Hand and finger injuries are the most frequently reported workplace injuries requiring emergency medical treatment. The rate of disabling occupational injuries has risen, leading to an increase in lost workdays. Although injury surveillance systems are essential for developing and accessing prevention programs, a standardized method for reporting workplace injuries is still lacking. Several factors contribute to work-related hand injuries, including poorly designed tools that lack shock absorption, have inadequate grip, or are too heavy. The aim of this study is to present the number of patients treated in our department with partial or complete amputation of hand digits and especially the thumb and pinpoint the implication caused by using the electric shear without proper training or improvement of protection which is considered inefficient.

From December 2022 to March 2025, 7 patients, 5 men, 2 women with a mean age of 56 years (range: 47–68 years), were admitted to the emergency section dew to complete or partial amputation of the hand digits after accident with the electrical sear. Five patients presented with partial amputation of the thumb 4 at the level of the proximal phalanx and 1 at the distal one where microsurgical replantation was performed. One patient presented with complete amputation of the thumb and the residual phalanx was covered with flap at the operating room.

Amputations of the fingers can lead to notable reductions in hand function, with precision grips like tripod and tip pinch being especially affected. Grip strength also tends to decrease. The severity of functional loss varies by which fingers are involved; for example, losing part of the thumb causes relatively minor impairment, whereas the combined loss of the index finger and additional digits such as the middle, ring, or small finger results in much greater challenges. Many patients are able to return to their original jobs within about four months following surgical reattachment.

Choosing immediate reconstruction and early rehabilitation not only lowers overall treatment costs but also improves recovery by reducing delays and avoiding complications that can occur when treatment is postponed. Early intervention helps patients resume work and daily life with fewer setbacks.

In our experience the use of electrical scissors from individuals without the proper expertise should be admonished and we further recommend for improvement of the safety features and engineering control from each manufacturer.