Moran Steven L, Berger Richard A
Division of Plastic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Hand Clin. 2003 Feb;19(1):17-31. doi: 10.1016/s0749-0712(02)00130-0.
Mutilating hand trauma presents the surgeon with many reconstructive challenges. This article establishes some biomechanical guidelines to help the surgeon evaluate the hand trauma patient. Through a basic understanding of hand biomechanics, the surgeon may access more accurately what motion and function can best be salvaged. By understanding how amputation, fusion, and tendon loss impact on postoperative hand motion, the surgeon can better focus his or her reconstructive efforts to achieve the highest functional outcome for the patient.
毁损性手部创伤给外科医生带来了诸多重建挑战。本文制定了一些生物力学指导原则，以帮助外科医生评估手部创伤患者。通过对手部生物力学的基本了解，外科医生可以更准确地判断哪些运动和功能最有可能得以挽救。通过了解截肢、融合和肌腱缺失对术后手部运动的影响，外科医生能够更好地集中重建努力，为患者实现最佳功能结果。
