Eur J Plast Surg (2015) 38:309–314 DOI 10.1007/s00238-015-1073-6 ORIGINAL PAPER Alexander Bolt & Ran Wei & Richard Pinder & James Hodson & Michael Waldram & Darren Chester Received: 1 February 2015 /Accepted: 14 February 2015 /Published online: 14 March 2015 Springer-Verlag Berlin Heidelberg 2015 Abstract Introduction Background Despite open hand fractures being relatively common, little has been published regarding their prevalence, Open hand fractures are relatively common, and like any open mechanism of injury and outcomes. fracture elsewhere, they are a multifaceted entity with both the Methods A retrospective case note review was performed of soft tissue and bone needing to be considered in their manage- all patients presenting with open metacarpal, proximal and ment . There are well-established guidelines for the man- middle phalangeal fractures over a 25-month period at a re- agement of open fractures in the lower limb, but these are less gional hand centre. applicable to open hand fractures . The aims of treatment of Results Eighty-five patients were included (median age open fractures are universal in minimising the risk of osteo- 43 years). BSharp^ injury was the commonest mecha- myelitis, providing adequate soft tissue coverage and ensuring nism (39 %). Forty-three percent were managed
European Journal of Plastic Surgery – Springer Journals
Published: Mar 14, 2015
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