Duodecim. 2011;127(14):1508-9.
In Finland approximately 7,000 hip fractures occurred annually during 1996-2008. Risk of hip fracture can be diminished through efforts to prevent falls and osteoporosis. A hip fracture is treated operatively, with the aim of early mobilisation and full weight bearing. Postoperative care and rehabilitation requires multidisciplinary and multifaceted management, focusing on improvement of the patient's physical condition, appropriate pain management, the prevention of delirium and other possible complications. Rehabilitation should be centralised in specialised rehabilitation centres for the elderly. Secondary prevention of future fractures should include management of osteoporosis and fall prevention.
在芬兰,1996年至2008年期间每年约发生7000例髋部骨折。通过努力预防跌倒和骨质疏松症,髋部骨折的风险可以降低。髋部骨折采用手术治疗,目的是早期活动和完全负重。术后护理和康复需要多学科、多方面的管理,重点是改善患者的身体状况、进行适当的疼痛管理、预防谵妄和其他可能的并发症。康复应集中在老年人专门康复中心进行。未来骨折的二级预防应包括骨质疏松症的管理和跌倒预防。