Tubiana R
Ann Chir Main. 1983;2(4):293-7. doi: 10.1016/s0753-9053(83)80024-6.
Early mobilization of fractures of the metacarpals and phalanges is advocated. It should begin as soon as the stability of the fracture and the condition of the soft tissues permits. It has to be adapted to each case, and often consists of mobilization of the distal phalanges with the wrist and metacarpophalangeal articulations immobilized in a protective position. It is effective in preventing stiffness. Because it is a specific technique, it must be entrusted to specially trained physiotherapists, and requires regular and repeated clinical and radiologic follow up by the surgeon.
提倡对手掌骨和指骨骨折尽早进行活动。一旦骨折的稳定性和软组织状况允许，就应尽快开始。它必须根据具体情况进行调整，通常包括在手腕和掌指关节固定于保护位置的情况下，对远端指骨进行活动。这在预防僵硬方面是有效的。由于这是一项特定技术，必须委托给经过专门培训的物理治疗师，并且需要外科医生定期且反复地进行临床和放射学随访。
