...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of burn care & research: official publication of the American Burn Association >Uniplanar External Fixation for Care of Circumferential Extremity Burn Wounds in Adults.
【24h】

Uniplanar External Fixation for Care of Circumferential Extremity Burn Wounds in Adults.

机译：单平面外固定支架，用于成人周围肢端烧伤的护理。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The optimal management of circumferential extremity burns remains a challenge. Elevation of the extremity to decrease wound swelling and avoid pressure at the point of contact on new skin grafts is a standard objective but can be frequently difficult to accomplish. Although various forms of elevation have been proposed, our purpose was to evaluate the safety and efficacy of the uniplanar external fixation (UEF) device in providing extremity elevation and stabilization while optimizing skin grafting. Intraoperative application of either upper or lower extremity UEF was performed at the time of eschar excision and application of split-thickness autografts. Inclusion criterion was that patients should be over 16 years of age with third-degree circumferential extremity burns that were planned for autologous skin grafting within 48 hours after their injury. Patient consent was obtained in every case. Eight patients aged 17 to 62 with circumferential extremity burns were reviewed. No pin-tract infections were observed, nor were any of the skin grafts lost due to shearing. Peripheral nerve and arterial injuries were not encountered. Only one patient with an oversized arm secondary to morbid obesity had a pin pull-out. No other patient developed adverse sequelae from the surgery or from the placement of the UEF device. The UEF device provides a safe and effective means for elevation of extremites in patients with circumferential extremity burns undergoing skin grafting. This allows for optimal access for skin grafting, dressing changes, and postoperative positioning. Shear injury and pressure necrosis of the fresh grafts is minimized. Increasing the number of pins in obese patients should be considered to avoid the complications of pin pull-out.
机译：最佳的方法是处理周围肢体烧伤。抬高四肢以减少伤口肿胀并避免在接触新皮肤移植物时产生压力是一个标准目标，但通常很难实现。尽管已经提出了各种形式的抬高方法，但我们的目的是评估单平面外固定（UEF）设备在提供肢体抬高和稳定性同时优化皮肤移植的安全性和有效性。在进行骨切除和切开厚度自体移植术时进行上肢或下肢UEF的术中应用。纳入标准是患者应在16岁以上，并计划在受伤后48小时内进行自体皮肤移植，以进行三度圆周末端烧伤。在每种情况下均获得患者的同意。回顾了8例年龄在17至62岁之间的肢端烧伤患者。没有观察到针道感染，也没有观察到由于剪切造成的皮肤移植物丢失。未遇到周围神经和动脉损伤。仅一名患有病态肥胖的手臂过大的患者拔出针脚。没有其他患者因手术或UEF设备放置而产生不良后遗症。 UEF设备提供了一种安全有效的方法，可在接受皮肤移植的周围肢体烧伤患者中提高肢体。这为皮肤移植，换药和术后定位提供了最佳途径。新鲜移植物的剪切损伤和压力坏死最小化。肥胖患者应考虑增加销钉的数量，以避免拔出销钉的并发症。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号