Lichtblau S
Mount Sinai School of Medicine, New York, NY, USA.
Geriatrics. 2000 Apr;55(4):50-2, 55-6.
Primary care physicians can provide optimal care for their older patients with hip fracture when they are familiar with the repair techniques used by the orthopedic surgeon. For medically stable patients, surgical repair is now recommended 24 to 72 hours after the fracture. The type of surgery depends on the type of fracture and the degree of the patient's prefracture mobility; options range from simple percutaneous pinning to total hip replacement. Surgery is not advisable for bed-ridden or moribund patients, nor for those with very osteoporotic bones and extensively comminuted fractures. Complications of a hip fracture and its surgical repair that require medical management include anemia, phlebitis, pulmonary embolism, decubitus ulcer, fluid or electrolyte imbalance, and pneumonia.
当初级保健医生熟悉骨科医生所采用的修复技术时，他们就能为老年髋部骨折患者提供最佳护理。对于病情稳定的患者，目前建议在骨折后24至72小时内进行手术修复。手术类型取决于骨折类型以及患者骨折前的活动能力程度；选择范围从简单的经皮穿针固定到全髋关节置换。对于卧床不起或濒死的患者，以及骨质疏松严重且骨折粉碎广泛的患者，手术并不适宜。髋部骨折及其手术修复需要药物治疗的并发症包括贫血、静脉炎、肺栓塞、褥疮、液体或电解质失衡以及肺炎。
