Marinović Marin, Spanjol Josip, Laginja Stanislava, Grzalja Nikola, Bakota Bore, Fumić Nera, Sepac Brigita, Seremet Jasmina
Klinicki bolnicki centar u Rijeci, Zavod za traumatologiju, Rijeka.
Klinicki bolnicki centar u Rijeci, Klinika za urologiju, Rijeka.
Acta Med Croatica. 2013 Oct;67 Suppl 1:115-8.
Fractures of the proximal femur are specific to older adults. Today, life expectancy for men and women is increasing, so one can expect an increased number of hip fractures. Elderly people suffer from associated diseases that may compromise the biological potential in healing of surgical wounds. On the other hand, there is an increased number of microorganisms resistant to antimicrobial drugs, so an increased number of postoperative infections can be expected. With conventional treatment methods of postoperative infections where the osteo-synthetic material is present in tissue, negative pressure therapy is gradually taking an increasingly important role in the treatment of these conditions. Because of its simple application in hospital or outpatient setting and good comfort with no pain for the patient, negative pressure therapy contributes significantly to healing of the wounds without removing osteosynthetic material from the wound.
股骨近端骨折在老年人中较为常见。如今,男性和女性的预期寿命都在增加,因此预计髋部骨折的数量也会上升。老年人患有多种相关疾病,这些疾病可能会影响手术伤口愈合的生物学潜能。另一方面,对抗菌药物耐药的微生物数量不断增加,因此术后感染的数量也可能会上升。在组织中存在骨合成材料的术后感染的传统治疗方法中,负压疗法在这些病症的治疗中逐渐发挥着越来越重要的作用。由于其在医院或门诊环境中的应用简便,且患者舒适度高、无疼痛,负压疗法在不从伤口移除骨合成材料的情况下,对伤口愈合有显著贡献。