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Case Reports
. 2021 Mar 3;13(3):e13673.
doi: 10.7759/cureus.13673.

Complex Reconstruction of a Mangled Forearm Following Washing Machine Trauma

Affiliations
Case Reports

Complex Reconstruction of a Mangled Forearm Following Washing Machine Trauma

Matthew Wolfers et al. Cureus. .

Abstract

Automatic washing machine injuries are more commonly associated with minor injuries in the pediatric population but may cause life and limb-threatening adult injuries in rare instances. This case describes a severe upper extremity injury after a schizophrenic patient placed her arm into a running machine. Herein, we describe the management, complex reconstruction, and repair of radial, ulnar, and metacarpal fractures in addition to transected tendons and vasculature. The patient had an excellent functional outcome with minor restrictions in motion and complete recovery of sensation.

Keywords: hand; reconstruction; tendon transfer; trauma; upper extremity.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Exploration and irrigation of the right forearm
Figure 2
Figure 2. Radiograph of right upper extremity demonstrating ulna, radius, fourth metacarpal, and fifth metacarpal fractures
R - Right AG - Silver
Figure 3
Figure 3. Right upper extremity after complex repair with external fixator and metacarpal pins

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