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正塑性外科:矫形外科中重建外科的现代视野。

Orthoplastic surgery: the modern vision of reconstructive surgery in orthopedics.

机构信息

Plastic surgeon head of hand and peripheral nerve surgery center orthopedic, Department Lanzo Hospital Alta Valle Intelvi (CO).

Villa Stuart Hospital Rome, Italy.

出版信息

Clin Ter. 2023 May-Jun;174(3):249-250. doi: 10.7417/CT.2023.2529.

DOI:10.7417/CT.2023.2529
PMID:37199359
Abstract

Orthopedic care often calls for the treatment of different trauma-affected tissues, such as nerve, skin, skeletal and soft tissues. Orthoplasty is designed to meet such a need, hence not only does it constitutes a therapeutic method but a real "therapeutic attitude" as well, for the ultimate purpose of dealing with highly complex and multifaceted injuries; by virtue of such features, orthoplasty needs to rely on a truly multidisciplinary and concerted effort, in order to effectively treat highly complex traumatic lesions while prioritizing both anatomical and functional restoration, while avoiding as much as possible demolition surgery, e.g. amputation. Ultimately, the authors point out the extent to which such a technique is valuable in terms of optimizing healthcare resources allocation as well, given that no specific costs to apply orthoplastic surgical interventions, and in light of shorter hospitalization times and operating room occupation.

摘要

骨科护理通常需要治疗不同的创伤组织,如神经、皮肤、骨骼和软组织。矫形术就是为了满足这种需求而设计的,因此它不仅是一种治疗方法,也是一种真正的“治疗态度”,旨在处理高度复杂和多方面的损伤;由于这些特点,矫形术需要依靠真正的多学科和协同努力,以有效地治疗高度复杂的创伤性病变,同时优先考虑解剖和功能恢复,同时尽可能避免破坏性手术,如截肢。最后,作者指出了这种技术在优化医疗资源配置方面的价值,因为应用矫形手术干预没有特定的成本,而且住院时间和手术室占用时间更短。

相似文献

1
Orthoplastic surgery: the modern vision of reconstructive surgery in orthopedics.正塑性外科:矫形外科中重建外科的现代视野。
Clin Ter. 2023 May-Jun;174(3):249-250. doi: 10.7417/CT.2023.2529.
2
[Plastic surgery of the skin in the orthopedics and traumatology].[整形外科在骨科与创伤学中的应用]
Boll Soc Med Chir Cremona. 1954 Apr-Jun;8(6-8):21-8.
3
Principles of Orthoplastic Surgery for Lower Extremity Reconstruction: Why Is This Important?下肢重建的整形骨科手术原则:为何这很重要?
J Reconstr Microsurg. 2021 Jan;37(1):42-50. doi: 10.1055/s-0039-1695753. Epub 2019 Aug 27.
4
Microsurgery and external fixation in orthoplastic reconstruction of tibial injuries.胫骨损伤整形重建中的显微外科手术与外固定
Handchir Mikrochir Plast Chir. 2019 Dec;51(6):484-491. doi: 10.1055/a-1017-3013. Epub 2019 Nov 7.
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Addressing common orthopaedic calamities with microsurgical solutions.用显微外科解决方案解决常见的骨科灾难。
Injury. 2021 Dec;52(12):3561-3572. doi: 10.1016/j.injury.2021.05.003. Epub 2021 May 11.
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Beyond Limb Salvage: Limb Restoration Efforts Following Remote Combat-Related Extremity Injuries Optimize Outcomes and Support Sustained Surgical Readiness.超越保肢:远程战斗相关肢体损伤后的肢体修复努力可优化治疗效果并支持持续的手术准备状态。
Mil Med. 2023 Mar 20;188(3-4):e584-e590. doi: 10.1093/milmed/usab403.
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The impact of a dedicated orthoplastic operating list on time to soft tissue coverage of open lower limb fractures.专用骨科整形手术清单对开放下肢骨折软组织覆盖时间的影响。
Ann R Coll Surg Engl. 2015 Sep;97(6):456-9. doi: 10.1308/rcsann.2015.0015. Epub 2015 Aug 14.
8
[Some cases of reparative and reconstructive surgery].[修复与重建外科的一些病例]
Brux Med. 1950 Oct 8;30(41):2093-2115.
9
[Problems of postoperative treatment in orthopedic and reconstructive surgery].[骨科与重建外科术后治疗的问题]
Anaesthesist. 1957 Oct;6(5):290-1.
10
[Reconstructive surgery].[重建外科手术]
Ugeskr Laeger. 1952 Apr 24;114(17):545.

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