{"id":1986,"date":"2025-12-31T07:28:55","date_gmt":"2025-12-31T07:28:55","guid":{"rendered":"https:\/\/serdarnasir.com\/?page_id=1986"},"modified":"2026-10-20T14:45:59","modified_gmt":"2026-10-20T14:45:59","slug":"open-fractures-and-complex-hand-injuries","status":"publish","type":"page","link":"https:\/\/serdarnasir.com\/en\/hand-surgery\/open-fractures-and-complex-hand-injuries\/","title":{"rendered":"Open Fractures and Complex Hand Injuries"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_547329455\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-576156774\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper is-xlarge flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Open Fractures and Complex Hand Injuries in Ankara, Turkey          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n     \n<style>\n#page-header-576156774 .page-title-inner {\n  min-height: 150px;\n}\n#page-header-576156774 .title-overlay {\n  background-color: rgba(255, 255, 255, 0);\n}\n<\/style>\n  <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_547329455 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n  background-color: #213360;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1468936848\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-346408437\">\n\n\t<div id=\"col-1729777581\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Open fractures and complex hand injuries are serious traumas in which bone integrity is disrupted and soft tissue, nerves, vessels, and tendon structures are affected simultaneously. In such injuries, the risk of infection is high and a multidisciplinary surgical approach is required.<\/p>\n<p>In open fractures, bone ends emerge outside the skin and come into contact with the external environment. This situation increases the risk of bacterial contamination. As an initial intervention, wound cleaning, antibiotic therapy, and temporary stabilization should be provided. Surgical fixation constitutes the second stage.<\/p>\n<p>In complex hand injuries, crushing, amputation, or high-energy occupational accidents are generally involved. In such situations, bone, tendon, vessel, and nerve repairs are planned simultaneously using microsurgical techniques. Anatomical repair of each tissue layer determines functional recovery.<\/p>\n<p>After such surgeries, starting physical therapy early is critically important to preserve hand function. The rehabilitation process should be planned individually and functional recovery should be ensured under long-term follow-up.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Things You Need to Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>Definition<\/td>\n<td>An open fracture is a type of fracture in which the bone ends come into contact with the external environment by disrupting the integrity of the skin. Complex hand injuries are serious traumas in which multiple structures such as bone, tendon, nerve, vessel, and skin are damaged simultaneously.<\/td>\n<\/tr>\n<tr>\n<td>Causes<\/td>\n<td>They occur as a result of high-energy traumas such as traffic accidents, occupational accidents, falling heavy objects, machine accidents, and contact with explosive materials.<\/td>\n<\/tr>\n<tr>\n<td>Clinical Findings<\/td>\n<td>Severe pain, bleeding, deformity, limitation of movement, open wound, visible bone fragments, loss of sensation, absence of pulse.<\/td>\n<\/tr>\n<tr>\n<td>Classification (Gustilo-Anderson)<\/td>\n<td>Type I: Clean, &lt;1 cm wound. Type II: 1\u201310 cm wound, moderate soft tissue damage. Type III: &gt;10 cm wound, severe tissue damage; IIIA, IIIB (bone exposed), IIIC (vascular injury).<\/td>\n<\/tr>\n<tr>\n<td>Emergency Intervention<\/td>\n<td>Control of bleeding, covering the wound with a sterile dressing, elevation of the extremity, vascular and nerve examination, tetanus prophylaxis, initiation of broad-spectrum antibiotics.<\/td>\n<\/tr>\n<tr>\n<td>Imaging<\/td>\n<td>Direct radiography, CT, MRI (especially for tendon, nerve injury and soft tissue evaluation), angiography (in suspected vascular injuries).<\/td>\n<\/tr>\n<tr>\n<td>Surgical Treatment<\/td>\n<td>Debridement (removal of dead tissues), internal or external fixation, vascular-nerve repair with microsurgery, tendon reconstruction, graft and flap applications.<\/td>\n<\/tr>\n<tr>\n<td>Secondary Stage Surgeries<\/td>\n<td>Depending on tissue loss, secondary closure, grafting, free flap transfer, or amputation-revision procedures may be required.<\/td>\n<\/tr>\n<tr>\n<td>Complications<\/td>\n<td>Infection, delayed healing, nonunion, malunion, tissue necrosis, nerve paralysis, loss of function, chronic pain.<\/td>\n<\/tr>\n<tr>\n<td>Rehabilitation Process<\/td>\n<td>Physiotherapy, occupational therapy, hand exercises, orthotic supports; long-term follow-up is particularly required for preserving and regaining hand functions.<\/td>\n<\/tr>\n<tr>\n<td>Functional Outcomes<\/td>\n<td>They vary depending on the severity of the injury, the time to intervention, and the surgery performed; although full recovery is possible, limitation of movement may remain permanent.<\/td>\n<\/tr>\n<tr>\n<td>Long-Term Follow-Up<\/td>\n<td>Regular clinical control, functional evaluation, radiological monitoring, and secondary interventions if necessary are planned.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1729777581 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1468936848 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_733230195\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-949742212\">\r\n\r\n\n\t<div id=\"col-1396876318\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner dark\" style=\"background-color:#213360;\" >\n\t\t\t\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1992929595\">\r\n\r\n\n\t<div id=\"col-211872099\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover border-gorsel x md-x lg-x y md-y lg-y\" id=\"image_1538631539\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"533\" height=\"800\" src=\"https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-533x800.webp\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-533x800.webp 533w, https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-267x400.webp 267w, https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1.webp 720w\" sizes=\"(max-width: 533px) 100vw, 533px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1538631539 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-211872099 > .col-inner {\n  margin: 0px 0px -10px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-959548773\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-969648858\" class=\"text\">\n\t\t\r\n\r\n<div><strong><span style=\"font-size: 110%;\">Prof. Dr. Serdar Nas\u0131r<\/span><\/strong><strong><span style=\"font-size: 63%;\"><br \/>Specialist in Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery<\/span><\/strong><\/div>\r\n\r\n\t\t\n<style>\n#text-969648858 {\n  font-size: 1.55rem;\n}\n@media (min-width:550px) {\n  #text-969648858 {\n    font-size: 1.85rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n<p>He completed his medical education at Ankara University Faculty of Medicine in 1996 and his specialty training between 1996\u20132002 at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.<\/p>\r\n<p>Between 2002\u20132009, he worked at S\u00fcleyman Demirel University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.<\/p>\r\n<p>Since 2009, he has been working at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery. He received the title of Associate Professor in 2011. In 2019, Dr. Nas\u0131r became a Professor and continues to work as a faculty member in this position.<\/p>\r\n<a href=\"\/en\/about-me\/\" class=\"button white\" style=\"border-radius:5px;\">\n\t\t<span>View More<\/span>\n\t<\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-959548773 > .col-inner {\n  margin: 0px 0px -10px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1396876318 > .col-inner {\n  padding: 30px 25px 0px 25px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 30px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_733230195 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1149218007\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-665214750\">\n\n\t<div id=\"col-443902813\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/open-fractures-and-complex-hand-injuries\/#What_Are_Open_Fractures_and_Complex_Hand_Injuries\" >What Are Open Fractures and Complex Hand Injuries?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/open-fractures-and-complex-hand-injuries\/#Why_are_hand_injuries_so_complex_and_vitally_important\" >Why are hand injuries so complex and vitally important?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/open-fractures-and-complex-hand-injuries\/#What_are_the_most_common_causes_of_hand_injuries_and_who_are_the_risk_groups\" >What are the most common causes of hand injuries and who are the risk groups?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/open-fractures-and-complex-hand-injuries\/#What_does_an_open_fracture_mean_and_why_is_it_so_dangerous\" >What does an open fracture mean and why is it so dangerous?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/open-fractures-and-complex-hand-injuries\/#What_first_aid_steps_should_be_applied_at_the_time_of_injury_and_until_reaching_the_hospital\" >What first aid steps should be applied at the time of injury and until reaching the hospital?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/open-fractures-and-complex-hand-injuries\/#What_antibiotic_treatments_and_precautions_are_taken_against_the_risk_of_infection\" >What antibiotic treatments and precautions are taken against the risk of infection?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/open-fractures-and-complex-hand-injuries\/#Why_is_surgical_cleaning_and_debridement_the_most_critical_stage_of_treatment\" >Why is surgical cleaning and debridement the most critical stage of treatment?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/open-fractures-and-complex-hand-injuries\/#How_are_broken_bones_surgically_stabilized_and_which_materials_are_used\" >How are broken bones surgically stabilized and which materials are used?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/open-fractures-and-complex-hand-injuries\/#How_do_microsurgical_techniques_make_a_difference_in_vascular_and_nerve_repairs\" >How do microsurgical techniques make a difference in vascular and nerve repairs?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/open-fractures-and-complex-hand-injuries\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_Open_Fractures_and_Complex_Hand_Injuries\"><\/span>What Are Open Fractures and Complex Hand Injuries?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>An open fracture is a type of fracture in which the bone comes into contact with the external environment by disrupting the integrity of the skin. Complex hand injuries are serious traumas in which bones, tendons, nerves, vessels, and soft tissues are damaged together. These conditions usually occur as a result of high-energy accidents and carry the risk of infection, loss of function, and permanent disability. Early surgical intervention, appropriate antibiotic treatment, and a multidisciplinary approach increase treatment success.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_are_hand_injuries_so_complex_and_vitally_important\"><\/span>Why are hand injuries so complex and vitally important?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When you place your hand on the table and look at it, beneath that elegant structure you see lies an incredible crowd and order. Nowhere else in the body are so many critical structures packed into such a narrow space. Imagine that we examine a cross-section of one of your fingers; bones separated by millimetric distances, tendons that allow you to bend your finger, vessels that nourish that area, and nerves that allow you to feel stand shoulder to shoulder.<\/p>\n<p>This crowded arrangement is the fundamental factor that increases the severity of injuries. While a deep cut on your calf may only affect muscle tissue, a cut of similar depth on your hand can simultaneously sever the tendon, nerve, and vessel. This situation almost eliminates the concept of a \u201csimple cut\u201d in hand surgery. For us, a hand injury is not just the disruption of tissue integrity. It is the risk of losing function, meaning movement and sensation.<\/p>\n<p>The functional importance of the hand is directly connected to social and economic life. An individual who cannot use their hand does not only experience a physical disability; they may also lose their independence, become unable to perform their job, and face serious psychological difficulties. For this reason, our approach to complex injuries of the hand is always based on the principle of \u201cmaximum preservation and maximum repair.\u201d Our goal is not only to close the wound but to ensure that the hand can hold life again.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_are_the_most_common_causes_of_hand_injuries_and_who_are_the_risk_groups\"><\/span>What are the most common causes of hand injuries and who are the risk groups?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The picture we see in our clinical practice shows that hand injuries unfortunately affect people in the most productive period of life. The young and middle-aged male population is the group most frequently exposed to these injuries due to occupational accidents and trauma. This situation turns the issue from a medical problem into a social and economic matter.<\/p>\n<p>How the injury occurs, meaning the mechanism, is the first clue that determines our treatment plan. There is a wide spectrum from household accidents to industrial injuries. Knowing the mechanism of injury allows us to predict how much the tissue has been crushed, contaminated, and its healing potential.<\/p>\n<p>Common causes of injury include:<\/p>\n<ul>\n<li>Glass cuts<\/li>\n<li>Knife injuries<\/li>\n<li>Circular saw accidents<\/li>\n<li>Press machine compressions<\/li>\n<li>Traffic accidents<\/li>\n<li>Firearm injuries<\/li>\n<li>Crush injuries caused by falls<\/li>\n<\/ul>\n<p>For example, a glass cut caused by a broken glass in the kitchen is generally a \u201cclean\u201d injury. The tissue is cut smoothly and its repair is relatively easier. However, getting the hand caught in an industrial machine or firearm injuries create a much more chaotic picture. In these cases, the tissue is not only cut; it is crushed, fragmented, heated, and sometimes torn off. These high-energy traumas disrupt tissue nutrition and dramatically increase the risk of infection.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-443902813 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1149218007 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_803029858\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1369202322\">\r\n\r\n\n\t<div id=\"col-2139255392\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 51, 96);border-radius:10px;border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1223552167\">\r\n\r\n\n\t<div id=\"col-1537039468\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-2487390234\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contact us to get information about treatments and create an appointment!<\/strong><\/div>\r\n\t\t\n<style>\n#text-2487390234 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #213360;\n}\n#text-2487390234 > * {\n  color: #213360;\n}\n@media (min-width:550px) {\n  #text-2487390234 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1114693989\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905330852159\" class=\"button success\" style=\"border-radius:5px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Contact via WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-2139255392 > .col-inner {\n  padding: 30px 15px 0px 15px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-2139255392 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_803029858 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_904071276\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1864987065\">\n\n\t<div id=\"col-265949854\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"What_does_an_open_fracture_mean_and_why_is_it_so_dangerous\"><\/span>What does an open fracture mean and why is it so dangerous?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As a medical term, an \u201copen fracture\u201d refers to a situation far more serious than it sounds. Under normal conditions, our bones are located in a sterile environment isolated from the outside world by muscle and skin layers. In an open fracture, the broken bone ends pierce the skin and emerge outside, or the skin is opened by an external trauma and the bone becomes visible.<\/p>\n<p>The greatest danger of this condition is infection. Bone marrow and deep tissues come into contact with air, dust, clothing fragments, or bacteria on the object that caused the injury. The moment the skin barrier disappears, our body becomes like a defenseless fortress. Bacteria can rapidly descend into deeper tissues and settle in the bone. Bone infection (osteomyelitis) is a very serious complication whose treatment may take months or even years and may sometimes lead to the loss of the limb.<\/p>\n<p>When evaluating open fractures, we use a classification system called \u201cGustilo-Anderson.\u201d This system allows us to perform a risk analysis according to the size of the wound and the degree of contamination. Sometimes a tiny bone tip emerges from inside to outside, which carries a lower risk (Type 1). Sometimes, however, after a high-energy accident, there may not even be skin left to cover the bone, vessels may be torn, and very severe tissue damage occurs (Type 3). Regardless of the classification, every open fracture requires emergency intervention because every passing hour is an opportunity for bacteria to multiply.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_first_aid_steps_should_be_applied_at_the_time_of_injury_and_until_reaching_the_hospital\"><\/span>What first aid steps should be applied at the time of injury and until reaching the hospital?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>During an accident, especially when there is a serious injury, bleeding, and deformity in the hand, it is very natural to panic. However, maintaining calmness and applying correct first aid prevents further damage to tissues during the time until reaching the hospital.<\/p>\n<p>The first and most important rule is to stop the bleeding. Since the hands and fingers are areas with very intense blood supply, frightening amounts of bleeding may occur even with the smallest cut. What should be done is to apply direct and continuous pressure on the wound with a clean cloth. Applying a tourniquet, meaning tightening the arm from above with a belt or rope, is generally not recommended unless there is a complete amputation. Because although a tourniquet stops the bleeding, it may increase damage by cutting off the blood supply to healthy tissues as well.<\/p>\n<p>The main first aid principles that should be considered are:<\/p>\n<ul>\n<li>Applying pressure on the wound with a clean cloth<\/li>\n<li>Keeping the hand above heart level<\/li>\n<li>Immediately removing jewelry such as rings and watches<\/li>\n<li>If a fracture is suspected, immobilizing the hand with a rigid cardboard<\/li>\n<li>Not applying tobacco, ash, or ointment to the wound<\/li>\n<li>If there is an amputated part, wrapping it with a moist cloth and placing it in ice water<\/li>\n<li>Not giving the patient food or drink<\/li>\n<\/ul>\n<p>Especially since the patient is highly likely to undergo surgery, \u201cremaining fasting\u201d is vital for anesthesia safety. Not drinking even water prevents the risk of stomach contents entering the lungs during surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_antibiotic_treatments_and_precautions_are_taken_against_the_risk_of_infection\"><\/span>What antibiotic treatments and precautions are taken against the risk of infection?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In open fractures and contaminated hand injuries, the use of antibiotics is not a precaution given with the thought \u201can infection may occur,\u201d but rather like sending reinforcements to a war that has already begun. Because bacteria have already entered the tissue at the moment of injury. For this reason, antibiotic therapy is started as soon as the patient enters the hospital, even in the emergency department.<\/p>\n<p>The antibiotic to be selected in treatment varies depending on where and how the injury occurred. Every environment has its own bacterial flora, and we surgeons choose our weapon by predicting these \u201cinvisible enemies.\u201d<\/p>\n<p>Risk factors that vary according to the source of infection include:<\/p>\n<ul>\n<li>Soil and agricultural land<\/li>\n<li>Fresh water sources<\/li>\n<li>Sea water<\/li>\n<li>Sewage waste<\/li>\n<li>Animal bites<\/li>\n<li>Human bites<\/li>\n<\/ul>\n<p>For example, in an injury that comes into contact with soil in an agricultural area, the risk of tetanus and gas gangrene is very high; in this case, penicillin group drugs are added to treatment. In sea accidents, special antibiotics effective against bacteria living in salt water are selected. In addition, the patient\u2019s tetanus vaccination history must be questioned. If they have not been vaccinated in the last 5\u201310 years, protection is provided by administering a vaccine and, if necessary, tetanus immunoglobulin (ready-made antibody).<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-265949854 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_904071276 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1070088759\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1904794684\">\r\n\r\n\n\t<div id=\"col-1745335839\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 51, 96);border-radius:10px;border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1248314785\">\r\n\r\n\n\t<div id=\"col-1496078461\" class=\"col medium-7 small-12 large-7\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-4218696765\" class=\"text\">\n\t\t\r\n\r\n<p><strong>Contact Us!<\/strong><\/p>\r\n\t\t\n<style>\n#text-4218696765 {\n  font-size: 2rem;\n  text-align: center;\n  color: #1f437b;\n}\n#text-4218696765 > * {\n  color: #1f437b;\n}\n@media (min-width:550px) {\n  #text-4218696765 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"text-2579199444\" class=\"text\">\n\t\t\r\n\r\n<div>Contact us to get information about treatments and create an appointment!<\/div>\r\n\t\t\n<style>\n#text-2579199444 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #2d304e;\n}\n#text-2579199444 > * {\n  color: #2d304e;\n}\n@media (min-width:550px) {\n  #text-2579199444 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1496078461 > .col-inner {\n  margin: 0px 0px 0px 0px;\n}\n@media (min-width:550px) {\n  #col-1496078461 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1445710508\" class=\"col medium-5 small-12 large-5\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1791-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1791\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1986#wpcf7-f1791-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1791\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1791-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"randevu-form\">\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-340\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name\" value=\"\" type=\"text\" name=\"text-340\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-10\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"tel\" name=\"tel-10\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-full\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-342\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Briefly write the subject\" value=\"\" type=\"text\" name=\"text-342\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><button type=\"submit\">Create Appointment<\/button>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"53\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1445710508 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-1445710508 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1745335839 > .col-inner {\n  padding: 30px 15px 0px 15px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-1745335839 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1070088759 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_608065735\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-112932897\">\n\n\t<div id=\"col-1106264831\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Why_is_surgical_cleaning_and_debridement_the_most_critical_stage_of_treatment\"><\/span>Why is surgical cleaning and debridement the most critical stage of treatment?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When we enter the operating room, the first thing we do is not to join broken bones or suture vessels. The first and most important stage is the surgical cleaning of the wound that we call \u201cdebridement.\u201d Debridement does not simply mean washing the wound; it is the surgical removal of all tissues that have lost their vitality, are crushed, contaminated, and will no longer benefit the body.<\/p>\n<p>Why do we do this so aggressively? Because a piece of dead tissue without blood circulation is a perfect culture medium for bacteria. Antibiotics spread throughout the body through the bloodstream; if a tissue has no blood supply, the medication we give cannot reach that area. Therefore, as long as dead tissue remains there, the risk of infection never ends.<\/p>\n<p>The procedures we perform during debridement include:<\/p>\n<ul>\n<li>Washing with abundant saline solution<\/li>\n<li>Removal of foreign bodies<\/li>\n<li>Excision of dead skin edges<\/li>\n<li>Cleaning of crushed muscle tissues<\/li>\n<li>Removal of free bone fragments<\/li>\n<\/ul>\n<p>Sometimes the wound is so contaminated that a single cleaning is not enough. With the method we call \u201csecond-look,\u201d we take the patient back to surgery after 24\u201348 hours and check the condition of the wound again. No repair (bone, nerve, or tendon repair) performed without obtaining clean, viable, and bleeding tissue can be successful. No building is constructed on an unstable foundation.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_are_broken_bones_surgically_stabilized_and_which_materials_are_used\"><\/span>How are broken bones surgically stabilized and which materials are used?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The bones that form the skeleton of the hand are the lever arms that carry the load pulled by tendons and enable movement. A broken bone means the collapse of the system. Therefore, fixing (stabilizing) the bones in the correct position and firmly is a prerequisite for healing.<\/p>\n<p>Different fixation methods are used according to the type and location of the fracture and the condition of the wound. Sometimes we place the fracture back in position under X-ray (fluoroscopy) control without opening the skin and insert wires from outside. Sometimes we open it and perform a more rigid fixation with plates and screws.<\/p>\n<p>Commonly used bone fixation methods include:<\/p>\n<ul>\n<li>Kirschner wires (K-wires)<\/li>\n<li>Plate and screw systems<\/li>\n<li>Interfragmentary screws<\/li>\n<li>External fixators<\/li>\n<li>Intramedullary nails<\/li>\n<\/ul>\n<p>K-wires are thin metal rods like skewers and are the most frequently used method. Plates and screws are made of titanium, are very thin, and tightly hold the bone fragments together. The greatest advantage of plate application is that the patient can start moving the finger immediately after surgery.<\/p>\n<p>If the wound is very contaminated or there is bone loss, we use external fixation systems that we call \u201cexternal fixators.\u201d In this system, screws hold onto the bone but the stabilizing metal rods remain outside the body. This both holds the bone and allows dressing of the contaminated wound.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_do_microsurgical_techniques_make_a_difference_in_vascular_and_nerve_repairs\"><\/span>How do microsurgical techniques make a difference in vascular and nerve repairs?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Perhaps the most fascinating part of hand surgery is microsurgery. It is the process of suturing vessels and nerves that are difficult to see with the naked eye under a microscope with threads much thinner than a strand of hair after being magnified many times. Microsurgery is the technology that allows a severed finger to be reattached or a cut nerve to regain life.<\/p>\n<p>In vascular injuries we race against time. If the artery of a finger or hand is cut, the tissue cannot be nourished and the process of necrosis (death) begins. Bringing these vessels end-to-end and suturing them under the microscope to restore blood flow is of vital importance.<\/p>\n<p>Nerve repairs, however, require patience. Nerves are the electrical cables of the body and when they are cut, both the sensation and motor power of the hand are lost. Even if we repair the nerve sheaths, the nerve fibers must regrow internally. This growth occurs at an average speed of 1 mm per day. Therefore, after a cut at the wrist level, it may take months for sensation to reach the fingertip.<\/p>\n<p>Structures repaired with microsurgery include:<\/p>\n<ul>\n<li>Digital arteries<\/li>\n<li>Radial and ulnar arteries<\/li>\n<li>Median nerve<\/li>\n<li>Ulnar nerve<\/li>\n<li>Radial nerve<\/li>\n<li>Veins<\/li>\n<\/ul>\n\t<div id=\"text-1332921723\" class=\"text\">\n\t\t\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t\t\n<style>\n#text-1332921723 {\n  font-size: 1.25rem;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"accordion\">\n\t<div id=\"accordion-1065849722\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1065849722-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-should-the-first-intervention-be-performed-in-open-fractures-and-complex-hand-injuries?\" aria-expanded=\"false\" aria-controls=\"accordion-1065849722-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How should the first intervention be performed in open fractures and complex hand injuries?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1065849722-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1065849722-label\">\n\t\t\t\n<p>Bleeding should be controlled, the open wound should be covered with a sterile cloth, and the hand should be immobilized. Contaminated wounds may be gently cleaned with clean water; however, the fracture should not be manipulated. Medical help should be obtained as soon as possible.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3690639833\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3690639833-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-high-is-the-risk-of-infection-in-open-fractures?\" aria-expanded=\"false\" aria-controls=\"accordion-3690639833-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How high is the risk of infection in open fractures?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3690639833-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3690639833-label\">\n\t\t\t\n<p>Since the bone comes into contact with the external environment in open fractures, the risk of infection is quite high. Therefore, antibiotics should be started early and the wound should be surgically cleaned.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3715307225\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3715307225-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-are-nerve-and-vascular-injuries-evaluated-in-complex-hand-injuries?\" aria-expanded=\"false\" aria-controls=\"accordion-3715307225-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How are nerve and vascular injuries evaluated in complex hand injuries?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3715307225-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3715307225-label\">\n\t\t\t\n<p>Loss of sensation, muscle strength, and pulse checks are performed in the patient. When necessary, doppler ultrasound and nerve conduction tests are used. Evaluation by microsurgery specialists is important in such injuries.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2152804586\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2152804586-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-long-does-bone-healing-take-after-an-open-fracture?\" aria-expanded=\"false\" aria-controls=\"accordion-2152804586-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How long does bone healing take after an open fracture?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2152804586-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2152804586-label\">\n\t\t\t\n<p>Bone healing usually takes 6\u201312 weeks. However, in open fractures, infection, soft tissue loss, and patient-related factors may prolong the healing period.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2957154022\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2957154022-label\" class=\"accordion-title plain\" href=\"#accordion-item-can-loss-of-hand-function-be-permanent-after-complex-injuries?\" aria-expanded=\"false\" aria-controls=\"accordion-2957154022-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Can loss of hand function be permanent after complex injuries?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2957154022-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2957154022-label\">\n\t\t\t\n<p>Yes, in cases with nerve, tendon, or vascular damage, full recovery may not always be possible. Early surgery and regular rehabilitation reduce this risk; however, permanent functional losses may occur in some cases.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-4029295695\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4029295695-label\" class=\"accordion-title plain\" href=\"#accordion-item-in-open-fractures,-is-internal-or-external-fixation-preferred?\" aria-expanded=\"false\" aria-controls=\"accordion-4029295695-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>In open fractures, is internal or external fixation preferred?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-4029295695-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4029295695-label\">\n\t\t\t\n<p>The fixation method is determined according to the severity of the injury. While external fixation is preferred in cases with a high risk of infection, more stable healing can be achieved with internal fixation if the soft tissue condition is suitable.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1353160996\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1353160996-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-the-role-of-microsurgery-in-complex-hand-injuries?\" aria-expanded=\"false\" aria-controls=\"accordion-1353160996-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is the role of microsurgery in complex hand injuries?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1353160996-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1353160996-label\">\n\t\t\t\n<p>Microsurgery plays a critical role in restoring hand functions by repairing delicate vessels and nerves. It is especially applied in cases of amputation, crushing, and multiple tissue damage.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1894510861\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1894510861-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-long-does-the-physical-therapy-process-last-after-such-injuries?\" aria-expanded=\"false\" aria-controls=\"accordion-1894510861-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How long does the physical therapy process last after such injuries?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1894510861-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1894510861-label\">\n\t\t\t\n<p>The duration of physical therapy may vary from several weeks to several months. Personalized programs are applied to regain joint range of motion, muscle strength, and coordination.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1469511095\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1469511095-label\" class=\"accordion-title plain\" href=\"#accordion-item-in-which-cases-is-reoperation-required-after-an-open-fracture?\" aria-expanded=\"false\" aria-controls=\"accordion-1469511095-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>In which cases is reoperation required after an open fracture?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1469511095-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1469511095-label\">\n\t\t\t\n<p>Revision surgeries may be required in cases of infection development, nonunion of the bone, implant problems, or significant functional loss. Soft tissue problems may also require additional surgery.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3376173603\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3376173603-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-is-sensory-loss-treated-after-complex-hand-injuries?\" aria-expanded=\"false\" aria-controls=\"accordion-3376173603-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How is sensory loss treated after complex hand injuries?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3376173603-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3376173603-label\">\n\t\t\t\n<p>Sensory loss may decrease over time after nerve repair, but nerve regeneration may take months. During this process, supportive methods such as sensory training, electrotherapy, and occupational therapy are applied.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-4221897983\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4221897983-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-department-or-doctor-should-be-consulted-for-open-fractures-and-complex-hand-injuries?\" aria-expanded=\"false\" aria-controls=\"accordion-4221897983-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which department or doctor should be consulted for open fractures and complex hand injuries?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-4221897983-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4221897983-label\">\n\t\t\t\n<p>For open fractures and complex hand injuries, the Department of Plastic, Reconstructive and Aesthetic Surgery can be consulted. Plastic surgeons specialized in hand surgery aim to restore the hand\u2019s mobility and appearance by performing both functional and aesthetic reconstructions with microsurgical techniques.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1106264831 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_608065735 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1907,"parent":1906,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-1986","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/1986","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/comments?post=1986"}],"version-history":[{"count":2,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/1986\/revisions"}],"predecessor-version":[{"id":2002,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/1986\/revisions\/2002"}],"up":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/1906"}],"wp:attachment":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/media?parent=1986"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}