Treatment of high-pressure injection injuries to hand

Objective To report the treatment procedures and their outcomes in high-pressure injection injuries to the hand in 6 cases. Methods Two or 3 extensive wound debridement in all wounded fingers or hands were performed. All large residual skin defects following debridement were repaired with dorsal hand reversed fascial flaps. Results From October 1998 to October 2001,6 cases of high-pressure injection injuries to the hand were treated in our department. The transferred flap all survived. The wounded fingers had good motor function. Conclusion Multiple (2 or 3) debridements and early flap resurfacing are a key point for good function in the wounded fingers.