手部毁损性损伤的处理方法
Approach to mutilating hand injuries.
作者信息
Agarwal Rajiv, Agarwal Devisha, Agarwal Mallika
机构信息
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.
出版信息
J Clin Orthop Trauma. 2019 Aug 14;15:172-175. doi: 10.1016/j.jcot.2019.08.011. eCollection 2021 Apr.
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 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。只有通过精心规划与管理才能取得良好效果。最终期望达成的结果是手部及上肢功能恢复正常。手部毁损性损伤发生于多种情形下，损伤程度及预后因损伤病因各异。处理方法着重于对手部各个部位（包括骨骼、血管、神经、肌腱及皮肤覆盖层）的修复与重建。对受损结构尽早进行积极处理，随后定期进行物理治疗，这是恢复毁损手外形与功能的关键，如此方能取得一致的治疗效果。
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