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一种整体的髋部骨折治疗方法:术后个体化诊断与治疗。

A holistic hip fracture approach: individualized diagnosis and treatment after surgery.

作者信息

Amling M, Oheim R, Barvencik F

机构信息

Department of Osteology and Biomechanics, University Medical Center Hamburg Eppendorf, Lottestrasse 59, 22529, Hamburg, Germany.

Department of Trauma Surgery, University Medical Center Schleswig-Holstein, Ratzeburger Allee 160, Campus Lübeck, 23538, Lübeck, Germany.

出版信息

Eur J Trauma Emerg Surg. 2014 Jun;40(3):265-71. doi: 10.1007/s00068-014-0374-y. Epub 2014 Jan 31.

Abstract

Secondary fracture prevention is of paramount importance in the clinical management of patients with hip fractures. However, in contrast to the excellent surgical care provided to these patients in the Western hemisphere and despite good medical options, causative treatment of the underlying osteopathy causing skeletal fragility remains an unmet medical need that urgently needs to be improved. This calls for a concerted action between orthopedic/trauma surgeons and osteologists, as outstanding hospitals not only treat fragility fractures, but also prevent fractures from recurring. Aiming for a holistic hip fracture approach, in this work we highlight aspects of (a) improved risk assessment and differential diagnosis, (b) optimized basic medical care, and

摘要

继发性骨折预防在髋部骨折患者的临床管理中至关重要。然而,与西半球为这些患者提供的优质手术治疗形成对比的是,尽管有良好的医疗选择,但对导致骨骼脆弱的潜在骨病进行病因治疗仍然是一项尚未满足的医疗需求,亟待改善。这需要骨科/创伤外科医生和骨病学家共同采取行动,因为优秀的医院不仅要治疗脆性骨折,还要预防骨折复发。为了实现髋部骨折的整体治疗方法,在这项工作中,我们强调了以下方面:(a)改进风险评估和鉴别诊断;(b)优化基础医疗护理,以及

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