From the Department of Surgery, Albany Medical Center, Albany, NY.
J Am Acad Orthop Surg. 2018 Dec 1;26(23):833-843. doi: 10.5435/JAAOS-D-17-00024.
Wound management is a notable healthcare and financial burden, accounting for >$10 billion in annual healthcare spending in the United States. A multidisciplinary approach involving orthopaedic and plastic surgeons, wound care nursing, and medical and support staff is often necessary to improve outcomes. Orthopaedic surgeons must be familiar with the fundamental principles and evidenced-based concepts for the management of acute and chronic wounds. Knowledge of surgical dressings, negative pressure wound therapy, tissue expanders, dermal apposition, biologics, and extracellular matrices can aide practitioners in optimizing wound care.
伤口管理是一个显著的医疗保健和财政负担,占美国每年医疗保健支出的>100 亿美元。为了改善结果,通常需要多学科的方法,包括骨科和整形外科医生、伤口护理护士以及医疗和支持人员。骨科医生必须熟悉急性和慢性伤口管理的基本原则和循证概念。对手术敷料、负压伤口治疗、组织扩张器、真皮贴合、生物制剂和细胞外基质的了解可以帮助医生优化伤口护理。