在整形外科的热损伤
Andrea N Rowland1, Oluwatodimu R Raji, David B Nelles
1From the Department of Orthopaedic Surgery, San Francisco Orthopaedic Residency Program (Rowland, and Kondrashov), the Biomechanical Lab, The Taylor Collaboration (Raji), the Department of Orthopaedic Surgery, St. Mary's Medical Center, San Francisco, CA (Nelles, and Kondrashov), and the Department of Orthopaedic Surgery, Kaiser Permanente, Oakland, CA (Jang).
The Journal of the American Academy of Orthopaedic Surgeons
|February 9, 2024
概括
在整形外科手术中了解热损伤对于最大限度地减少阴性损伤和利用热和冷治疗至关重要. 这些知识将临床前研究和临床实践联系起来,以获得更安全的患者结果.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 组织力学 组织力学
背景情况:
- 热损伤是骨科手术的一个重要问题,来自于各种手术技术.
- 无论是发热还是冷却,都具有治疗潜力,但也带来了造成阳性损伤的风险.
- 了解组织的热耐受性对于安全的手术实践至关重要.
研究的目的:
- 阐明骨科手术中热损伤的临床前机制.
- 突出在骨科手术中热效应的双重性质 (治疗性与破坏性).
- 强调温度调节在骨科干预中的重要性.
主要方法:
- 热损伤的临床前机制的审查.
- 在骨科背景下分析热量产生和冷却效应.
- 检查组织温度公差的检查.
主要成果:
- 骨科技术,如挖掘,钻孔,凝固和电,是热损伤的常见来源.
- 不适当使用热或冷可以导致严重的组织损伤.
- 了解温度变化潜力和组织耐受性是必不可少的.
结论:
- 对热损伤机制的彻底理解对于预防阳性损伤和在骨科治疗中利用热效应至关重要.
- 热性考虑在整形外科的所有子专业中都是直接相关的.
- 将临床前理解与热原理的临床应用相结合,可以提高患者的安全性和外科疗效.
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