在足踝手术中选择踝部止血带:术后疼痛之外的考虑因素。

IF 2 Q2 ORTHOPEDICS World Journal of Orthopedics Pub Date : 2024-09-18 DOI:10.5312/wjo.v15.i9.828
Samir Ghandour, Vijay Kumar Jain, Ashim Gupta
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引用次数: 0

摘要

最近的一项研究发现,两种止血带的放置方法在术后疼痛方面没有明显差异,因此本社论对脚踝止血带和大腿止血带在脚踝手术中的使用进行了批判性探讨。尽管有这些发现,我们仍主张优先使用踝部止血带,强调其在减少静脉血液淤积和最大程度降低软组织损伤方面的潜在优势。这种方法强调了考虑患者长期疗效和血管健康的重要性,而不仅仅是眼前的术后疼痛。通过将研究结果与更广泛的临床考虑因素相结合,我们在此提倡在使用止血带时采取细致入微的方法,在考虑术后即刻疼痛的同时优先考虑患者的安全和长期恢复。
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Choosing ankle tourniquets in foot and ankle surgery: Beyond postoperative pain considerations.

This editorial critically explores the use of ankle vs thigh tourniquets in foot and ankle surgery based on a recent study that found no significant difference in postoperative pain between the two placement techniques. Despite these findings, we argue for the preferential use of ankle tourniquets, highlighting their potential benefits in reducing venous blood stasis and minimizing soft tissue injury. This approach underscores the importance of considering long-term patient outcomes and vascular health beyond immediate postoperative pain. By integrating study findings with broader clinical considerations, we hereby advocate for a nuanced approach to tourniquet use that prioritizes patient safety and long-term recovery in conjunction with immediate postoperative pain.

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CiteScore
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