Abstract
1. The success of any method of treating the injured hand is to be measured by the use that is made of the remnant.
2. Careful, prompt surgical treatment of the wound will usually allow prompt healing.
3. Skin-grafts, internal fixation of fractures and the eking out and rearrangement of tissues that have escaped injury have an important place in primary treatment.
4. Many hands so treated are ready for use after one operation and within a few weeks of being injured.
5. Reconstruction in several stages should not be carried out unless it offers a reasonable prospect of improvement that will be useful to the particular patient.
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