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加速康复外科理念下肱骨髁间骨折诊疗规范专家共识

Expert consensus on standardizing intercondylar fracture of humerus treatment based on enhanced recovery after surgery concept

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【作者】 李庭孙志坚陈辰花克涵公茂琪查晔军刘刚孙旭周雁赵霞米萌肖鸿鹄王京翟建坡王倩李旭高志强王爱国刘利民胡三保王剑芮云峰吴新宝蒋协远余斌柴益民张堃高鹏

【Author】 LI Ting;SUN Zhijian;CHEN Chen;HUA Kehan;GONG Maoqi;ZHA Yejun;LIU Gang;SUN Xu;ZHOU Yan;ZHAO Xia;MI Meng;XIAO Honghao;WANG Jing;ZHAI Jianpo;WANG Qian;LI Xu;GAO Zhiqiang;WANG Aiguo;LIU Limin;HU Sanbao;WANG Jian;RUI Yunfeng;WU Xinbao;JIANG Xieyuan;YU Bin;CHAI Yimin;ZHANG Kun;GAO Peng;Bethune·Alliance of Enhanced Recovery After Surgery in Orthopaedics;Orthopaedic Trauma Committee of Bethune Public Welfare Foundation;Joint Surgery Committee of Bethune Public Welfare Foundation;Orthopaedic Trauma Group of Branch of Enhanced Recovery After Surgery of China International Exchangeand Promotive Association for Medical and Health Care;Elbow Joint Surgery Study Group of Joint Surgery Committee of Chinese Research Hospital Association;Upper Limb Trauma Committee of Orthopaedic Society of Chinese Medical Doctor Association;Department of Orthopedic Trauma, Beijing Jishuitan Hospital;Department of Anesthesiology, Beijing Jishuitan Hospital;Department of Nutriology, Beijing Jishuitan Hospital;Department of Urology Surgery, Beijing Jishuitan Hospital;Department of Endocrinology, Beijing Jishuitan Hospital;Department of Rehabilitation, Beijing Jishuitan Hospital;Department of Orthopedics, Zhengzhou Orthopedics Hospital;Department of Orthopedics, Xuanwu Hospital, Capital Medi-cal University;Department of Orthopedics, Beijing Anzhen Hospital, Capital Medical University;Department of Orthopedics, The First People’s Hospital of Beijing Fangshan District;Department of Orthopedics, Zhongda Hospital, Southeast University;Department of Orthopedic Trauma, Nanfang Hospital,Southern Medical University;Department of Orthopedics, Shanghai Jiao Tong University Affiliated SixthPeople’s Hospital;Department of Orthopedic Trauma, Honghui Hospital, Xi’an Jiaotong University;Department of Orthopedic Surgery, Peking Union Medical College Hospital, CAMS & PUMC;

【通讯作者】 吴新宝;蒋协远;余斌;柴益民;张堃;高鹏;

【机构】 白求恩·骨科加速康复联盟白求恩公益基金会创伤骨科专业委员会白求恩公益基金会关节外科专业委员会中国医疗保健国际交流促进会加速康复外科学分会创伤骨科学组中国研究型医院学会关节外科学专业委员会肘关节外科研究学组中国医师协会骨科分会上肢创伤专业委员会北京积水潭医院创伤骨科北京积水潭医院麻醉科北京积水潭医院营养科北京积水潭医院泌尿外科北京积水潭医院内分泌科北京积水潭医院康复科郑州市骨科医院骨科首都医科大学附属宣武医院骨科首都医科大学附属北京安贞医院骨科北京市房山区第一医院骨科东南大学附属中大医院骨科南方医科大学南方医院创伤骨科上海交通大学附属第六人民医院骨科西安交通大学附属红会医院创伤骨科中国医学科学院 北京协和医学院 北京协和医院骨科

【摘要】 肱骨髁间骨折是一类常见且复杂的骨折,治疗难度大,并发症多。目前对于此类骨折的治疗获得了较大的进展,但仍存在很多不规范的地方,尤其在围手术期处理方面。在加速康复外科(ERAS)理念的指导下,对围手术期处理流程进行全面优化可以进一步提高治疗效果。因此,经全国创伤骨科专家讨论,以循证医学证据为基础,以ERAS理念为指导,特制定该共识,为医务人员在治疗此类骨折时提供指导。该共识适用于需采用手术治疗的新鲜、闭合肱骨髁间骨折患者。

【Abstract】 Intercondylar fracture of the humerus is a type of common and complex fracture with high complication rate, which is difficult to be treated. Many achievements about the treatment have been gained, yet there are still many aspects which need to be improved, especially for the perioperative management. Optimizing the perioperative protocols under the guidance of enhanced recovery after surgery(ERAS) can further improve clinical outcomes. Thus, after the discussion of the experts specialized in traumatic orthopedics in China, supported by evidence-based medicine, we conducted this expert consensus according to ERAS concept to guide the treatment of humeral intercondylar fracture. The current consensus is applicable to all closed fresh humeral intercondylar fractures.

【基金】 北京市卫生和计划生育委员会北京市卫生与健康科技成果和适宜技术推广项目(2018-TG-23);首都卫生发展科研专项(2018-1-2072)
  • 【文献出处】 中华骨与关节外科杂志 ,Chinese Journal of Bone and Joint Surgery , 编辑部邮箱 ,2019年10期
  • 【分类号】R683
  • 【被引频次】17
  • 【下载频次】697
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