Mansat M, Delprat J
Chirurgie Orthopedique et Traumatologique, Centre Hospitalier Universitaire, Hôpital Purpan, Toulouse, France.
Hand Clin. 1992 Nov;8(4):777-86.
Posttraumatic stiffness of proximal interphalangeal joints remains a difficult problem that severely compromises hand function. The emphasis of treatment must be on preventing the problem from developing, which begins within hours of the injury. Effective treatment involves a careful evaluation of the injury and then instituting a rational course of therapy. When surgery is necessary, the operative technique must be precise, and it requires a thorough understanding of the anatomic and pathomechanical factors that cause the contracture. Effective postoperative therapy and rehabilitation are integral parts of any surgical procedure, and they usually continue for many months.
近端指间关节创伤后僵硬仍然是一个棘手的问题，严重损害手部功能。治疗的重点必须放在预防该问题的发生上，而这在受伤后的数小时内就已开始。有效的治疗包括对手部损伤进行仔细评估，然后制定合理的治疗方案。当需要进行手术时，手术技术必须精确，这需要对导致挛缩的解剖学和病理力学因素有透彻的了解。有效的术后治疗和康复是任何手术过程不可或缺的组成部分，而且通常要持续数月。
