Plastic and reconstructive surgeon Dr Rostam Farhadieh talks about his patient Adam Symons, whose arm was reattached after a hay baler accident in 2020.
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00:00An idea about where Adam's injury was, it was at this level.
00:05So this is the elbow, this is the wrist, right?
00:09And so, actually, let's have it like this.
00:12So as you can see, this is the movement of the wrist, right?
00:15And this is the elbow, this is the funny bone of the elbow.
00:21And so his injury was at this level.
00:25So everything beyond that had been severed
00:29and all of the muscles had been pulled off by the machine.
00:33Was it a clean cut?
00:35No, it wasn't. That's a very good question.
00:37Because clean cuts are much easier to repair
00:41because there isn't as much extent of injury.
00:45These are often what are called avulsion injuries,
00:48which are much worse because they pull the tissues and cut them out,
00:51so they're pulling them out.
00:53So they tend to have a much longer segment of nerve and vessel damage
00:58in actual fact, when we have avulsion injuries in the fingers,
01:02we often find that the recovery rates are not as good
01:06and we're not able to save them as often as if they were a clean cut.