建立一个共识定义的膝盖骨折-脱位 (Schenck膝盖脱位V) 使用全球修改的德尔菲方法
Michael J Medvecky1, Joseph B Kahan1, Dustin L Richter2
1Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut.
The Journal of bone and joint surgery. American volume
|June 23, 2023
概括
本研究使用外科医生的共识定义了Schenck膝关节脱 (KD) V子类别的特定骨折模式. 它澄清了复杂的膝盖损伤,以便更好地分类和治疗.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 生物力学 生物力学
背景情况:
- 膝关节骨折脱位是复杂的伤害,在Schenck膝关节脱位 (KD) V子类别中缺乏明确的定义.
- 确定一个精确的定义对于准确的诊断和治疗规划至关重要.
研究的目的:
- 为了建立一个普遍接受的,精确的定义,Schenck KD V子类别内的断裂模式.
- 改善复杂膝关节损伤的分类.
主要方法:
- 经过修改的Delphi技术被用于46名国际外科医生,他们专门从事多关节膝关节损伤.
- 进行了三轮在线调查,以达成关于骨折模式包括/排除的共识.
- 共识被定义为≥70%的同意.
主要成果:
- 商定将11个特定的骨折模式纳入Schenck KD V子类别.
- 这些包括各种大腿骨,小腿骨平原,小腿骨结核和骨骨折.
- 排除了14种骨折模式,其中2种无法达成共识.
结论:
- 该研究成功地使用Delphi技术为Schenck KD V子类别建立了基于共识的定义.
- 这为分类膝关节骨折移位提供了更精确的框架.
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