Meissl G, Millesi H, Lechner G, Berger A, Piza-Katzer H
Handchirurgie. 1978;10(4):211-4.
Fourteen children with electrical burns involving 33 fingers were followed for a period of more than 8 years. Primary treatment was conservative in 17 fingers, of which 11 required surgery at a later date. Adequate function was restored in 12 fingers after completion of this treatment and persisted for 8 years and more. In 5 fingers substantial joint deformities developed. For 16 fingers surgery was required as primary treatment. Bone involvement was present in 10 of these. Secondary surgery proved to be necessary in 2 fingers, on one aseptic necrosis necessitated replacement by a bone graft. All of the 16 fingers showed good function in the period under review. There was no radiological evidence of deformities, but growth was substantially slower than normal. Apparently coverage of exposed bone with well vascularized tissue improved local blood flow so that damage other than that originally produced by the electrical burns was prevented.
对14名有33根手指电烧伤的儿童进行了为期8年多的随访。17根手指的初始治疗是保守治疗，其中11根手指后来需要手术。完成该治疗后，12根手指恢复了足够的功能，并持续了8年及更长时间。5根手指出现了严重的关节畸形。16根手指需要手术作为初始治疗。其中10根存在骨受累情况。2根手指证明需要二次手术，其中1根因无菌性坏死需要用骨移植进行置换。在审查期间，所有16根手指均显示出良好的功能。没有影像学证据表明有畸形，但生长明显比正常情况慢。显然，用血管丰富的组织覆盖外露的骨头改善了局部血流，从而防止了除电烧伤最初造成的损伤之外的其他损伤。
