骨科英文书籍精读(214)|髋臼骨折的并发症

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Complications

Operative treatment should aim for a perfect anatomical reduction and is best undertaken in centres that specialize in this form of treatment.

Iliofemoral venous thrombosis 

This is potentially serious and in some clinics prophylactic anticoagulation is used.

Sciatic nerve injury 

Nerve injury may occur either at the time of fracture or during the subsequent operation. Unless the nerve is seen to be unharmed during the operation, there can be no certainty about the prognosis. Intra-operative somatosensory monitoring is advocated as a means of preventing serious nerve damage. For an established lesion, it is worth waiting for 6 weeks to see if there is any sign of recovery. If there is none, the nerve should be explored in order to establish the diagnosis and ensure that the nerve is not being compressed.

---from 《Apley’s System of Orthopaedics and Fractures》


重点词汇整理:

prophylactic anticoagulation预防性抗凝

subsequent operation后续操作/手术。

somatosensory monitoring躯体感觉监控

as a means of 作为一种...的手段

/miːnz/n. 手段;方法;财产

established lesion确切损伤

being compressed受到压缩

establish the diagnosis确立诊断

establish  /ɪˈstæblɪʃ/v. 建立,创立;确立;获得接受;查实,证实


百度翻译:

并发症

手术治疗应以完美的解剖复位为目标,最好在专门从事这种治疗的中心进行。

髂股静脉血栓形成

这可能是严重的,在一些临床中使用预防性抗凝。

坐骨神经损伤

神经损伤可能发生在骨折时或随后的手术中。除非在手术过程中神经没有受到损伤,否则无法确定预后。术中体感监测被认为是预防严重神经损伤的一种手段。对于一个已经确定的病变,值得等待6周,看看是否有任何恢复的迹象。如果没有,就应该对神经进行探查,以确定诊断并确保神经没有受到压迫。


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