Management of mole gun injuries: Review of 19 cases with proposed treatment algorithm

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dc.contributor.authorDadaci, M.
dc.contributor.authorIsmayilzade, M.
dc.contributor.authorZuhour, M.
dc.contributor.authorUyanik, O.
dc.contributor.authorInce, B.
dc.contributor.authorAltuntas, Z.
dc.date.accessioned2024-02-23T14:03:01Z
dc.date.available2024-02-23T14:03:01Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractInjuries caused by mole guns are mostly localized in the hands and characterized by contaminated and necrotic tissues due to the blast effect and a large number of residual foreign bodies in the wound. This study analyzed the medical records of patients' who had hand injuries caused by mole guns and presents our approach through a reconstruction algorithm. Data from 19 consecutive patients who sustained mole gun injuries between March 2015 and May 2019 were reviewed in this retrospective study. Demographics, affected tissues at the injury site, surgical treatment, presence of foreign bodies, and postoperative complications were recorded. A treatment algorithm was created based on the results of this study. Six patients underwent one operation, while the remaining 13 underwent more than one operation. A bone defect was found in four patients, skin and soft tissue defects in six patients, and a neurovascular defect in six patients. Two or less foreign bodies were seen in seven patients. Foreign body removal and debridement procedures are important in the first surgical session. The repair of defectless structures during the same session is also essential. Preparation of the structures with defects that will be repaired 5-7 days later simplifies the secondary surgery. (C) 2021 SFCM. Published by Elsevier Masson SAS. All rights reserved.en_US
dc.identifier.doi10.1016/j.hansur.2021.01.004
dc.identifier.endpage325en_US
dc.identifier.issn2468-1229
dc.identifier.issn2468-1210
dc.identifier.issue3en_US
dc.identifier.pmid33684571en_US
dc.identifier.scopus2-s2.0-85102790779en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage319en_US
dc.identifier.urihttps://doi.org/10.1016/j.hansur.2021.01.004
dc.identifier.urihttps://hdl.handle.net/20.500.12452/11939
dc.identifier.volume40en_US
dc.identifier.wosWOS:000651466700018en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofHand Surgery & Rehabilitationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMole Gunen_US
dc.subjectHand Injuryen_US
dc.subjectTreatment Algorithmen_US
dc.titleManagement of mole gun injuries: Review of 19 cases with proposed treatment algorithmen_US
dc.typeReview Articleen_US

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