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Meat grinder hand injury; case report
Hassan Salad Ibrahim1, Engin Ilker1, Huseiyn Taskoparan1
1Mogadishu Somali Turkish Research and Training Hospital, Mogadishu, Somalia.
International Journal of Surgery Case Reports
|January 25, 2022
Summary
Meat grinder hand injuries are complex, but prompt, careful extraction using a circular saw can prevent further damage. This case highlights successful surgical reconstruction in an underdeveloped country.
Area of Science:
- Trauma surgery
- Hand surgery
- Microsurgery
Background:
- Meat grinder hand injuries present a spectrum of complex challenges.
- Management requires expertise in wound care, fracture fixation, and soft-tissue reconstruction.
Purpose of the Study:
- To report the first documented case of a meat grinder hand injury managed by a practicing surgeon in Somalia.
- To demonstrate successful surgical outcomes in resource-limited settings.
Main Methods:
- A 2-year-old boy sustained severe crush injuries to the middle and ring fingers.
- Surgical reconstruction of all affected digits was performed under general anesthesia.
- Safe extraction of the hand using a metal cutting circular saw was prioritized.
Main Results:
- The patient underwent successful surgical reconstruction of the crushed digits.
- The chosen extraction method prevented secondary damage and facilitated timely treatment.
- A positive outcome was achieved despite the challenging environment.
Conclusions:
- Careful and timely extraction of the hand is critical for optimal outcomes in meat grinder injuries.
- Microsurgical techniques and appropriate wound management are essential.
- Successful surgical management is achievable even in underdeveloped regions with limited resources.

