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Case Report | Orthopedic | Volume 15 Issue 7, July 2026 | Pages: 1447 - 1450 | India
Salvage of a Severe Blast-Induced Open Hand Injury with Multiple Digital Amputations and First Carpometacarpal Dislocation: A Case Report
Abstract: Blast-induced hand injuries are associated with extensive soft tissue destruction, fractures, joint disruption, and a high risk of infection, making limb salvage challenging. We report the case of a 22-year-old man who sustained a severe blast injury to the left hand with traumatic amputations of the distal segments of the second, third, and fourth digits, an open Gustilo-Anderson Grade IIIB injury, and first carpometacarpal (CMC) joint dislocation. Emergency management included prompt irrigation and debridement, intravenous antibiotics, tendon repair where feasible, anatomical reduction of the first CMC joint, stabilization with crossed Kirschner wires, and primary wound closure. Serial follow-up demonstrated uneventful wound healing without infection, maintained radiological reduction, and satisfactory recovery of wrist motion, grasp, and pinch function with only mild transient stiffness. This case highlights that early aggressive debridement, preservation of vascularity, stable skeletal fixation, and timely rehabilitation can achieve successful limb salvage and good functional outcomes even in devastating blast injuries of the hand.
Keywords: Blast injury, Hand trauma, Gustilo-Anderson Grade IIIB, First carpometacarpal dislocation, Kirschner wire fixation, Limb salvage, Open hand injury
How to Cite?: Dr. Anoop Singh Bagri, "Salvage of a Severe Blast-Induced Open Hand Injury with Multiple Digital Amputations and First Carpometacarpal Dislocation: A Case Report", Volume 15 Issue 7, July 2026, International Journal of Science and Research (IJSR), Pages: 1447-1450, https://www.ijsr.net/getabstract.php?paperid=SR26716223345, DOI: https://dx.doi.org/10.21275/SR26716223345