What骨科创伤新进展2010详解.doc

What’s New in Orthopaedic Trauma2010骨科创伤新进展2010 By John Weinlein, MD, and Andrew H. Schmidt, MD The field of musculoskeletal trauma continues to benefit from advances in basic science, improved methods of treatment(both operative and nonoperative), innovation in surgical devices,and more sophisticated research methodology, with emphasis on comparative clinical trials and appropriate assessment of outcomes. The emphasis on evidence-based management continues in the literature and in presentations at academic conferences.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。For this year’s summary of advances in orthopaedic traumatology, the authors again reviewed all issues of Acta Orthopaedica, Clinical Orthopaedics and Related Research, Injury,The Journal of Bone and Joint Surgery (both American and British volumes), Journal of Orthopaedic Trauma, Journal of Shoulder and Elbow Surgery, and The Journal of Trauma. Selected articles from other journals were also included. Finally, presentations from the annual meetings of the Orthopaedic Trauma Association (OTA) and the American Academy of Orthopaedic Surgeons (AAOS) were reviewed. Articles and presentations that represent Level-I and Level-II evidence are reviewed in this article along with other articles of clinical importance in the opinion of the authors.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The rigorous documentation of outcome, especially from the patient’s perspective, has been one of the major advances in orthopaedic surgery over the past decade. Two studies investigated differences between patient and surgeon perceptions of outcome after orthopaedic trauma. One study evaluated patients six months after they had sustained a“major”fracture1. Surgeons were more satisfied with their patients’ progress than the patients