Abstract
Hand injuries have been one of the most devastating and disabling accidents that might happen to the civilian or military personnel. Almost all kinds of professions require a certain degree of hand dexterity, and such loss will rebound heavily on the family, society, and economical burden of the state, not only instantly, but also for many years to follow. The disaster is massive in the war-zone areas like the Middle East, and it is still growing, making it vital for medical professionals and hand surgeons to get steps ahead in tackling various hand traumas and performing productive rehabilitation. This chapter discusses the management of the blast injuries to the hand and its reconstructive options. The main goal is to preserve the hand when possible and restore its shape and function.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hazani R, Buntic R, Brooks D. Patterns in blast injuries to the hand. Hand. 2008;4(1):44–9.
Hamdan T. Missile injuries of the limbs: an Iraqi perspective. J Am Acad Orthop Surg. 2006;14(10 Spec No.):S32–6.
Sheean A, Tintle S, Rhee P. Soft tissue and wound management of blast injuries. Curr Rev Musculoskelet Med. 2015;8(3):265–71.
Bakhach J, Abu-Sittah G, Dibo S. Reconstruction of blast injuries of the hand and upper limb. Injury. 2013;44(3):305–12.
Geiger S, McCormick F, Chou R, Wandel A. War wounds: lessons learned from Operation Iraqi Freedom. Plast Reconstr Surg. 2008;122(1):146–53.
Ullmann Y, Fodor L, Ramon Y, Soudry M, Lerner A. The revised “reconstructive” ladder and its applications for high-energy injuries to the extremities. Ann Plast Surg. 2006;56(4):401–5.
Rehim S, Chung K. Local flaps of the hand. Hand Clin. 2014;30(2):137–51.
Barillo D, Pozza M, Margaret-Brandt M. A literature review of the military uses of silver-nylon dressings with emphasis on wartime operations. Burns. 2014;40:S24–9.
Molan P, Rhodes T. Honey: a biologic wound dressing. Wounds. 2015;27(6):141–51.
Zhao XF, Li CY, Jin GQ, Ming XF, Wang GJ. Vacuum sealing drainage combined with free skin graft in repairing cutaneous deficiency of traumatic shank amputation stump. Zhongguo Gu Shang. 2014;27(12):1036–9.
Friedrich J, Katolik L, Vedder N. Soft tissue reconstruction of the hand. J Hand Surg Am. 2009;34(6):1148–55.
Biswas D, Wysocki R, Fernandez J, Cohen M. Local and regional flaps for hand coverage. J Hand Surg. 2014;39(5):992–1004.
Bakhach J, Sentucq-Rigal J, Mouton P, Boileau R, Panconi B, Guimberteau J. Le lambeaudorsoradial: un nouveau lambeau pour la reconstruction des pertes de substance de la main. Étudeanatomiqueet application clinique. Ann Chir Plast Esthé. 2006;51(1):53–60.
Khan M, Yaseen M, Bariar L, Khan S. Clinical study of dorsal ulnar artery flap in hand reconstruction. Indian J Plast Surg. 2009;42(1):52.
Bakhach J, Saint Cast Y, Gazarian A, Martin D, Comtet JJ, Baudet J. Ulnar parametacarpal flap. Anatomical study and clinical application. Ann Chir Plast Esthet. 1995;40(2):136–47.
Stella M, Clemente A, Bollero D, Risso D, Arturi L. Temporal facial flap: a versatile free flap for coverage of complex skin defects. Eur J Plast Surg. 2005;28(1):21–6.
Bloom J, Hammert W. Evidence-based medicine: metacarpal fractures. Plast Reconstr Surg. 2014;133:1252.
Jones N, Jupiter J, Lalonde D. Common fractures and dislocations of the hand. Plast Reconstr Surg. 2012;130:722e.
Meals C, Meals R. Hand fractures: a review of current treatment strategies. J Hand Surg Am. 2013;38A:1021–31.
Vaienti L, DeFazio D, Donati V, DeLorenzi F, Ottavian D. Composite (tenocutaneous) dorsal metacarpal flap with reverse flow. Eur J Plast Surg. 1999;22:167–72.
Henry S, Wei FC. Thumb reconstruction with toe transfer. J Hand Microsurg. 2010;2(2):72–8.
Bravo CJ, Horton T, Moran SL, Shin AY. Traumatized index finger pollicization for thumb reconstruction. J Hand Surg Am. 2008;33(2):257–62.
Abdul-Kader M, Amin M. Two-stage reconstruction for flexor tendon injuries in zone II using a silicone rod and pedicled sublimis tendon graft. Indian J Plast Surg. 2010;43(1):14–20.
Higgins JP, Fisher S, Serletti JM, Orlando GS. Assessment of nerve graft donor sites used for reconstruction of traumatic digital nerve defects. J Hand Surg Am. 2002;27(2):286–92.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Bakhach, J., Janom, H. (2017). Management of the Upper Limb Soft-Tissue Injuries. In: Abu-Sittah, G., Hoballah, J., Bakhach, J. (eds) Reconstructing the War Injured Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-56887-4_6
Download citation
DOI: https://doi.org/10.1007/978-3-319-56887-4_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-56885-0
Online ISBN: 978-3-319-56887-4
eBook Packages: MedicineMedicine (R0)