The girl's coat sleeve got caught in the wheel and her arm was severed.

On December 28, Ho Chi Minh City Orthopedic and Trauma Hospital announced that the hospital had just received a 5-year-old girl named LPO (living in Tra Vinh) whose arm was severed due to a motorbike accident.

According to medical history, At 10:30 a.m. on December 19, a little girl was riding on the back of a motorbike being driven by her mother on the road in Tra Vinh. At that time, the little girl was wearing a jacket, but she had one sleeve tucked into her arm and the other sleeve was hanging down. During the move, the hanging sleeve got caught in the motorbike and jerked the little girl to fall, at the same time tearing off her right arm.

Tay áo khoác cuốn vào bánh xe, bé gái bị kéo đứt lìa cánh tay- Ảnh 1. — The girl was taken to the hospital with part of her arm severed.

The girl was immediately taken to Tra Vinh Hospital for first aid, then transferred to Cho Ray Hospital and Children's Hospital 1. Immediately afterwards, Children's Hospital 1 contacted and transferred the girl to the Orthopedic Trauma Hospital at 3:00 p.m. on December 19, 5 hours after the accident.

When admitted to the hospital, the child was conscious, slightly pale, with a twisted severed wound in the lower third of the right arm, with multiple diagonal soft tissue bruises up to the upper middle third; 2 forearm bones were broken.

X-ray results and diagnosis confirmed that the girl had broken 2 bones in her right forearm, and severed the middle third of her lower right arm. In addition, the girl also had a wound on the back of her right forearm.

Deploying 2 parallel operating rooms, racing against time to save the baby's arm

To save the girl's arm, the hospital deployed two parallel operating rooms to perform surgery to save the girl's arm.

In operating room 1, doctors cleaned the severed arm and combined the two broken forearm bones using intramedullary nailing under fluoroscopy.

Meanwhile, In operating room 2, doctors cleaned the wound on the severed arm, cut and removed crushed tissue, marked the brachial artery, found and marked the 2 large veins, marked the radial nerve, ulnar nerve and median nerve, and took the graft vein.

The severed arm was then immediately transferred to operating room 1 for microsurgical reattachment of the baby. The doctors quickly shortened the bone, trimmed the surface of the humerus, fused the humerus with 2 intramedullary nails and microsurgically sutured the brachial artery, vein, radial, ulnar, and median nerves, sutured the tendons, and decompressed the compartment...

Currently, after 8 days of microsurgically suturing the baby's arm, it is warm and pink, and the peripheral blood oxygen saturation (SpO2) in the right arm after reattachment is 100%. The fingers are warm and pink, there are no blisters, no signs of infection, the baby is in good spirits and smiling.

According to Dr. Mai Trong Tuong, Head of the Department of Microsurgery, Orthopedic Trauma Hospital, this is a complicated case of right arm amputation in a 5-year-old child. With the mechanism of twisting and jerking the arm off, the soft tissue was crushed, causing loss of blood vessels in the arm, along with fractures of the two bones of the right forearm. The accident was on the road, so a lot of dirt and sand stuck to the wound, with a high risk of infection .

According to Dr. Vo Hoa Khanh, Head of Quality Management Department, Orthopedic Trauma Hospital, the case of a 5-year-old child having his arm severed is very rare, and the case of a 5-year-old child having both a severed arm and a broken forearm is even rarer, and the cause of this accident is also very special.

The golden time to save the severed arm is about 6 hours, while it took nearly 5 hours for this child to be transferred to the Orthopedic Trauma Hospital. The on-duty team raced against time to save the child's arm. After 8 days of monitoring, the child's arm was completely alive, with no signs of infection or poisoning.

Doctor Khanh recommends, parents Be careful when carrying small children by motorbike, be safe, wear suitable clothes to avoid the extremely dangerous situation of getting clothes tangled in the spokes of the motorbike.

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