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Fractures of the hand
1Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, USA.
Clinics in Plastic Surgery
|July 1, 1996
Summary
Effective hand fracture management involves accurate reduction, stabilization, edema control, and early mobilization. Open fractures require prompt debridement and fixation to prevent complications and ensure proper healing.
Area of Science:
- Orthopedic Surgery
- Traumatology
Background:
- Hand fractures are common injuries requiring prompt recognition and treatment.
- Basic principles of fracture management apply to both closed and open hand fractures.
Purpose of the Study:
- To outline the fundamental principles of hand fracture management.
- To highlight special considerations for open hand fractures and surgical techniques.
Main Methods:
- Review of established principles in hand fracture care.
- Discussion of various fixation techniques including splints, K-wires, external fixators, plates, and screws.
- Emphasis on wound debridement and surgical technique for open fractures.
Main Results:
- Accurate reduction and stabilization are key.
- Elevation, edema control, and early range of motion are crucial.
- Open fractures necessitate early debridement and fixation for optimal outcomes.
Conclusions:
- The majority of hand fractures can be managed non-operatively.
- Proper surgical technique and attention to detail are vital for preventing complications.
- Early recognition and treatment are essential for favorable results in hand fracture care.