TYPE OF SURGERIES

Birth defects

Burns related deformities

Accidents/Trauma Injuries

Swellings on any part of the body

Nerve Disorders

Miscellaneous

Aesthetic

Orthopedic

Hand Injuries with Exposed Tendons and Bones

  • Hand Injuries with Exposed Tendons and Bones

Description of disability:

Tendon injuries are the second most common injuries of the hand and therefore an important topic in trauma and orthopedic patients. Most injuries are open injuries to the flexor or extensor tendons, but less frequent injuries, e.g., damage to the functional system tendon sheath and pulley or dull avulsions, also need to be considered. After clinical examination, ultrasound and magnetic resonance imaging have proved to be important diagnostic tools. Tendon injuries mostly require surgical repair, dull avulsions of the distal phalanges extensor tendon can receive conservative therapy. Injuries of the flexor tendon sheath or single pulley injuries are treated conservatively and multiple pulley injuries receive surgical repair. In the postoperative course of flexor tendon injuries, the principle of early passive movement is important to trigger an "intrinsic” tendon healing to guarantee a good outcome. Many substances were evaluated to see if they improved tendon healing; however, little evidence was found. Nevertheless, hyaluronic acid may improve intrinsic tendon healing.

Treatment:

A patient have to undergo microsurgical transfer of her inner thigh muscle and skin graft to cover bones and tendons. This restored her hand function.

A self inflating tissue expander was inserted into the remaining normal skin to expand it. After expansion, most of the dark, skin grafted area could be replaced with normal looking skin.

Post operative care: 

Routine postoperative care of rest, elevation and immobilization of part followed by regular and graduated physiotherapy was advised till restoration of hand function.


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