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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Burn Injuries01:22

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
Handwashing II: Pre-procedure and Initial Procedure Steps01:19

Handwashing II: Pre-procedure and Initial Procedure Steps

The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury.  The nails must be short and clean, without nail paint...
Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Handwashing III: During the Procedure and Post-Procedure Steps01:15

Handwashing III: During the Procedure and Post-Procedure Steps

To wash hands properly, follow these steps:

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Related Experiment Video

Updated: Jun 6, 2026

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
08:27

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

Published on: May 23, 2025

Management of Rope Friction Injuries of the Hand.

Nuh Evin1, Emine Parlak2, Recep Okan3

  • 1Department of Plastic and Reconstructive Surgery, Medical Park Hospital, Ordu, Turkey.

Annals of Plastic Surgery
|June 5, 2026
PubMed
Summary
This summary is machine-generated.

Rope friction burns can cause deep hand injuries, often requiring reconstruction. Surgical repair, skin grafts, and flaps significantly improve function, with free flaps used for complex cases.

Keywords:
DASH scorefree flapfriction burnfull-thickness skin defecthand injuryhand reconstructionlocal flaprope burnrope friction injuryskin graft

Related Experiment Videos

Last Updated: Jun 6, 2026

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
08:27

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

Published on: May 23, 2025

Area of Science:

  • Orthopedics
  • Plastic Surgery
  • Trauma Surgery

Background:

  • Rope friction injuries involve mechanical and thermal damage, often affecting young individuals.
  • These injuries can range from superficial burns to deep tissue damage, including vessels, nerves, tendons, and bone.

Purpose of the Study:

  • To present management experience and review functional and aesthetic outcomes of rope friction hand injuries.
  • To evaluate the effectiveness of various reconstructive techniques for full-thickness hand defects.

Main Methods:

  • Retrospective review of 23 patients with full-thickness hand defects from rope friction injuries.
  • Functional assessment using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire.
  • Scar quality evaluation via the Patient and Observer Scar Assessment Scale (POSAS).

Main Results:

  • Reconstruction methods included primary repair, skin grafting, local flaps, and free flaps.
  • Significant improvement in functional outcomes was observed post-reconstruction (mean DASH score decreased from 83.9 to 6.65).
  • Good scar quality was reported, with no significant difference between patient and observer scores.

Conclusions:

  • Rope friction injuries often have deeper involvement than initially apparent, necessitating thorough evaluation.
  • Primary repair, grafting, and local flaps are suitable for most defects.
  • Free flaps offer reliable reconstruction for complex cases where local options are insufficient.