Can Fam Physician. 1979 Apr;25:475-80.
Fracture of the hip is a common traumatic event in the elderly. Surgical repair is the treatment of choice for most patients, but represents only the first phase in the total rehabilitation of the patient. A comprehensive team approach, involving the patient, the family, the physician, nursing personnel and rehabilitation staff, is mandatory if the elderly person is to achieve maximal recovery and hopefully return to his normal lifestyle. Lack of a team approach leads to ineffectual therapy, with the likelihood that the patient will become unnecessarily institutionalized. However, some patients will be very poor candidates for rehabilitation if already at a non-ambulatory, heavy care level, with a variety of complicated medical conditions such as congestive heart failure, diabetes and obstructive lung disease. Realistic, individual goals must be set.
髋部骨折是老年人常见的外伤性事件。手术修复是大多数患者的首选治疗方法，但这只是患者全面康复的第一阶段。如果要使老年人实现最大程度的康复并有望恢复正常生活方式，则必须采取包括患者、家属、医生、护理人员和康复人员在内的综合团队方法。如果没有团队方法，治疗效果就会不佳，患者很可能会被不必要地收容到医疗机构中。但是，如果患者已经处于非步行、重度护理水平，并且存在充血性心力衰竭、糖尿病和阻塞性肺病等多种复杂的医疗状况，则康复的可能性很小。必须设定切合实际的个性化目标。
