Stehlik J, Tvrdek M, Bartonicek J
Orthopaedic Clinic, 3rd Medical Faculty, Charles University.
Acta Chir Plast. 1992;34(4):241-8.
The authors present their experience in osteosynthesis in replantations in the area of the wrist in 19 patients. For osteosynthesis they use external fixation device, type Poldi 7, which guarantees the stability not only during the microsurgical procedure but also over the whole period of healing. They point out the importance of the resection of both bones ends, i.e. the resection of the comminuted zone, as well as the importance of an extensive fasciotomy. In all patients but one healing was achieved without infection. The authors consider external fixation for the method of choice in the replantation in the wrist area.
作者介绍了他们对19例腕部再植术中骨固定的经验。他们采用Poldi 7型外固定装置进行骨固定,该装置不仅能在显微外科手术期间保证稳定性,还能在整个愈合期提供稳定。他们指出了切除两端骨头(即粉碎区)的重要性,以及广泛切开筋膜的重要性。除1例患者外,所有患者均实现愈合且无感染。作者认为外固定是腕部再植术的首选方法。