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)

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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.

Key words： bone external fixation clinical procedure criterion quality control evaluation standard

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2021/V27/I5/388