Tisnovsky Ilene, Katz Simon D, Pincay Jorge I, Garcia Reinoso Lucas, Redfern James A I, Pascal Scott C, Wham Bradley C, Naziri Qais, Suneja Nishant
Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, NY, USA.
J Orthop. 2020 Dec 30;23:100-106. doi: 10.1016/j.jor.2020.12.029. eCollection 2021 Jan-Feb.
To propose a gunshot wound-related hip injury algorithm and improve patient outcomes.
Multiple online databases were queried to identify studies reporting on management of gunshot-wound hip injury.
Of 47 papers included, 5 and 14 studies recommended surgical intervention for the treatment of low- and high-velocity gunshot wounds, respectively, and 1 paper advocated the use of prophylactic antibiotics in the treatment of high-velocity injuries. All remaining papers had mixed and conflicting results.
Various therapeutic strategies have been used for the management of gunshot wound-related hip injuries but further prospective studies are necessary to determine the optimal therapeutic modality.
提出一种与枪伤相关的髋部损伤算法并改善患者预后。
查询多个在线数据库以识别报告枪伤性髋部损伤管理的研究。
在纳入的47篇论文中,分别有5篇和14篇研究推荐手术干预治疗低速和高速枪伤,1篇论文主张在治疗高速损伤时使用预防性抗生素。其余所有论文的结果都相互矛盾。
已采用多种治疗策略来管理与枪伤相关的髋部损伤,但需要进一步的前瞻性研究来确定最佳治疗方式。