Barsoum Wael K, Helfand Robert, Krebs Viktor, Whinney Christopher
Department of Orthopaedic Surgery , Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
Cleve Clin J Med. 2006 Mar;73 Suppl 1:S46-50. doi: 10.3949/ccjm.73.suppl_1.s46.
Patients with hip fracture benefit from a multidisciplinary team approach for preoperative and postoperative care. Team members, consisting of the orthopedic surgeon, internal medicine consultant, and anesthesiologist, should each have a role in determining a patient's readiness for surgery and communicate with one another about appropriate management. How urgently a hip fracture needs repair depends on the type of injury. In general, most injuries should be repaired as soon as the patient can be medically optimized (preferably 24 to 48 hours), keeping in mind that procedures are often lengthy and maximally invasive, and frequently involve complications. Nondisplaced (impacted) femoral neck fractures, however, should be repaired within 6 hours if possible to avert avascular necrosis of the femoral head and the need for total hip replacement. The following interventions are helpful for preventing complications following hip fracture repair: perioperative prophylaxis against infection.
髋部骨折患者受益于多学科团队对术前和术后护理的方法。团队成员包括骨科医生、内科顾问和麻醉师，他们在确定患者的手术准备情况以及就适当的管理相互沟通方面都应发挥作用。髋部骨折需要修复的紧急程度取决于损伤类型。一般来说，大多数损伤应在患者病情得到最佳医疗调整后尽快修复（最好在24至48小时内），要记住手术通常耗时较长且创伤极大，还经常涉及并发症。然而，无移位（嵌插）的股骨颈骨折，如果可能的话应在6小时内修复，以避免股骨头缺血性坏死和全髋关节置换的需要。以下干预措施有助于预防髋部骨折修复后的并发症：围手术期预防感染。
