Bryan B K, Kohnke E N
Sports and Occupational Rehabilitation Center, Henrico Doctor's Hospital, Richmond, Virginia, USA.
Hand Clin. 1997 Nov;13(4):761-76.
Skeletal fixation can be very beneficial to the recovery of wrist and hand function after a displaced fracture because it allows mobilization of soft tissues before the completion of fracture healing. The benefits of skeletal fixation can be greatly diminished, however, if excessive force causes the fixation to fail before fracture healing has occurred, infection occurs around the implant, or the patient develops reflex sympathetic dystrophy. Those complications, as well as others, are often caused by inappropriate or inadequate hand therapy. This article discusses the techniques needed to avoid many such complications while providing the best possible functional result for every patient.
对于移位骨折后的手腕和手部功能恢复而言，骨骼固定可能非常有益，因为它能在骨折愈合完成之前实现软组织的活动。然而，如果在骨折愈合之前，过大的力量导致固定失败、植入物周围发生感染或者患者出现反射性交感神经营养不良，那么骨骼固定的益处就会大打折扣。这些并发症以及其他一些并发症，通常是由不恰当或不充分的手部治疗引起的。本文讨论了在为每位患者提供最佳功能结果的同时避免许多此类并发症所需的技术。
