Management Of Two Partial Amputations Of The Wrist In Precarious Environment: Analysis Of 2 Observations At The Orthopedics-Traumatology Department Of The Ignace Deen National Hospital.

摘要

The authors report in this study the results of the management of two cases of partial amputation of the wrist. Both of these patients showed almost identical lesions. It was a section of all the contents of the carpal tunnel and that of the Guyon canal. The first patient was a right-handed manual worker who was admitted 45 minutes after a work accident where he had left open wrist trauma. The second, a right-handed anthropologist, received 15minutes, which after a domestic accident (fall in the toilets with the palmar face of the right hand on the sink) presented an open trauma of the right wrist. The operative technique was identical under locoregional anesthesia (plexus block) we proceeded to the repair of the tendons by KESSLER points reinforced by a peritinous surging, the suture of the arteries was done after the low molecular weight heparin and the nerves by the epipérieural suture and a complementary immobilization of the limb in a splint plastered in cuff. The postoperative course was simple and satisfactory functional recovery after rehabilitation sessions and the resumption of professional activity. For the evaluation of our patients we used the patient's wrist evaluation score (PRWE).