Bahrs C, Schreiner A, Stöckle U, Klopfer T, Hemmann P
Unfall- und Wiederherstellungschirurgie, BG Klinik Tübingen, Eberhard-Karls-Universität Tübingen, Schnarrenbergstraße 95, 72076, Tübingen, Deutschland.
Chirurg. 2018 Oct;89(10):837-848. doi: 10.1007/s00104-018-0714-2.
Proximal femoral fractures are one of the most common fractures, particularly in older people. The most common cause is a falling event due to dizziness and gait insecurity. In most cases prompt surgical treatment is necessary to achieve early mobilization and to reduce the risk of mortality. The aim is a stable osteosynthesis and patient-centered care. A great variety of implants are available for this purpose. Furthermore, perioperative management is important to prevent further problematic events, such as delirium, reoccurrence of falling events and to diagnose and adequately treat a pre-existing osteoporosis.
股骨近端骨折是最常见的骨折之一，尤其是在老年人中。最常见的原因是由于头晕和步态不稳导致的跌倒事件。在大多数情况下，需要及时进行手术治疗以实现早期活动并降低死亡风险。目标是实现稳定的骨合成和以患者为中心的护理。为此有各种各样的植入物可供选择。此外，围手术期管理对于预防进一步的问题事件很重要，例如谵妄、跌倒事件的再次发生以及诊断和充分治疗已存在的骨质疏松症。
