Complications following the early treatment of hand injuries: an analysis of 100 cases.

During 1970 and 1971, 100 major complications of treated hand injuries were referred to the Sydney Hospital Hand Clinic for further treatment. There were 21 cases of necrosis or infection complicating soft-tissue injuries, 26 cases of severe stiffness complicating fractures and joint injuries, and 39 cases of loss of motor power and sensation complicating tendon and nerve injuries. There were 14 miscellaneous complications. A large proportion of these complications were probably preventable. Common errors and correct treatment are discussed. Summary The application alone of the principles described could probably have prevented a large proportion of the 100 major complications of early treated hand injuries reported in this series. It is the early treatment which decides the final outcome. Skeletal stiffness and failed tendon and nerve repairs may lead to permanent disability. It is far easier to prevent than to cure complications of hand injuries.