部完整脱位:一个系统审查
Eleonora Dell'Agli1, Marco Sapienza1, Mirko Domenico Castiglione1
1Department of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico-San Marco, University of Catania, Via Santa Sofia 78, 95123 Catania, Italy.
Journal of functional morphology and kinesiology
|February 21, 2025
概括
纯粹的全口腔脱位是一种罕见的损伤. 早期减少和软组织护理至关重要,以最大限度地减少诸如 AVN 的并发症,尽管 AVN 的风险仍然很高.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 运动医学 运动医学
背景情况:
- 纯粹的整体舌腔脱位是一种罕见的骨科紧急情况.
- 关于其管理的文献有限,需要对现有证据进行审查.
研究的目的:
- 为了进行纯净的全口腔脱位的范围审查.
- 分析流行病学,呈现,成像,手术选择,康复和并发症.
主要方法:
- 在系统的文献搜索中遵循PRISMA-ScR指南.
- 搜索的数据库:PubMed,科学网络,Scopus.
- 其中包括30项研究,重点研究纯粹的全口腔脱而没有骨折.
主要成果:
- 关键的发现强调早期减伤,伤口护理和软组织保护.
- 并发症包括无血管亡 (AVN),创伤后关节炎和感染.
- 仍然存在高风险的AVN,特别是在受损的口腔血液供应.
结论:
- 纯粹的全口腔脱位缺乏标准化的管理协议.
- 关节再植入和关节固定显示出希望,但带有显著的并发症风险,特别是AVN.
- 需要进一步的研究来规范治疗和改善这种严重伤害的结果.
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