Clinical Challenge: Surgical Procedure After an Accidental Hand Amputation

Slideshow

  • X-rays show the amputated appendage after arrival in the trauma bay

    Figure 1

    X-rays show the amputated appendage after arrival in the trauma bay

  • Truncated forearm of the patient

    Figure 2

    Truncated forearm of the patient

  • Five-month follow-up shows arm extension after repair (Figure 5) and a subsequent x-ray (Figure 6).

    Figures 5 & 6

    Five-month follow-up shows arm extension after repair (Figure 5) and a subsequent x-ray (Figure 6).

  • Posteoperative x-ray showing the radius and ulna stabilized with plate and screw fixation

    Figures 3 & 4

    Posteoperative x-ray showing the radius and ulna stabilized with plate and screw fixation

  • Clinic visit seven months postoperatively shows hand flexion (Figure 7) and follow up x-ray (Figure 8).

    Figures 7 & 8

    Clinic visit seven months postoperatively shows hand flexion (Figure 7) and follow up x-ray (Figure 8).

A woman is rushed to the ­emergency department after severing her hand in a woodworking accident at home. Click here to read the full Clinical Challenge by Pamela Horn, MS, CNP, ONP-C, and Lawrence Lubbers, MD.