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During the last two years, 16 severe explosion injuries of the hand have been treated with plastic microsurgery in our hospital. The injury had arisen in seven cases from the mixture sugar + sodium chlorate (C12H22O11 + NaClO3). This substance mixture may already be caused to explode by slight vibrations and the warmth of the hands. In explosion injuries, there is mechanical, chemical and thermal tissue damage. The postoperative course is therefore complicated in almost all cases. However, by meticulous removal of the disseminated foreign particles, excision of necrotic tissue and extensive reconstruction of the interrupted vascular and nerve supply, it is possible in a few cases to preserve functionally important parts of the hand. Later plastic procedures are made more difficult by tissue fibrosis and foreign body granulomas.
L Zwank, and
P Hertel, and
L Schweiberer
December 1987,
Orthopedics,
L Zwank, and
P Hertel, and
L Schweiberer
October 1984,
Journal of reconstructive microsurgery,
L Zwank, and
P Hertel, and
L Schweiberer
November 2009,
Hand clinics,
L Zwank, and
P Hertel, and
L Schweiberer
February 1958,
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
L Zwank, and
P Hertel, and
L Schweiberer
July 1974,
Fortschritte der Medizin,
L Zwank, and
P Hertel, and
L Schweiberer
August 1977,
The New Zealand medical journal,
L Zwank, and
P Hertel, and
L Schweiberer
January 2003,
Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi,
L Zwank, and
P Hertel, and
L Schweiberer
May 1995,
Clinical orthopaedics and related research,
L Zwank, and
P Hertel, and
L Schweiberer
May 2017,
Hand clinics,
L Zwank, and
P Hertel, and
L Schweiberer
August 2017,
Hand clinics,
