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An Egyptian farmer who had his leg amputated in an accident in Abu Dhabi said surgeons saved the use of his left hand after reattaching his severed finger hours after the accident.
Mohamed Mansour Mohamed, 30, who works on a farm in the UAE capital, was trying to close the bathroom window of a friend’s house when a glass plate fell on his hand, causing his left index finger to be pierced. cut off.
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Mohammed, who lived and worked in the UAE for two and a half years, could not bear the pain and collapsed on the spot. Mohammed’s friends found him unconscious, picked up his fingers and took his friend to a nearby private hospital. Mohammed remembers waking up in the hospital where he was told of the accident.
“Luckily, my friend’s house was near Burge Medical City, so I was moved there within minutes,” he said. “When I realized the extent of my injury, I thought I had lost that finger forever.”
He continued, “I didn’t think I had the chance to regain my finger.”
After assessing his injuries, doctors offered him a silver lining by telling Mohammed that they could reattach the severed finger to his hand.
According to doctors, hand injuries are common in emergency departments, ranging from superficial lacerations to complete amputations.
Often, they require specialized treatment by hand surgeons who perform reconstructive surgery and microsurgery.
In Mohamed’s case, he required replantation surgery, a rare procedure only performed by a handful of hand surgeons in the UAE with expertise in microsurgery.
six hour program
Because the severed finger was well preserved, the medical team performed a preliminary dissection of the severed finger under an operating microscope, and all structures including dorsal veins, arteries and nerves were marked with microsutures.
Patient Mohamed Mansour Mohamed with the medical team treating him. (supply)
After dissecting the proximal fingers, doctors use a single axial Kirschner wire (a stiff straight wire used to repair fractures) to fix the bone and then repair the tendon. Doctors then repaired the arteries and veins using microstructures under a microscope.
Once good blood flow is established, the skin is sealed with several sutures.
In this case, the procedure was completed within 6 hours as the team had to reattach the severed finger and deal with deep damage to the other three fingers, as well as harvested vein grafts for anastomosis (connecting blood vessels).
However, according to Burjeel Medical City plastic surgeon Dr. Leon Alexander, who led the procedure, the replanted body part can never be restored to 100% of its original purpose.
“Most physicians see a return to 60 to 80 percent of usage as a good outcome,” he said. “However, most replanted fingers only gained about 50 percent of the total motion.”
long-term recovery
Mohammed is now working on a lengthy recovery process that can take three to six months, sometimes as long as a year, so his body can relearn the brain-muscle-finger connection.
Due to the short period of ischemia (reduced blood and oxygen supply), the amputated finger was not severely squeezed, and the finger was well preserved, and the medical team was able to reattach Mohammad’s finger.
According to Alexander, preservation of the amputated part is the most critical step in this case.
“The amputated part has to be wrapped in wet gauze soaked in saline and then transferred to a plastic bag,” he said. “The plastic bag must be wrapped in another plastic bag filled with saline/water and then stored in an ice box or bag with ice cubes. The amputated part must not come in direct contact with ice as it can damage the blood vessels and nerves of the finger. “
Prevent crush injuries
According to doctors, most amputation injuries are avoidable and occur due to lack of attention or lack of protective gear.
Most finger amputations are caused by doors and power tools.
They say such incidents can be avoided if residents install door guards to prevent fingers from getting stuck inside doors, while workers using power tools and heavy machinery must follow all safety instructions and precautions and wear appropriate protective gear such as hands Protective gear (gloves), overalls, heavy duty work boots and helmet with goggles.
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