RECOVERY OF A PATIENT WITH COMPLEX HAND TRAUMA

Objective: This case study examines the impact of a rehabilitation program on a complex trauma patient after 9 weeks of therapy. Material and methods: According to the case report, a 24-year-old patient underwent surgery after suffering a crush injury of his left hand (dominant hand) that caused transmetacarpal quasi-amputation, a dorsal integumentary bridge of about two centimeters, and acute ischemia of fingers II–V. After extracting the wires and pins from the II–V metacarpals, he comes to the recovery service right away complaining of pain and swelling in his fingers and fist, as well as left shoulder ache and vegetative symptoms. He need assistance with ADLs; his DASH symptom score is 63 and his DASH manner of working is 100. It is assessed both clinically and functionally, and he follows a specific rehabilitation program that include physical therapy and electrotherapy. Results: After 9 weeks of rehabilitation, scars heal and conform to the underlying planes, reducing discomfort, edema, and vegetative problems while increasing range of motion in the fist and fingers. He can complete ADLs without assistance. The DASH method has a score of 75 points, while the symptom score is 45. Conclusion: Rehabilitation has enhanced mobility, reduced pain and edema, and addressed vegetative disorders; however, the patient's dysfunctional condition persists as a long-term care concern.