title: [Treatment strategy in explosion and gunshot injuries of the upper extremity].
abstract: Explosion and gunshot injuries represent a challenging problem with regard to preserve optimal hand function. These wounds exhibit a spectrum of complexity and mostly include extensive soft tissue trauma complicated by burns, foreign bodies, fractures and concomitant trauma. To gain maximal restoration of hand function the use of microsurgical technique, grafting of nerves, vessels and soft tissue as an acute free flap to cover a large defect immediately is necessary. The experience in treatment of 38 cases of blast and gunshot injuries of the hand are reported. The results are discussed in relation to literature, complication, indication and technique.
authors.affiliation: Klinik für Plastische-, Hand- und Wiederherstellungschirurgie, Medizinischen Hochschule Hannover.
authors.forename: H D
authors.initials: HD
authors.lastname: Axmann
authors.forename: P
authors.initials: P
authors.lastname: Brenner
authors.forename: G
authors.initials: G
authors.lastname: Di Benedetto
authors.forename: A
authors.initials: A
authors.lastname: Berger
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000673:Amputation, Traumatic / Q000601:surgery; D001753:Blast Injuries / Q000601:surgery*; D002648:Child; D004185:Disability Evaluation; D005547:Foreign Bodies / Q000601:surgery; D005592:Fracture Fixation; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D009048:Motor Skills / Q000502:physiology; D009104:Multiple Trauma / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D014034:Toes / Q000637:transplantation; D014948:Wounds, Gunshot / Q000601:surgery*
vernacular_title: Behandlungsstrategie bei Explosions- und Schussverletzungen an der oberen Extremität.