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门诊手术用于骨高原骨折

Adam M Schlauch¹, Benjamin Crawford², Ishan Shah²

¹San Francisco Orthopaedic Residency Program, 450 Stanyan Street, San Francisco, CA, 94117, USA. aschlauch19@gmail.com.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

|August 14, 2024

概括

门诊公开缩小和内部固定 (ORIF) 高原骨折没有增加隔间综合征或其他并发症的风险. 经过精心挑选的患者可以安全地接受这些损伤的门诊手术.

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

背景情况:

骨平原骨折是复杂的伤害,需要手术干预.
开放式减少和内部固定 (ORIF) 是一种常见的治疗方法.
门诊ORIF治疗这些骨折的安全性和有效性需要进一步调查.

研究的目的:

为了评估隔间综合征和其他早期并发症的发病率,在接受骨平原骨折的门诊ORIF的患者中.
为了比较门诊和住院ORIF程序之间的结果.

主要方法:

美国一级学术创伤中心的回顾性队列研究.
包括手术治疗的小腿骨平原骨折患者,比较住院患者和门诊患者.
门诊手术的排除标准包括隔间综合征,多创伤和开放骨折.
主要结局:手术后隔间综合征. 二次结果:90天恢复到ED,再入院,感染,血栓栓塞和死亡率.

主要成果:

在这两组中都没有观察到术后隔间综合征的病例.
治疗意图分析显示,在住院和门诊组之间,90天再入院,急救诊所访问,感染,DVT或PE没有显著差异.
随着治疗的分析显示,在住院患者组中,90天再入院和ED访问率显著更高.

结论:

与住院治疗相比,针对适当选择的隔离的小腿高原骨折的门诊ORIF与隔间综合征和术后并发症的非较低率有关.
健行外科手术可能是一个安全的选择,为选择的患者带着小腿高原骨折.

关键词:

分区综合征是什么意思分区综合征是什么意思复杂性复杂性复杂性门诊患者门诊患者门诊患者高原平原是一个高原.再接纳是指重新接纳的人.

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