گزارش يك مورد پيوند سه انگشت قطع شده ناشي از حادثه شغلي و تعيين ديه و ارزش آن از ديدگاه پزشك قانوني

A Reaport about replantation of three amputated fingers caused by an occupational accident & study of determining the compensation from legal physicianʹs point of view.

Introduction: Digit amputation is a physical and psychological trauma that can influence the daily living of a person. In the past 200 years, successful replantation of amputated digits has gradually moved from fantasy to reality. Now a days modern replantation is available in most large hospitals. In recent 40 years ago thousands of severed part of body of subjects have been reattached to themselves, preserving the quality of life for thousands of patients through improved function and appearance that the void remaining after amputation cannot provide. The legal aspects of determining the compensation for such patients is one of the interesting subjects of legal medicine. Case report: The patient is a 28 y/o man who was hurt while working in a factory near Tehran, on 16 July 2005, his left thumb, index and middle fingers zone 2 were totally amputated avulsion with local crush. The patient successfully treated by an experienced surgeon, his fingers was replanted and almost 50% of his ability was recovered. One year after accident, he was referred to Legal Medicine Organization for determining the compensation (Dieh & Arsh). Considering the case, the Islamic Punishment Law has no predict for treatment charges and it seems which insurance companies must compensate the treatment costs of such patients.