老年人近腰骨折的最佳治疗方法:风险和管理挑战
Hayden P Baker1, Joseph Gutbrod1, Michael Cahill1
1Department of Orthopaedic Surgery, the University of Chicago, Chicago, IL, USA.
Orthopedic research and reviews
|July 3, 2023
概括
靠近部骨折 (PHF) 在老年人中很常见. 本综述涵盖PHF流行病学,评估,分类和治疗选择,强调以患者为中心的护理以获得最佳结果.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 老年医学 老年医学
背景情况:
- 靠近部骨折 (PHF) 占所有骨折的很大一部分,特别影响老年人群.
- 了解流行病学和伤害机制对于有效管理至关重要.
- 目前的分类系统和处理方式需要全面审查.
研究的目的:
- 提供近腰骨折 (PHFs) 的综合审查.
- 详细介绍PHF的流行病学,损伤机制,评估,分类和治疗选择.
- 在PHF管理中强调以患者为中心的决策.
主要方法:
- 文献综述侧重于流行病学,损伤机制,临床和放射性评估.
- 分析包括Neer,AO/OTA,Codman-Hertel和Resch.在内的常用分类系统.
- 对非手术和手术治疗策略的评估,包括封闭缩减和皮肤穿 (CRPP),开放缩减和内部固定 (ORIF) 和关节塑形术.
主要成果:
- PHF发病率很高,特别是在老年女性中,全球的发病率各不相同.
- 伤害机制是双模的:年轻人的高能量和老年人的低能量.
- 治疗选择是多因素的,平衡骨折严重程度,患者年龄,活动水平和外科专业知识.
结论:
- 由于其患病率和复杂性,PHFs构成了重大的临床挑战.
- 以患者为中心的治疗决策,考虑到个体因素和骨折严重程度,至关重要.
- 有效的管理需要对评估,分类和各种治疗选择有充分的了解.
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