Osier Charles, Smith Chris, Stinner Daniel, Rivera Jessica, Possley Daniel, Finnan Ryan, Bode Ken, Stockinger Zsolt
Joint Trauma System, 3698 Chambers Pass, JBSA Fort Sam Houston, TX.
Mil Med. 2018 Sep 1;183(suppl_2):105-107. doi: 10.1093/milmed/usy081.
Fractures continue to account for a large proportion of combat-related injuries. The basic tenets of irrigation, debridement, soft tissue care, and vigilant monitoring/fasciotomy for acute compartment syndrome persist. Closed management of fractures with splinting or casting is acceptable. If time and facility allow, external fixation of fractures offer many advantages over closed treatment but require knowledge, experience and skill in the safe placement of pins. The care of host nationals presents unique challenges and deployed surgeons must be flexible and resourceful in these situations.
骨折在与战斗相关的损伤中仍占很大比例。对于急性骨筋膜室综合征，冲洗、清创、软组织护理以及严密监测/筋膜切开减压的基本原则仍然适用。采用夹板或石膏进行骨折的闭合治疗是可行的。如果时间和条件允许，骨折的外固定相较于闭合治疗具有诸多优势，但需要具备在安全置入钢针方面的知识、经验和技能。对当地居民的护理存在独特挑战，在这些情况下，外派的外科医生必须灵活且足智多谋。
