The use of external fixation in the emergency department: applications, common errors, complications and their treatment
The use of external fixation in the emergency department: applications, common errors, complications and their treatment
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DOI：
10.1302/2058-5241.5.190029
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发表时间：
2020-04-01
影响因子：
3.4
通讯作者：
Carlos Rodriguez-Merchan, E.
中科院分区：
文献类型：
--
作者：
Encinas-Ullan, Carlos A.;Martinez-Diez, Jose M.;Carlos Rodriguez-Merchan, E.
在急诊科（ED）或急诊手术室使用外固定架（EF）是为了挽救重症患者的生命。因此，通常只对骨盆、胫骨、股骨和肱骨进行固定/稳定。所有其他外固定方法在急诊科都不适用，应在无菌环境的手术室进行。对于前后压缩导致的不稳定骨盆损伤以及血流动力学不稳定患者的稳定骨盆骨折，可使用前方外固定架。多发伤患者应使用外固定架迅速稳定病情。C形夹被设计用于急诊科，以稳定循环不稳定患者的骶骨骨折或骶髂关节病变。选择一种模块化的外固定架，其允许自由放置钢针，具有射线可透性，并与磁共振成像（MRI）兼容。规划要使用的框架类型至关重要。避免外固定架放置错误。
The use of an external fixator (EF) in the emergency department (ED) or the emergency theatre in the ED is reserved for critically ill patients in a life-saving attempt. Hence, usually only fixation/stabilization of the pelvis, tibia, femur and humerus are performed. All other external fixation methods are not indicated in an ED and thus should be performed in the operating room with a sterile environment.Anterior EF is used in unstable pelvic lesions due to anterior-posterior compression, and in stable pelvic fractures in haemodynamically unstable patients.Patients with multiple trauma should be stabilized quickly with EF.The C-clamp has been designed to be used in the ED to stabilize fractures of the sacrum or alterations of the sacroiliac joint in patients with circulatory instability.Choose a modular EF that allows for the free placement of the pins, is radiolucent and is compatible with magnetic resonance imaging (MRI).Planning the type of framework to be used is crucial.Avoid mistakes in the placement of EF.