In an accident with farm machinery, Mr. Roque had his left arm severed just below the elbow. Mrs. Roque stopped the bleeding, called for an ambulance, and packed the severed arm in ice for the EMTs to take to the hospital. Will Mr. Roque ever be able to move the fingers of his left hand again? What structures must be reattached, and what has to happen?

The mentioned case of arm severing is considered as major surgery, and the restructuring of the severed arm is only possible when Mr. Roque will reach the hospital within four to five hours of the incident, also known as the window period.  

After performing the surgery, Mr. Roque may regain movement in the arm to some extent after performing certain kinds of exercises, however, he may not feel the sensations in the fingers of his left hand again. The entire process of healing of the severity may take about two to three years, and in certain cases, the body fails to heal completely, and the affected limb may lose its function entirely.  

In the given case, the structures that are required to get reattached are the muscles of the forearm and the blood vessels and the nerve supply to the affected region. The systematic arrangement of these structures is done with the help of surgery. However, after the surgery, the patient is recommended to perform certain kinds of hand and finger muscle exercises so that the functioning of the arm get regain slowly and gradually.  

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