Clinical Study on Hand in juries
10.4055/jkoa.1977.12.4.699
- Author:
Hyun Kee CHUNG
;
Kwang Suk LEE
;
Kwang Hoe KIM
- Publication Type:Original Article
- MeSH:
Accidental Falls;
Accidents, Occupational;
Amputation;
Clinical Study;
Debridement;
Female;
Fingers;
Fractures, Closed;
Fractures, Comminuted;
Fractures, Open;
Hand Injuries;
Hand;
Humans;
Incidence;
Joints;
Male;
Orthopedics;
Pseudomonas aeruginosa;
Staphylococcus;
Sutures
- From:The Journal of the Korean Orthopaedic Association
1977;12(4):699-708
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hand injuries in the industries have been steadily increasing in this country in recent years. All structures are damaged when a hand is caught in punch presses, gears or under falling objects. Irreversible loss of blood supply to the part is only real indication for primary amputation. Statistical observations were carried out on 240 patients of hand injuries who were treated at the Deparement of Orthopedic Surgery, College of Medicine, Hanyang University from May, 1972 to April, 1977 and following results were obtained. 1. The peak incidence was in the age group from 11 to 20 years in 83 cases(38.4%) and of the 226 patients, 204(85.0%) were male and 36(15.0%) were female. 2. In general, the incidence of hand injuries per year was annually increased and was much more occurred on April than other months of year. 3. The injured ratio of both hands was almost equal and main causes of hand injury were industrial accident (72.1%), traffic accident(12.9%) and electric accident(6.3%). 4 Most of hand injured patients(81.7%) arrived at our hospital within 6 hours after accidents 5. Of 240 injuries, 78(32.5%) were crushing injury with open comminuted fracture, 39(16.2%) were open fracture and 30(12.5%) were closed fracture. 6. Of injured fingers, 126(51.2%) were mondigit and the remained were polydigits. 7. The most frequency of monodigit injury was index finger(32.5%) and of polydigits injury was middle finger(28.2%) 8. In mondigit amputation, index finger were generally amputated at metacarpo-phalangeal joint and middle finger at proximal phalangeal level. 9. Of 457 injuries with facture, 213(46.6%) were treated by debridement and primary suture, and 94 (20.6%) by debridement and open reduction with Kirschner wire fixation. 10. Of 240 patients, 46 cases(19.2%) were infected and the main causative organisms were pseudomonas aeruginosa (41.3%), Staphylococcus aureus(17.3%) and Alkaligenus fecalis(10.9%).
