Falling glass pane cuts off a young man's finger in Abu Dhabi

The medical team at Burjeel Medical City in Abu Dhabi succeeded in performing a successful microscopic surgery that took more than 6 hours to re-implant the finger of a young man in his thirties who was severely injured as a result of a window glass falling on his hand, which resulted in a complete cut in the finger (index), and other injuries. Deep with the rest of the left hand fingers and nails.

As soon as the patient was received in the emergency department, the medical team headed by Dr. Leon Alexander, a specialist in plastic surgery in the city, performed an autopsy of the severed finger under a surgical microscope to check the condition of the joints, veins, arteries and nerves that had been affected by a fine cut, after which a bone fixation was performed using a single wire to repair the fracture. And tendons, then repairing the arteries and veins and re-implanting the surgically cut finger under the microscope.

The patient said: “As soon as the glass plate fell on my hand, I felt extreme and unbearable pain. I started to call for help and panicked when I saw blood and my finger was lying on the ground, and then I lost consciousness. My friend who was with me at that time picked up my finger and called the ambulance that took me to Burjeel Medical City.”


For his part, Dr. Alexandre Lyon said: “We see hand injuries ranging from superficial lacerations to complete amputations in the emergency department. Usually, the injured need specialized treatment by a hand surgeon who performs reconstructive surgery and microsurgery, and in this patient’s case he needed a finger re-implant surgery. Which is a complex surgery that is performed only by a few hand selected surgeons in the country with expertise in microsurgery, the patient was lucky and the medical team was able to reconnect his finger because the time for ischemia (low blood and oxygen supply) was less, The amputated finger was not badly damaged and was well preserved. In these cases, preserving the amputated part is the most important step to start urgent treatment.”

He pointed out that the re-implanted part of the body never regains its function 100%, but medically the recovery of 60% to 80% of use is an excellent result, although most cases that succeed in re-implantation recover only approximately 50% of the total movement or function, stressing that re-implantation of the finger is always the best solution than the prosthetic finger in terms of appearance and function, while the severed nerves regenerate at a rate of 1 mm a day, so the patient must regain the feeling of the re-implanted finger gradually over a period of 6-12 months, adding that The final outcome depends on how well the patient is, and how cooperative and agreeable they are to participate in a comprehensive postoperative rehabilitation protocol.

After bone healing, the patient will undergo a long recovery journey that depends on the functional rehabilitation of the hand, which may extend between 3-6 months and sometimes up to a year;

Because the body must re-learn the connection between signals from the brain and movement of muscles and fingers.

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