Primary repair of soft tissue injuries
Towfigh, H.
Zeitschrift für Kinderchirurgie und Grenzgebiete 30 Suppl: 103-105
1980
ISSN/ISBN: 0044-2909 PMID: 7006245 Document Number: 156658
The primary treatment of an injured hand has great influence on later results, and also on secondary measures in reconstruction. In contrast to adults, children show a good healing of distal-pedicle flaps, after removal of fat and sparing the subdermal plexus. The choice of skin replacement must be made under careful consideration of site, function and the possibility of further measures for rehabilitation. Where several structures in the child's hand are injured, good results can be attained by combining an adaptation-osteosynthesis with Kirschner wires, and a plaster cast. Several cases are demonstrated, with examples.