深入开展创伤骨科的临床研究

Enhance the clinical research on orthopaedic trauma

本期选登了今年中华医学会骨科分会创伤骨科学组年会的近20篇论文,集中展示了我国创伤骨科的现状。有关骨盆骨折的治疗涉及骨盆骨折大出血的处理和腰骶丛损伤问题。在全身支持治疗的同时,对骨盆骨折的固定和对出血血管的止血与修复是盆腔大出血治疗的重要措施。有关股骨近端骨折的内固定治疗,动力髋部螺钉适用于稳定型转子间骨折,对不稳定转子间骨折应选用髓内固定系统。股骨远端骨折目前固定方法较多,应强调术者的术前设计和内固定物的操作技术对预后的影响。跟骨骨折目前趋向使用平片与CT结合的分类评价,跟骨的复位固定应强调恢复跟骨的长度、高度、宽度和关节面的平整。今后,应加强创伤骨科临床研究方法规范、评价标准的统一,以提高我国创伤骨科的整体水平。

About 20papers presented at the 2002Annual Meeting of Chinese Orthopaed ic Trauma As-sociation have been selected for thi s special issue.They demonstrate th e state of art of orthopaedic trauma i n China.The articles about managemen t of pelvic fractures discuss gross h emorrhage and lumbar sacral plexus i n-jury in pelvic fractures .To treat pelvic hemorrhage,general support co mbined with fixation of the fracture and homeostasis are the key.5of them dea l with the choice of implant for proximal femoral fractures.The DHS is more suitable for stable intertrochante ric fractures,while the intramedul lary fixation system is favored for u nstable in-tertrochanteric fractures.Many wa ys of fixation can be applied in the tr eatment of distal femoral fractures.Pre-operative planning and decent techniques should be emphasized.The diagnosis of calcaneal fractures should be based on the combination of X-ray and CT scan.The restoration of height,l ength,width and the congruency of th e articular surface of the calcaneus a re the goals of treatment.From now on,we should enhance the clinical rese arch on orthopaedic trauma and specify th e diagnosis criteria.[