Elton R C, Bouzard W C
South Med J. 1975 Jul;68(7):833-43. doi: 10.1097/00007611-197507000-00009.
Based on a study of 120 gunshot and fragment wounds of the metacarpus, we conclude that these wounds should be debrided and subjected to delayed closure technics. Even relatively low-velocity missiles may cause serious damage. Metacarpal stabilization with Kirschner wires may be done with impunity to obtain proper alignment, rotation, apposition, and length, in that order of priority. Immediate muscular activity is beneficial. Reconstructive procedures must be individualized to each case and should be considered technically difficult to perform.
基于对120例掌骨枪伤和碎片伤的研究，我们得出结论：这些伤口应进行清创并采用延迟闭合技术。即使是相对低速的投射物也可能造成严重损伤。用克氏针进行掌骨固定可安全地进行，以按优先顺序获得正确的对线、旋转、对位和长度。立即进行肌肉活动是有益的。重建手术必须针对每个病例个体化进行，并且应被视为技术上难以实施。
