Vol. 11, Issue 10, Part E (2025)

Materials and Methods: This retrospective study analyzed patients with severe hand injuries treated between October 2023 and August 2025, who underwent either surgical or non-surgical management. Data collected included the extent of tissue damage, the number of surgical procedures performed, treatment strategies, and the mean hospital stay, which was recorded from the presentation of patient in casualty and admission and discharged to the final treatment.

Results: A total of 34 patients were included in the analysis, of whom presented with severe degloving injuries. The mean age of the patients was 35.21 ± 10.11 years, with the majority aged between 21 and 57 years. The most common injury types were crush injuries (47.1%), degloving injuries (20.6%), and multiple traumatic amputations (26.5%), with grinder/sugarcane expeller machine accidents accounting for 67.6% of cases. Patients underwent an average of 2.62 ± 1.18 surgical procedures, including skin grafting (29.4%), replantation (26.5%), and pedicled flap reconstruction (17.6%). 58.8% of patients had an uncomplicated postoperative course.

Conclusion: This study highlights the challenges involved in treating severe hand injuries, where repeated surgical procedures frequently lead to less-than-ideal results due to issues like infection and joint stiffness. The results stress the need for prompt intervention.