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[Ballistic hand trauma].

F Iselin1, J L Audren, E Hautefort

  • 1Urgences-Mains Paris-Ouest, Courbevoie.

Annales De Chirurgie De La Main Et Du Membre Superieur : Organe Officiel Des Societes De Chirurgie De La Main = Annals of Hand and Upper Limb Surgery
|January 1, 1991
PubMed
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Projectile and explosion injuries in 46 patients over 5 years revealed varied outcomes. Single projectile injuries primarily caused bone damage with satisfactory results, while explosion injuries led to significant soft tissue and skeletal damage, often requiring extensive reconstruction.

Area of Science:

  • Trauma Surgery
  • Orthopedic Surgery
  • Reconstructive Surgery

Background:

  • Projectile and explosion incidents result in complex hand injuries.
  • Effective management requires understanding injury patterns and reconstructive options.

Purpose of the Study:

  • To analyze the outcomes of treating projectile and explosion-related hand injuries.
  • To categorize injury types and evaluate treatment results.

Main Methods:

  • Retrospective review of 46 patients treated between 1984 and 1989.
  • Classification of injuries into single projectile, multiple scattered projectiles, and explosion categories.

Main Results:

  • Single projectile injuries (12 cases) mainly affected bone, with satisfactory outcomes post-amputation in 3 cases.

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  • Multiple scattered projectile injuries (11 cases) were less severe, with 8 good results and no amputations.
  • Explosion injuries (23 cases) caused severe soft tissue and skeletal damage, necessitating amputations (1 hand, 33 fingers) and large flaps, with 8/26 hands having serious sequelae.
  • Conclusions:

    • Hand injuries from projectiles and explosions present diverse challenges.
    • Reconstructive surgery, including flaps, is crucial for severe explosion injuries.
    • Achieving an elementary pinch is considered an acceptable outcome for many severe cases.