Approach to mutilating hand injuries

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Psychological aspects of mutilating hand injuries.

The immediate and long-term outcome of a mutilating hand injury can be positively influenced by health care professionals adopting a biopsychosocial perspective toward treatment and management. Such an injury produces a psychological and social impact that should be openly and candidly addressed with the injured individual and with the family. The earlier and the more skillfully these issues ar...

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Secondary Interventions for Mutilating Hand Injuries.

Care of the reconstructed hand following mutilating injury is akin to the care of a vintage car. Its mechanisms are delicate, spare parts are limited, touch-ups are required often, and a major overhaul is indicated rarely. Secondary interventions are indicated for completion of staged primary procedures, management of complications, targeted improvement of function, and enhancement of appearanc...

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Severe mutilating injuries to the hand: guidelines for organizing the chaos.

Major hand injuries have become a rarity in Western countries. The fact that there are well trained teams devoted to their management, should not obscure the fact that the first emergency surgeon has the major role of setting the foundations for a reconstruction. Understanding the goal to be sought: the 'acceptable hand' (one with three fingers, with near normal length, near normal sensation an...

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Approach to traumatic hand injuries for primary care physicians.

OBJECTIVE To review the initial management of common traumatic hand injuries seen by primary care physicians. SOURCES OF INFORMATION Current clinical evidence and literature identified through MEDLINE electronic database searches was reviewed. Expert opinion was used to supplement recommendations for areas with little evidence. MAIN MESSAGE Primary care physicians must routinely manage pati...

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ژورنال

عنوان ژورنال: Journal of Clinical Orthopaedics and Trauma

سال: 2021

ISSN: 0976-5662

DOI: 10.1016/j.jcot.2019.08.011