what骨科创伤新进展2010

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1、What’sNewinOrthopaedicTrauma2010骨科创伤新进展2010ByJohnWeinlein,MD,andAndrewH.Schmidt,MDThefieldofmusculoskeletaltraumacontinuestobenefitfromadvancesinbasicscience,improvedmethodsoftreatment(bothoperativeandnonoperative),innovationinsurgicaldevices,andmoresophisticatedresearchmethodology,withem

2、phasisoncomparativeclinicaltrialsandappropriateassessmentofoutcomes.Theemphasisonevidence-basedmanagementcontinuesintheliteratureandinpresentationsatacademicconferences.骨肌创伤领域继续受益于基础科学的进步、治疗方法的改进(手术治疗和非手术治疗)、外科器械的创新、高级的研究方法学以及强调对比性临床试验和适当的疗效评估。文献以及学术会议陈述继续强调循证医学的应用。Forthisyear’ssummaryofa

3、dvancesinorthopaedictraumatology,theauthorsagainreviewedallissuesofActaOrthopaedica,ClinicalOrthopaedicsandRelatedResearch,Injury,TheJournalofBoneandJointSurgery(bothAmericanandBritishvolumes),JournalofOrthopaedicTrauma,JournalofShoulderandElbowSurgery,andTheJournalofTrauma.Selectedarticl

4、esfromotherjournalswerealsoincluded.Finally,presentationsfromtheannualmeetingsoftheOrthopaedicTraumaAssociation(OTA)andtheAmericanAcademyofOrthopaedicSurgeons(AAOS)werereviewed.ArticlesandpresentationsthatrepresentLevel-IandLevel-IIevidencearereviewedinthisarticlealongwithotherarticlesofc

5、linicalimportanceintheopinionoftheauthors.为总结本年度骨科创伤学进展，作者回顾了矫形学报、临床骨科及相关研究、损伤、JBJS(美版和英版)、骨科创伤杂志、肩肘外科杂志和创伤杂志的全部内容，并从其它杂志选择部分文章。最后，回顾骨科创伤协会(OTA)、美国骨科医师学会(AAOS)年会的部分陈述。本文回顾了代表I级和II证据的文章和陈述。还有其它一些文章，其作者的观点有重要的临床意义。Outcomes结果Therigorousdocumentationofoutcome,especiallyfromthepatient’sperspec

6、tive,hasbeenoneofthemajoradvancesinorthopaedicsurgeryoverthepastdecade.Twostudiesinvestigateddifferencesbetweenpatientandsurgeonperceptionsofoutcomeafterorthopaedictrauma.Onestudyevaluatedpatientssixmonthsaftertheyhadsustaineda“major”fracture1.Surgeonsweremoresatisfiedwiththeirpatients’pr

7、ogressthanthepatientsthemselveswere.Theonlyfactorassociatedwithsurgeonsatisfactionwasfracture-healing.Objectiveinjuryandtreatmentfactorswerenotassociatedwithpatientsatisfactionintermsofprogress.Attributingblameoftheinjurytootherswasassociatedwithpatientsatisfactioni