RECONSTRUCTION OF HAND AFTER SHOTGUN INJURY– CASE REPORT

Abstract

Weapon cleaning accidents are rare. All firearms are cleaned periodically and mistakes during cleaning weapons can cause accidents and even death. The most dangerous type of weapon cleaning error is the failure to check whether the weapon is loaded or not. We report a case of self-injury with a gunshot wound in the left hand and upper arm, caused by firing a bullet while cleaning a rifle, by a certified firearms repairman. These injuries can be prevented, and therefore, some basic measures can reduce the occurrence of accidental injury during the weapon cleaning procedure. The paper explains the surgical technique, intraoperative and postoperative treatment, documented with photographs. The variability of injured and lost tissues and the condition for complex reconstruction to restore and save the function of the hand, requires careful planning and precise execution of treatment. The ultimate goal is to restore the functionality of the hand, enough for the patient to be able to perform their daily activities and return to work. Satisfactory results were obtained, accepted by the surgeon as well as the patient.