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Abstract

The paper describes a patient who sustained an injury while working as a bookbinder, resulting in the replantation of
the second, third and fourth fingers and the re-amputation of the thumb and fifth finger of the left hand, as well as skin
grafting for the distal phalanges of the third and fourth fingers of the right hand. At the time of the injury, the patient
was on probation with the employer and did not have the status of an insured person with the right to compulsory
social insurance based on employment (employee). Due to this, the Injury Report was not completed, and the injury was
not recognized as a workplace injury, which prevented the patient from obtaining their rights under compulsory social
insurance. The human hand is one of the most powerful tools for achieving the sense of touch, gesticulation, and other
various demands, thus playing an extremely important role in life. Thumb injuries can impair overall hand function by
40-50%. For this reason, there has been a need to develop modern technologies for reconstructing amputations over
time. In the mid-20th century, microsurgical techniques for toe-to-thumb transfers gained clinical importance and remain
one of the most significant approaches to thumb reconstruction. Due to the reduction in work and life activities and to
facilitate employment, the patient was referred to the Pension and Disability Insurance Fund Commission at the National
Employment Service to obtain the status of a person with a disability.

Keywords: finger amputation, workplace injury, people with disabilities

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PRIKAZI SLUČAJEVA Galenika Medical Journal, 2024; 3(11):98-101. 101