Schmeer C, Van Nes M C, Michel J P
Département de Gériatrie, Hôpitaux Universitaires de Genève, Thônex.
Presse Med. 2000 May 20;29(18):997-8.
Subtrochanteric fractures are complex fractures requiring prudent reeducation. In elderly patients who also have other illnesses, reeducation of walking may be quite difficult.
An 89-year-old woman was referred for physical therapy after osteosynthesis of a comminutive subtrochanteric fracture. Weight bearing was contraindicated for 3 months due to her "incapacity to perform reeducation exercises". The patient also had several serious co-morbidities which had to be integrated into the reeducation program.
In cases of complex fractures, reeducation must take into account other comorbid conditions. Outcome can be favorable, but requires a well organized interdisciplinary approach associating the geriatrics and the orthopedics teams.
转子下骨折是复杂骨折，需要谨慎的康复训练。对于患有其他疾病的老年患者，行走康复训练可能相当困难。
一名89岁女性因粉碎性转子下骨折行骨固定术后接受物理治疗。由于她“无法进行康复训练”，3个月内禁止负重。该患者还患有多种严重的合并症，必须将这些合并症纳入康复计划。
在复杂骨折病例中，康复训练必须考虑其他合并症。结果可能是良好的，但需要老年医学和骨科团队联合采用精心组织的跨学科方法。
