Management of huge and extraordinary metal-penetrating injuries to the hand

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dc.contributor.authorAkdağ, Osman
dc.contributor.authorYıldıran, Gökçe
dc.contributor.authorKarameşe, Mehtap
dc.date.accessioned2020-03-26T19:54:37Z
dc.date.available2020-03-26T19:54:37Z
dc.date.issued2018
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü en_US
dc.description.abstractObjective: Foreign-body and penetration injuries of the hand are common emergencies. Metallic foreign bodies are common among all foreign masses; however, the examination of huge bodies differs from that of other metallic masses. The purpose of this study was to clarify an algorithm for the management of the huge metallic masses via our therapeutic approaches for metal-penetrating injuries. Material and Methods: Seven patients who had a huge, metallic object-penetration injury to their upper extremity were included in our study. Patients were classified according to the age, injury type, character of metallic body, injury zone, diagnostic methods, anesthesia type, and treatment received, and an algorithm to approach the management of foreign metallic bodies was clarified. Results: The causes of injury were knitting hook, iron fence, mixer, and metal nail. Plain radiography was performed for all patients. Prophylactic tetanus was administered and urgent exploration in the operation room under tourniquet followed by foreign-body extraction through cutting and not pulling were conducted. No residue was retained. Conclusion: Many patients referred to emergency services with foreign bodies. For diagnosis, the patient's history and a minimum of two-way radiograms are crucial. For treatment, we recommend surgical exploration under general anesthesia and tourniquet and extraction of the metallic body by cutting and not pulling without retaining any residual mass in the operation room.en_US
dc.identifier.citationAkdag, O., Yıldiran, G., Karamese, M. (2018). Management of Huge and Extraordinary Metal-Penetrating Injuries to the Hand. Türkish Journal of Surgery, 34(2), 117-120.
dc.identifier.doi10.5152/turkjsurg.2017.3867en_US
dc.identifier.endpage120en_US
dc.identifier.issn2564-6850en_US
dc.identifier.issn2564-7032en_US
dc.identifier.issue2en_US
dc.identifier.pmid30023975en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage117en_US
dc.identifier.urihttps://dx.doi.org/10.5152/turkjsurg.2017.3867
dc.identifier.urihttps://hdl.handle.net/20.500.12395/36764
dc.identifier.volume34en_US
dc.identifier.wosWOS:000440304500009en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAkdag, Osman
dc.institutionauthorYildiran, Gokce
dc.institutionauthorKaramese, Mehtap
dc.language.isoenen_US
dc.publisherAVESen_US
dc.relation.ispartofTürkish Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectForeign bodyen_US
dc.subjecthanden_US
dc.subjectmassen_US
dc.subjectmetalen_US
dc.titleManagement of huge and extraordinary metal-penetrating injuries to the handen_US
dc.typeArticleen_US

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