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- A mutilating injury to the hand occurs as a result of transmission of high-energy forces to the hand which are often seen in industrial accidents, agricultural injuries commonly by thresher machine, household injuries often by kitchen equipment like entrapment in mixer grinder, gunshot accidents or road traffic accidents in which the hand may be run over by an automobile. 1 The hand can have any spectrum of injury ranging from clean cut lacerations or amputations to crush injury. 2 Crush injuries by virtue of their pathology cause more damage to the hand than clean cut injuries.
Author: Rajiv Agarwal, Devisha Agarwal, Mallika AgarwalPublish Year: 2019DOI: 10.1016/j.jcot.2019.08.004Published: Sep-Oct 2019www.ncbi.nlm.nih.gov/pmc/articles/PMC6739591/ - People also ask
Management of a mutilated hand: the current trends
Oct 9, 2021 · Many definitions exist for a mutilated hand, but the one propounded by Campbell Reid explains the damage to the hand and the goal that we need to set in its management: ‘the mutilated hand has suffered a severe injury with loss of substance and has been left lacking in prehension’ (Reid and Tubiana, 1984).Mutilated hands demonstrate varying amounts of loss of …
- Author: S. Raja Sabapathy, Francisco del Piñal, Martin I. Boyer, Dong Chul Lee, Sandeep Jacob Sebastin, Hari...
- Publish Year: 2021
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Management of a mutilated hand: the current trends - PubMed
Jan 22, 2022 · Mutilated upper limbs suffer loss of substance of various tissues with loss of prehension. The most important factor in salvage of a mutilated hand is involvement of a senior surgeon at the time of initial assessment and debridement. A regional block given on arrival helps through assessment and inv …
Approach to mutilating hand injuries - Journal of …
Aug 14, 2019 · Mutilating hand injuries are a challenge to manage due to the complex nature of the injury and the variety of structures that are damaged. Good results can only be achieved by careful planning and meticulous …
Approach to mutilating hand injuries - PMC - National Center for ...
Obtaining a patient history: The patient history can be the most important criteria in arriving at an accurate diagnosis. The history should be detailed as regards the patients current complaint and also other elements like patient's demographics, medical history, allergies, hand dominance, medications and socioeconomic status should also be recorded.
Mutilating hand injuries: principles and management
Our hands are subject to many common occupational and domestic injuries, including fingertip trauma, tendon lacerations, neurovascular compromise, fractures, and soft tissue loss. We are all aware that even minor trauma to a joint or tendon can result in significant stiffness and loss of function of the finger. The greater the injury, the more likely the risk for compromise to the …
Management of a mutilated hand: the current trends
Mutilated upper limbs suffer loss of substance of various tissues with loss of prehension. The most important factor in salvage of a mutilated hand is involvement of a senior surgeon at the time of initial assessment and debridement.
Mutilating hand injuries: principles and management - PubMed
The objectives of the treatment of mutilating hand injuries are to insure patient's survival, limb survival and ultimately limb function. Initially, patients are stabilized and cleared of other potentially life threatening trauma. The cornerstone to …
The Mutilated Hand | ScienceDirect
"This book is a treasure for those who seek a comprehensive text dealing with the traumatized or mutilated hand." (Doody's Review) The Mutilated Hand is a comprehensive reference covering all facets of the management and treatment of mutilating injuries of the hand.
Mutilated hand injuries - PubMed
The authors provide a review of treatment of the mutilated hand, discussing the effect of injury on soft tissue loss, intrinsic and extrinsic musculature, paravascular structures, tendons, and the bony skeleton. The authors review functional loss and restoration.
Is hyperbaric oxygen therapy indispensable for saving mutilated …
Introduction. Mutilated hand injuries can occur through a variety of mechanisms, including crush, avulsion, friction, burn injury, sharp trauma or some combination of these and can include the destruction of bones, tendons, muscles, nerves, blood vessels and skin.
Heterotopic Digital Replantation in Mutilating Hand Injuries: An ...
Reconstruction of the mutilated hand is one of the most difficult challenges for hand microsurgeons. 1 Replantation of amputated digits is without doubt the best option to restore function, especially when multiple digits are involved. 2 Refinements in microsurgical technique and effective postoperative monitoring have caused the survival rate of digital replantation to …
Mutilated Hand Injuries Theresa Hegge, MPH, MD, Michael W. Neumeister, MD, FRCSC* Mutilated hand injuries are one of the most chal ...
Mutilated Hand - Hand surgery
Mutilating or “Mangling” Injuries of the Hand. Mutilating or “mangling” injuries of the hand pose a formidable challenge for both the patient and the hand surgeon.
Review Article Management of a mutilated hand: the current trends S. Raja Sabapathy1, Francisco del Pin˜al2, Martin I. Boyer3, Dong Chul Lee4, Sandeep Jacob Sebastin5 and Hari Venkatramani1 Abstract Mutilated upper limbs suffer loss of substance of …
Mutilating hand injuries - Hand Clinics
Perhaps the most challenging injury managed by hand surgeons is the mangled or mutilated hand. Mutilating injuries can occur from various causes such as motor vehicle accidents, farm or blast injuries, or industrial accidents. Such injuries involve the many structures of the hand and, thus, pose a difficult challenge to the surgeon to preserve or reconstruct as much function as …
Mutilated Hand Injuries - Clinics in Plastic Surgery
The authors provide a review of treatment of the mutilated hand, discussing the effect of injury on soft tissue loss, intrinsic and extrinsic musculature, paravascular structures, tendons, and the bony skeleton. The authors review functional loss and restoration.
Management of a mutilated hand: the current trends
Mutilated upper limbs suffer loss of substance of various tissues with loss of prehension. The most important factor in salvage of a mutilated hand is involvement of a senior surgeon at the time of initial assessment and debridement.
Mutilated Hand Injuries | Plastic Surgery Key
The authors provide a review of treatment of the mutilated hand, discussing the effect of injury on soft tissue loss, intrinsic and extrinsic musculature, paravascular structures, tendons, and the bony skeleton. The authors review functional loss and restoration. Mutilated hand injuries are one of the most challenging reconstruction problems than can confront hand surgeons (…
The Reconstruction of the Mutilated Hand - National Center for ...
The challenging reconstructive treatment of defects in the upper extremity requires a sound working knowledge of a variety of flaps. As the hand surgeon weighs the pros and cons of each possible flap to obtain definitive closure, he or she must also integrate the priorities of function, contour, and stability as well as the anticipation of further reconstructive surgery in choosing …
Replantation in the mutilated hand - PubMed
With the evolution of surgical techniques and scientific technology, replantation has become more refined, establishing specific indications for replantation, rituals for preparation, efficient techniques to ultimately minimize ischemia times, improved survival rates, guidelines for postoperative ca …
Arthritis Mutilans: Symptoms, Causes, Diagnosis, and Treatment
Arthritis mutilans is a severe form of chronic psoriatic arthritis and one of the most advanced types of joint disease overall. It may also occur in association with other diseases such as rheumatoid arthritis. The condition is characterized by severe inflammation that damages the joints of the hands and feet, causing deformity and the loss of use. Less commonly, it can affect the spine …
Principles in the management of a mangled hand - PMC
Mangling hand injuries are high energy complex conditions that are challenging to manage. They require careful planning and meticulous execution of treatment. A clear set of anatomical and functional goals at the outset guides the planning. The first ...
Gaza: US physicians pen letter to Biden and Harris | CNN
A group of 45 American physicians and nurses who volunteered in hospitals across Gaza have sent an open letter to US President Joe Biden and Vice President Kamala Harris sharing their experiences ...
Mutilated Hand due to Sugarcane Machine – Challenge to an ...
Introduction. Reid defined mutilated hand as the one that “has suffered a severe injury involving loss of substance and has been left lacking in prehension” [].These complex injuries with composite soft tissue loss and functional compromise require re-establishment ofbony and soft tissue continuity, not only because of the significant loss of soft tissue cover which causes …
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