33-year-old man sustained severe injuries after being struck by a car, resulting in the near-total surgical removal of his right arm.
Following orthopedic stabilization of the limb, surgeons carried out a complex reconstruction of the tendons associated with the median and ulnar nerves, along with the tendons responsible for forearm flexion and extension. The radial nerve and main artery remained undamaged. Venous blood flow was successfully reestablished. Postoperative monitoring showed excellent tissue perfusion, with pulse oximetry indicating full oxygen saturation. Additionally, an intact flexor arch in the wrist was observed, suggesting that the reconstruction of all critical tendinous structures had been successfully achieved.
