Friedel R, Dorow C, Schmidt I, Fährmann M
Abteilung für Unfallchirurgie, Klinik und Poliklinik für Chirurgie der Friedrich-Schiller-Universität Jena.
Zentralbl Chir. 1995;120(12):934-9.
In cases of joint fractures as well as in dislocated and open fractures of the hand special standards concerning operation methods have to be set. Treatment of soft tissue damage accompanying the fracture is in no other region of the body so important. Therefore the current efforts for development of an AO-classification for fractures of the hand taking into account the soft tissue damage are of major significance. Special features of miniosteosynthesis compared to conventional osteosynthesis are the subject of this study. The use of the miniplate especially in juxtaarticular fractures of the hand due to complex injuries or replantations can overcome the disadvantages of joint-bridging K-wires. Osteosyntheses of the hand are making high technical demands on surgeons and are not at all operations for beginners.
在关节骨折以及手部脱位和开放性骨折的病例中，必须制定有关手术方法的特殊标准。骨折伴随的软组织损伤的治疗在身体的其他任何部位都没有如此重要。因此，目前考虑到软组织损伤对手部骨折进行AO分类的努力具有重大意义。与传统骨固定术相比，微型骨固定术的特点是本研究的主题。微型钢板的使用，特别是在因复杂损伤或再植导致的手部关节周围骨折中，可以克服关节桥接克氏针的缺点。手部骨固定术对外科医生提出了很高的技术要求，绝不是初学者能做的手术。
