Müller W, Lohmann H N, Grass G, Rangger C, Mathiak G
Chirurgie Heikendorf, Heikendorf/Kiel.
MMW Fortschr Med. 2006 Mar 9;148(10):32-3, 35-6.
Today, early mobilization is recommended, irrespective of whether a patient with a fracture of the extremities has been treated conservatively or surgically. In this way, morbidity and mortality risks can be considerably reduced, in particular in the elderly patient. As a result of the continuing trend towards an ever shorter hospital stay, the general physician is faced with the task of providing aftercare to such patients at an early stage in the healing process of the fracture. This includes wound care, prevention of thromboembolism, the timely initiation of physiotherapeutic measures, and the requesting of x-ray follow-up.
如今,无论四肢骨折患者接受的是保守治疗还是手术治疗,都建议尽早进行活动。通过这种方式,发病率和死亡率风险可大幅降低,尤其是老年患者。由于住院时间持续呈缩短趋势,全科医生面临着在骨折愈合早期为这类患者提供后续护理的任务。这包括伤口护理、预防血栓栓塞、及时启动物理治疗措施以及要求进行X线随访。