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治疗偏好和当前的做法关于开放的骨骨折

Shengjun Qian^1,2,3,4,5, Yechao Shen^1,2,3,4,5, Lingling Sun^1,2,3,4,5

¹Department of Orthopedic Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Frontiers in public health

|July 22, 2024

概括

这项研究揭示了在管理开放的骨轴骨折 (OTSF) 中的首选和实际做法之间的差距. 虽然外科医生更喜欢及时干预,但实际治疗往往不足,突出了需要改进的OTSF护理领域.

科学领域:

整形外科手术整形外科手术
创伤护理创伤护理
骨折管理骨折管理

背景情况:

开放的骨轴骨折 (OTSF) 需要迅速有效的管理,以尽量减少并发症.
目前对OTSF的治疗方案和外科医生偏好各不相同,需要了解区域实践.

研究的目的:

调查和报告江省的骨科创伤外科医生对骨轴骨折 (OTSF) 的治疗偏好和当前做法.
为了确定不同级别的OTSF的首选和实际管理策略之间的差异.

主要方法:

在江省41家医院向132名骨科创伤医生分发了一项在线调查.
该调查评估了Gustilo-Anderson I-II型 (GA I/II) 和IIIA型 (GA IIIA) OTSF中抗生素预防,灌和除菌,骨折稳定和伤口治疗的偏好和做法.

主要成果:

在OTSF的抗生素注射和除菌的首选和实际时间之间存在很大的差距.
大多数外科医生都倾向于在外部固定后进行二次内部固定,并更喜欢用于GA I-IIIA OTSF的锁定板,理由是感染风险和损伤控制.
对伤口关闭的偏好各不相同,GA I/II偏好初级关闭,GA IIIA偏少,并且对使用伤口培养来预测感染有强烈的共识.

结论:

该研究强调了江GA I-IIIA OTSF管理的当前偏好和实践,优先选择二级内部固定和锁定板.
这些发现为管理OTSF的骨科创伤外科医生提供了宝贵的参考,表明实践可能与既定偏好不一致的领域.
解决及时干预和优化伤口管理策略中发现的差距对于改善OTSF治疗结果至关重要.

关键词:

抗生素预防抗生素预防断裂稳定断裂稳定断裂稳定灌和清理污染的方法.开放的小腿骨轴骨折开放的小腿骨轴骨折伤口管理伤口管理

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