Major Hand Cut Injury- Nerve, Artery, Tendon Repair

 

 Hand-Cut Injury and Tendon, Nerve, Artery Injury

Hand-cut injury or sharp hand laceration injury is very common in this era of machine. It present with injury at a different part of the hand and forearm. Plastic surgery plays a very important role in saving such type of hand after injury.

 

Case with a major hand injury

This patient a young man working in a factory got injury in his left hand when his left hand came in contact with the sharp blade of the machine.

 

After the injury, he had a sharp wound ion his left palm it was a deep wound. the patient was having heavy bleeding from the wound. 

 

Initially, he was taken to a nursing home where he was treated by a surgeon. Stitches were applied and the wound was repaired.

 

After the primary patient was not able to bend his ring and little finger. he was also having loss of sensation in the fingers 

 

He was brought to our Fortis Escort Hospital in Faridabad. His clinical examination revealed that the patient is having tendon and nerve injury. He was planned for surgery to repair the damaged structure of the hand.

 

Hand-Cut Wound Plastic Surgery

 

After Investigation and evaluation patient was prepared for surgery. His wound was explored and all damaged structures were identified. In his hand, Nerves which take sensation from finger to brain was found damaged. The arteries which carry blood from the heart to the finger were also severed. The tendons that are responsible for the movement of fingers at the finger joint were also found cut 

 

Plastic surgeon Dr. S.K.Chawla repaired all the damaged structures. Nerve artery and tendons were repaired. The skin wound was also closed. The plaster slab was applied to prevent the injury of repaired structures of the hand.

 

 

 

 

Hand Cut Injury Before After Plastic Surgery

 

Recovery After Hand Plastic Injury 

 

After 2 weeks, all the stitches were removed. After 3 weeks all dressing and splints were removed.

The plastic surgeon advised physiotherapy of fingers and hand after 3 weeks.  After 6-8 weeks of physiotherapy, the patient was able to move fingers.

 

Role of Plastic Surgeon in Hand Surgery 

A plastic surgeon does the reconstruction of all damaged structures. He is trained in managing soft tissue. He can manage and reconstruct structure at the microscopic level. 

Cut Injury Of Hand By Broken Glass

Broken Glass and Hand Injury

Cut injuries of hand by broken glass are very common these days. It can be a small puncture injury or very severe injury of forearm ( below elbow) or in hand. 

Symptom and Sign of Glass injury

If anybody gets glass injury in forearm there will be-

Wound or cut in skin

Wound of variable size at the site of injury. It may be small puncture wound or large cut injury.

Severe bleeding

Patient may or may not have severe bleeding from wound of arm and hand. It depends upon the injury of artery or vein or both.

Inability to move fingers and thumb

This happens due to muscle and tendon injury . These tendons and muscles are responsible for the movement of fingers and thumb. most of the time they are completely divided . Whenever there is tendon  injury one can not move fingers . 

Loss of sensation in hand and fingers 

There are three nerves which are responsible for the sensation or sensory activity in the hand . These nerves pass from forearm to hand through wrist. Glass may cut these nerves at the site of injury. Whenever there is nerve injury person will have no sensation in fingers and hand. 

What Should You Do After The Glass Injury

Most important is to stop bleeding. Immediately one should take a clean cloth and press the area of bleeding to stop blood .You should immediately run to a good hospital where facility of plastic surgery or hand surgery is available. Plastic surgeon or a trained hand surgeon is the ideal one to manage such kind of severe glass cut injury.

It is very Important to explore the cut wound under general anaesthesia. Your hand surgeon will identify  the structures which are damaged by penetrating glass.