Microsurgical management of acute traumatic injuries of the hand and fingers

Traumatic injuries of the hand and fingers may be devastating and can result in irreversible functional and psychological problems in individuals who sustain them. They occur in all age groups, ranging from the elderly to young children. The management of these injuries can be challenging and onerous. As a result, it is imperative that the surgeon be both knowledgeable and meticulous in order to afford the best possible outcomes. This review focuses on the anatomy, initial evaluation, and acute management of these injuries. A variety of treatment algorithms are discussed as well, including primary closure, grafting, commonly utilized flaps, and replantation.