Nauth Aaron, Hildebrand Frank, Vallier Heather, Moore Timothy, Leenen Luke, Mckinley Todd, Pape Hans-Christoph
Division of Orthopaedics, Department of Surgery, University of Toronto and St. Michael's Hospital, Toronto, Ontario, Canada.
Department of Trauma and Reconstructive Surgery, University Hospital RWTH Aachen. Aachen, Germany.
OTA Int. 2021 Feb 23;4(1):e116. doi: 10.1097/OI9.0000000000000116. eCollection 2021 Mar.
The management of multiply injured or severely injured patients is a complex and dynamic process. Timely and safe fracture fixation is a critical component of the multidisciplinary care that these patients require. Effective management of these patients, and their orthopaedic injuries, requires a strong understanding of the pathophysiology of the response to trauma and indicators of patient status, as well as an appreciation for the dynamic nature of these parameters. Substantial progress in both clinical and basic science research in this area has advanced our understanding of these concepts and our approach to management of the polytraumatized patient. This article summarizes a symposium on this topic that was presented by an international panel of experts at the 2020 Virtual Annual Meeting of the Orthopaedic Trauma Association.
对多发伤或重伤患者的管理是一个复杂且动态的过程。及时且安全地固定骨折是这些患者所需多学科护理的关键组成部分。对这些患者及其骨科损伤进行有效管理，需要深入了解创伤反应的病理生理学和患者状态指标，以及认识到这些参数的动态性质。该领域临床和基础科学研究的重大进展增进了我们对这些概念的理解以及对多发伤患者的管理方法。本文总结了由国际专家小组在2020年骨科创伤协会虚拟年会上举办的关于该主题的研讨会内容。
