复杂脚骨折的治疗策略-当前的发展情况总结在叙事综述中
Olivia Mair1, Patrick Pflüger2, Marc Hanschen1
1Department of Trauma Surgery, Technical University of Munich, School of Medicine, Klinikum Rechts der Isar, Munich, Germany.
Annals of translational medicine
|November 16, 2023
概括
复杂的脚骨折,包括骨柱骨折,存在手术挑战. 目前的治疗方法侧重于仔细规划,软组织管理和开放的减少内部固定,以获得更好的结果的不断变化的选择.
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
- 骨系统研究研究
背景情况:
- 脚骨折在所有年龄段都是常见的.
- 复杂的脚和骨柱骨折带来了重大的外科手术挑战.
- 现有的治疗方法需要改进,以减少并发症.
研究的目的:
- 审查当前治疗复杂脚和骨柱骨折的做法.
- 为了突出骨折管理的最新发展.
- 总结关于脚骨折治疗的现有文献.
主要方法:
- 在2022年12月,对PubMed数据库进行了全面搜索.
- 包括关于复杂的脚和柱骨折的英语和德语文章.
- 文献审查侧重于治疗策略和结果.
主要成果:
- 高的并发症率,特别是伤口感染,需要精心的手术前规划.
- 有效的软组织管理对于减少并发症和指导治疗选择至关重要.
- 开放式减少和内部固定 (ORIF) 是标准,但外部固定,骨钉和保守方法是可行的替代方法.
- 关节镜辅助手术可以提高功能结果.
- 老年患者的发病率增加需要专门的护理和进一步的研究.
结论:
- 进一步的随机对照试验对于验证新的治疗选择至关重要.
- 需要基于证据的指导方针来优化对复杂的脚骨折的护理,特别是在老年人中.
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