Clinical Standard Application and Medical Quality Control of Bone External Fixation Technique(Summary of Clinical Application Experience of 8 113 Cases)
1.Orthopedics of Rehabilitation Hospital，National Research Center for Rehabilitation Technical Aids
2.Department of Orthopedics，Chuiyangliu Hospital Affiliated to Tsinghua University
Abstract：Objective To standardizethe medical quality control and clinical application during the whole process of bone external fixation.Methods 8 113 cases of extremities combined with bone external fixation were analyzed in Qin Sihe orthopaedic surgical team.4 487 cases were males，and 3 626 cases were females.The average age was (23.8±21.4)years(range：1.3~82.0 years).There were 152 cases of upper limbs and 7 961 cases of lower limbs.Among them，there were 259 cases of hip joint，230 cases of thigh，1 985 cases of knee alone，357 cases of lower leg alone，4 026 cases of ankle alone，580 cases of knee and lower leg deformity and 676 cases of knee，foot and ankle deformity.The instruments included the hybrid external fixator，the Ilizarov ring external fixator，the Orthofix unilateral external fixator，and the Taylor hexapod space external fixator.The flow chart of the clinical application，preoperative checklist，preoperative planning chart for the application of bone external fixation technique and postoperative rehabilitation guide card were applied in the clinical practice of bone external fixation technique.The process realized information collection，a comprehensive analysison data，the formulation of external fixation surgical plan，individualized rehabilitation guidance，and quality control of closed-loop postoperative follow-up.The treatment specifications suitable for various bone external fixation techniques were established.Results After the quality control related to the application of bone external fixation technology was incorporated into clinical management，an effective and systematic management system on clinical quality control was created，which guaranteed a smooth clinical workflow and avoided medical risks.Conclusion Bone external fixation technology has strong professional characteristics.The medical quality control standard and the standard clinical application of bone external fixation formed by Qin Sihe orthopaedic department is the result of 30 years of accumulation in bone external fixation technology.It is original，practical，and is worthy of promotion.
基金资助:民政部康复领域重点实验室及工程技术研究中心运行项目开放课题(Opening project of Key Laboratory and Engineering Research Center of Rehabilitation of Ministry of Civil Affairs，No.120603020068)
通讯作者:
张永红
作者简介: 秦泗河(1951－ )，男，主任医师，国家康复辅具研究中心附属康复医院，100176。
引用本文:
秦泗河 1，郭保逢 2，石磊 1，王栋 3，张永红 3*. 骨外固定技术临床规范应用与医疗质量控制的初步探索(8 113例临床应用经验总结)[J]. 实用骨科杂志, 2021, 27(5): 388-391.
Qin Sihe 1，Guo Baofeng 2，Shi Lei 1，et al. Clinical Standard Application and Medical Quality Control of Bone External Fixation Technique(Summary of Clinical Application Experience of 8 113 Cases). sygkzz, 2021, 27(5): 388-391.
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