MANAGEMENT OF RECONSTRUCTION OF COMBINED HAND INJURIES INCLUSIVE REPLANTATIONS

The anatomical details of the hand act together and therefore it is th e most complicated part of our skeleton and locomotor system. Simultan eously the hand is a tactile sensory organ and an instrument for inter human communication. Sometimes the treatment of isolated injuries is d ifficult enough. Adequate treatment of combined injuries requires a so phisticated level of hand surgical training with advanced knowledge an d technical skills. Primary reconstruction of the damaged structures w ill be the aim, to start physiotherapy as soon as possible. If it will be impossible to reconstruct everything primarily, it is necessary to create best conditions for later surgical treatment. In case of repla ntation surgery the patient should be transferred, in dependence of hi s simultaneous injuries, to a special replantation center.