title: [Treatment of high-pressure paint injection injuries of hand with debridement combined with vacuum sealing drainage technique].
abstract: OBJECTIVE
  To explore the effects of debridement combined with vacuum sealing drainage (VSD) technique in treatment of high-pressure paint injection injuries of hand.
  
  
  METHODS
  From April 2005 to August 2010,14 patients with high-pressure paint injection injuries of hand were treated with debridement and VSD technique within 6 hours after injury. All the patients were male,ranging in age from 23 to 47 years with an average of 36.5 years. All injuries occurred left hand,thumb injured in 5 cases,index finger in 3 cases, middle finger in 2 cases and palm in 4 cases. Injured hands swelled obviously with poor blood circulation. When the wounds were covered with fresh granulation tissue without inflammatory effusion after operation of 3-4 times, the skingrafting (9 cases) or transfer flap (5 cases) were done on the wounds.
  
  
  RESULTS
  All the patients were followed up from 8 to 16 months with an average of 12 months. All the wounds obtained good healing. Therapeutic effects were estimated according to TAM criteria, 7 cases were excellent,6 good and 1 fair.
  
  
  CONCLUSIONS
  In high-pressure paint injection injuries of hands,debridement combined with VSD technique can avoid wound infection,promote the growth of granulation tissue. It is beneficial to wound healing.
authors.affiliation: Department of 3rd Orthopaedics, People's Hospital of Wuhan University, Hebei, China. chenqingortho@hotmail.com
authors.forename: Qing
authors.initials: Q
authors.lastname: Chen
authors.forename: Deng-sheng
authors.initials: DS
authors.lastname: Liu
authors.forename: Wei
authors.initials: W
authors.lastname: Hu
authors.forename: Ya-ming
authors.initials: YM
authors.lastname: Li
authors.forename: Shi-qing
authors.initials: SQ
authors.lastname: Liu
mesh_terms: D000328:Adult; D003646:Debridement / Q000379:methods*; D004322:Drainage / Q000379:methods*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D010150:Paint