骨盆和髋部同时发生脆性骨折的诊断和管理挑战——病例系列及文献复习。
The diagnostic and management challenge for concomitant fragility fractures of pelvis and hip - a Case series with literature review.
机构信息
BLY Cheng, Department of Orthopaedics & Traumatology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong.
BLY Cheng, Department of Orthopaedics & Traumatology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong.
出版信息
Injury. 2020 Apr;51(4):991-994. doi: 10.1016/j.injury.2020.02.066. Epub 2020 Feb 18.
BACKGROUND
Fragility fractures of hip and pelvis in the elderly population are common. They do co-exist but are frequently missed and undertreated.
METHODS AND RESULTS
3 cases of concomitant fragility fractures of hip and pelvis were identified. Hip fractures were treated with cemented hemiarthroplasty or cephalomedullary nail fixation, while pelvic fractures were treated with percutaneous screw fixation in same general anesthesia session. Anti-osteoporotic treatments were offered. Subjects were followed up for 1 year.
CONCLUSION
Surgical treatment of fragility hip and pelvic fractures improves fracture stability, achieves better pain relief and allows earlier mobilization. Anti-osteoporotic treatment is essential as secondary prevention in fragility fractures.
背景
老年人髋部和骨盆的脆性骨折很常见。这些骨折可能同时存在，但常常被漏诊和治疗不足。
方法和结果
共发现 3 例髋部和骨盆同时发生的脆性骨折。在全身麻醉下，使用骨水泥半髋关节置换或股骨近端髓内钉固定治疗髋部骨折，经皮螺钉固定治疗骨盆骨折。同时给予抗骨质疏松治疗。患者随访 1 年。
结论
手术治疗脆性髋部和骨盆骨折可改善骨折稳定性，更好地缓解疼痛，并允许更早地活动。抗骨质疏松治疗是脆性骨折二级预防的重要手段。
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