title: [Complex hand injuries].
abstract: Most problems in the treatment of complex hand injuries result from not clearly recognizing which structures are destroyed or preserved preoperatively. The plan for treatment depends on priorities. Beginning with reduction and osteosynthesis and after suture of tendons, restoring blood supply is most important. Nerve reconstruction is best done soon. But if suture without tension is impossible, secondary nerve grafting is to be preferred. Skin closure is to be done soon if possible. Otherwise we need skin grafts, local or free flaps.
authors.affiliation: Klinikum Lippe Lemgo GmbH, Abteilung für Plastische und Handchirurgie.
authors.forename: M
authors.initials: M
authors.lastname: Wannske
mesh_terms: D000328:Adult; D002648:Child; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000175:diagnosis / Q000601:surgery*; D006225:Hand / Q000294:innervation; D006230:Hand Injuries / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D059348:Peripheral Nerve Injuries; D010525:Peripheral Nerves / Q000601:surgery; D017695:Soft Tissue Injuries / Q000175:diagnosis / Q000601:surgery*; D013708:Tendon Injuries / Q000175:diagnosis / Q000601:surgery*