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Hand and Digital Ballistic Injuries.

Lilah Fones¹, Daniel J Lorenzana², Tristan B Weir²

¹Department of Orthopaedic Surgery, Sidney Kimmel Medical College, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

|June 28, 2025

Summary

This summary is machine-generated.

Ballistic injuries to the hand and digits require surgical intervention for fractures, tendons, nerves, and vessels. The primary goal is stable fixation to enable early range of motion.

Keywords:

Bone defect Gunshot wound Hand ballistic injury Metacarpal Phalanx

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Area of Science:

Orthopedic Surgery
Trauma Surgery
Hand Surgery

Background:

Hand and digital ballistic injuries present a spectrum of severity.
Management ranges from nonoperative approaches to complex, staged surgical reconstructions.

Purpose of the Study:

To outline the principles of surgical management for hand and digital ballistic injuries.
To emphasize the importance of stable fixation and early mobilization.

Main Methods:

Surgical intervention addresses fractures, tendon injuries, nerve damage, and vascular compromise.
A stepwise approach is employed based on injury complexity.

Main Results:

Successful management aims for stable skeletal fixation.
Restoration of function through early range of motion is a key outcome.

Conclusions:

Effective treatment of ballistic hand injuries necessitates a comprehensive surgical strategy.
Achieving stable fixation is critical for facilitating early functional recovery.