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手术干预对80岁以上和50岁以下人骨折的影响:全面的结果分析

Yiyun Lin¹, Jie Gao¹, Huayong Zheng¹

¹Department of Orthopedic Surgery, Senior Department of Orthopedics, the Seventh Medical Center of PLA General Hospital, Beijing, China, 100700; Senior Department of Orthopedics, the Fourth Medical Center of PLA General Hospital, Beijing, China, 100142; The National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation, Beijing, China, 100142.

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons

|July 17, 2025

概括

在脆弱脚骨折手术后早期承重改善了老年患者的结果. 老年人的评估有效地预测了这一群体的死亡风险.

科学领域:

整形外科手术整形外科手术
老年医学老年医学
临床结果研究研究

背景情况:

脆弱性脚骨折在八十岁和非六十岁的人群中很常见.
在这个人口群体中,手术结果和生活质量 (QoL) 需要进一步调查.

研究的目的:

评估80岁以上患者的脆弱脚骨折手术治疗后的临床结果和QOL.
确定影响结果和死亡风险的因素.

主要方法:

追溯研究45名患者 (平均年龄83.8岁) 接受了脆弱脚骨折手术.
术前评估包括帕克移动性评分 (PMS) 和迷你营养评估-简单表格 (MNA-SF).
使用ASA分类和年龄调整的查尔森并发症指数 (aCCI) 评估并发症. 通过奥勒鲁德-莫兰德脚分数 (OMA分数),EQ-5D-3 L,EQ-VAS和巴特尔指数测量的结果.

主要成果:

一年后的随访显示,OMA得分与手术前几天,住院时间和举重时间有负相关性.
延迟的负载重量对EQ-5D-3 L指数和EQ-VAS产生了负面影响.
巴特尔指数与手术前PMS和MNA-SF正相关.
一年生存率为75.6%;已故患者的aCCI较高,PMS较低,MNA-SF较低.

结论:

在老年患者中,起重开始的时间显著影响了脚功能和QoL.
老年人的评估 (PMS,MNA-SF,aCCI) 有效地预测死亡风险.
在这个队列中,ASA分类对死亡率的预测能力较低.

关键词:

80岁及以上的老年人脚骨折脚骨折在脚骨折.复杂性复杂性复杂性死亡率死亡率死亡率患者报告的结果衡量患者报告的结果.

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