[Complex injuries of the hand].
For many years, the rule "Emergency Treatment, Deferred Surgery", advocated by Marc Iselin, led to saving severely injured hands by postponing surgery and leaving it to highly specialised surgeons. With the appearance of microsurgery, which can be used for arterial and venous repair, the notion of actual emergency has returned and has led to the philosophy of "One-Stage Repair with Early Mobilisation". This consists in emergency repair of all the lesions and selection of techniques compatible with active mobilisation in the first postsurgical days. It is thus possible to avoid the major complication represented by stiffness of the hand in the fundamental role of grasping which requires mobility and sensitivity. Thus, Units for Emergency Hand Treatment must be created. In 1972 Raymond Vilain had the foresight to open the first such unit, "SOS MAIN". In 1975 a unit was opened in Strasbourg and five years later the European Federation of Units for Emergency Hand Treatment was born; today it comprises approximately 40 units within Europe.
Foucher
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SOS Main Strasbourg.
D001858:Bone Nails; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008866:Microsurgery; D013524:Surgical Flaps
Traumatismes complexes de la main.