title: [Primary management and secondary reconstructive surgery of severe combined hand injuries].
abstract: Primary treatment and secondary reconstructive surgery of severe mutilating hand injuries are associated with challenging problems. Conventional and microneurovascular reconstructive methods must be integrated into the therapeutical rationale. The technical and tactical principles essential to obtain an optimal rehabilitational result are discussed. Simple sensitive grip tools will provide better functional long time results than modern prosthetic devices.
authors.affiliation: Abteilung für Plastische und Wiederherstellungschirurgie, Technischen Universität München im Klinikum rechts der Isar.
authors.forename: H U
authors.initials: HU
authors.lastname: Steinau
authors.forename: E
authors.initials: E
authors.lastname: Biemer
authors.forename: A M
authors.initials: AM
authors.lastname: Feller
authors.forename: H W
authors.initials: HW
authors.lastname: Hörl
mesh_terms: D000293:Adolescent; D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D005383:Finger Injuries / Q000601:surgery; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D008866:Microsurgery / Q000379:methods; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D013524:Surgical Flaps; D014034:Toes / Q000637:transplantation
vernacular_title: Primärversorgung und sekundäre Wiederherstellungschirurgie der schweren kombinierten Handverletzung.