Zarnigar Rizvi, Fraz Fahim, Iqbal Bhutta.
Role of primary skeltal stabalization in management of Crush Hand Injuries.
Ann King Edward Med Uni Jan ;8(3):158-60.
This is a series of 24 patients with Gustillo III crush hand injuries presenting to Mayo Hospital Emergency Department. They were managed according to a pre-decided protocol, with fixation with K-wires within 24 hrs of presentation. With a low infection rate of just 12.5% in these heavily contaminated wounds, we achieved good mobility in 79.1% patients at six months follow up, with minimal other complications and just 2 amputations. This argues heavily in favor of early fixation being used as the standard treatment in such injuries.
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