对严重骨质疏松症的老年多创伤患者的双侧多重并发上肢骨折的策略:一个病例报告
Bum-Jin Shim1, Dae Hee Lee2, Hong Bae Jeon3
1Department of Orthopedic Surgery, Yeungnam University Hospital, Yeungnam University College of Medicine, Daegu, South Korea.
Medicine
|August 5, 2025
概括
这份案例报告表明,将手术与强化骨的药物如特里巴和德诺苏马布结合起来,可以有效地治疗骨质疏松症老年患者的严重骨折,从而导致骨良好的愈合和恢复.
科学领域:
- 整形外科手术 整形外科手术
- 老年创伤的治疗方法
- 药理学 药理学是指药理学的学科.
背景情况:
- 患有严重骨质疏松症的老年患者面临着管理高能量创伤造成的多重骨折的挑战.
- 最佳的结果需要在罕见的复杂病例中平衡手术干预和早期康复.
研究的目的:
- 在一个老年多创伤骨质疏松患者中呈现严重上肢骨折的情况.
- 评估结合手术治疗和骨强化疗法的疗效.
主要方法:
- 一名79岁的妇女患有多重骨折 (近腰骨,肘骨,半径骨,骨盆骨) 和器官损伤,接受了半关节整形术,开放缩减内部固定和内钉.
- 手术后的管理包括连续的特里巴拉提德和德诺苏马布.
主要成果:
- 患者经历了短暂的住院 (5天),结果良好.
- 在6个月后观察到早期形和骨结合,在1年后观察到令人满意的关节稳定性和改善的骨矿物质密度.
结论:
- 结合手术方法和骨强化疗法可以在老年多创伤患者中取得有效的结果.
- 连续的特里巴拉提德和德诺苏马布可能会在严重的骨质疏松性骨折中有益于骨愈合.
更多相关视频
12:25C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
Published on: September 16, 2022
4.1K
04:41Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
238
相关概念视频
Fractures: Bone Repair
3.7K
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...
3.7K
Flail Chest-II
235
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
235
Venous Thrombosis IV: Nursing Management
23
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
23
Venous Thrombosis III: Interprofessional Care
22
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
22
Peripheral Artery Disease V: Postoperative Nursing Management
25
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
25
