gms | German Medical Science

59. Kongress der Deutschen Gesellschaft für Handchirurgie

Deutsche Gesellschaft für Handchirurgie

11. - 13.10.2018, Mannheim

Highly destructive injuries of the hand – decision making

Meeting Abstract

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Deutsche Gesellschaft für Handchirurgie. 59. Kongress der Deutschen Gesellschaft für Handchirurgie. Mannheim, 11.-13.10.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. Doc18dgh089

doi: 10.3205/18dgh089, urn:nbn:de:0183-18dgh0890

Veröffentlicht: 10. Oktober 2018

© 2018 Stefanescu.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Objectives: Complex hand injuries are often mutilating conditions which associate multiple structures defects. These traumas are challenging to manage as they require careful planning and execution of treatment.

Method: The first surgery is paramount for complete lesional assessment and achievement of bony stabilization, infection prevention and good soft tissue coverage. Postoperative management is as well an important component of treatment.

Results: Despite accurate surgery, outcomes are variable in these devastating injuries. Secondary procedures and psychological therapy can improve the patient's body image and limb function.

Conclusion: The author presents the set of principles that guides the assessment and treatment of such injuries supported by clinical cases.