Tulipan Jacob, Jones Christopher M, Ilyas Asif M
Department of Orthopaedic Surgery, Thomas Jefferson University, 1015 Walnut Street, Curtis Building, Suite 810, Philadelphia, PA 19107, USA.
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107, USA.
Orthop Clin North Am. 2015 Oct;46(4):541-9. doi: 10.1016/j.ocl.2015.06.012. Epub 2015 Aug 8.
Although the decision for operative versus nonoperative treatment of distal radius fractures remains subjective and is performed on a case-by-case basis, evaluation and treatment of patients with concomitant osteoporosis requires understanding of the behavior of this injury as a distinct subset of distal radius fractures. Age, infirmity, and osteoporosis affect every aspect of the fracture. Understanding what makes these fractures unique assists surgeons in more effective and efficient treatment. The authors present the current understanding of osteoporotic fragility fractures of the distal radius, focusing on epidemiology, biomechanics of bone healing, and its implication on strategies for management.
尽管桡骨远端骨折采取手术治疗还是非手术治疗的决策仍然主观，且需根据具体病例进行，但对于合并骨质疏松症患者的评估和治疗，需要了解此类损伤作为桡骨远端骨折的一个独特子集的特点。年龄、体弱和骨质疏松会影响骨折的各个方面。了解这些骨折的独特之处有助于外科医生更有效、更高效地进行治疗。作者阐述了目前对桡骨远端骨质疏松性脆性骨折的认识，重点关注流行病学、骨愈合的生物力学及其对治疗策略的影响。
