Miclau Theodore
Department of Orthopaedic Surgery, Orthopaedic Trauma Institute, University of California, San Francisco, Zuckerberg San Francisco General Hospital, San Francisco, CA.
OTA Int. 2020 Mar 23;3(1):e069. doi: 10.1097/OI9.0000000000000069. eCollection 2020 Mar.
Hip fractures, among the most common geriatric injuries, are associated with adverse patient outcomes and significant costs. The incidence of these fractures continues to rise with an aging population worldwide. While many factors that negatively impact patient outcomes are nonmodifiable, others, which include pre- and postoperative medical management, timing of surgical stabilization, and fracture fixation methods, are modifiable and have been shown to affect outcomes. Treatment pathways are dependent upon available resources and established systems, and comparative guidelines from different regions and countries are not well documented. This special issue seeks to highlight regional differences in hip fracture care globally and represents a collaborative work of member societies of the International Orthopaedic Trauma Association, an international association of orthopaedic societies dedicated to the promotion of musculoskeletal trauma care through advancements in patient care, research, and education. The expectation is that better understanding these differences will aid efforts to better understand, improve, and standardize existing approaches to hip fracture management worldwide.
髋部骨折是最常见的老年损伤之一,与不良的患者预后及高昂费用相关。随着全球人口老龄化,此类骨折的发生率持续上升。虽然许多对患者预后产生负面影响的因素无法改变,但包括术前和术后医疗管理、手术稳定时机及骨折固定方法等其他因素是可以改变的,并且已证明会影响预后。治疗途径取决于可用资源和既定系统,不同地区和国家的比较指南记录并不完善。本期特刊旨在突出全球髋部骨折护理的区域差异,是国际骨科创伤协会成员学会的一项合作成果。国际骨科创伤协会是一个骨科协会的国际组织,致力于通过改善患者护理、研究和教育来促进肌肉骨骼创伤护理。期望更好地了解这些差异将有助于更好地理解、改进和规范全球现有的髋部骨折管理方法。