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Pin sites need to be managed to help prevent complications. There are a variety of regimens proposed for pin care in the literature. The authors present an efficient and simplified approach for addressing pin care protocol using cord locks with the use of compression sponges for external fixation devices. This method obviates the need for extensive bandaging and makes pin care easy for the patient to carry out. A brief review of the current evidence on pin care is presented, and an evidence-based pin care protocol is presented. \u003C\u002Fjats:p>\u003Cjats:p> Level of Evidence: Therapeutic, Level V \u003C\u002Fjats:p>","\u003Cjats:p> Viêm và\u002Fhoặc nhiễm trùng vùng kẹp là vấn đề phổ biến khi sử dụng thiết bị cố định ngoài. Các vùng kẹp cần được quản lý để giúp ngăn ngừa các biến chứng. Có nhiều phác đồ được đề xuất cho việc chăm sóc vùng kẹp trong tài liệu hiện có. Tác giả trình bày một phương pháp hiệu quả và đơn giản để giải quyết quy trình chăm sóc vùng kẹp bằng cách sử dụng khóa dây cùng với bọt nén cho các thiết bị cố định ngoài. Phương pháp này loại bỏ sự cần thiết của việc băng bó phức tạp và giúp việc chăm sóc vùng kẹp trở nên dễ dàng cho bệnh nhân. Một cái nhìn tổng quan ngắn gọn về bằng chứng hiện có về chăm sóc vùng kẹp được trình bày, và một quy trình chăm sóc vùng kẹp dựa trên bằng chứng cũng được đưa ra.\u003C\u002Fjats:p>\u003Cjats:p> Mức độ Bằng Chứng: Điều trị, Cấp độ V \u003C\u002Fjats:p>",{"EN":147,"VI":148},"A User-Friendly Method of Pin Site Management for External Fixators","Phương Pháp Quản Lý Vùng Kẹp Dễ Sử Dụng Cho Thiết Bị Cố Định Ngoài",{"VOID":150},"21926364",{"VOID":152},"10.1177\u002F1938640011416352","PUBLICATION","VERIFIED","2024-10-10T05:03:00.784+00:00","Auto Verify",[158],"EN",[160],"VI","https:\u002F\u002Fjournals.sagepub.com\u002Fdoi\u002F10.1177\u002F1938640011416352",[163,184,204,220],{"id":164,"sortIndex":25,"researcher":24,"roles":165,"affiliations":166,"properties":177},"afe48c02-c167-4a8d-a78d-8bc8a79e2a84",[],[167],{"id":168,"sortIndex":25,"affiliation":169,"properties":24},"52867fff-8fce-49a6-8392-802feea5ed00",{"id":170,"createTime":171,"updateTime":171,"relativeEntities":172,"slug":173,"properties":174,"entityType":69,"verifyStatus":23,"verifyTime":24,"verifyNote":24,"syncStatus":23,"languages":24,"translateLanguages":24,"viewCount":25},"bc792432-abcb-46b2-b903-a6be0019f8e4","2024-10-10T05:03:00.803+00:00",[],"Trinity-Regional-Medical-Center-Fort-Dodge-Iowa-50501-USA-",{"title":175},{"EN":176},"Trinity Regional Medical Center, Fort Dodge, Iowa 50501, USA.",{"openalex":178,"orcid":180,"title":182},{"VOID":179},"A5010570421",{"VOID":181},"https:\u002F\u002Forcid.org\u002F0000-0001-9012-0425",{"EN":183},"Paul Dayton",{"id":185,"sortIndex":186,"researcher":24,"roles":187,"affiliations":188,"properties":199},"a79dc51e-51f3-4a6d-92fd-0bc7a868c5d2",1,[],[189],{"id":190,"sortIndex":25,"affiliation":191,"properties":24},"1b9d1a37-4b5f-4303-9a98-9d6a7cb30844",{"id":192,"createTime":193,"updateTime":193,"relativeEntities":194,"slug":195,"properties":196,"entityType":69,"verifyStatus":23,"verifyTime":24,"verifyNote":24,"syncStatus":23,"languages":24,"translateLanguages":24,"viewCount":25},"3919899a-a3be-4c89-b438-4c8476aa846b","2024-10-10T05:03:00.816+00:00",[],"Trinity-Regional-Medical-Center-Fort-Dodge-Iowa",{"title":197},{"EN":198},"Trinity Regional Medical Center, Fort Dodge, Iowa",{"openalex":200,"title":202},{"VOID":201},"A5071160284",{"EN":203},"Dustin B. 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Although laboratory assessment may not alone determine the optimal level of amputation thorough assessment of a variety of laboratory values is critical to overall care of the patient and may place the patient into risk category. This systematic review analyzes publications related to diabetic lower extremity amputations and associated laboratory values, including lymphocyte count, albumin, hemoglobin, and glycemic control. \u003C\u002Fjats:p>\u003Cjats:p> Levels of Evidence: Diagnostic, Level IV \u003C\u002Fjats:p>","\u003Cjats:p>Đái tháo đường là nguyên nhân hàng đầu gây ra các ca cắt cụt không do chấn thương. Mặc dù việc đánh giá trong phòng xét nghiệm có thể không đủ để xác định mức độ cắt cụt tối ưu, nhưng việc đánh giá toàn diện một loạt các giá trị xét nghiệm là rất quan trọng cho sự chăm sóc tổng thể của bệnh nhân và có thể đưa bệnh nhân vào phân loại rủi ro. Bài tổng quan hệ thống này phân tích các ấn phẩm liên quan đến các ca cắt cụt ở chi dưới do đái tháo đường và các giá trị xét nghiệm liên quan, bao gồm số lượng bạch cầu lympho, albumin, hemoglobin và kiểm soát đường huyết.\u003C\u002Fjats:p>\u003Cjats:p>Các mức độ bằng chứng: Chẩn đoán, Cấp IV\u003C\u002Fjats:p>",{"EN":331,"VI":332},"Perioperative Laboratory Assessment of Diabetic Foot Infections Undergoing Amputation","Đánh giá xét nghiệm lâm sàng cho nhiễm trùng bàn chân tiểu đường trong quá trình phẫu thuật cắt cụt",{"VOID":334},"23925790",{"VOID":336},"10.1177\u002F1938640013496845","2024-09-18T08:25:26.689+00:00",[158],[160],"https:\u002F\u002Fjournals.sagepub.com\u002Fdoi\u002F10.1177\u002F1938640013496845",[342,371],{"id":343,"sortIndex":186,"researcher":24,"roles":344,"affiliations":345,"properties":366},"56074538-8f22-42b5-acc9-e1ea216340a0",[],[346,356],{"id":347,"sortIndex":186,"affiliation":348,"properties":24},"b00bc80a-6b4d-4425-811b-a0bfae8ca9e9",{"id":349,"createTime":350,"updateTime":350,"relativeEntities":351,"slug":352,"properties":353,"entityType":69,"verifyStatus":23,"verifyTime":24,"verifyNote":24,"syncStatus":23,"languages":24,"translateLanguages":24,"viewCount":25},"a75837a7-4484-493d-b7c9-66f7497c60ff","2024-09-18T08:25:26.763+00:00",[],"University-of-Pittsburgh-School-of-Medicine-Pittsburgh-Pennsylvania-PH-",{"title":354},{"EN":355},"University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (PH).",{"id":357,"sortIndex":25,"affiliation":358,"properties":24},"d49b3892-dcfe-4196-8137-dbab272f6808",{"id":359,"createTime":360,"updateTime":360,"relativeEntities":361,"slug":362,"properties":363,"entityType":69,"verifyStatus":23,"verifyTime":24,"verifyNote":24,"syncStatus":23,"languages":24,"translateLanguages":24,"viewCount":25},"93affde4-5742-4145-83ff-d8ab866d6aad","2024-09-18T08:25:26.749+00:00",[],"University-of-Pittsburgh-Medical-Center-Pittsburgh-Pennsylvania-ABS-",{"title":364},{"EN":365},"University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (ABS)",{"openalex":367,"title":369},{"VOID":368},"A5010900308",{"EN":370},"Andrew B. 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da mỏng, vết thương tiểu đường, bàn chân, mắt cá chân, biến chứng phẫu thuật",{"VOID":540},"W2024643124",{"EN":542,"VI":543},"\u003Cjats:p> The aim of this study was to determine if split-thickness skin grafts could be successfully used for closure of foot and ankle wounds in diabetic patients. The authors retrospectively reviewed the charts of 100 consecutive patients who underwent a soft tissue surgical reconstruction with split-thickness skin grafts to their foot and\u002For ankle in our institution from 2005 to 2008. After application of inclusion criteria, 83 eligible charts remained. Of the 83 patients, 54 (65%) healed uneventfully, 23 (28%) required regrafting, and 6 (7%) had a complication resolved with conservative management. All patients had a successful surgical outcome, defined as having achieved complete wound closure at the final follow-up. Surgical outcome was not significantly associated with age, gender, race, hemoglobin A1C, wound size, wound location, illicit drug use, amputation history, Charcot history, or preoperative infection. However, postoperative graft complications were significantly associated with current or previous smoking history (P = .016) and the level of previous pedal amputation to which the split-thickness skin graft was applied (P = .009). This study demonstrates that application of split-thickness skin grafts with an appropriate postoperative regimen is a beneficial procedure to achieve foot and ankle wound closure in diabetic patients. \u003C\u002Fjats:p>","\u003Cjats:p>Mục tiêu của nghiên cứu này là xác định xem liệu ghép da mỏng có thể được sử dụng thành công để đóng kín các vết thương ở bàn chân và mắt cá chân của bệnh nhân tiểu đường hay không. Các tác giả đã xem xét hồi cứu hồ sơ của 100 bệnh nhân liên tiếp đã trải qua phẫu thuật tái xây dựng mô mềm với ghép da mỏng trên bàn chân và\u002Fhoặc mắt cá chân tại cơ sở của chúng tôi từ năm 2005 đến 2008. Sau khi áp dụng các tiêu chí loại trừ, còn lại 83 hồ sơ đủ điều kiện. Trong số 83 bệnh nhân, 54 (65%) lành không có biến chứng, 23 (28%) cần ghép lại, và 6 (7%) có biến chứng được giải quyết bằng biện pháp bảo tồn. Tất cả các bệnh nhân đều có kết quả phẫu thuật thành công, được định nghĩa là đã đạt được đóng kín hoàn toàn vết thương tại lần theo dõi cuối cùng. Kết quả phẫu thuật không có mối liên quan đáng kể với tuổi tác, giới tính, chủng tộc, hemoglobin A1C, kích thước vết thương, vị trí vết thương, việc sử dụng ma túy bất hợp pháp, tiền sử cắt cụt, tiền sử Charcot, hoặc nhiễm trùng trước phẫu thuật. Tuy nhiên, các biến chứng ghép sau phẫu thuật có liên quan đáng kể với tiền sử hút thuốc hiện tại hoặc trước đây (P = .016) và mức độ cắt cụt chân trước đó đến nơi mà ghép da mỏng được áp dụng (P = .009). Nghiên cứu này chứng minh rằng việc áp dụng ghép da mỏng với một chế độ chăm sóc sau phẫu thuật phù hợp là một quy trình có lợi để đạt được đóng kín vết thương ở bàn chân và mắt cá chân của bệnh nhân tiểu đường.\u003C\u002Fjats:p>",{"EN":545,"VI":546},"Split-Thickness Skin Grafts for Closure of Diabetic Foot and Ankle Wounds","Ghép Da Mỏng Để Đóng Vết Thương Ở Bàn Chân Và Sàn Chân Của Bệnh Nhân Tiểu Đường",{"VOID":548},"20631059",{"VOID":550},"10.1177\u002F1938640010375114",[158],[160],"https:\u002F\u002Fjournals.sagepub.com\u002Fdoi\u002F10.1177\u002F1938640010375114",[555,584,604,623,644,659],{"id":556,"sortIndex":81,"researcher":24,"roles":557,"affiliations":558,"properties":579},"80f20732-71d8-4049-856d-b3d42dcdb9db",[],[559,569],{"id":560,"sortIndex":186,"affiliation":561,"properties":24},"a7df7245-628f-41de-9adf-bd57906a3bb1",{"id":562,"createTime":563,"updateTime":564,"relativeEntities":565,"slug":566,"properties":567,"entityType":69,"verifyStatus":23,"verifyTime":24,"verifyNote":24,"syncStatus":23,"languages":24,"translateLanguages":24,"viewCount":25},"93e4a7da-b5b2-404e-90ff-afa47bcb028c","2024-09-13T06:05:41.565+00:00","2025-01-30T23:03:55.794+00:00",[],"Orthopaedics",{"title":568},{"EN":566},{"id":570,"sortIndex":25,"affiliation":571,"properties":24},"8524082a-3fbf-4c3c-b1aa-8b734d7d9846",{"id":572,"createTime":573,"updateTime":573,"relativeEntities":574,"slug":575,"properties":576,"entityType":69,"verifyStatus":23,"verifyTime":24,"verifyNote":24,"syncStatus":23,"languages":24,"translateLanguages":24,"viewCount":25},"6feea1bf-559e-4b9c-9848-9112b340c5d2","2024-09-18T08:26:04.585+00:00",[],"Division-of-Podiatric-Medicine-and-Surgery-Department-of-Orthopaedic-Surgery-University-of-Texas-Health-Science-Center-at-San-Antonio",{"title":577},{"EN":578},"Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio",{"openalex":580,"title":582},{"VOID":581},"A5043705626",{"EN":583},"Thomas Zgonis",{"id":585,"sortIndex":222,"researcher":24,"roles":586,"affiliations":587,"properties":599},"22cab441-b1b2-47eb-a17c-15201e905d38",[],[588],{"id":589,"sortIndex":25,"affiliation":590,"properties":24},"1bfe5484-c85d-4d36-a591-c091dbfe84bc",{"id":591,"createTime":592,"updateTime":593,"relativeEntities":594,"slug":595,"properties":596,"entityType":69,"verifyStatus":23,"verifyTime":24,"verifyNote":24,"syncStatus":23,"languages":24,"translateLanguages":24,"viewCount":25},"117d5369-299f-48ca-b3c2-f9ce91861ce0","2023-12-01T06:34:13.487+00:00","2024-09-18T08:26:04.557+00:00",[],"Department-of-Orthopaedic-Surgery-University-of-Texas-Health-Science-Center-at-San-Antonio",{"title":597},{"VI":598},"Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio",{"openalex":600,"title":602},{"VOID":601},"A5072589359",{"EN":603},"Krista L. 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Ankle syndesmotic injuries often require anatomic reduction and fixation. Syndesmosis screw fixation is commonly used; however, this prevents physiological motion at the joint, often requires a second operation for screw removal, and may limit postoperative weight bearing. The Ankle Tightrope (Arthrex, Naples, FL) was introduced to allow physiological tibiofibular micromotion, early ankle range of motion, and weight bearing, and did not require a second operation for removal. For Maisonneuve injuries, or more severe syndesmosis instability, a second tightrope is required. This is advised to be placed 1 cm above the first with axial divergence in the coronal plane to increase rotational stability. Initial series have shown the main complications of tightrope fixation to be knot prominence or wound complications. Other documented complications include erosion of the buttons into bone, synostosis, and diastasis. This is the first report of tendon entrapment from the medial button. Reasons for this are discussed with suggestions for surgical technique. \u003C\u002Fjats:p>\u003Cjats:p> Levels of Evidence: Therapeutic, Level IV \u003C\u002Fjats:p>","\u003Cjats:p>Các chấn thương hội chứng bắp chân thường yêu cầu phải nắn chỉnh giải phẫu và cố định. Việc cố định bằng vít ligament thường được sử dụng; tuy nhiên, nó ngăn cản chuyển động sinh lý tại khớp, thường yêu cầu một cuộc phẫu thuật thứ hai để gỡ bỏ vít, và có thể hạn chế khả năng chịu trọng lượng sau phẫu thuật. Dây Chằng Chéo (Ankle Tightrope) (Arthrex, Naples, FL) được giới thiệu để cho phép micromotion sinh lý giữa xương chày và xương mác, giúp cử động khớp mắt cá chân sớm và khả năng chịu trọng lượng mà không cần một cuộc phẫu thuật thứ hai để gỡ bỏ. Đối với các chấn thương Maisonneuve, hoặc bất ổn hội chứng nghiêm trọng hơn, cần một dây chằng chéo thứ hai. Điều này được khuyến nghị đặt cách dây đầu tiên 1 cm và có sự phân kỳ trục trong mặt phẳng ngang để tăng cường sự ổn định xoay. Các loạt nghiên cứu ban đầu đã chỉ ra rằng các biến chứng chính của việc cố định bằng dây chằng chéo là sự lồi của nút thắt hoặc các biến chứng vết thương. Các biến chứng khác đã được ghi nhận bao gồm sự ăn mòn của các nút vào xương, sự nối xương, và sự tách đôi. Đây là báo cáo đầu tiên về việc bị kẹp gân từ nút bên trong. Những lý do cho điều này được thảo luận cùng với những gợi ý cho kỹ thuật phẫu thuật.\u003C\u002Fjats:p>\u003Cjats:p>Các mức độ bằng chứng: Điều trị, Mức độ IV\u003C\u002Fjats:p>",{"EN":809,"VI":810},"Tibialis Anterior Tendon Entrapment After Ankle Tightrope Insertion for Acute Syndesmosis Injury","Bị Kẹp Gân Chày Trước Sau Khi Đặt Dây Chằng Chéo Để Điều Trị Chấn Thương Hội Chứng Synudis Cấp Tính",{"VOID":812},"23424188",{"VOID":814},"10.1177\u002F1938640013477131",[158],[160],"https:\u002F\u002Fjournals.sagepub.com\u002Fdoi\u002F10.1177\u002F1938640013477131",[819,840],{"id":820,"sortIndex":25,"researcher":24,"roles":821,"affiliations":822,"properties":833},"f3859d44-3d15-40aa-b6b4-8213a1ffffd3",[],[823],{"id":824,"sortIndex":25,"affiliation":825,"properties":24},"46744ffe-b025-4a17-9bb1-f7b6c2c6be6c",{"id":826,"createTime":827,"updateTime":827,"relativeEntities":828,"slug":829,"properties":830,"entityType":69,"verifyStatus":23,"verifyTime":24,"verifyNote":24,"syncStatus":23,"languages":24,"translateLanguages":24,"viewCount":25},"426c26e2-e97b-4ebc-adae-c2776388f193","2025-01-28T13:24:34.519+00:00",[],"Barnet-Hospital-Radlett-Herts-UK",{"title":831},{"EN":832},"Barnet Hospital, Radlett, Herts, UK",{"openalex":834,"orcid":836,"title":838},{"VOID":835},"A5076132043",{"VOID":837},"https:\u002F\u002Forcid.org\u002F0000-0002-9104-8418",{"EN":839},"Matthew 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