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TRAUMATIC HAND AND FINGER AMPUTATIONS

TTRRAAUUMMAATTIICC HHAANNDDAANNDDFFIINNGGEERRAAMMPPUUTTAATT IIOONNSSThis chapter outlines the basic principles for the evaluation and treatmentof TRAUMATIC hand and FINGER AMPUTATIONS proximal to the distal inter-phalangeal (DIP) joint. AMPUTATIONS distal to the DIP joint can be treatedas a fingertip injury (see chapter 29, Fingertip and Nail Bed Injuries ).The procedure to reattach an amputated part is highly technical and te-dious. It includes reconnecting blood vessels (both an artery and atleast one vein), nerves, and lacerated tendons as well as realigning andstabilizing the bones. A highly trained microsurgeon with access tospecialized equipment is NNoo PPrrooppeerrllyy EEqquuiippppeedd MMiiccrroossuurrggeeoonn iiss AAvvaaiillaabblleeYour best strategy is to help the wound heal with as little functionaldisability as possible. You can take steps to prevent, for example, apainful stump, which will interfere with use of the Wound TreatmentAfter administering a digital block or wrist block, as indicated by thelevel of amputation, completely clean and examine both the stump andthe amputated part (see chapter 6, Evaluation of an Acute Wound ).

Traumatic Hand and Finger Amputations 305 In addition, the patient must be informed that he or she will not awaken from surgery with a normally functioning hand.

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  Hands, Traumatic, Fringe, Amputations, Traumatic hand and finger amputations

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