Complex Reconstruction of a Mangled Forearm Following Washing Machine Trauma

Area of Science:

• Trauma surgery
• Orthopedic surgery
• Reconstructive surgery

Background:

• Automatic washing machine injuries are typically minor in children.
• Adult injuries, though rare, can be severe and limb-threatening.

Observation:

• A case of a severe upper extremity injury in an adult patient with schizophrenia.
• The injury occurred when the patient placed her arm into a running washing machine.

Findings:

• The patient sustained radial, ulnar, and metacarpal fractures.
• Transected tendons and vasculature required complex reconstruction and repair.
• The patient achieved an excellent functional outcome with minor motion restrictions and full sensation recovery.

Implications:

• Highlights the potential for severe trauma from household appliances in adults.
• Demonstrates successful complex surgical management and reconstruction for severe extremity injuries.
• Emphasizes the importance of considering psychological factors in trauma cases.