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[Complex injuries of the hand]

G Foucher1

  • 1SOS Main Strasbourg.

La Revue Du Praticien
|November 15, 1994
PubMed
Summary

Emergency hand treatment has evolved. Microsurgery enables "One-Stage Repair with Early Mobilisation," prioritizing immediate repair and swift hand movement to prevent stiffness and restore function.

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The Journal of hand surgery, European volume·2007

Area of Science:

  • Hand surgery
  • Microsurgery
  • Trauma care

Context:

  • Historically, deferred surgery was standard for severe hand injuries.
  • Advancements in microsurgery have revolutionized emergency hand treatment.
  • The development of specialized emergency hand units has increased access to care.

Purpose:

  • To introduce the "One-Stage Repair with Early Mobilisation" philosophy for emergency hand injuries.
  • To highlight the benefits of immediate surgical intervention and early patient mobilization.
  • To advocate for the establishment and expansion of dedicated emergency hand treatment units.

Summary:

  • The "One-Stage Repair with Early Mobilisation" approach involves immediate surgical repair of all hand lesions using techniques that permit early post-operative movement.
  • This strategy aims to prevent hand stiffness, a major complication that impairs grasping ability, mobility, and sensitivity.
  • The establishment of "SOS MAIN" in 1972 and the subsequent European Federation of Units for Emergency Hand Treatment demonstrate the growing importance of specialized emergency hand care.

Impact:

  • Improved outcomes for patients with severe hand injuries.
  • Reduced incidence of post-traumatic hand stiffness and loss of function.
  • Facilitated the creation of a network of specialized emergency hand treatment centers across Europe.

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