Stange R, Raschke M J, Fuchs T
Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Deutschland.
Unfallchirurg. 2011 Aug;114(8):688-96. doi: 10.1007/s00113-011-2024-8.
Demographic changes and rising numbers of implanted prostheses accompanied by increasing demands on mobility and activities of the elderly will lead to an increasing number of periprosthetic fractures in the future. Poor bone quality, geriatric comorbidities and multiple prostheses result in an increased risk for this type of fracture in the old patient. Management of these patients is challenging and demanding and needs an interdisciplinary approach. The present work describes the different aspects of periprosthetic fractures in the geriatric patient with regard to epidemiology, risk factors, prevention and treatment options.
人口结构变化以及植入假体数量的增加,再加上老年人对 mobility 和活动能力的需求不断提高,未来将会导致越来越多的假体周围骨折。骨质不佳、老年共病以及多个假体导致老年患者发生此类骨折的风险增加。对这些患者的管理具有挑战性且要求很高,需要采用跨学科方法。本研究描述了老年患者假体周围骨折在流行病学、危险因素、预防和治疗选择等方面的不同情况。 (注:原文中“mobility”此处结合语境推测可能是“行动能力”之类意思,但因原文未明确,所以保留英文)