Segmüller G
Handchirurgie. 1981;13(3-4):209-11.
The use of large cortico-cancellous bone grafts in reconstructive surgery of the skeleton of the hand had been greatly facilitated by the advent of stable internal fixation techniques. In cases with bone-defects or large areas of comminution there is less hazard in using primary bone grafts rather than pursuing pain-staking open reduction and fixation of small fragments. When numerous structures are severely injured, primary reconstruction of skin and tendons is dependent upon sound primary reestablishment of bony continuity. Aftercare is then directed exclusively to the demands of the non-bony structures which have been repaired.
稳定内固定技术的出现极大地促进了大的松质骨皮质骨移植在手骨骼重建手术中的应用。在存在骨缺损或大面积粉碎的病例中，使用一期骨移植比费力地对小碎片进行切开复位和固定风险更小。当众多结构严重受损时，皮肤和肌腱的一期重建取决于可靠地一期重建骨连续性。术后护理随后专门针对已修复的非骨结构的需求。
