在外部固定后和在周关节下肢骨折护理期间的阶段之间释放患者是否安全?
Shannon Tse1, Frank Sierra2, Chiara Anna Giordani2
1Department of Orthopaedic Surgery, University of California Davis, Sacramento, CA.
Journal of orthopaedic trauma
|October 29, 2025
概括
在手术阶段之间的下肢周关节骨折患者的出院导致了更多的针位感染,但住院时间更短. 这种方法并没有增加长期并发症的小腿高原和支柱骨折患者.
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
- 周关节骨折 周关节骨折 周关节骨折
背景情况:
- 复杂的下肢周关节骨折常见的是分阶段的手术治疗.
- 临时出院对患者结果的影响尚未得到充分证实.
研究的目的:
- 为了确定外关节骨折手术阶段之间的病人的出院是否会影响并发症率和住院时间.
- 为了比较分阶段之间出院的患者和留在医院的患者之间的结果.
主要方法:
- 一级创伤中心的回顾性研究.
- 包括在阶段治疗的带高原 (AO/OTA 41B/C) 和支柱骨 (43B/C) 骨折的患者.
- 医院出院和持续住院组之间的结果 (并发症,住院时间) 的比较.
主要成果:
- 退院的患者出现了较高的临时针部位感染率 (14.3%与2.7%) 和较长的阶段间隔 (17.5与10.8天).
- 出院的患者在住院的总长度显著缩短 (7.1 vs 22.6 天).
- 在不同组的非结合率,深度感染率,表面感染率或重新手术率中没有发现显著差异.
结论:
- 周关节骨折的分期排泄导致临时针位感染的增加和治疗间隔的延长,但不会引起长期并发症.
- 这一策略显著减少了整体住院时间.
- 持续住院的患者平均受伤严重程度得分较高.
相关概念视频
Fractures: Bone Repair
5.0K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
5.0K
Peripheral Artery Disease V: Postoperative Nursing Management
369
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
369


