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枪伤相关骨折的手术治疗原则

Surgical management principles of gunshot-related fractures.

作者信息

Tosti Rick, Rehman Saqib

机构信息

Department of Orthopaedic Surgery and Sports Medicine, School of Medicine, Temple University, 3401 N Broad St, Philadelphia, PA 19140, USA.

出版信息

Orthop Clin North Am. 2013 Oct;44(4):529-40. doi: 10.1016/j.ocl.2013.06.006. Epub 2013 Aug 1.

Abstract

This article discusses contemporary management strategies for gunshot-related fractures with special attention paid to the initial evaluation, role of debridement, principles of fixation, need and duration of antibiotic therapy, and management of sequelae. Pertinent sequelae detailed are fractures associated with vascular injury, compartment syndrome, massive loss of soft tissue and bone, nerve injury, and lead toxicity.

摘要

本文讨论了与枪伤相关骨折的当代治疗策略,特别关注初始评估、清创的作用、固定原则、抗生素治疗的必要性和持续时间以及后遗症的处理。详细阐述的相关后遗症包括与血管损伤、骨筋膜室综合征、软组织和骨大量缺失、神经损伤以及铅中毒相关的骨折。

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