TY  - JOUR
PY  - 1990//
TI  - Gunshot and explosion injuries of the hand
JO  - Zentralblatt fur Chirurgie
A1  - Melzer, B.
A1  - Arlt, N.
SP  - 223
EP  - 229
VL  - 115
IS  - 4
N2  - The problem of hand injuries from bullets and explosives is covered in this paper by the example of three cases. The recommendation is made to remove only easily accessible projectiles. The damage caused by the intervention must not be larger than that caused by the bullet injury. Essential measures should include immediate wound toilet with removal of devitalised tissue, primary osteosynthesis, preferentially with minifixateur externe, coverage of exposed tendons, nerves, bones, and joints, splitting of the ligamentum carpi volare, perioperative administration of antibiotics, and secondary skin suture. Definite treatment should be left to a centre of hand surgery.<p /> <p>Language: de</p>
LA  - de
SN  - 0044-409X
UR  - http://dx.doi.org/
ID  - ref1
ER  -