手部毁损治疗中外科医生的必备技能
Mandatory Surgeon Skills for Care of the Mutilated Hand.
作者信息
Woo Dainn, Granruth Caroline, Gundlach Benjamin, Levin Lawrence S
机构信息
Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA.
出版信息
J Hand Surg Glob Online. 2024 Aug 22;7(2):314-318. doi: 10.1016/j.jhsg.2024.07.007. eCollection 2025 Mar.
Abstract
Mangled extremities are complex injuries of the soft tissues, neurovascular structures, and bone that have devastating functional and psychological consequences for affected individuals. Successful management of mangling injuries to the upper extremities requires close collaboration between individuals from diverse training backgrounds. Hand surgery is a surgical discipline with an expansive repertoire of skills and knowledge allowing one to manage bone, joint, tendon, nerve, vasculature, and soft tissue pathology of the upper extremity in adults and children.
摘要
肢体毁损是软组织、神经血管结构和骨骼的复杂损伤，会给受影响个体带来严重的功能和心理后果。成功处理上肢的毁损性损伤需要来自不同培训背景的人员密切协作。手外科是一门拥有广泛技能和知识的外科专业，使医生能够处理成人和儿童上肢的骨骼、关节、肌腱、神经、血管和软组织病变。
相似文献
1
Mandatory Surgeon Skills for Care of the Mutilated Hand.手部毁损治疗中外科医生的必备技能
J Hand Surg Glob Online. 2024 Aug 22;7(2):314-318. doi: 10.1016/j.jhsg.2024.07.007. eCollection 2025 Mar.
2
The Mangled Upper Extremity-Algorithm for Salvage: My Workhorse Flaps.毁损性上肢——挽救策略：我钟爱的皮瓣。
Clin Plast Surg. 2024 Oct;51(4):495-503. doi: 10.1016/j.cps.2024.02.015. Epub 2024 Apr 4.
3
Management of a mutilated hand: the current trends.残手的处理：当前趋势。
J Hand Surg Eur Vol. 2022 Jan;47(1):98-104. doi: 10.1177/17531934211047760. Epub 2021 Oct 9.
4
Current Principles in the Management of a Mangled Hand.手部严重损伤的当前治疗原则
J Hand Surg Glob Online. 2024 Aug 22;7(2):326-330. doi: 10.1016/j.jhsg.2024.07.009. eCollection 2025 Mar.
5
Mangled right hand: A case report.右手毁损：一例病例报告。
Int J Surg Case Rep. 2023 Jan;102:107846. doi: 10.1016/j.ijscr.2022.107846. Epub 2022 Dec 23.
6
The reconstruction of the mutilated hand.手部残缺的重建。
Semin Plast Surg. 2010 Feb;24(1):77-102. doi: 10.1055/s-0030-1253245.
7
Early Results of Supporting Free Flap Coverage of Mangled Lower Extremities with Long Saphenous Arteriovenous Loop Grafts.游离大隐静脉动静脉环移植桥接修复毁损性下肢的早期效果
Ann Vasc Surg. 2021 Feb;71:181-190. doi: 10.1016/j.avsg.2020.07.056. Epub 2020 Aug 12.
8
A Novel Mangled Upper Extremity Injury Assessment Score.一种新型上肢严重损伤评估评分。
Plast Reconstr Surg Glob Open. 2019 Sep 23;7(9):e2449. doi: 10.1097/GOX.0000000000002449. eCollection 2019 Sep.
9
The long-term functional outcome of the mangled upper extremity intricate management. A single center experience.上肢严重损伤复杂治疗的长期功能结局。单中心经验。
J Hand Microsurg. 2024 Oct 5;17(1):100167. doi: 10.1016/j.jham.2024.100167. eCollection 2025 Jan.
10
Venous Flap Coverage of the Mangled Hand.静脉皮瓣覆盖毁损手
J Hand Surg Glob Online. 2024 Aug 24;7(2):340-348. doi: 10.1016/j.jhsg.2024.05.012. eCollection 2025 Mar.
引用本文的文献
1
Development of a novel artificial intelligence clinical decision support tool for hand surgery: HandRAG.一种用于手部手术的新型人工智能临床决策支持工具的开发：HandRAG。
J Hand Microsurg. 2025 Jun 11;17(4):100293. doi: 10.1016/j.jham.2025.100293. eCollection 2025 Jul.
本文引用的文献
1
Heterotopic Digital Replantation in Mutilating Hand Injuries: An Algorithmic Approach Based on 53 Cases and Literature Review.异体手指再植在手部严重创伤中的应用：基于 53 例病例和文献复习的算法探讨。
J Reconstr Microsurg. 2023 Sep;39(7):573-580. doi: 10.1055/s-0043-1761288. Epub 2023 Jan 31.
2
From replantation to transplantation: The evolution of orthoplastic extremity reconstruction.从再植到移植：肢体整形重建的发展。
J Orthop Res. 2023 Jul;41(7):1587-1599. doi: 10.1002/jor.25488. Epub 2022 Nov 30.
3
Epidemiology of hand injuries that presented to a tertiary care facility in Germany: a study including 435 patients.德国一家三级医疗机构收治的手部损伤患者的流行病学研究：一项纳入 435 例患者的研究。
Arch Orthop Trauma Surg. 2023 Mar;143(3):1715-1724. doi: 10.1007/s00402-022-04617-9. Epub 2022 Sep 22.
4
Variability in Hand Surgery Training Among Plastic and Orthopaedic Surgery Residents.手外科培训在整形和骨科住院医师中的差异。
J Am Acad Orthop Surg Glob Res Rev. 2022 Jan 4;6(1):e21.00138. doi: 10.5435/JAAOSGlobal-D-21-00138.
5
Tendon: Principles of Healing and Repair.肌腱：愈合与修复原理
Semin Plast Surg. 2021 Aug;35(3):211-215. doi: 10.1055/s-0041-1731632. Epub 2021 Jul 15.
6
Trends of hand injuries presenting to US emergency departments: A 10-year national analysis.美国急诊科手部损伤的趋势：一项为期10年的全国性分析。
Am J Emerg Med. 2021 Dec;50:466-471. doi: 10.1016/j.ajem.2021.08.059. Epub 2021 Aug 26.
7
What microsurgeon, orthopaedic and plastic surgeon should know about bionic hand.仿生手：显微外科、矫形和整形外科医生须知
Injury. 2019 Dec;50 Suppl 5:S137-S140. doi: 10.1016/j.injury.2019.10.065. Epub 2019 Oct 21.
8
Fragment-Specific Fixation in Distal Radius Fractures.桡骨远端骨折的骨折块特异性固定
Curr Rev Musculoskelet Med. 2019 Jun;12(2):190-197. doi: 10.1007/s12178-019-09538-6.
9
Use of Antibiotic-Impregnated Absorbable Beads and Tissue Coverage of Complex Wounds.抗生素浸渍可吸收珠粒的应用及复杂伤口的组织覆盖
Am Surg. 2016 Nov 1;82(11):1068-1072. doi: 10.1177/000313481608201121.
10
Factors influencing US medical students' decision to pursue surgery.影响美国医学生选择外科手术专业的因素。
J Surg Res. 2016 Jun 1;203(1):64-74. doi: 10.1016/j.jss.2016.03.054. Epub 2016 Mar 31.
Zotero 插件