Purpose of the guideline: |
Trauma refers to the destruction or dysfunction of organizational structure integrity caused by various external forces or mechanical factors acting on human body. Among them, the trauma of upper limbs or lower limbs is called limb trauma, including iatrogenic trauma and non-iatrogenic trauma. The iatrogenic trauma includes bone and joint surgery, and the non-iatrogenic trauma mainly causes partial or complete damage to the continuity and integrity of limb tissue due to external violence or self-pathological injury, such as fracture, joint dislocation and open injury. Limb trauma causes local blood vessels, muscles and nerves to be damaged, which is prone to local edema. In addition, edema is also a common complication during the rehabilitation of limb trauma, which may lead to joint dysfunction, muscle atrophy, nerve injury and other serious consequences if not handled properly.
With the rapid economic growth and the sustained development of road traffic and construction industry in China, the incidence of trauma is increasing. As one of the common injuries in limb trauma, the incidence of fracture is about 3.21‰. Although there are more and more clinical edema management methods, there is a lack of standardized and standardized guiding standards for edema management after limb trauma. In view of this, the Traumatic Osteology Group of Orthopedic Branch of Chinese Medical Association, External Fixation and Limb Reconstruction Group of Orthopedic Branch of Chinese Medical Doctor Association, and Bone and Joint Injury Group of Traumatic Surgeon Branch of Chinese Medical Doctor Association jointly set up an expert committee to compile the guide, and combined with the latest evidence-based medical evidence and clinical experience at home and abroad, formulated this guide, with a view to providing evidence-based and practical reference for practitioners in orthopedics, sports medicine, rehabilitation medicine, emergency and other fields in the management of edema after limb trauma, and promoting standardized management and treatment of edema. |