Handchirurgie
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The treatment of hydrofluoric acid burns by injection, as it is recommended by many authors, does not give a satisfactory outcome in cases in which the fingers are involved. In these cases the treatment might be dangerous. However good results are seen after early excision of the burned area and covering the defect with split thickness skin grafts. In a case report the typical course and treatment is demonstrated.
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In children the treatment of pulp injuries should amed at conservation. In amputations, replantation should always be tried owing to the high possibility of success and subsequent of functional recovery. In non-specialized workers the simplest and shortest operative procedure (natural healing or skin graft) should be preferred to ensure the quickest possible return to work. ⋯ In the index finger, employed manity for fine actions, DIP mobility is important for good pick up ability. Local flaps are preferred. If impossible sensitive flaps should be used on the radical aspect of the pulp, to avoid functional substitution of the middle finger for the index.