Sturzenegger M, Herren D, Büchler U
Centre médico-chirurgical de Vidy, Lausanne.
Rev Med Suisse Romande. 1994 Apr;114(4):301-9.
Different treatment modalities for palmar combined injuries of the fingers are described. Several possibilities are mentioned for each traumatized structure which can be involved in such injuries. Early functional after-treatment is emphasized, which usually needs stable reconstruction for all injured components (skin, nerves, arteries, fractures, joints, flexor tendons and pulleys), so as to allow immediate active mobilization. The results of palmar combined injuries of 178 fingers in 150 patients, treated from September 1986 to May 1991 at the Division of Hand Surgery, University of Bern, Switzerland, offer the more recent experience for the favoured handling of such injuries. The results were collected and statistically analyzed to seek for mutual interactions in the healing of the different structural components.
本文描述了手指掌侧复合伤的不同治疗方式。针对此类损伤中可能涉及的每个受伤结构，文中提到了几种治疗可能性。强调早期功能后期治疗，这通常需要对所有受伤部位（皮肤、神经、动脉、骨折、关节、屈肌腱和滑车）进行稳定的重建，以便能够立即进行主动活动。1986年9月至1991年5月，瑞士伯尔尼大学手外科对150例患者的178根手指掌侧复合伤进行了治疗，这些结果为此类损伤的理想处理提供了最新经验。收集结果并进行统计分析，以寻找不同结构成分愈合过程中的相互作用。
