Crush injury left arm and forearm - Skin grafting

This child around 13 years suffered crush injury of left arm, elbow and forearm due to road traffic accident - her arm and forearm got stuck between road and tractor. Luckily her limb was saved as there was no severe vascular or other important structures of the forearms. The skin of the arm, elbow and forearm was crushed and lost. Some muscle and the ligaments over the arm and elbow were crushed and had to be removed. The resultant wound was treated with negative pressure wound therapy and once the wound was better and covered with healthy granulation, skin grafting was done. The final photograph shows a well healed skin graft and normal function of the left upper limb.