桡骨远端骨折治疗中的常见误区与证据
Common myths and evidence in the management of distal radius fractures.
作者信息
Diaz-Garcia Rafael J, Chung Kevin C
机构信息
Section of Plastic Surgery, Department of Surgery, The University of Michigan Health System, Ann Arbor, MI 48109, USA.
出版信息
Hand Clin. 2012 May;28(2):127-33. doi: 10.1016/j.hcl.2012.02.005. Epub 2012 Mar 24.
Abstract
Distal radius fractures (DRFs) are the most common fracture treated by physicians, but questions remain regarding optimal management. Fracture patterns, biomechanics, and treatment strategies have been debated for more than 200 years, and research shows many controversies regarding long-held beliefs. Although these common myths have been propagated and considered fact, they are not based on the best-available evidence. This article illustrates some of the major controversies regarding the management of DRFs. To provide optimal care in a world of evidence-based medicine, clinicians must shift their thinking and accept that some of the indoctrinated ideas may represent a flawed heuristic approach.
摘要
桡骨远端骨折（DRF）是医生治疗的最常见骨折，但关于最佳治疗方法仍存在疑问。骨折类型、生物力学和治疗策略已经争论了200多年，研究表明，长期以来的一些观点存在许多争议。尽管这些常见的错误观念已经传播开来并被视为事实，但它们并非基于现有最佳证据。本文阐述了一些关于桡骨远端骨折治疗的主要争议。为了在循证医学的环境中提供最佳治疗，临床医生必须转变思维，接受一些根深蒂固的观念可能代表一种有缺陷的启发式方法。
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