report

Published Online: 14 May 2022
Volume & Issue: Volume 4 (2021) - Issue 2 (December 2021)
Page range: 54 - 58
Accepted: 23 Feb 2022
Journal Details
License
Format
Journal
eISSN
2544-8978
First Published
30 May 2018
Publication timeframe
1 time per year
Languages
English
Abstract

Currently, Romania lacks a tradition of trade schools. This is due to the lack of awareness on the importance of this educational structure. Such multiple trades have been learned by simple observation from one individual to another. The importance of security measures has been taken for granted if not ignored. The number of traumas produced in wood processing has decreased rapidly due to the appearance of wood processing robots, the human factor being reduced only to their programming. The cases that arrive in the emergency departments are in a major percentage from the rural area, where the wood processing is done in the household without an adequate training and without going through a learning process. Hand injuries represent a great part of the Emergency Department presentations, and because of their fundamental functional use in daily life, repair of such lesions should be done with utmost care. Wounds of the hand typically have different degrees of severity depending on the mechanism of injury. Hand trauma probably represents the most frequent pathology of a plastic surgery ER and it should be handled with utmost care because of the fundamental function in the daily routine. The present article presents the therapeutic conduct of a complex case, multiple wounds with bone exposure, digital nerve sectioning and destruction of the flexor system of several fingers.

Keywords

1. Ortiz R, Ozkan S, Chen NC, Eberlin KR. Firework Injuries of the Hand: An Analysis of Treatment and Health Care Utilization. Hand (N Y). 2020; 15(6):831-836. doi: 10.1177/1558944719829905.10.1177/1558944719829905 Search in Google Scholar

2. Chung KC, Shauver MJ. Table saw injuries: epidemiology and a proposal for preventive measures. Plast Reconstr Surg. 2013; 132(5):777e-783e. doi: 10.1097/PRS.0b013e3182a3bfb1.10.1097/PRS.0b013e3182a3bfb1 Search in Google Scholar

3. del Piñal F. Severe mutilating injuries to the hand: guidelines for organizing the chaos. J Plast Reconstr Aesthet Surg. 2007; 60(7):816-827. doi: 10.1016/j.bjps.2007.02.019.10.1016/j.bjps.2007.02.019 Search in Google Scholar

4. Sandvall BK, Keys KA, Friedrich JB. Severe Hand Injuries From Fireworks: Injury Patterns, Outcomes, and Fireworks Types. J Hand Surg Am. 2017; 42(5):385.e1-385.e8. doi: 10.1016/j.jhsa.2017.01.028.10.1016/j.jhsa.2017.01.028 Search in Google Scholar

5. Goodman AD, Got CJ, Weiss AC. Crush Injuries of the Hand. J Hand Surg Am. 2017; 42(6):456-463. doi: 10.1016/j.jhsa.2017.03.028.10.1016/j.jhsa.2017.03.028 Search in Google Scholar

6. Unglaub F, Langer MF, Unglaub JM et al. Defektdeck ung an den Fingern und am Daumen: Indikation und Therapie [Defect coverage of fingers and thumb: Indications and treatment]. Unfallchirurg. 2018; 121(4):321-334. doi: 10.1007/s00113-018-0469-8.10.1007/s00113-018-0469-8 Search in Google Scholar

7. Losco L, Kaciulyte J, Delia G et al. Back to basics with distal thumb reconstruction. Easy management of the incomplete amputation. J Invest Surg. 2021; 34(6):595-600. doi: 10.1080/08941939.2019.1672840.10.1080/08941939.2019.1672840 Search in Google Scholar

8. Giessler GA, Schmidt AB. Thumb salvage with skin grafted medial femoral corticoperiosteal free flap. J Plast Reconstr Aesthet Surg. 2011; 64(12):1693-1696. doi: 10.1016/j.bjps.2011.04.041.10.1016/j.bjps.2011.04.041 Search in Google Scholar

9. Brunelli GA, Brunelli GR. Reconstruction of traumatic absence of the thumb in the adult by pollicization. Hand Clin. 1992; 8(1):41-55.10.1016/S0749-0712(21)00691-0 Search in Google Scholar

10. Bravo CJ, Horton T, Moran SL, Shin AY. Traumatized index finger pollicization for thumb reconstruction. J Hand Surg Am. 2008; 33(2):257-262. doi: 10.1016/j.jhsa.2007.11.008.10.1016/j.jhsa.2007.11.00818294551 Search in Google Scholar

11. Wegerif G, Barlas V, Ali B, Borah G. Pollicization of Long Finger After Traumatic Amputation of Thumb and Index Finger. Cureus. 2020; 12(10):e10760. doi: 10.7759/cureus.10760.10.7759/cureus.10760753286133033666 Search in Google Scholar

12. Onyekwelu I, Yakkanti R, Protzer L, Pinkston CM, Tucker C, Seligson D. Surgical Wound Classification and Surgical Site Infections in the Orthopaedic Patient. J Am Acad Orthop Surg Glob Res Rev. 2017; 1(3):e022. doi: 10.5435/JAAOSGlobal-D-17-00022.10.5435/JAAOSGlobal-D-17-00022613229630211353 Search in Google Scholar

13. Ennaciri B, Mahfoud M, El Bardouni A, Berrada MS. Exceptional laceration of flexor digitorum tendons proximal to a severe palmar hand wound: a case report with literature review. Pan Afr Med J. 2015; 22:266. doi: 10.11604/pamj.2015.22.266.7495.10.11604/pamj.2015.22.266.7495476533426958129 Search in Google Scholar

14. Amirtharajah M, Lattanza L. Open extensor tendon injuries. J Hand Surg Am. 2015; 40(2):391-398. doi: 10.1016/j.jhsa.2014.06.136.10.1016/j.jhsa.2014.06.13625557773 Search in Google Scholar

15. Couceiro J, de Prado M, Menendez G, Manteiga Z. The First Dorsal Metacarpal Artery Flap Family: A Review. Surg J (N Y). 2018; 4(4):e215-e219. doi: 10.1055/s-0038-1675369.10.1055/s-0038-1675369620585630377656 Search in Google Scholar

Recommended articles from Trend MD

Plan your remote conference with Sciendo