Department of Orthopedic Surgery, The University of Michigan Health System, 2098 South Main Street, Ann Arbor, MI 48103-5827, USA.
Department of Plastic Surgery, The University of Michigan Health System, 1500 E Medical Drive, Ann Arbor, MI 48103, USA.
Clin Plast Surg. 2024 Oct;51(4):495-503. doi: 10.1016/j.cps.2024.02.015. Epub 2024 Apr 4.
Mangling injuries of the upper extremity are severe, high-energy traumas that damage multiple functional systems including skin, nerves, vascular, tendon, and bone. Management requires familiarity with various techniques in orthopedic, vascular, and plastic surgery. A specific technique cannot be described due to the various combinations of injuries that can occur with mangled upper extremities, but we present principles and recommendations for treatment and judgment.
上肢毁损性损伤是严重的高能创伤，会损害包括皮肤、神经、血管、肌腱和骨骼在内的多个功能系统。此类损伤的治疗需要熟悉骨科、血管外科和整形外科的各种技术。由于毁损性上肢损伤可出现多种组合，因此无法描述具体的技术，但我们提出了治疗和判断的原则和建议。
