title: Open Fractures of the Hand: Review of Pathogenesis and Introduction of a New Classification System.
abstract: Open fractures of the hand are a common and varied group of injuries. Although at increased risk for infection, open fractures of the hand are more resistant to infection than other open fractures. Numerous unique factors in the hand may play a role in the altered risk of postinjury infection. Current systems for the classification of open fractures fail to address the unique qualities of the hand. This article proposes a novel classification system for open fractures of the hand, taking into account the factors unique to the hand that affect its risk for developing infection after an open fracture.
authors.affiliation: Department of Orthopaedic Surgery, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107, USA. Electronic address: jacob.tulipan@gmail.com.
authors.forename: Jacob E
authors.initials: JE
authors.lastname: Tulipan
authors.affiliation: Department of Orthopaedic Surgery, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107, USA.
authors.forename: Asif M
authors.initials: AM
authors.lastname: Ilyas
mesh_terms: D019072:Antibiotic Prophylaxis; D003646:Debridement; D005385:Fingers / Q000098:blood supply; D005597:Fractures, Open / Q000145:classification* / Q000150:complications / Q000382:microbiology / Q000628:therapy*; D006230:Hand Injuries / Q000145:classification* / Q000150:complications / Q000382:microbiology; D006801:Humans; D050279:Metacarpal Bones / Q000293:injuries*; D013933:Thumb / Q000293:injuries
keywords: Classification system; Hand; Infection; Open fractures; Pathogenesis; Treatment