Bray P W, Boyer M I, Bowen C V
Toronto Hospital Hand Program, Toronto Hospital, University of Toronto, Ontario, Canada.
Hand Clin. 1997 May;13(2):263-78.
Complex forearm injuries involve damage to the skin and underlying tissues. The best results are obtained when a multidisciplinary approach is taken to their management. Management of the acute injury should be done in a manner that takes into consideration late reconstructive procedures and best possible final function outcome. This article reviews initial management and options for soft-tissue coverage. Advantages and disadvantages of a wide variety of procedures are discussed and in addition the authors review some of the more controversial areas and give personal preferences.
复杂的前臂损伤涉及皮肤及深层组织的损伤。对其进行多学科综合治疗时可取得最佳疗效。急性损伤的处理应考虑到后期重建手术及尽可能好的最终功能结果。本文综述了软组织覆盖的初始处理方法及选择。讨论了各种手术方法的优缺点,此外,作者还回顾了一些更具争议性的领域并给出个人偏好。