使用修改的STOPPA方法治疗老年骨骨折:技术,技巧和陷的综述文章
Mikolaj Bartosik1,2, Eckart Mayr2, Ulf Culemann1
1Department of Trauma Surgery, General Hospital Celle, 29223 Celle, Germany.
老年髋臼骨折的外科治疗由于人口老龄化而变得日益重要。过去髋臼骨折多见于年轻患者,而目前在老年患者中更为常见。这一变化也导致老年患者中前侧及前侧联合型髋臼骨折的发生率上升。老年髋臼骨折的手术治疗极具挑战性,外科医生需要多年的经验才能充分掌握骨盆手术的优缺点,因此对手术技术要求较高。本文旨在通过批判性叙述当前文献,并聚焦于采用改良Stoppa入路的微创手术治疗(不包含患者自身评估),为老年髋臼骨折这一主题提供深入见解。改良Stoppa入路可良好显露髋臼前部结构,并能有效处理四边区。骨盆手术,尤其是髋臼手术,可为患者带来诸多优势,如早期快速活动及迅速缓解疼痛症状。目前,全髋关节置换术正被讨论作为老年患者特定类型髋臼骨折的一种替代治疗方案,且已取得良好效果,但仍需进一步研究和指南加以明确。 关键词:老年患者,髋臼骨折,改良Stoppa入路,微创手术,骨盆手术,四边区,全髋关节置换术
老年髋臼骨折的外科治疗由于人口老龄化而变得日益重要。过去髋臼骨折多见于年轻患者,而目前在老年患者中更为常见。这一变化也导致老年患者中前侧及前侧联合型髋臼骨折的发生率上升。老年髋臼骨折的手术治疗极具挑战性,外科医生需要多年的经验才能充分掌握骨盆手术的优缺点,因此对手术技术要求较高。本文旨在通过批判性叙述当前文献,并聚焦于采用改良Stoppa入路的微创手术治疗(不包含患者自身评估),为老年髋臼骨折这一主题提供深入见解。改良Stoppa入路可良好显露髋臼前部结构,并能有效处理四边区。骨盆手术,尤其是髋臼手术,可为患者带来诸多优势,如早期快速活动及迅速缓解疼痛症状。目前,全髋关节置换术正被讨论作为老年患者特定类型髋臼骨折的一种替代治疗方案,且已取得良好效果,但仍需进一步研究和指南加以明确。 关键词:老年患者,髋臼骨折,改良Stoppa入路,微创手术,骨盆手术,四边区,全髋关节置换术
更多相关视频
07:45The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
相关概念视频
Bone Remodeling
Osteoclasts in Bone Remodeling
Fractures: Bone Repair
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 procedure...
Bone Disorders
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 Remodeling and Repair
