Bilateral hand amputation

Discussion:

The patient was taken to emergency theater on the same day for reimplantation of both hands with good results. Although most of the intrinsic hand function was lost, some grip strength was reconstituted due to tendon reconstruction.

Three years after the initial injury and reconstruction the patient has significant flexion capabilities bilaterally. He is able to flex his MCPJ to 45°, his PIPJ to 90° on both hands and is able to grasp small objects. His mood has significantly improved secondary to appropriate psychiatric involvement.

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