title: Ax injuries of the hand.
abstract: OBJECTIVE
  To review a series of ax injuries of the hand.
  
  
  METHODS
  Retrospective epidemiological review of 125 cases.
  
  
  METHODS
  Assessment from the notes of all injuries, with more detailed follow-up of 26 cases.
  
  
  METHODS
  Levels of injury, surgery required, complications, results, patient satisfaction, methods of prevention.
  
  
  CONCLUSIONS
  Ax injuries are rare. They usually affect the thumb and index finger of the nondominant hand. As with all hand injuries, expertise in dealing with bone, tendon, nerve, and skin cover is essential. Even "minor" injuries may give rise to considerable morbidity. Our complication rate in replantation was 50%. Care should be taken here not to compromise the result by attempting to maintain the length of the bony skeleton. The long-term results (at 11 months to 12 years) were generally satisfactory, but cold intolerance may persist for many years. As with all accidents, prevention would be better than cure. Neither we nor the patients could think of any way of significantly reducing the incidence of these accidents. However, holding the ax by the neck seemed a common way of sustaining injury.
authors.affiliation: S.O.S. Main, Clinique du Parc, Strasbourg, France.
authors.forename: L
authors.initials: L
authors.lastname: Muir
authors.forename: G
authors.initials: G
authors.lastname: Foucher
authors.forename: F
authors.initials: F
authors.lastname: Marian-Braun
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D006230:Hand Injuries / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D017060:Patient Satisfaction; D012092:Replantation; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D014934:Wood; D014950:Wounds, Penetrating / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery