title: Setting the Goals in the Management of Mutilated Injuries of the Hand-Impressions Based on the Ganga Hospital Experience.
abstract: Mutilated injuries need to be treated aggressively and appropriately to avoid amputation or severe disability in the individual. Assessment of the management of these injuries on a global level reveals that there is a gap between the need and availability of the skilled manpower to manage these injuries. There is also a gap in the utilization of the available services. These gaps need to be covered or narrowed as far as possible. Although some measures need policy changes and improvement of health care delivery infrastructure, simpler measures taken at the final health care delivery level can significantly improve the final outcome.
authors.affiliation: Division of Plastic Surgery, Hand Surgery, Reconstructive Microsurgery and Burns, Ganga Hospital, 313, Mettupalayam Road, Coimbatore, Tamil Nadu 641 043, India. Electronic address: rajahand@gmail.com.
authors.forename: S Raja
authors.initials: SR
authors.lastname: Sabapathy
authors.affiliation: Hand & Wrist Surgery and Reconstructive Microsurgery, Ganga Hospital, 313, Mettupalayam Road, Coimbatore, Tamil Nadu 641 043, India.
authors.forename: Praveen
authors.initials: P
authors.lastname: Bhardwaj
mesh_terms: D003695:Delivery of Health Care; D006040:Goals; D006230:Hand Injuries / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008488:Medical Illustration; D010781:Photography; D000070599:Shoulder Injuries / Q000473:pathology / Q000601:surgery; D017695:Soft Tissue Injuries / Q000473:pathology / Q000601:surgery; D013933:Thumb / Q000293:injuries / Q000601:surgery
keywords: Accessibility of quality health care; Cost of hand injury care; Mutilated hand injuries management; Primary care of hand injuries; Transfer of injured patients