Perioperative management of acetabular and pelvic fractures: evidence-based recommendations
| Autor: | Krishna G Bellam, Wayne B Cohen-Levy, Ramakanth Yakkanti, Stephen M. Quinnan, Matthew J Lavelle, Sagie Haziza, Neil Mohile |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Evidence-based practice business.industry medicine.medical_treatment General surgery General Medicine medicine.disease Inferior vena cava Radiation therapy medicine.vein Negative-pressure wound therapy Orthopedic surgery Pelvic fracture medicine Orthopedics and Sports Medicine Surgery Heterotopic ossification business Tranexamic acid medicine.drug |
| Zdroj: | Archives of Orthopaedic and Trauma Surgery. 143:1311-1321 |
| ISSN: | 1434-3916 |
| Popis: | PURPOSE The American Academy of Orthopaedic Surgeons does not currently provide clinical practice guidelines for management of PAF. Accordingly, this article aims to review and consolidate the relevant historical and recent literature in important topics pertaining to perioperative management of PAF. METHODS A thorough literature review using PubMed, Cochrane and Embase databases was performed to assess preoperative, intraoperative and postoperative management of PAF fracture. Topics reviewed included: time from injury to definitive fixation, the role of inferior vena cava filters (IVCF), tranexamic acid (TXA) use, intraopoperative cell salvage, incisional negative pressure wound therapy (NPWT), intraoperative antibiotic powder use, heterotopic ossification prophylaxis, and pre- and postoperative venous thromboembolism (VTE) prophylaxis. RESULTS A total of 126 articles pertaining to the preoperative, intraoperative and postoperative management of PAF were reviewed. Articles reviewed by topic include 13 articles pertaining to time to fixation, 23 on IVCF use, 14 on VTE prophylaxis, 20 on TXA use, 10 on cell salvage, 10 on iNPWT 14 on intraoperative antibiotic powder and 20 on HO prophylaxis. An additional eight articles were reviewed to describe background information. Five articles provided information for two or more treatment modalities and were therefore included in multiple categories when tabulating the number of articles reviewed per topic. CONCLUSION The literature supports the use of radiation therapy for HO prophylaxis, early ( |
| Databáze: | OpenAIRE |
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