骨质疏松症患者的第二次髋部骨折：不仅仅是骨科问题。
The second hip fracture in osteoporotic patients: not only an orthopaedic matter.
作者信息
Scaglione Michelangelo, Fabbri Luca, Di Rollo Federica, Bianchi Maria Giulia, Dell'omo Dario, Guido Giulio
机构信息
Orthopaedic Clinic, University of Pisa, Pisa, Italy.
出版信息
Clin Cases Miner Bone Metab. 2013 May;10(2):124-8.
Abstract
The second hip fracture indicates the fracture of the osteoporotic femoral neck which occurs in patients already operated on the opposite side. It is a growing problem, especially in Italy where the ageing rate of the population is one of the highest in the world. Only in recent years this issue has been discussed in the international literature about timing and the treatment methods as a consequence linked to the social costs, mortality, disability of this pathology. The aim of our study is the evaluation of the incidence of hip fractures in a sample of patients that already substained a surgical procedure for a proximal femour fracture. The evaluation was based on the time elapsed between the two fractures, the quality of life after the second fractural episode through a telephone questionnaire (EQ-5D), the incidence of mortality, the adhesion to the antifractural therapy and the comparison of the obtained data to the international standards.
摘要
第二次髋部骨折是指骨质疏松性股骨颈骨折，发生在已接受对侧手术的患者身上。这是一个日益严重的问题，尤其是在意大利，该国人口老龄化速度位居世界前列。直到最近几年，国际文献才开始讨论这一问题，涉及到与这种疾病的社会成本、死亡率、残疾情况相关的时间安排和治疗方法。我们研究的目的是评估已接受股骨近端骨折手术的患者样本中髋部骨折的发生率。评估基于两次骨折之间的时间间隔、通过电话问卷（EQ-5D）评估第二次骨折事件后的生活质量、死亡率、抗骨折治疗的依从性以及将所得数据与国际标准进行比较。
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