Watt Andrew J, Friedrich Jeffrey B, Huang Jerry I
Department of Orthopedic Surgery & Sports Medicine, University of Washington, WA, USA.
Hand Clin. 2012 Nov;28(4):519-28. doi: 10.1016/j.hcl.2012.08.010.
Surgeons and scientists have been developing alternative methods of hand reconstruction that may play an adjunctive role to, or completely supplant, more traditional reconstructive modalities. This article provides an overview of these emerging techniques, with an emphasis on skin substitutes and negative-pressure wound therapy as they apply to the treatment of soft tissue defects of the hand. The indications, contraindications, and relative advantages and disadvantages of these techniques are discussed in detail.
外科医生和科学家们一直在开发手部重建的替代方法,这些方法可能对更传统的重建方式起到辅助作用,或者完全取而代之。本文概述了这些新兴技术,重点介绍了皮肤替代物和负压伤口治疗在手部软组织缺损治疗中的应用。详细讨论了这些技术的适应症、禁忌症以及相对优缺点。