Galassi Luca, Facchinetti Federica
Postgraduate School of Vascular and Endovascular Surgery, University of Milan, Milan 20122, Lombardy, Italy.
School of Medicine and Surgery, University of Milan-Bicocca, Monza 20900, Lombardy, Italy.
World J Orthop. 2025 Sep 18;16(9):111218. doi: 10.5312/wjo.v16.i9.111218.
Crush syndrome demands an integrated multidisciplinary approach that spans acute surgical decisions and long-term functional recovery. In response to Khan 's recent systematic review, we propose complementary perspectives that address two underrepresented dimensions: Vascular surgical decision-making and psychiatric rehabilitation. We emphasize the use of intraoperative technologies such as indocyanine green fluorescence angiography and compartment pressure monitoring to guide limb salvage strategies and reperfusion management. Additionally, we advocate for the systematic integration of mental health screening and trauma-informed psychiatric care to address the high prevalence of psychological distress in survivors. Embedding these domains into standardized protocols could enhance both short- and long-term outcomes, particularly in high-impact trauma and disaster settings.
挤压综合征需要一种综合的多学科方法，涵盖急性手术决策和长期功能恢复。针对汗最近的系统评价，我们提出了补充观点，涉及两个未得到充分体现的方面：血管外科决策和精神康复。我们强调使用术中技术，如吲哚菁绿荧光血管造影和骨筋膜室压力监测，以指导肢体挽救策略和再灌注管理。此外，我们主张系统整合心理健康筛查和创伤知情的精神护理，以应对幸存者中普遍存在的心理困扰。将这些领域纳入标准化方案可以改善短期和长期结果，特别是在高影响力创伤和灾难情况下。
