Early Results after Repair of Cut Wrist Structures at Zone Five Volar Aspect of the Hand

El-Saadi, Mostafa Mohamad; Awwad, Yehia Zakaria; Ahmad, Mohamed Reda; Abd El Atty, Nader Tharwat Mohamed

doi:10.21608/ejhm.2022.230272

Early Results after Repair of Cut Wrist Structures at Zone Five Volar Aspect of the Hand

Document Type : Original Article

Authors

10.21608/ejhm.2022.230272

Abstract

Background: Hand is one of the most active parts of the body, and its normal function is essential for daily activities. Function of the hand and fingers is related to normal integrity of the bones, tendons and neurovascular structures, and injuries in any parts of these organs can deteriorate the hand function.
Objective: This study aimed to evaluate the early results after repair of cut volar structures at zone five within 24 hours after injury in comparison with the cases which repaired after 24 hours of injury.
Patients and Methods: This was a cohort study that was performed in the period from 1/8/2017 to 1/8/2019 in Plastic & Reconstructive Surgery Department, Zagazig University Hospitals and Al-Ahrar Teaching Hospital Al-Sharqia Egypt. This study included sixty-four cases with sharp cut wounds in zone five of flexor tendons. They fulfilled the inclusion criteria during the study period.
Results: This study revealed that the early repair of cut wrist structures in the 1st 24 hours have more better results and good outcome than delayed repair after 24 hours. So we encourage the early repair of cut wrist structures as early as possible to avoid complications of delayed repair. Conclusion: Care of patients with acute hand injury begins with a focused history and physical examination. In most clinical scenarios, a diagnosis is achieved clinically. While most patients require straight forward treatment, the emergency clinician must rapidly identify limb-threatening injuries and obtain critical clinical information.

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