A 12 years old school going child had an RTA. He fell from bike driven by his father and a pick up truck ran over his right hand.

He is right dominant.

First, Wound toileting, debridement and apposition of wound was done under wrist block. 

Wound was contaminated and there was infection postoperatively. Stitches were removed and wound left open.

Consequent dressing was done and there was a gap on palm which was covered with skin grafting. First web space was healed without grafting.

Now, his wound is healed. He can make fist, count and write. Thumb movement is also good and improving. Abduction of index finger is weak.