印度北部三级医疗中复杂膝关节损伤情况：一项流行病学研究。
Complex knee injury scenario in tertiary level care in North India: An epidemiological study.
作者信息
Kaushal Mukul, Chouhan Devendra K, Sharma Gaurav, Kanojia Rajendra K
机构信息
Deptt of Orthopaedics, PGIMER, Chandigarh, India.
出版信息
J Clin Orthop Trauma. 2017 Nov;8(Suppl 2):S6-S8. doi: 10.1016/j.jcot.2016.12.005. Epub 2016 Dec 22.
UNLABELLED
Floating knee injury has been considered as one of the severe orthopedic injury, and is often associated with major systemic trauma involving other organs.
OBJECTIVE
To identify the incidence of floating knee injury, severity of injury and associated orthopaedic and non-orthopaedic injury.
METHODS
Epidemiologic study conducted from 1 Jan 2014 to 31 Dec 2014.
RESULTS
A total of 136 cases with floating knee injury were registered. Modified Fraser classification showed 58 patients had type 1, 74 had type 2 and 4 had type 3 floating knees. 119(87.5%) patients had open fractures and Gustilo-Anderson type IIIA(29.4%) being the commonest. No Mortality was found. 16 (11.76%) of floating knees had to undergo amputation of afflicted limb.
CONCLUSION
Statics of such data would be helpful in planning and preparing ourselves as healthcare professionals to prevent high mortality and morbidity/disability in floating knee injury.
STUDY DESIGN
Retrospective Epidemiological.
LEVEL OF EVIDENCE
Level 4 (Case Study).
未标注
浮动膝损伤被认为是严重的骨科损伤之一，常与涉及其他器官的重大全身创伤相关。
目的
确定浮动膝损伤的发生率、损伤严重程度以及相关的骨科和非骨科损伤情况。
方法
于2014年1月1日至2014年12月31日进行流行病学研究。
结果
共登记了136例浮动膝损伤病例。改良弗雷泽分类显示，58例患者为1型，74例为2型，4例为3型浮动膝。119例（87.5%）患者为开放性骨折，其中 Gustilo-Anderson IIIA型（29.4%）最为常见。未发现死亡病例。16例（11.76%）浮动膝患者不得不接受患侧肢体截肢。
结论
此类数据的统计有助于我们作为医疗保健专业人员进行规划和准备，以预防浮动膝损伤导致的高死亡率和高发病率/残疾率。
研究设计
回顾性流行病学研究。
证据级别
4级（病例研究）。
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