文章發表：Semin Plast Surg. 2010 Feb;24(1):67-76.
大綱
手部和上肢損傷的治療很複雜。治療目標是恢復手部最大功能，如果可以的話，恢復到損傷前的狀態。在治療手部和上肢損傷時經常遇到幾種併發症。如水腫，外傷組織破壞及神經麻痺等併發症致加以損傷。植皮攣縮，筋膜粘連導致肌腱活動受限，及減少階段重建肌肉活動時的治療相關併發症。對併發症的性質及其預防和治療進行回顧。
The treatment of hand and upper-extremity injuries is complex. The treatment goals are to restore maximal hand function and, if possible, preinjury form. Several complications are frequently encountered while treating hand and upper-extremity injuries. Complications such as edema, direct structural destruction, and nerve palsies are the result of the inflicting injury. Skin graft contraction, fascial adhesions causing restricted tendon motion, and diminution of muscle function with time during staged reconstructions are treatment-related complications. The nature of these complications as well as means for their prevention and treatment are reviewed.
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