Management and Outcomes of Firework-Related Hand Blast Injuries: A Case Series on Surgical Decision-Making, Functional Preservation, and Psychosocial Recovery

We examined treatment outcomes of firework-related hand injuries through a case series and literature review by evaluating various surgical results and long-term psychosocial recovery. The objective of this study was to evaluate common injury patterns, surgical decision-making, restoration of hand function, and the multidisciplinary approach to physical and psychological recovery following firework-related hand injuries. This study employed a mixed descriptive design, integrating six clinical case reports with a targeted literature review. All six cases were analyzed collectively; however, three representative cases were selected for inclusion in the final manuscript to avoid redundancy while demonstrating the common patterns and treatment approaches associated with blast injuries to the hand. This approach allowed for the presentation of firsthand clinical experiences while contextualizing them within the broader body of published evidence on surgical decision-making for restoring hand function and psychological recovery following firework-related hand injuries, as well as proposing a decision-making framework and providing an educational narrative on multidisciplinary care. The reviewed cases demonstrated recurrent patterns of soft tissue destruction, fractures, tendon injuries, neurovascular compromise, and digit amputations requiring individualized surgical management strategies. The findings additionally emphasized the importance of prioritizing functional preservation when considering digit salvage, as well as the role of multidisciplinary rehabilitation, including occupational therapy and psychosocial support, in optimizing long-term functional and psychological recovery following firework-related hand injuries.