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Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

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[Severe and complex traumatic hand].

Emmanuel Dahan¹, Thomas Waitzenegger²

¹Clinique Jouvenet, Paris, France. Hôpital Ambroise-Paré, AP-HP, Boulogne-Billancourt, France.

La Revue Du Praticien

|February 28, 2024

Summary

Serious and complex traumatic hand injuries involve multiple tissues and require urgent surgery. The goal is to restore thumb opposition, length, and hand sensitivity for optimal function and aesthetics.

Keywords:

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Area of Science:

Orthopedics
Microsurgery
Trauma Surgery

Context:

Hand injuries are complex, involving skin, vascular, bone, and nerve damage.
Incidence is decreasing due to prevention and safety measures.
High-pressure injections, amputations, and severe mutilations are critical emergencies.

Purpose:

To achieve functional and aesthetic hand reconstruction.
Restore thumb opposition and key-pinch functionality.
Re-establish hand sensitivity and adequate thumb length.

Summary:

Management involves urgent surgical intervention for severe and complex traumatic hand injuries.
Utilizes numerous surgical and microsurgical techniques.
Requires specialized centers and trained surgical teams for optimal outcomes.

Impact:

Aims to restore hand function and aesthetics.
Addresses significant functional and aesthetic sequelae.
Highlights the importance of specialized care for severe hand trauma.