We present a pictorial case of a devastating hand injury following a firework explosion in a young male patient. The blast resulted in splaying of the hand with multiple fractures, neurovascular compromise and soft tissue loss.
His ring and little finger were broken and his index finger had been ripped out of its socket during the blast.
The 30-year-old patient was rushed to the accident & emergency department with his hand severed in two and a ‘degloved’ middle finger, meaning the skin had been completely torn off.
He had to have his right hand sewn back together and was left with four fingers following the horrendous accident.
Reconstruction involved a third-ray amputation, fracture fixation, nerve and soft tissue repair resulting in an adequate hand with near-normal appearance.
Firework-related hand injuries pose a significant surgical challenge due to the combination of burn and blast forces that can compromise the function of intact vessels and nerves making salvage and reconstruction particularly difficult.
Luckily, medics managed to salvage the patient’s hand using surgical wires to hold the bones in place and sewing his wounds shut.But they were not able to save his middle finger and were forced to perform an amputation, leaving him with four fingers.
Before being released from