Mattis E R
Central Institute of Traumatology and Orthopaedics, Moscow, USSR.
Clin Orthop Relat Res. 1991 May(266):23-6.
The efficacy of treatment for orthopedic trauma patients has improved slowly compared to advances in other areas of orthopedics, e.g., poliomyelitis, bone infection, microvascular surgery, and endoprosthetic devices. Further progress will only be possible by reappraising a number of traditional methods and opinions. In this regard, four proposals are noteworthy: (1) a transfer of attention from predominantly clinical to theoretical research; (2) clarification of terminology to enable effective computerization and development of automated search systems; (3) improvement of the quality of clinical research methodology, including the strict adherence to the requirements of statistical analysis; (4) development of quantitative estimates of locomotor system function and anatomy. A problem-oriented automated information search system and a quantitative method for assessing the anatomic and functional state of the locomotor system has been developed.
与骨科其他领域(如小儿麻痹症、骨感染、微血管手术和内置假体装置)的进展相比,骨科创伤患者的治疗效果改善缓慢。只有通过重新评估一些传统方法和观点,才有可能取得进一步进展。在这方面,有四点建议值得注意:(1)将注意力从主要的临床研究转移到理论研究;(2)明确术语,以实现有效的计算机化并开发自动搜索系统;(3)提高临床研究方法的质量,包括严格遵守统计分析要求;(4)制定运动系统功能和解剖结构的定量评估方法。已经开发了一个面向问题的自动信息搜索系统以及一种评估运动系统解剖和功能状态的定量方法。