| Abstract | 46 victims of projectile accidents or explosions were treated over a 5 years period between 1984 and 1989. 3 categories were distinguished: injuries due to a single projectile (12 cases), only inducing serious bone damage and, apart from 3 immediate amputations, the final result was satisfactory. Injuries due to multiple scattered projectiles (11 cases), less severe in terms of the initial lesions, not requiring any amputations, with good results in 8 cases. Explosion injuries (23 cases) in which the effect of the explosion induced considerable initial lesions leading to one hand amputation and 33 finger amputations; the association of skeletal and soft tissue lesions raises the problem of excision and primary cover, requiring large flaps. The course is long and 8 out of 26 hands had serious sequelae, while the reconstruction of an elementary pinch can be considered to be an acceptable result in the other cases. |
| Authors | F Iselin, J L Audren, E Hautefort, O Gouet, W Peze, G Pradet
(Affiliation: Urgences-Mains Paris-Ouest, Courbevoie.)
|
| Journal | Annales de chirurgie de la main et du membre supérieur : organe officiel des sociétés de chirurgie de la main = Annals of hand and upper limb surgery
(Ann Chir Main Memb Super)
Vol. 10
Issue 5
Pg. 437-42
( 1991)
ISSN: 1153-2424 FRANCE |
| Vernacular Title | Traumatismes des mains par agents balistiques. |
| PMID | 1725712
(Publication Type: English Abstract, Journal Article)
|
| Topics |
- Amputation, Traumatic
(classification, radiography, surgery)
- Blast Injuries
(classification, radiography, surgery)
- Hand Injuries
(classification, radiography, surgery)
- Humans
- Surgical Flaps
(methods)
- Wounds, Gunshot
(classification, radiography, surgery)
|
