Department of Orthopaedic Surgery, University of Mississippi Medical Center, Jackson, MS.
Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA.
J Orthop Trauma. 2019 Jun;33 Suppl 6:S34-S38. doi: 10.1097/BOT.0000000000001477.
Multiple factors impact fracture healing; thus, endocrine optimization and nutritional optimization warrant investigation in the acute fracture and nonunion patient. This article presents current evidence regarding the role of the endocrinologists and the dietician in the fracture patient as well as the most recent data assessing the vitamin D axis in these populations. Similarly, the most recent information regarding the use and risks of NSAIDs in fracture healing are presented. The fracture surgeon must consider each individual patient and weigh the benefits versus the costs of host optimization.
多种因素会影响骨折愈合；因此，内分泌优化和营养优化值得在急性骨折和骨折不愈合患者中进行研究。本文介绍了内分泌学家和营养师在骨折患者中的作用的现有证据，以及最近评估这些人群中维生素 D 轴作用的数据。同样，本文还介绍了关于 NSAIDs 在骨折愈合中的使用和风险的最新信息。骨折外科医生必须考虑每位患者的个体情况，并权衡宿主优化的益处与成本。
