髋臼骨折手术中预防并发症的综述

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-03-08 DOI:10.1016/j.jcot.2025.102957

Rahul Vaidya , Sasha Stine , Kayo Medeiros , Alyxandra Camello , Kevin Blue , Kodi Kojima , Detroit Medical Center Trauma Clinic

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引用次数: 0

摘要

髋臼骨折术后并发症包括：出血、神经损伤、感染、复位不良、异位骨化、创伤后关节炎，医学并发症发生率可达30 - 50%。全髋关节置换术可以挽救复位不良或创伤后关节炎，但与初次置换术相比，并发症发生率更高，许多病例可能需要持续50年。通常由损伤引起的坐骨神经麻痹，以及通常由手术干预引起的感染/骨髓炎，结果普遍较差，应尽一切努力避免这些。讨论了避免并发症的方法和一旦发生的治疗方法。

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Preventing complications during acetabular fracture surgery, a review

Complications after acetabular fracture surgery include: hemorrhage, nerve injury, infection, malreduction, heterotopic ossification, post-traumatic arthritis, and medical complications may reach an incidence of 30–50 %. Total hip arthroplasty can salvage a poor reduction or post-traumatic arthritis but has higher complication rates then a primary replacement and in many cases may have to last 50 years. Sciatic nerve palsy, which is often caused by the injury, and infection/osteomyelitis, which is often caused by the surgical intervention, result in universally poor outcomes and every effort should be aimed at avoiding these. Methods of avoiding complications and treatment once they occur are discussed.

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.