title: [Primary treatment of mutilating hand injuries (author's transl)].
abstract: The management of badly multiplating hand injuries is reported on the basis of 130 cases treated as in-patients. It is divided into estimation  of the injuries, operative procedure and post-op. care. The operation itself comprises 4 stages: - intensive exploration - debridement - reconstruction of underlying structures and - treatment of the skin It is essential to conserve all those structures of the hand which are still living. If at all possible, the first operation should also be the main one. In any case,  everything should be done to facilitate the secondary procedure. The final result should guarantee the functions of grasp and touch.
mesh_terms: D000293:Adolescent; D000673:Amputation, Traumatic / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D003646:Debridement; D005593:Fracture Fixation, Internal; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D007223:Infant; D009048:Motor Skills; D016038:Skin Transplantation; D014182:Transplantation, Autologous
vernacular_title: Erstversorgung verstümmelnder Handverletzungen.