What is the first step in handling a traumatic hand injury such as an amputation?

In the management of traumatic hand injuries, such as an amputation, the first step is to achieve bone-to-bone fixation. This is crucial because the skeletal structure provides stability and alignment in the injured area, which is necessary for subsequent healing processes. Proper fixation of the bone is essential before addressing soft tissue, nerves, or blood vessels.

When you secure the bone, you help to prevent further complications such as malunion or nonunion, which can occur if the bones are not properly aligned and stabilized. Once the bone is addressed, health care providers can then proceed to the next phases of repair involving soft tissue, neurovascular structures, and skin grafting as needed to restore function and appearance to the hand.