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1、BasicsofHandSurgery 华中科技大学同济医学院同济医院康皓DepartmentofOrthopedics HandSurgeryDivision TongjiHospitalProf HaoKang Whatdoweknowabouthands Causeoftheinjuries StabwoundsBurnwoundsGunshotsMachines Examinations Multiplewoundsornot Hand area vesselinjury nerveinjury tendoninjury bone jointsinjury Skinlose Skint
2、emperature Bloodvessel SkincolorSkintemperaturevascularpulsation Nerveinjury reflexation movements Sensitivity Musclehypotrophy Tinelsign Handinjury basicsteps OnsitecareDebrideDeepwoundWoundclosurePostoperativecare 1 Onsitecare Purpose stopbleeding avoidfurthercontemination transfertothehospitalLoc
3、alfixation woundcoverage 2 Earlydebride purpose cleanthewoundareaFirst6 8hoursIntheOPTourniquet 3 Deepwoundmanagement BonerepairTendonrepairNerverepairVesselrepair Principle maintaintheoriginalanatomystructure Deepwound Bonefracture jointdislocationrelocationfixation Fracture Fracture Fracture metak
4、arpal und Bloodvessel anatomosis Nerveinjury Theearlythebettersuturetheepineurium Tendonrepair KesslersutureBunnellsuture 4 Firststagewoundclosure Directclosure Z shapestitchesBigareatissuelose skintransplantation skinflap tissueflap Vacuumassistantwoundclosure Electricinjury 5 Postoperativecare Blo
5、odperfusionWounddressingExternalfixationantibioticsPhysicaltherapy Replantationoflimbs fingers Limbtransfer NoliquiddirectcontactNoicedirectcontact peripheralnerveinjuries Basics injuryofbrachialplexus HornersyndromeInjuryofthemedialnerveInjuryoftheradialnerveInjuryoftheulnarnerveInjuryoftheperoneus
6、communisThreethingstocheck sensitivity movement reflection Medialnerve injury Medialnerve injury Ulnarnerve Ulnarnerve FROMENT SIGN Ulnarnerve Injury Ulnarnerve Injury Radialnerve Radialnerve Whatyou asamedicalstudent needtotakehomewith 1 Principlesofdealingwithhandinjuries2 Howtoexamtheinjury vessel nerve tendon skin3 Transferoflimbs fingers4 peripheralnerveinjuries pleasecheckitonlinehowtoexamtheRadial Ulnar Medialnerveinjury
