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[手腕和手部骨折。保守治疗原则]

[Fractures of the wrist and hand. Principles of conservative treatment].

作者信息

Gaulke R, Spies M, Krettek C

机构信息

Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.

出版信息

Unfallchirurg. 2007 Oct;110(10):833-44. doi: 10.1007/s00113-007-1320-9.

Abstract

Over the last years, many special instruments and implants were designed for operative treatment of fractures of the wrist and hand. Therefore, conservative treatment of these injuries became old-fashioned in the eyes of most patients and surgeons. Nevertheless, conservative treatment of nondislocated stable fractures of the wrist and hand usually shows better clinical results than operative treatment does. On the other hand, conservative treatment of displaced fractures is very difficult. The key to success is thorough knowledge of the use of casts, splints, and functional therapy and good patient compliance to avoid complications. Opportunities for conservative treatment of fractures of the wrist and hand are herein described.

摘要

在过去几年中,人们设计了许多特殊器械和植入物用于手腕和手部骨折的手术治疗。因此,在大多数患者和外科医生眼中,这些损伤的保守治疗变得过时了。然而,手腕和手部无脱位稳定骨折的保守治疗通常比手术治疗显示出更好的临床效果。另一方面,移位骨折的保守治疗非常困难。成功的关键在于全面了解石膏、夹板的使用以及功能治疗,并且患者要很好地配合以避免并发症。本文描述了手腕和手部骨折保守治疗的机会。

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