Compound fractures of hand: Study on fracture fixation and functional recovery
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 6
Abstract
A variety of fractures of the hand are occurring due to Road traffic accidents, mechanization and with the tools used in agriculture. It is very common to find a compound fracture of the hand in the Emergency Room. The general principles of trauma management is the same for trauma anywhere in the body, the hand, being a specialized structure interacting with the environment, is sensitive to functional impairment, more so when there is extensive scarring and prolonged immobilization. Careful judgment is required, whether the wound is sufficiently debrided and clean enough to permit primary closure, or whether it should be left open for repeat debridement and irrigation and dressings. If Primary closure is not feasible the wound can be reevaluated in the operating room and plans made at that time for closure. The goal is to close the wound within the first 4 to 5 days before granulation tissues form and contractures develop. The study cohort consist of 105 cases of compound meta carpal and phallangeal fractures from Type I to IIIB Gustilo –Andersons classification. The results are assessed with basically three parameters: The soft tissue healing, retained range of movements, and fracture union.
Authors and Affiliations
Dr. V. V. Narayana Rao, Dr. P. Anil Babu
Keywords
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- EP ID EP376506
- DOI 10.9790/0853-1706073033.
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