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Area of Science:

  • Orthopedics
  • Trauma Surgery
  • Pediatric Surgery

Background:

  • A pediatric case of severe upper limb trauma following blunt injury and inappropriate traditional treatment.
  • Complications included progressive swelling, pain, and neurovascular compromise due to a tight bandage.
  • Delayed presentation and management challenges in a resource-limited setting.

Purpose of the Study:

  • To report a case of severe limb compromise secondary to traditional bandage application.
  • To describe the surgical management and outcomes of a pediatric patient with traumatic upper limb injury.
  • To emphasize the potential iatrogenic complications of non-medical interventions.

Main Methods:

  • Initial management involved fasciotomy and debridement of necrotic tissues.
  • Multiple surgical debridement sessions were performed to manage dead muscles and soft tissues.
  • Subsequent reconstructive procedures included manipulation, adhesion release, and skin grafting.

Main Results:

  • The limb was salvaged, with retained aesthetic appearance and partial sensory recovery.
  • The patient developed a fixed flexor contracture of the elbow and wrist.
  • Irreversible loss of motor function in the forearm and hand was noted despite limb salvage.

Conclusions:

  • Improper application of tight bandages can lead to devastating limb-threatening complications.
  • Early recognition and appropriate surgical intervention are crucial in managing traumatic limb injuries.
  • Limb salvage may be achievable, but functional recovery can be permanently impaired.