Kozin S H, Thoder J J
Department of Orthopaedic Surgery, Temple University, Philadelphia, Pennsylvania, USA.
Hand Clin. 1999 May;15(2):221-31, viii.
Penetrating trauma is an endemic urban disease. The initial assessment requires a comprehensive examination and assessment of wound morphology. Preliminary splinting and radiographs of the injured extremity are necessary to plan fracture fixation. The surgical approach must appreciate the zone of injury and respect the soft tissues. Open or indirect reduction and internal fixation are the preferred techniques to stabilize the fracture.
穿透性创伤是一种城市常见疾病。初始评估需要对伤口形态进行全面检查和评估。对受伤肢体进行初步夹板固定和X光片检查对于制定骨折固定计划很有必要。手术入路必须考虑损伤区域并尊重软组织。切开复位或间接复位及内固定是稳定骨折的首选技术。