Matev I
Universitätskrankenhaus für Orthopädie, Sofia.
Handchir Mikrochir Plast Chir. 1994 Nov;26(6):285-90.
Over the last two decades, a new type of treatment has been established in reconstructive surgery of the hand. By means of an external fixator used as a distraction device, thumb and fingers are reconstructed. Used as a compression device, the external fixator accelerates the treatment of pseudarthroses, posttraumatic deformities, chronic osteomyelitis and healing following arthrodesis in the hand. There is no universal external device for the hand. Each part of the hand needs a specific fixator. Two basic questions require further studies: Improvement of the external fixators. Acceleration of the callus formation in the distraction method.
在过去二十年中，一种新型治疗方法已在手外科重建手术中确立。通过将外固定器用作牵张装置来重建拇指和手指。用作加压装置时，外固定器可加速手部假关节、创伤后畸形、慢性骨髓炎以及关节融合术后愈合的治疗。目前尚无适用于手部的通用外部装置。手部的每个部位都需要特定的固定器。有两个基本问题需要进一步研究：改进外固定器；在牵张方法中加速骨痂形成。
