Optimum management of hand blast injuries.
Int Surg
; 75(2): 109-14, 1990.
Article
en En
| MEDLINE
| ID: mdl-2379989
ABSTRACT
A series of 27 blast and gunshot injuries of the hand is presented. These wounds exhibit a spectrum of complexity and may include extensive soft tissue trauma complicated by burns, foreign bodies, fractures and amputations. A systematic management sequence is outlined to evaluate, treat, reconstruct and rehabilitate these hands, with the primary goal of obtaining early maximal function. Since these injuries vary in nature and complexity, this management sequence is specifically adapted to deal with the individual injury. A "reconstructive ladder" of techniques is utilized, ranging from "simple" (e.g., direct closure, skin grafts, local flaps) to "complex" (free flaps, toe-to-thumb transfer). The individual procedure selected is the most straightforward, consistent with expediency and early return of a functional hand. The return of these hands to function has been facilitated by recent advances in tissue assessment, free tissue transfer, and skilled hand therapy.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Heridas por Arma de Fuego
/
Traumatismos por Explosión
/
Mano
/
Traumatismos de la Mano
Límite:
Adolescent
/
Adult
/
Child
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Int Surg
Año:
1990
Tipo del documento:
Article