[Hand injury caused by a funnel-producing machine]

Area of Science:

• Hand surgery
• Reconstructive surgery
• Trauma management

Background:

• Severe hand injuries pose significant reconstructive challenges.
• Mechanical and thermal trauma can lead to extensive tissue damage and necrosis.
• Limited reconstructive options may arise from local factors and complications.

Observation:

• A case of severe hand injury between the 2nd and 3rd metacarpals caused by funnel-producing equipment.
• High-pressure, penetrating mechanical and thermal injury resulted in secondary necrosis.
• Allergic complications and local conditions restricted treatment possibilities.

Findings:

• Successful soft tissue coverage was achieved through flap transfer from the index and 3rd fingers.
• Supplementary plastic surgery using split-thickness skin grafts was employed.
• The reconstruction resulted in a functionally perfect and aesthetically adequate outcome.

Implications:

• Demonstrates the efficacy of combined flap transfer and skin grafting for severe hand injuries.
• Highlights the importance of tailored reconstructive strategies in complex trauma cases.
• Offers a viable solution for challenging hand reconstructions with limited options.