PMID: 321511Mar 1, 1977Paper

Reconstructive surgery of roller injuries of the hand

The Journal of Hand Surgery
M V Sanguinetti

Abstract

Eleven patients with roller injuries to the upper extremity are described. Nine were treated initially; two were referred for treatment within 3 weeks after injury. Six patients were injured by kneading machines in bakeries, two by hot dry-cleaning mangles, two by industrial rolling machines, and one by a transmission belt which acted as a roller. The tissue damage depends on (1) the space between the rollers, (2) the speed of the rollers, (3) the hardness of the rollers, (4) the temperature of the rollers, and (5) how violently the patient attempts to withdraw the entrapped part. Lesions may be closed, consisting of a compression of the soft tissues, which may result in skin necrosis, or a tearing and separation of the skin and soft tissues away from the deep fascia (more common on the dorsal surface of the hand), or destruction of skin and deep tissue because of burns. Closed injuries usually respond to conservative care, although decompression sometimes is necessary. Experience gained from treating these 11 patients indicates that the inexperienced surgeon often tries to replace distally based flaps. Such flaps usually die and predispose to deep infection. If the condition of the wound permits, primary skin grafts should be ...Continue Reading

Citations

Feb 12, 2005·The Journal of Trauma·Carlos E Carriquiry, Diego Argañaraz
Oct 5, 2014·The Journal of the American Academy of Orthopaedic Surgeons·Mark Aaron Yaffe, F Thomas Kaplan
Mar 29, 2006·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Mehmet TükenmezHüseyin Demirel
Mar 30, 2017·Archives of Plastic Surgery·Zhi Yang NgHarvey Wei Ming Chim

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