老年骨质疏松性和神经性踝关节骨折的管理
Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly.
作者信息
Hoogervorst P, Bergen Cja Van, Van den Bekerom Mpj
机构信息
Department of Orthopaedic Surgery, Onze Lieve Vrouwe Gasthuis, Oosterpark 9, 1091 AC Amsterdam, the Netherlands.
Department of Orthopaedic Surgery, Spaarne Gasthuis, Spaarnepoort 1, 2134 TM Hoofddorp, the Netherlands.
出版信息
Curr Geriatr Rep. 2017;6(1):9-14. doi: 10.1007/s13670-017-0196-y. Epub 2017 Feb 3.
PURPOSE OF REVIEW
Treatment of osteoporotic and neuropathic ankle fractures in the elderly is challenging. The purpose of this paper is to review recent publications on this topic and to identify the optimal treatment for these fractures.
RECENT FINDINGS
Treatment consists of a variety of conservative or operative options all with advantages and disadvantages as described in this review. Little research has been published that specifically focuses on elderly patients with ankle fractures. Operative treatment has a high complication rate. Multiple comorbidities are predictors for complications.
SUMMARY
An optimal treatment could not be distilled but based on the available literature, a general treatment algorithm is proposed. Since the elderly typically are accompanied by multiple comorbidities as well as impaired mobility, the physician should focus not only on treating the fractured ankle but also on the patient as a whole. Further research on this specific topic is needed.
综述目的
老年骨质疏松性和神经性踝关节骨折的治疗具有挑战性。本文旨在回顾该主题的近期出版物，并确定这些骨折的最佳治疗方法。
最新发现
治疗方法包括多种保守或手术选择，每种方法都有其优缺点，如本综述所述。专门针对老年踝关节骨折患者的研究发表较少。手术治疗并发症发生率高。多种合并症是并发症的预测因素。
总结
虽然无法提炼出最佳治疗方法，但根据现有文献，提出了一种通用的治疗算法。由于老年人通常伴有多种合并症且行动不便，医生不仅应专注于治疗骨折的踝关节，还应关注患者整体。需要对这一特定主题进行进一步研究。
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