RESUMO
Power tool injuries to the hand and wrist are complex injuries which can have a profound impact on the function of the patient. This article gives an overview of the principles, and provides a systematic approach, to the management and rehabilitation of the injured limb and patient required to minimize future disability.
Assuntos
Prevenção de Acidentes , Desenho de Equipamento , Traumatismos da Mão/cirurgia , Traumatismos do Punho/cirurgia , Antibacterianos/uso terapêutico , Desbridamento , Traumatismos da Mão/psicologia , Traumatismos da Mão/reabilitação , Humanos , Reimplante , Tétano/prevenção & controle , Toxoide Tetânico/uso terapêutico , Infecção dos Ferimentos/prevenção & controle , Traumatismos do Punho/psicologia , Traumatismos do Punho/reabilitaçãoRESUMO
Traumatic limb amputations are serious injuries. They require urgent multidisciplinary management and emergency surgical intervention to save life and, where possible, preserve limb function. It is therefore vital that perioperative management follows established evidence-based principles to optimise outcomes. In recent years a vast quantity of research on traumatic amputations in the military setting has been published, but civilian injuries, which often have strikingly different mechanisms, have been neglected. This article reviews existing information on epidemiology, pathophysiology, perioperative management strategies, outcomes and future directions in the field.