整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
手の外傷の治療経験 特に開放創の初期治療について
吉田 光男橘 寛碓井 良弘内村 正英田中 力久富 孝弘
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1980 年 29 巻 1 号 p. 37-42

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It is important to make open hand injuries with wide crushed wound healed primarily. Pedicle skin grafting has been done for this purpose. However, a risk of infection and a difficulty in supporting the arch of hand in this method are the problems to be solved.
Trimming the wound edge to make a small and single-formed skin defect is essential for primary wound healing.
One of the causes of deformity and pseudoarthrosis after multiple injuries of hand is to start exercising befor a bone union is not completed.
It has been cleared that firm fixation of the fractured bone independently from the neighboring joints is necessary.

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