Nagy L
Section of Hand Surgery, University of Berne, Switzerland.
Hand Clin. 1993 Nov;9(4):651-7.
In spite of its similar design constructs, external fixation of finger fractures differs greatly from that of long bones. Besides its common indications in massive, high-energy trauma, and contaminated fractures, it offers true alternatives to open reduction and internal fixation and represents a superior treatment modality in well-selected cases of extensive comminution. Further pending improvement in design will increase its application, although it apparently does not yet resolve long-standing controversies in elective fracture care.
尽管手指骨折的外固定在设计构造上有相似之处,但其与长骨外固定有很大不同。除了在严重、高能量创伤和污染骨折中有常见适应证外,它为切开复位内固定提供了真正的替代方法,并且在精心挑选的广泛粉碎性骨折病例中是一种更优的治疗方式。尽管在设计上显然尚未解决择期骨折治疗中长期存在的争议,但进一步的改进将增加其应用。