Agarwal Rajiv, Agarwal Devisha, Agarwal Mallika
Department of Plastic Surgery and Burns, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Department of ENT & Head Neck Surgery, King George's Medical University, Lucknow, India.
J Clin Orthop Trauma. 2019 Sep-Oct;10(5):849-852. doi: 10.1016/j.jcot.2019.08.004. Epub 2019 Aug 9.
Mutilating hand injuries are a challenge to manage due to the complex nature of the injury and the variety of structures that are damaged. Good results can only be achieved by careful planning and meticulous management. The ultimate desired outcome is achievement of a normal function of the hand and upper limb. Mutilating hand injuries occur in a variety of settings and the extent of injury and the prognosis varies according to the aetiology of the injury. The management approach focuses on the attention to the repair and reconstruction of individual parts of the hand including the bones, vessels, nerves, tendons and skin cover. Consistent results can be achieved by early aggressive management of damaged structures followed by regular physiotherapy which are the keystones for restoration of form and function of the mutilated hand.
手部毁损性损伤的处理颇具挑战，这是由于损伤性质复杂且受损结构多样。只有通过精心规划和细致管理才能取得良好效果。最终期望的结果是手部和上肢实现正常功能。手部毁损性损伤发生在多种情况下，损伤程度和预后因损伤病因而异。处理方法着重于对手部各个部位（包括骨骼、血管、神经、肌腱和皮肤覆盖层）的修复和重建。对受损结构进行早期积极处理，随后进行定期物理治疗，这是恢复毁损手部形态和功能的关键，通过这些措施能够取得一致的治疗效果。
