Towfigh H
Z Kinderchir Grenzgeb. 1980 Jul;30 Suppl:103-5.
The primary treatment of an injured hand has great influence on later results, and also on secondary measures in reconstruction. In contrast to adults, children show a good healing of distal-pedicle flaps, after removal of fat and sparing the subdermal plexus. The choice of skin replacement must be made under careful consideration of site, function and the possibility of further measures for rehabilitation. Where several structures in the child's hand are injured, good results can be attained by combining an adaptation-osteosynthesis with Kirschner wires, and a plaster cast. Several cases are demonstrated, with examples.
手部受伤的初期治疗对后期结果以及重建的二期措施都有很大影响。与成人不同，儿童在去除脂肪并保留皮下神经丛后，远端蒂皮瓣愈合良好。皮肤替代物的选择必须在仔细考虑部位、功能以及进一步康复措施可能性的基础上做出。当儿童手部的多个结构受伤时，通过克氏针进行适应性骨合成并结合石膏固定，可以取得良好的效果。文中展示了几个病例及实例。
