老年人群中的手骨折:在日本进行的一项全国性的多中心研究
Atsushi Yunde1, Takeo Furuya1, Sumihisa Orita1,2
1Department of Orthopaedic Surgery, Graduate school of Medicine, Chiba University, Chiba, Japan.
Global spine journal
|November 17, 2023
概括
这项针对老年子手骨折的研究发现,骨融合率为88.9%. 手术治疗缩短了II型骨折的住院时间,但老年患者面临21%的脊髓损伤风险.
科学领域:
- 整形外科手术 整形外科手术
- 老年医学 老年医学
- 脊柱外科手术 脊柱外科手术
背景情况:
- 子手的骨折是一种罕见的椎脊椎损伤.
- 老年患者代表了这些骨折的脆弱人群.
- 了解老年人治疗结果至关重要.
研究的目的:
- 为了研究老年人骨折的老年患者的治疗方法.
- 通过日本野心脊椎外科医生协会 (JASA) 的多中心数据库分析结果.
主要方法:
- 对1512名患者进行了回顾性多中心研究.
- 莱文和爱德华兹的分类用于子手的骨折.
- 对流行病学数据,融合率,住院和神经功能障碍的分析.
主要成果:
- 吊人骨折发生在62名老年患者身上 (子宫损伤的7.4%).
- 平均年龄为76.6岁;骨融合率为88.9%.
- 通过手术治疗的II型骨折的住院时间更短;21%的骨折经历了脊髓损伤.
结论:
- 关于老年人子手骨折 (≥65岁) 的最大研究.
- 在I型和II型骨折中,骨融合率高 (高达90%).
- 手术治疗有利于II型骨折住院;老年患者有脊髓损伤的高风险.
相关概念视频
01:29Bone Disorders
3.6K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.6K
01:27Fractures: Bone Repair
3.3K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.3K