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Related Experiment Video

Updated: Aug 15, 2025

Block Building Task Identifies Distinct Groups of Left/Right-hand Choice Patterns After Unilateral Peripheral Nerve Injury
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Mangled right hand: A case report.

P Gautam1, S Gyawali1, P Mainali2

  • 1Department of General Surgery, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.

International Journal of Surgery Case Reports
|December 28, 2022
PubMed
Summary
This summary is machine-generated.

Salvaging a mangled hand requires prompt vascular restoration and a multidisciplinary approach. Reconstruction is preferred over amputation to restore function in complex upper extremity injuries.

Keywords:
Mangled handReconstructionVascular graft

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Hand Surgery

Background:

  • Mangled hand injuries are complex, uncommon upper extremity trauma.
  • They involve bone, soft tissue, and neurovascular structures, risking function and viability.
  • High-energy equipment often causes these severe injuries.

Observation:

  • A 32-year-old female sustained a crush injury from a grass-cutting machine.
  • The injury resulted in devascularization of the right hand, with radial and ulnar artery damage.
  • Multiple lacerations, distal radius/ulna fractures, and metacarpal/phalangeal fractures were present.

Findings:

  • Initial management included ulnar artery revascularization with a vein graft and joint stabilization.
  • The case highlights the critical need for early vascular restoration in mangled hand salvage.
  • A staged reconstructive approach was planned post-initial intervention.

Implications:

  • Early evaluation for limb salvage versus amputation is crucial.
  • Restoring vascularity promptly is key to successful mangled hand treatment.
  • Multidisciplinary teams and reconstructive surgery are vital for optimal outcomes, followed by physiotherapy.