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AO创伤骨科治疗关键点:从失败中学习
$98.26
(1)本书内容新颖独特,直击敏感话题,系统归纳创伤骨科治疗失败的原因。(2)图文并茂,让读者缩短学习曲线,学会从失败病例中吸取教训。
骨折的手术治疗是一个重要且复杂的过程,骨科医师在手术中肩负着巨大的责任,但是经历内固定失败依然是常有的事,也未深入分析失败背后的真正原因。本书尝试从一个全新的角度,开启了骨科医师对于内固定失败这个敏感话题的讨论,帮助骨科医师分析失败的原因。全书从AO原则、内植物相关问题、手术团队、术后管理、患者依从性等多个角度剖析内固定失败的原因,帮助年轻骨科医师吸取教训,避免重蹈覆辙,让年轻骨科医师加深对骨科手术治疗关键点的理解。
Miquel Videla Cés:西班牙巴塞罗那大学圣胡安•德斯皮•莫伊斯•布罗吉医院创伤科主任。侯志勇:河北医科大学第三医院院长,主任医师,教授,博士生导师,百千万人才工程人选,国家有突出贡献的中青年专家,国务院特殊津贴专家,河北省高端人才,河北省管优秀专家,河北省高校创新团队领军人才,河北省青年五四奖章获得者。学术任职包括:中华医学会创伤分会副主委、美国骨科创伤协会OTA国际委员、获得国家技术发明二等奖1项,国家科技进步二等奖2项,河北省科技进步一等奖2项,中华医学科技奖一等奖2项。
第 1 章 内固定的介绍 1Introduction to internal f?ixation第 1 节·内固定在过去 20 年间的发展 3 The evolution of internal f ixation over the last 20 years第 2 章 违反 AO 原则 7Breaches of AO principles第 1 节·关于违反 AO 原则的思考 9 General considerations on violation of AO principles第 2 节·未复位骨折的固定技术 12 Osteosynthesis in unreduced fractures第 3 节·稳定性原则、内植物选择、稳定和相对稳定的结合 38 Principles of stability, selection of implants, and the combination of absolute and relative stability第 4 节·生物学管理(包括软组织管理) 59 Biology management (including soft-tissue management)第 3 章 内植物相关问题 81Implant-related issues第 1 节·内植物的选择问题 83 Implant selection issues第 2 节·与生物力学原理相关的内植物类型 89 Type of implant related to biomechanical principles第 3 节·内植物的尺寸、预弯、塑形和形状与骨的贴附 103Implant size, prebending, molding, and shape adapted to the fractured bone第 4 节·解剖型内植物:成品与定制 115 Anatomical implants: ready-to-wear versus custom-f it第 5 节·髓内钉的设计与应用技术 121 Designs and techniques of intramedullary nailing第 6 节·导向系统和内植物组装导致的失败 147 Failures due to guided targeting and implant assembly第 4 章 手术团队 165Surgical team第 1 节·与手术团队相关的失败因素 167 Determining factors for failures relating to the surgical team第 2 节·不充分的术前计划和备选方案 170 Insuff icient preparatory planning, including alternatives第 3 节·解剖学知识匮乏 184 Lack of anatomical knowledge第 4 节·无菌操作不规范 195 Insuff icient asepsis protocols第 5 节·熟练度与经验 213 Prof iciency and experience第 6 节·失败的积累 233 Accumulation of failures第 5 章 术后管理 251Postoperative management第 1 节·内固定术后管理总则 253 General considerations in postoperative management of internal f ixation第 2 节·物理治疗 256 Physiotherapy第 3 节·内植物的取出 267 Implant removal第 6 章 患者的依从性 289Patient compliance第 1 节·除医疗因素外,与患者依从性相关的不良事件 291 Failures unrelated to the healthcare team but related to patient compliance第 7 章 失败的识别与补救时机 315Failure recognition and timing第 1 节·早期识别失败 317 Early recognition of failures第 8 章 学习曲线 331The learning circle第 1 节·学习曲线:避免失败的技巧和诀窍 333 The learning circle: tips and tricks to minimize failures第 9 章 匪夷所思的失败 337Bizarre failures第 1 节·难以分类的病例 339 Diff icult to classify第 9 章 附 录 351Appendix专业术语 353GlossaryAO/OTA 骨折与脱位分型 362AO/OTA Fracture and Dislocation Classif ication开放性骨折的 Gustilo-Anderson 分型 410Gustilo-Anderson Classif ication of Open Fractures
AO是德文Arbeitsgemeinschaft fur Osteosynthesefragen的缩写,即现在的“国际内固定研究学会”。该学会于1958年由13名瑞士骨科医师组织成立,是目前全世界骨科领域负盛名的骨科学术组织。其成立之初便确立了四项原则∶Instrumentation (器械研制)、Documentation(文献积累)、Research(研究)、Teaching(教育)。这四项原则支撑并见证了AO学术组织的成长壮大,从瑞士达沃斯小镇向全世界推广着AO的骨折治疗理念∶解剖复位、坚强固定、保护血运、早期功能锻炼。作为AO组织的发源地————达沃斯的AO中心,已成为全球骨科医生心中的圣地,而由AO基金会出版的《骨折治疗的 AO原则》,则被称为骨科医生的“圣经”。中国有句老话叫作“失败是成功之母”,同样,医生往往能从失败病例中获取更多如何成功的经验。本书原著由AO Trauma组织世界各国专家共同完成,书中从内固定简介、AO治疗原则、内植物相关问题、手术团队、术后管理、患者依从性、失败的识别与补救时机、学习曲线、罕见病例等方面对创伤骨科手术常见的问题进行了详细剖析。本书中文版的发行可以让更多的中国骨科医生读到本书,达到从他人的失败病例中吸取教训的目的,进而避免手术常见并发症。本书翻译期间,正值世界各国面临新型冠状病毒肆虐。本书翻译团队由从事多年创伤工作、经验丰富的创伤骨科医生组成,其中有些也是承担一线防疫工作的战友,非常感谢他们在圆满完成日常医务工作的同时,高质量、高效率地完成了本书稿的翻译、多次的校稿及整理工作。本书原著共计436页,翻译及多次校稿工作用时共计13个月。相信本书的译文质量可以让读者体会到译者团队“精益求精、水滴石穿”的工作态度,但疏漏之处在所难免,希望广大骨科医生提出宝贵意见,便于书稿进一步提升和改进。我们坚信阴霾终将散去,同时希望本书的出版会为中国创伤骨科的发展及中国卫生事业的进步尽一份绵薄之力。
主译侯志勇辛丑年秋 石家庄
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