The establishment of emergency plans in the high-energy limb trauma repair and reconstruction of the clinical application.docVIP

 PAGE \* MERGEFORMAT 17 The establishment of emergency plans in the high-energy limb trauma repair and reconstruction of the clinical application Of: Huang Bo, Shi Chenhui, Sheng Wenhui, He Bo, Chen Jifeng, Caoan Jun, LIU new [Abstract] [Objective] To investigate the establishment of contingency plans in the high-energy limb trauma repair and reconstruction of the role and effect. [Method] 1998-2007 in our hospital were treated high-energy limb trauma patients, 86 cases of open fractures according to Gustilo Anderson classification score combined with ISS [1], high-energy physical damage will be divided into three categories, based on the implementation of the appropriate type of physical repair and reconstruction, treatment principles and methods of its relevance and efficacy analysis. [Result] 83 patients were followed up for 15 to 37 months, an average of 19 months. which 5 cases were both lower limbs floating knee injury, knee joint stiffness after fracture healing abnormalities, functional disorders, while removing the fixed-line one-time joint release, combined with CPM, assisted exercise, knee joint function recovered, and another 5 cases of fracture nonunion, the bone healed after treatment, and the remaining bone healing time of 5 to 16 months, an average of 7.5 months. lower limb amputation in 3 cases, 3 died, the Autopsy case of multiple fractures with rupture of multiple organ failure, mortality rate was 3.48%. [Conclusion] The development or establishment of high-energy limb trauma emergency treatment plan, using Gustilo Anderson ISS stage and trauma index score, the ability to comprehensively assess the degree of injury classification and treatment phases of scientific and orderly processing, so as to achieve early diagnosis, early treatment and reduce mortality, reduce the rate of the purpose of the Disabled is the whole trauma surgery should be built and improved emergency response system. [Keywords:] contingency plans, high-energy limb