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

doi:10.5035/nishiseisai.29.37

手の外傷の治療経験特に開放創の初期治療について

DOI

吉田光男

新日鉄八幡製鉄所病院整形外科
橘寛

新日鉄八幡製鉄所病院整形外科
碓井良弘

新日鉄八幡製鉄所病院形成外科
内村正英

内村整形外科
田中力

田中整形外科
久富孝弘

久富整形外科

書誌事項

タイトル別名

Primary Treatment of Open Hand Injury

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医中誌

抄録

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.<br>Trimming the wound edge to make a small and single-formed skin defect is essential for primary wound healing.<br>One of the causes of deformity and pseudoarthrosis after multiple injuries of hand is to start exercising befor a bone union is not completed.<br>It has been cleared that firm fixation of the fractured bone independently from the neighboring joints is necessary.