Orfanu N
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1978 Jul-Aug;27(4):281-92.
The position in which the articulation is immobilized is in fact the pattern in which capsular fibrosis and of the connective tissue is settled. It will also determine the degree of remanent articular mobility. The author does not recommend immobilization in the so-called "functional" position since this does not prevent the developement of articular rigidity and is even responsible for their developement. In view of maintaining the articular function when the articulation itself is involved or when it is immobilized due to lesions in its vicinity, immobilization should be made in a position allowing for maximal elongation of the connective fibers in the area which depends from the vascular and nervous viewpoint from the traumatic lesion, or that which is involved by surgery, that is in positions which are quite different from those used at present.
关节固定的位置实际上就是关节囊纤维化及结缔组织形成的模式。它还将决定剩余关节活动度的程度。作者不建议在所谓的“功能”位置进行固定,因为这并不能防止关节僵硬的发展,甚至会导致其发展。考虑到当关节本身受累或因附近病变而固定时要维持关节功能,固定应在这样一个位置进行,即从血管和神经角度来看,该位置能使依赖于创伤性病变或手术涉及区域的结缔组织纤维得到最大程度的伸展,也就是说,这个位置与目前所采用的位置有很大不同。