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在急性开放的下肢骨折"固定和折叠"后改善恢复

Guang Hua Yim¹, Jurga Pikturnaite¹, Lorraine Harry¹

¹The Welsh Centre for Burns & Plastics, Morriston Hospital, Heol Maes Eglwys, Morriston SA6 6NL, Swansea, United Kingdom; Major Trauma Centre, University Hospital of Wales, Cardiff CF14 4XW, United Kingdom.

|November 29, 2023

概括

这项研究表明,急性下肢开口骨折 (ALLOFs) 的增强恢复 (ER) 协议可以安全地减少住院时间. 该ER协议在肢体救援和片生存方面取得了良好的结果,与现有文献相比.

科学领域:

整形外科手术整形外科手术
创伤外科手术创伤外科
重建性手术是一种重建性手术.

背景情况:

增强恢复 (ER) 协议旨在优化患者的康复并减少住院时间 (LoS).
下肢急性开口骨折 (ALLOFs) 提出了复杂的挑战,需要多学科的护理.
在ALLOF中实施ER协议需要具体的干预措施,如早期动员.

研究的目的:

评估ER协议在管理ALLOFs中的有效性.
评估结果,包括肢体救援,LoS,返回剧院,板救援/失败率,以及深度感染.
确定ALLOFs早期动员的安全性和有效性.

主要方法:

对前性维护下肢片数据库的观察性研究 (2020年9月 - 2023年1月).
纳入标准:Gustilo IIIB/C受伤与自由重建.
排除标准:局部/穿孔片,只有软组织损伤,感染,慢性骨髓炎.

主要成果:

分析了161名患者,81%的高能损伤. 固定/覆盖的中位时间:4天.
11.2%需要返回剧场进行探; 61%成功挽救.
平均总损失时间:10天. 固定后/覆盖范围的中位数LoS:7天. 深层感染率:6.5%. 这是一个非常严重的疾病.

结论:

在孤立的ALLOF中缩短LoS,ER协议是安全有效的.
返回剧院,片救援/失败和深度感染的结果处于当代可接受的范围之内.
医疗保健专业人员的早期参与有助于在ER协议内让患者出院.

关键词:

增强的复苏增强的复苏自由组织的自由组织.下肢的下肢是什么意思下肢的下肢是什么意思开放式骨折是一个开放式的骨折.重建重建的重建工作

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