Utilization of a Skin Graft From an Amputated Hand to Cover Reservent Below-elbow Amputation Wound.

Abstract

This case involves a 58-year-old man who sustained a severe left forearm injury from a motor vehicle accident. Imaging revealed comminuted fractures and arterial occlusions in the left forearm. As the injury was crush type and exploration revealed vessels with avulsion, the decision was made to perform amputation due to nonsalvageability. The patient underwent irrigation, debridement, and amputation, followed by coverage via a full-thickness skin graft from the amputated hand. Postoperatively, the patient received antibiotics and wound care, resulting in successful graft integration and healing. This case highlights the use of a full-thickness skin graft from the amputated limb for stump coverage, demonstrating that if the patient refuses to take a graft from other common sites, the amputated dorsum of the hand can be an excellent alternative site.