Abstract

The use of scavenged tissue for reconstruction of an injured limb, called as “spare-part surgery. It allows primary reconstruction of injured part without harvesting tissue from other regions of the body and without further donor morbidity. The aim of this study is to evaluate the clinical experience and outcomes of spare parts surgery in mutilating hand injuries. Total 12 patients were included in this study from January 2022 to January 2023. In 7 patients bone from amputated part used as bone graft, 4 patients avulsed skin from amputated distal part was used as skin graft. In one patient digital nerve used as spare part for nerve. Outcomes were measured. In 75% of patients the spare part used was survived without any complications. 5 out of 7 patients with bone graft, bone graft was viable with maintenance of digit length. 3 out of 4 patients in whom skin graft was done, skin graft settled well. In 1 patient in whom digital nerve was used as nerve graft, Tinel’s sign progressed and regain of touch sensation was noted in 6months follow up. Complications were noted in 3 patients (25%). Re-intervention was done in 2 patients (16%).

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