# Restorative Strategies for Bilateral Mutilated Hands in a Secondary Care Level: A Report of a Case in Mexico

## TL;DR

This case report describes the challenges and treatment of a man with severe hand injuries from an industrial accident in Mexico.

## Contribution

The report contributes a detailed case study of bilateral hand mutilation management in a secondary care setting in Mexico.

## Key findings

- Bilateral mutilated hands require extensive surgical reconstruction and postoperative care.
- Complications like skin graft issues and infections necessitate a multidisciplinary approach.
- Resource-constrained settings face unique challenges in treating such severe injuries.

## Abstract

This case report aims to delineate the challenges and management strategies for a patient with bilateral mutilated hands within a secondary care level in Mexico, contributing to medical literature and potentially guiding future patient care. Mutilated hands represent a significant surgical and rehabilitative challenge due to the profound structural damage they cause, leading to considerable functional impairment and psychological distress. The complexity of these injuries necessitates a multidisciplinary approach, particularly in resource-constrained settings. We present a case of a 45-year-old male with no prior significant medical history who sustained bilateral mutilated hands from an industrial accident involving hot rollers. The patient underwent extensive surgical reconstruction and postoperative care, facing complications such as skin graft integration issues and infections, which required a multidisciplinary treatment approach.