软组织覆盖IIIB骨折:从时间到覆盖选项
Ali Azad1,2, Jacques H Hacquebord1
1Department of Orthopedic Surgery, New York University (NYU) Langone Orthopedic Hospital, New York, NY.
概括
开放的骨骨折需要及时覆盖软组织. 本综述审查了关键治疗窗口和手术选择,如片和自由组织转移,以获得高能损伤的最佳结果.
科学领域:
- 整形外科手术 整形外科手术
- 创伤管理 创伤管理
- 重建性手术是一种重建性手术.
背景情况:
- 开放的骨骨折是常见的高能耗长骨损伤.
- 已建立的管理标准存在,但需要考虑软组织的妥协.
- 及时干预对于挽救肢体和功能恢复至关重要.
研究的目的:
- 审查目前关于开放骨骨折关键治疗窗口的文献.
- 描述软组织覆盖的最佳时间.
- 为提供可用的软组织覆盖技术的概述.
主要方法:
- 关于开放的骨骨折和软组织覆盖范围的文献综述.
- 分析影响治疗时间的因素.
- 软组织重建选项的分类.
主要成果:
- 软组织覆盖的关键窗口受到骨折严重程度和污染的影响.
- 局部/旋转和自由组织转移是主要的重建选择.
- 建议根据损伤特征采取量身定制的方法.
结论:
- 软组织覆盖的最佳时间对于管理开放的骨骨折至关重要.
- 了解重建方案可以实现个性化的治疗策略.
- 进一步的研究应侧重于完善计时协议和结果.
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