Gupta A, Wolff TW
Department of Orthopaedic Surgery, University of Louisville School of Medicine, Louisville, Ky.
J Am Acad Orthop Surg. 1995 Jul;3(4):226-236. doi: 10.5435/00124635-199507000-00005.
In this article the authors describe the methods and procedures that have been used to help patients regain hand and forearm function after mangling injuries. Assessment of the pathophysiologic condition, careful inventory of the injured structures, and early aggressive wound excision and reconstruction, followed by expert rehabilitation, are advocated. The importance of vascular restoration, stable skeletal fixation, and provision of adequate skin cover are stressed. In addition to describing their treatment approach, the authors emphasize the need for the surgeon to be well acquainted with each phase of the treatment process.
在本文中，作者描述了用于帮助患者在严重创伤后恢复手部和前臂功能的方法和程序。提倡评估病理生理状况、仔细清点受损结构、早期积极进行伤口切除和重建，随后进行专业康复治疗。强调了血管修复、稳定的骨骼固定以及提供足够皮肤覆盖的重要性。除了描述他们的治疗方法外，作者还强调外科医生需要熟悉治疗过程的每个阶段。
