Pace James Lee, Kocher Mininder S, Skaggs David L
Division of Orthopaedic Surgery, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA 90027, USA.
J Pediatr Orthop. 2012 Sep;32 Suppl 2:S123-7. doi: 10.1097/BPO.0b013e318259f326.
Open fractures in the pediatric population are rare. As such, recommendations for care based on high-level studies are scarce. Furthermore, most level I and II recommendations come from studies involving open fractures in adults. Although it is generally accepted that open pediatric fractures have better outcomes than open fractures in adults, the lack of quality studies provide ample opportunities to answer questions regarding care of these injuries. This review explores the available literature and gives corresponding recommendations based on the level of evidence.
儿童开放性骨折较为罕见。因此,基于高级别研究的护理建议也很少。此外,大多数一级和二级建议都来自涉及成人开放性骨折的研究。尽管人们普遍认为儿童开放性骨折的预后比成人开放性骨折更好,但缺乏高质量研究为解答这些损伤的护理问题提供了大量机会。本综述探讨了现有文献,并根据证据水平给出了相应建议。