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custom_padding=\u00a0\u00bb||0px|||\u00a0\u00bb]<p style=\"text-align: left;\"><strong><span style=\"color: #ffffff;\">TOUTE PLAIE DE LA MAIN SITUEE EN REGARD D\u2019UN TRAJET NERVEUX, VASCULAIRE OU TENDINEUX DOIT ETRE IMPERATIVEMENT EXPLOREE CHIRURGICALEMENT.<\/span><\/strong><\/p>\n[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb3.23.3&Prime; text_font=\u00a0\u00bb||||||||\u00a0\u00bb text_font_size=\u00a0\u00bb20px\u00a0\u00bb text_line_height=\u00a0\u00bb1.8em\u00a0\u00bb custom_margin=\u00a0\u00bb40px||\u00a0\u00bb]<p><span style=\"color: #ffffff;\">Cette exploration sera r\u00e9alis\u00e9e par un chirurgien de la main, sous anesth\u00e9sie loco r\u00e9gionale dans le cadre d\u2019une hospitalisation ambulatoire. En attendant cette exploration, la plaie doit \u00eatre id\u00e9alement lav\u00e9e ( \u00e0 l\u2019eau claire ou au savon de Marseille ), envelopp\u00e9e dans un pansement st\u00e9rile ( ou \u00e0 d\u00e9faut dans un torchon propre ). Il ne faut pas h\u00e9siter \u00e0 positionner ce pansement de mani\u00e8re l\u00e9g\u00e8rement compressif en cas d\u2019h\u00e9morragie importante.<\/span><\/p>\n[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb3.0.47&Prime; padding_phone__hover=\u00a0\u00bb60px|50px||50px||true\u00a0\u00bb padding_tablet__hover=\u00a0\u00bb80px|60px|80px|60px|true|true\u00a0\u00bb padding_last_edited__hover=\u00a0\u00bbon|desktop\u00a0\u00bb padding_left__hover=\u00a0\u00bb100px\u00a0\u00bb padding_right__hover=\u00a0\u00bb15vw\u00a0\u00bb padding_top__hover=\u00a0\u00bb250px\u00a0\u00bb parallax__hover=\u00a0\u00bboff\u00a0\u00bb parallax_method__hover=\u00a0\u00bbon\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb3.23.3&Prime; text_font=\u00a0\u00bbWork Sans||||||||\u00a0\u00bb text_font_size=\u00a0\u00bb16px\u00a0\u00bb text_line_height=\u00a0\u00bb1.8em\u00a0\u00bb 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quote_text_shadow_style__hover_enabled=\u00a0\u00bbnone\u00a0\u00bb quote_text_shadow_color__hover=\u00a0\u00bbrgba(0,0,0,0.4)\u00a0\u00bb quote_text_shadow_color__hover_enabled=\u00a0\u00bbrgba(0,0,0,0.4)\u00a0\u00bb text_orientation__hover=\u00a0\u00bbleft\u00a0\u00bb text_orientation__hover_enabled=\u00a0\u00bbleft\u00a0\u00bb background_layout__hover=\u00a0\u00bblight\u00a0\u00bb background_layout__hover_enabled=\u00a0\u00bblight\u00a0\u00bb max_width__hover=\u00a0\u00bb100%\u00a0\u00bb max_width__hover_enabled=\u00a0\u00bb100%\u00a0\u00bb header_2_font_size__hover=\u00a0\u00bb26px\u00a0\u00bb header_2_font_size__hover_enabled=\u00a0\u00bb26px\u00a0\u00bb header_2_letter_spacing__hover=\u00a0\u00bb0px\u00a0\u00bb header_2_letter_spacing__hover_enabled=\u00a0\u00bb0px\u00a0\u00bb header_2_line_height__hover=\u00a0\u00bb1em\u00a0\u00bb header_2_line_height__hover_enabled=\u00a0\u00bb1em\u00a0\u00bb header_2_text_shadow_style__hover=\u00a0\u00bbnone\u00a0\u00bb header_2_text_shadow_style__hover_enabled=\u00a0\u00bbnone\u00a0\u00bb header_2_text_shadow_color__hover=\u00a0\u00bbrgba(0,0,0,0.4)\u00a0\u00bb header_2_text_shadow_color__hover_enabled=\u00a0\u00bbrgba(0,0,0,0.4)\u00a0\u00bb]<p><span style=\"font-size: 16px;\">Les plaies de la main sont potentiellement graves et sont susceptibles de laisser des s\u00e9quelles plus ou moins importantes lorsqu\u2019elles n\u2019ont pas \u00e9t\u00e9 prises en charge de mani\u00e8re adapt\u00e9e. A l\u2019inverse dans la majorit\u00e9 des cas, une gu\u00e9rison peut \u00eatre possible lorsque les \u00e9tapes du diagnostic et du traitement ont \u00e9t\u00e9 correctement suivies.<br \/> <\/span><br \/> Les \u00e9tapes de cette exploration chirurgicale sont les suivantes :<br \/> &#8211; le parage (des berges cutan\u00e9es, lavage articulaire, excision des portes d\u2019entr\u00e9es).<br \/> &#8211; l\u2019exploration de la plaie.<br \/> &#8211; la r\u00e9paration des \u00e9l\u00e9ments nobles l\u00e9s\u00e9s, faisant souvent appel \u00e0 des techniques micro-chirurgicales.<br \/> &#8211; la suture cutan\u00e9e qui devra parfois \u00eatre associ\u00e9e \u00e0 un geste de couverture cutan\u00e9e en cas de perte de substance ( greffe, lambeau ). Dans les plaies avec un risque septique majeur ( morsures), il peut arriver qu\u2019un simple d\u00e9bridement soit effectu\u00e9 sans fermeture cutan\u00e9e.<br \/> &#8211; l\u2019immobilisation post-op\u00e9ratoire n\u2019est pas syst\u00e9matique. Elle d\u00e9pend de l\u2019importance et du type de l\u00e9sion des \u00e9l\u00e9ments nobles. Lorsqu\u2019elle est n\u00e9cessaire, elle doit \u00eatre la plus courte possible afin d\u2019\u00e9viter la formation d\u2019adh\u00e9rences g\u00e9n\u00e9ratrices d\u2019enraidissement des cha\u00eenes digitales. La r\u00e9\u00e9ducation doit \u00eatre la plus pr\u00e9coce possible et r\u00e9alis\u00e9e pr\u00e9f\u00e9rentiellement par un kin\u00e9sith\u00e9rapeute sp\u00e9cialis\u00e9 dans ce type de pathologie.<\/p>\n[\/et_pb_text][\/et_pb_column][\/et_pb_section]","protected":false},"excerpt":{"rendered":"<p>TOUTE PLAIE DE LA MAIN SITUEE EN REGARD D\u2019UN TRAJET NERVEUX, VASCULAIRE OU TENDINEUX DOIT ETRE IMPERATIVEMENT EXPLOREE CHIRURGICALEMENT. Cette exploration sera r\u00e9alis\u00e9e par un chirurgien de la main, sous anesth\u00e9sie loco r\u00e9gionale dans le cadre d\u2019une hospitalisation ambulatoire. En attendant cette exploration, la plaie doit \u00eatre id\u00e9alement lav\u00e9e ( \u00e0 l\u2019eau claire ou au [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v18.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Plaies de la main - Hallux Valgus Nice | Chirurgie pied Nice<\/title>\n<meta name=\"description\" content=\"Dr Becquet Chirurgien du Pied \u00e0 Nice. Informations sur la chirurgie du pied \/ mini-invasive et percutan\u00e9e \/ Hallux Valgus | Nice. 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