hand dressings and care in plastic surgery

1. Name : Dr Deyonna Fernandes
.
Hand dressings

2. Hand – Second Eye
• Tactile sensibility
• Tactile gnosis

3. Dr Deyonna Fernandes
.
Hand dressings

4. Dr Deyonna Fernandes
.
Why need hand dressings?
Fractures
Strain
Sprain
Wounds
Hand dressings

5. Name : Dr Deyonna Fernandes
.
Identify :
• a bone in the hand is visibly bent or deformed
• hand is bruised, tender, and swollen
• cannot move your hand or fingers
• hand or fingers are numb
• pain is severe, even with over-the-counter pain medications
Type of bandage :
A bandage in the form of splint or a cast to restrict the movement
Fractured bone must be aligned before bandaging.
The surgeon aligns the fracture, splints it to restrict movement and elevated to reduce edema.
Hand dressings : Fractures

6. Name : Dr Deyonna Fernandes
.
Hand dressings: Fractures
Buddy strapping: use the support of
unfractured finger for supporting the
fractured finger
Cast or POP slab after a
bulky dressing to stabilize
the hand

7. Name : Dr Deyonna Fernandes
.A hand sprain is an injury that occurs when you stretch or tear a ligament, which is
the tissue that connects the bones in your hand. This often affects the thumb.
When to use a bandage: A compression bandage can help maintain pressure around
the sprained area. This minimizes swelling by preventing fluid buildup at the site of the
sprain, helping your hand heal faster. The surgeon might recommend a specialized
device to immobilize your hand, such as a splint.
Hand dressings : Sprain

8. Name : Dr Deyonna Fernandes
.A hand strain occurs when you stretch or tear the muscles or tendons in your hand.
This type of injury is common in the tendons that connect the wrist and forearm
muscles to the fingers. It’s typically caused by repetitive movements such as typing or
using a mouse.
When to use a bandage: As with a sprain, a compression bandage will help to
immobilize the injured area and maintain pressure. We recommend a specialized
device to immobilize your hand, such as a splint.
Hand dressings: Strain

9. Opposing/ Kissing Surface

11. POSTURES
 Wrist: 30o dorsi flexion
 MP joint (index finger): 40o
 MP joint (middle finger): 50o
 MP joint (ring finger): 60o
 MP joint (little finger): 70o

13. Name : Dr Deyonna Fernandes
.
Wounds, such as lacerations (cuts) or punctures, occur when the skin is torn.
•punctures
•excessive bleeding
•extreme pain
•a large or deep wound
•open or torn-apart skin
•debris stuck in the wound area
•numbness
•inability to move the affected area
•animal bites
•wounds likely to become infected
•wounds that appear infected
When to use a bandage: Bandages help to keep minor hand wounds clean. After rinsing a
minor wound, apply antibiotic ointment and cover the wound with a gauze bandage. If the
wound is small, use a plaster. You should change the bandage about once a day, or
whenever the bandage becomes wet or dirty.
Hand dressings: Wounds

14. Name : Dr Deyonna Fernandes
.
Hand dressings : Burns
Exposure to heat, including sun, flames, or hot substances.
Other types of burns are caused by cold, chemicals, and electricity.
Minor hand burns don’t usually require emergency care.
Must seek emergency medical care right away for a major burn on your hand.
Check for the following signs of a major burn:
•a deep burn
•skin that is dry or tough
•skin that looks charred, or has black, white, or brown patches
•burns that are larger than three inches across
When to use a bandage: Bandages can help to improve burn healing. After cooling
and moisturizing a burn, applying a loose gauze bandage to the affected area of your
hand will protect damaged skin.

15. Name : Dr Deyonna Fernandes
.
Hand dressings: Burns
Glove dressings to
allow for movement of
fingers

16. Name : Dr Deyonna Fernandes
.
•Compression bandages. Elastic roller bandages or crepe bandages, these types of bandage include a
long strip of stretchy fabric packed in a tight roll. Compression bandages are used to support the bones,
joints, and connective tissues in the hand after injuries such as sprains and strains.
•Gauze bandages. Gauze bandages are not technically bandages, but dressings. A gauze dressing is a
thick, cotton pad used to cover medium- to large-sized wounds. They may be held in place by tape or a roller
bandage.
•Cotton/linen roller bandages. Similar to compression bandages, these bandages come in a roll. They’re
typically used to hold gauze dressings in place.
•Adhesive/plaster bandages. Similar to gauze bandages, these are a type of dressing for wounds. Band-
Aid is one brand. They come in different shapes for smaller wounds, and contain an adhesive so that they
stick to the skin.
•Tubular bandages. Tubular bandages are tube-shaped elastic bandages designed to fit around the fingers,
elbows, or other areas of the body that move a lot. They may provide support or keep gauze dressings in
place.
•Triangular bandages. These cotton bandages are versatile, and are useful when giving first aid. They can
be folded into a sling or used to apply pressure to a bleeding wound
Hand dressings: different types of bandages

17. Name : Dr Deyonna Fernandes
.
1. Avoid pulling the bandage tight. NO TIGHT BANDAGES
If you make the bandage too tight, it will cut off circulation in your hand. To check if it’s too tight, squeeze
one of your fingernails and count to five. The color should return to your fingernail within two seconds. If it
doesn’t, you should loosen it.
2. Wrap beyond the site of the injury. UNIFORM COMPRESSION
Wrapping the areas surrounding the injury helps to ensure pressure is applied evenly.
3.Use a sterile (new) gauze dressing or roller bandage. Avoid soddening between webspaces
Reusing a gauze dressing or roller bandage can lead to an infection.
4. Avoid bandaging a wound that’s infected. If the injury site is red, hot, swollen, or tender, you might
have an infection. Yellow or greenish pus, fevers, and chills are additional signs of infection. NEEDS
DEBRIDEMENT AND BANDAGING
5. Functional position dressing
Hand dressings: Important precautions

18. Name : Dr Deyonna Fernandes
.
Hand dressings

19. Name : Dr Deyonna Fernandes
.
Hand dressings

20. Name : Dr Deyonna Fernandes
.
Hand dressings: keep in functional position f
immobilization required for a longer time

21. QUESTIONS
• LIST 5 precautions while doing hand dressings ?
• List any 3 types of hand bandages?
• Functional position of hand . Draw and describe
Dr Deyonna Fernandes