Department of Plastic and Oral Surgery, Boston Children's Hospital, 300 Longwood Avenue, Enders 1, Boston 02115, MA, USA; Harvard Medical School, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA; Division of Plastic Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston 02115, MA, USA.
Clin Plast Surg. 2019 Jul;46(3):415-423. doi: 10.1016/j.cps.2019.02.011. Epub 2019 Apr 13.
The management of phalangeal and metacarpal fractures continues to evolve. Nonoperative or less invasive techniques, limiting the need for soft tissue dissection and resultant stiffness, are being developed and becoming more popular. The competing forces of fracture stability to optimize healing and early mobilization to optimize function need careful balancing. As imaging, equipment, and techniques improve, hand surgeons can tailor individualized care to the unique needs of each patient.
掌指骨骨折的治疗方法不断发展。为了减少对软组织的切开和由此导致的僵硬,非手术或微创技术正在不断发展并越来越受欢迎。骨折稳定性与早期功能活动优化之间存在相互竞争的关系,需要仔细平衡。随着影像学、设备和技术的不断改进,手部外科医生可以根据每位患者的独特需求,提供个性化的治疗方案。