脚脱伤害:一个案例系列
Ellen Lutnick1, Miles LaNicca, Jose Montero
1From the Department of Orthopaedics and Sports Medicine (Lutnick, Ritter, and Mutty), and the Jacobs School of Medicine and Biomedical Sciences (LaNicca, and Montero), University at Buffalo, Buffalo, NY.
The Journal of the American Academy of Orthopaedic Surgeons
|September 2, 2025
概括
这种伤害很罕见,但很严重. 这项研究审查了12名患有这些伤害和相关骨折的患者,发现感染,截肢和持续疼痛的高率,强调需要更好的管理策略.
科学领域:
- 骨科手术
- 创伤护理
- 重建性手术
背景情况:
- 脚脱伤害不常见但严重,对最佳治疗的证据有限.
- 这项研究检查了脚脱损伤的患者以及腿部和脚部的双侧骨折.
研究的目的:
- 描述与下肢骨折相关的脚脱损伤的治疗方法和结果.
- 帮助管理这种罕见的伤害.
主要方法:
- 对18岁及以上的患者进行追溯评估,这些患者因脚脱损伤和双侧脚/脚骨折而接受治疗.
- 使用ICD-10代码对1,164名患者进行足骨折的查.
- 数据收集包括人口统计,伤害模式,治疗和结果.
主要成果:
- 十二名患者符合纳入标准;六名患者有多重创伤.
- 在10名随访患者中,5名患有感染,2名需要膝下截肢.
- 肢体救援患者需要片覆盖,延迟愈合,持续疼痛和行走困难.
结论:
- 对于如何处理脚脱损伤还没有确立的共识.
- 这是迄今为止关于这种罕见伤害的治疗和结果的最大案例.
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