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在多创伤中管理骨盆骨折的进展:综合性审查

Uros Dabetic^1,2, Jovana Grupkovic¹, Slavisa Zagorac^1,2

¹Clinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia, 11000 Belgrade, Serbia.

Journal of clinical medicine

|March 17, 2025

概括

损伤控制骨科 (DCO) 对于不稳定的骨盆骨折是最好的,而早期的整体护理 (ETC) 改善了稳定的患者的结果. 根据受伤和患者量身定制治疗是最佳骨盆骨折管理的关键.

科学领域:

整形外科手术整形外科手术
创伤护理创伤护理
手术创新在外科创新.

背景情况:

骨盆骨折是高能量创伤造成的严重,危及生命的伤害.
管理策略正在不断发展,需要仔细考虑患者的稳定性和受伤模式.
最近的进展集中在损伤控制骨科 (DCO) 与早期整体护理 (ETC) 和微创技术之间.

研究的目的:

审查和比较目前的骨盆骨折管理策略.
为了评估DCO与DCO的结果. ETC,手术与非手术,微创与传统的ORIF.
突出新兴混合技术和精准医学的作用.

主要方法:

对DCO和ETC战略进行比较分析.
评估操作与非操作的管理结果.
最少侵入性 (穿皮) 与传统的开放缩减内部固定 (ORIF) 技术的评估.

主要成果:

对于血液动力学不稳定的患者来说,DCO是首选的,以减少死亡率.
在稳定的多创伤患者中,ETC可减少肺部并发症和ICU停留.
穿皮固定降低了感染风险,但可能会增加恶性结合;ORIF提供了更好的对齐,但感染风险更高.
混合方法在平衡稳定性和降低发病率方面显示出希望.

结论:

骨盆骨折的治疗策略必须根据患者的生理学和损伤特征进行个性化.
DCO和ETC有不同的角色,混合技术提供了一个平衡的方法.
精准医学,人工智能和大规模试验对于优化骨盆骨折护理和制定指南至关重要.

关键词:

先进的技术,先进的技术.并发症可能导致并发症.损害控制骨科整形医学早期的全方位护理骨盆骨折骨盆骨折骨盆骨折骨盆骨折多重创伤的人群.外科手术时间表

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