Ferreira Joel, Fowler John R
Department of Orthopedics, University of Pittsburgh, Suite 1010, Kaufmann Building, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA.
Department of Orthopedics, University of Pittsburgh, Suite 1010, Kaufmann Building, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA.
Hand Clin. 2015 May;31(2):311-7. doi: 10.1016/j.hcl.2014.12.005. Epub 2015 Feb 28.
Complex hand injuries result in local trauma to osseous, neurovascular, and soft tissue structures. The large amount of energy imparted to these tissues may result in complex regional pain syndrome, stiffness, or infection. Unfortunately, a good outcome may not only depend on the technical aspects of the procedure but on the expectations, occupation, age, and other factors that are out of the surgeon's control. The best treatment for these complications is prevention; however, this review offers strategies to combat the complications once they arise.
复杂手部损伤会导致骨骼、神经血管和软组织结构的局部创伤。传递给这些组织的大量能量可能会导致复杂区域疼痛综合征、僵硬或感染。不幸的是，良好的治疗效果可能不仅取决于手术的技术层面，还取决于期望、职业、年龄以及其他外科医生无法控制的因素。对这些并发症的最佳治疗方法是预防；然而，本综述提供了一旦并发症出现时应对它们的策略。
