在资源有限的环境中,用于与战争有关的下骨折的外部固定:对91名患者的回顾性研究
Franck Masumbuko Mukamba1,2, Liévin Muhindo1, Marie-Hélène Bisimwa1
1Surgery Department, Hôpital Provincial Général de Référence de Bukavu, Université Catholique de Bukavu, Bukavu 285, Congo.
Journal of clinical medicine
|January 28, 2026
概括
外部固定在资源有限的环境中有效地治疗了与战争有关的严重下骨折. 这种方法在这些复杂的面部创伤病例中实现了良好的骨愈合和功能结果,尽管感染和骨损失率很高.
科学领域:
- 口腔和牙面部外科手术
- 创伤外科 手术 创伤外科
- 资源有限的环境中的公共卫生.
背景情况:
- 与战争有关的下骨折带来了重大挑战,包括广泛的软组织损伤,严重的削减,骨损失和高感染率.
- 对于这些复杂的伤害缺乏普遍接受的管理协议.
- 外部固定是常见的替代方案,当内部固定是不可行的或指示.
研究的目的:
- 分析受伤模式,治疗结果和与战争有关的下骨折的并发症.
- 评估外部固定作为一种主要和最终的稳定方法在资源有限的环境中.
- 为了确定与延迟结合和骨折相关的感染相关的因素.
主要方法:
- 对91名与战争有关的下骨折患者进行了回顾性审查,这些患者接受了外部固定治疗 (2017年1月 - 2024年12月).
- 收集的数据包括人口统计,损伤特征,治疗细节,结果和并发症.
- 使用单变量分析来评估与延迟结合和感染相关的因素.
主要成果:
- 高速枪击伤口占伤害的94.5%;29.7%出现感染.
- 78.0%的患者成功愈合了骨 (平均愈合时间为7.6周).
- 22.0%需要延迟骨移植;骨折部位感染是最常见的并发症 (30.8%). 骨损失,入院感染,以及与感染相关的移植需要 (p < 0.05).
结论:
- 这一队伍中与战争有关的下骨骨折严重,其特点是碎片化,骨损失,感染和延迟呈现.
- 外部固定证明了务实的有效性,产生可接受的骨折愈合和功能结果.
- 小型整形外置固定器是资源有限的环境中复杂的下战争损伤的可行治疗方法.
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