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11-13-2013, 05:27 PM
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Treatment Of Hand Traumas Following GSW
1. A - Metacarpal fractures associated with fragmentation injury stabilized with Kirschner wires. B - Clinical photograph following initial débridement and stabilization, demonstrating significant dorsal skin loss. C - Photograph of radial forearm flap used to afford cover for skin loss following satisfactory débridement. 2. A - AP radiograph demonstrating metacarpal stabilization with a tensioned Kirschner wire. B - Clinical photograph of the dorsum of the hand with skin graft and visible wire. C - Photograph of the hand in negative-pressure wound therapy after initial débridement. 3. Oblique radiograph (A) and clinical photographs (B and C) of a hand with fragmentation injury. 4. Photographs of a close-range gunshot wound to the hand demonstrating entry, with tattooing from gunpowder (A), and exit (B) wounding. |