Treatment of hand deep tissue severe infection

Objective To investigate the treatment methods of severe hand deep tissue infection. Methods Severe hand deep tissue infections were treated in 378 cases.The appropriate anti inflammatory therapy was done before operation.Free vascularized musculocutaneous flap was used for wound coverage after radical debridement.Then the wound was irrigated with sensitive antibiotic solution after operation. Results Three hundred and thirty seven of 378 musculocutaneous flaps survived completely,with primary healing rate of 89.1%. Another 41 cases were treated with secondary debridement and local flap coverage after partial necrosis. Conclusion For patients with severe hand deep tissue infection, free musculocutaneous flap transplantation was an efficient method on a complete debridement basis.