Case of Gun-Shot Wound of the Hand
نویسنده
چکیده
as he was being conveyed by trolley from Toondla, where the accident happened, to Agra, a distance of about 15 miles. On removing innumerable cloths soaked in blood, I found that the thumb with its metacarpal bone had entirely disappeared. Ttie metacarpal bone of the index finger was, as it were, dissected out from the palm of the hand, completely denuded of flesh, and separated from the carpal bones with which it articulates ; the scaphoid bone was bare and fractured into several pieces, and lastly, the soft parts in the palm were extensively lacerated. A very unfavourable state of affairs was thus presented ; the man begged that his hand, rather what remained of it, might be spared, and knowing the importance of a finger, or even part of a finger, to a working man, I determined to attempt to save what remained of the hand. I removed the detached metacarpal bone with the index finger attached, as also the fragments of the scaphoid bone, and having tied the radial and some small branches and trimmed up the wound, the edges were brought together by sutures and water dressing applied. He went on very well for about a week, union apparently taking place ; at the end of that time, on visiting him one day?lie had in the meantime returned to Toondla?I found liis pulse 140, with an irritable
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عنوان ژورنال:
دوره 6 شماره
صفحات -
تاریخ انتشار 2016