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J Hand Surg Am. 1993 Jan;18(1):125-30.

High-pressure injection injuries of the hand: review of 25 patients managed by open wound technique.

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Department of Orthopedics, Mayo Clinic, Rochester, MN 55905.


This article reviews the outcome of injury of the hand in 25 patients treated at our institution by the open wound technique: wide d├ębridement, drainage, open packing, and delayed closure. The results obtained are superior to those reported in the literature: Among the patients, 84% of the involved hands or fingers were salvaged, 64% had essentially normal hand function at the time of final follow-up, and 92% were able to return to their previous jobs. We propose that aggressive treatment by the open wound technique improves the outcome of high-pressure injection injuries of the hand.

[Indexed for MEDLINE]

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