資源描述：
《美國肱骨髁上骨折臨床治療指南》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫。
1、ThefollowingisasummaryoftherecommendationsintheAAOS’clinicalpracticeguideline,TheTreatmentofPediatricSupracondylarHumerusFractures.Thissummarydoesnotcontainrationalesthatexplainhowandwhytheserecommendationsweredevelopednordoesitcontaintheevidencesupportingtheserecommenda
2、tions.Allreadersofthissummaryarestronglyurgedtoconsultthefullguidelineandevidencereportforthisinformation.Weareconfidentthatthosewhoreadthefullguidelineandevidencereportwillseethattherecommendationsweredevelopedusingsystematicevidence-basedprocessesdesignedtocombatbias,e
3、nhancetransparency,andpromotereproducibility.?以下是AAOS（美國骨科醫(yī)師協(xié)會）臨床實踐指南中關(guān)于小兒肱骨髁上骨折的推薦規(guī)范的摘要。這個摘要不包含解釋這些推薦規(guī)范是如何以及為什么是成熟的，也不包含證據(jù)支持這些推薦規(guī)范。所有閱讀這個摘要的讀者被強烈要求查閱完整的指南和證據(jù)報告的資料。我們堅信,那些閱讀完整的指南和證據(jù)報告的將會看到,建議使用以證據(jù)為基礎(chǔ)的系統(tǒng)開發(fā)過程旨在對抗偏見,提高透明度,促進再現(xiàn)性。Thissummaryofrecommendationsisnotintendedtosta
4、ndalone.Treatmentdecisionsshouldbemadeinlightofallcircumstancespresentedbythepatient.?Treatmentsandproceduresapplicabletotheindividualpatientrelyonmutualcommunicationbetweenguardianandphysicianaswellasotherhealthcarepractitioners.?這個推薦規(guī)范的摘要信息并不是孤立的。治療決策應(yīng)該取決于病人的所有情形。治療方法和
5、程序適用于個別病人依靠監(jiān)護人和醫(yī)師相互之間的交流，正如其他醫(yī)療保健從業(yè)者一樣。1.Wesuggestnonsurgicalimmobilizationoftheinjuredlimbforpatientswithacute?(e.g.GartlandTypeI)ornondisplacedpediatricsupracondylarfracturesofthehumerusorposteriorfatpadsign我們建議給予急癥病人的受傷肢體(如GartlandI型)?或無移位的兒童肱骨髁上骨折或后脂肪墊征象的采取非手術(shù)固定。Stre
6、ngthofRecommendation:Moderate?建議強度：中等2.Wesuggestclosedreductionwithpinfixationforpatientswithdisplaced(GartlandTypeIIandIII,anddisplacedflexion)pediatricsupracondylarfracturesofthehumerus.?我們建議對于移位的小兒肱骨髁上骨折如GartlandII型andIII型,屈曲型移位的病人采取閉合復(fù)位克氏針內(nèi)固定。StrengthofRecommendation
7、:Moderate建議強度：中等?3.Thepractitionermightusetwoorthreelaterallyintroducedpinstostabilizethereductionofdisplacedpediatricsupracondylarfracturesofthehumerus.Considerationsofpotentialharmindicatethatthephysicianmightavoidtheuseofamedialpin.?StrengthofRecommendation:Weak?建議強度：
8、弱4.Wecannotrecommendfororagainstusinganopenincisiontointroduceamedialpintostabilizethereductionofdispla
