Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, KY; and.
Department of Orthopedic Surgery, University of Texas Health Science Center at Houston, Houston, TX.
J Orthop Trauma. 2021 Oct 1;35(Suppl 5):S11-S15. doi: 10.1097/BOT.0000000000002231.
Distal humerus fractures in the elderly population can be difficult to manage because of substantial articular comminution, poor bone quality, and soft tissue compromise. Important patient considerations for treatment include physiologic age, mental status, activity level, and independence with activities of daily living. Elderly patients may be reliant on their upper extremity as a weight-bearing limb when using a walker or rising to stand which creates additional demand. The goal of surgical treatment is to recreate a stable, painless elbow with a functional range of motion to preserve independence for daily activities and mobilization. The main surgical treatment options are open reduction and internal fixation and arthroplasty. Here, we discuss indications and operative goals in each clinical scenario.
老年人的肱骨远端骨折由于关节粉碎严重、骨质量差和软组织损伤，处理起来较为困难。治疗时需要考虑的重要患者因素包括生理年龄、精神状态、活动水平以及日常生活活动的独立性。老年人在使用助行器或起身站立时可能会依赖上肢作为负重肢体，这会增加额外的需求。手术治疗的目的是重建一个稳定、无痛的肘部，具有一定的活动范围，以保持日常生活和活动的独立性。主要的手术治疗选择包括切开复位内固定和关节置换。在这里，我们将讨论每种临床情况下的适应证和手术目标。
