Repairing cuts and lacerations of the hand

Cuts and lacerations of the hand require complete evaluation and care to ensure optimal healing. Contamination must be considered, and x-ray films should be taken to rule out the presence of foreign bodies, fractures, or joint injury in severe wounds. Irrigation and excision of nonviable tissue precede operative closure and graft placement. Puncture, gunshot, and bite wounds are left open to drain, and if necessary, tetanus and antibiotic prophylactic treatment is given. Appropriate immobilization and dressing with follow-up care are critical to the successful outcome of these injuries.