Juhász Krisztina, Turchányi Béla, Mintál Tibor, Somogyi Péter
Országos Egészségbiztosítási Pénztár Dél-dunántúli Területi Hivatala Pécs, Nagy Lajos király útja 3., 7623.
Kenézy Gyula Kórház és Rendelőintézet Debrecen.
Orv Hetil. 2016 Sep;157(37):1469-75. doi: 10.1556/650.2016.30489.
Hip fractures are described by increased mortality, loss of quality of life, functional decline and burden of diseases. They show a growing number worldwide. The aim of the present study is to summarise the existing data on the incidence, mortality, complications and rehabilitation of hip fractures, which relevance is reported only by few studies. To reduce mortality and complications of hip fractures the authors emphasize the importance of primary treatment within 12 hours, appropriate selection of surgical methods corresponding to the fracture type after the assessment of femoral head viability, vitamin D supplementation, same conditions for primary treatment during everyday of the week, and an adequate acute treatment and rehabilitation for patient's general health status. In the future integrated processing of multidisciplinary results of hip fractures based on Hungarian data can support the development of efficient treatment and prevention strategies, which can be advantageous for the patient, families, health care system, and the society, too, by the reduction of costly complications of hip fracture healing and mortality. Orv. Hetil., 2016, 157(37), 1469-1475.
髋部骨折的特点是死亡率增加、生活质量下降、功能衰退和疾病负担加重。全球范围内髋部骨折的数量在不断增加。本研究的目的是总结关于髋部骨折的发病率、死亡率、并发症及康复方面的现有数据，目前仅有少数研究报道过这些数据的相关性。为降低髋部骨折的死亡率和并发症，作者强调了在12小时内进行初级治疗的重要性、在评估股骨头生存能力后根据骨折类型适当选择手术方法、补充维生素D、一周内每天进行初级治疗的条件相同，以及针对患者总体健康状况进行充分的急性治疗和康复。未来，基于匈牙利数据对髋部骨折多学科结果进行综合处理，可为制定有效的治疗和预防策略提供支持，这也有利于患者、家庭、医疗保健系统及社会，因为可以减少髋部骨折愈合的昂贵并发症和死亡率。《匈牙利医学周报》，2016年，第157卷，第37期，第1469 - 1475页 。
