在重度开放四肢骨折的二次手术中使用跨的方法
Yuta Izawa1,2, Kentaro Futamura3, Hiroko Murakami4
1Department of Trauma Center, Shonan Kamakura General Hospital, 1370-1 Okamoto, Kamakura, Kanagawa, Japan. yutaizawa18@gmail.com.
概括
这种新的跨门方法可以在严重的开放四肢骨折中进行有效的二次手术. 这种方法在所有患者中实现了无死的伤口愈合,为传统技术提供了可行的替代方案.
科学领域:
- 整形外科手术 整形外科手术
- 整形和重建手术 整形和重建手术
背景情况:
- 严重的开放四肢骨折需要骨折固定和手术.
- 对于片覆盖的骨折部位,通常需要进行二次手术,但由于片死的风险而复杂化.
- 跨的方法提供了一种新的策略,可以有效地进行二次手术,同时减轻亡风险.
研究的目的:
- 描述严重开放四肢骨折中二次手术的跨门方法.
- 评估使用这种新方法治疗的患者的治疗过程和临床结果.
主要方法:
- 追溯识别和注册为严重开放四肢骨折进行了片手术的患者,随后进行了跨片二次手术 (2020-2023年).
- 研究患者的人口统计学,伤害类型,片重建细节,二次手术指示,时间,软组织愈合和并发症.
主要成果:
- 包括15名手,下腿或脚骨折的患者.
- 片类型包括脚 (2) 和自由片 (13).
- 所有的伤口都没有化而愈合; 一名患者经历了深度感染.
结论:
- 跨的方法是严重的开放四肢骨折中二次手术的有效选择,无论类型如何.
- 在所有病例中,没有亡的伤口愈合始终实现.
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