par Boisdenghien, Annie 
;Menier, Marcelle
Référence Acta orthopaedica Belgica (Ed. bilingue), 46, 3, page (237-250)
Publication Publié, 1980
;Menier, Marcelle Référence Acta orthopaedica Belgica (Ed. bilingue), 46, 3, page (237-250)
Publication Publié, 1980
Article révisé par les pairs
| Résumé : | The prevention of primary infections of the hand in injuries comprises essentially that of tetanus, gas gangrene, and the infection itself. The infections mentioned are panaris, phlegmon, the sequels of bites and gas gangrene. The treatment of panaris is immediate surgery. This consists of incision-excision without closure. That of the phlegmons is urgent. It depends on the stage of development of the infection and on the topography of the phlegmon. At stage 1 the authors advise filiform drainage. In stages II and III the treatment comprises saucerization and excision of the necrosed tissues, as well as cutaneous closure. The early treatment of bites may be medical if the portals of entry remain open. The only really efficacious treatment of gas gangrene is early surgical saucerization. The authors support their conclusions by a homogeneous series of 52 cases. |
