Gahhos F N, Ariyan S
Surg Gynecol Obstet. 1985 Feb;160(2):178-84.
The methods used by Hippocrates for treating fractures and dislocations formed the basis for further development in operations performed upon the hand. He described the common distal radial fracture, and the method to reduce and immobilize it. Of carpal dislocations, he mentioned two patterns which are similar to the common "anterior dislocation of the lunate" and the "perilunar dislocation." He treated pressure sores and wound infection with frequent dressings, application of heat and mechanical debridement; limb necrosis was treated with delayed amputation, and tetanus, with immediate exploration and drainage of the wound. His general principles of fracture management include the value of early reduction, strict fluid diet after reductions of large joints, keeping sites of fracture warm and changing splints as the swelling resolves. It is obvious that many of the principles for the treatment of fractures and dislocations of the wrist and hand are still valid today. The genius of Hippocrates surpassed all those whom we know at a corresponding stage of civilization and for many years to come. The discovery of roentgenograms an antiseptics only furthered his established sound principles. On the basis of these principles, perhaps Hippocrates should be considered the true father of operations performed upon the hand.
希波克拉底治疗骨折和脱位的方法为手部手术的进一步发展奠定了基础。他描述了常见的桡骨远端骨折以及复位和固定该骨折的方法。关于腕骨脱位，他提到了两种类型，类似于常见的“月骨前脱位”和“月骨周围脱位”。他通过频繁换药、热敷和机械清创来治疗压疮和伤口感染；肢体坏疽采用延迟截肢治疗，破伤风则立即探查伤口并引流。他治疗骨折的一般原则包括早期复位的价值、大关节复位后严格的流食饮食、保持骨折部位温暖以及随着肿胀消退更换夹板。显然，如今许多治疗腕部和手部骨折及脱位的原则仍然有效。希波克拉底的天赋超越了我们所知的处于相应文明阶段的所有人，并在未来许多年都如此。X射线照片和防腐剂的发现只是进一步完善了他已确立的合理原则。基于这些原则，也许希波克拉底应该被视为手部手术的真正鼻祖。
