Treatment of open extensive injuries and destruction of the hand

Department of Traumatology, Orthopedics and Surgery of Extreme Conditions, Russian State Medical University, Moscow
The work is based on the experience of treating 382 patients with extensive open injuries and 95 patients with destruction of the hand. The main importance is attached to the timely and high-quality primary surgical treatment of the wound and the correct choice of surgical treatment tactics (primary or delayed performance of restorative operations). The use of low-traumatic methods of osteosynthesis during the primary surgical treatment of the wound in case of hand injuries accompanied by impaired blood flow in the main type helps to reduce the frequency of necrotic complications. Long-term results of treatment are known in 357 patients. 40% of them are disabled of the III group, which is due to the severity of the injuries. Of 357 patients, 318 (89%) returned to work