Qin Hao-Cheng, He Zhong, Luo Zhi-Wen, Zhu Yu-Lian
Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China.
Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China.
World J Orthop. 2022 Jun 18;13(6):544-554. doi: 10.5312/wjo.v13.i6.544.
Given that the global population of elderly individuals is expanding and the difficulty of recovery, hip fractures will be a huge challenge and a critical health issue for all of humanity. Although people have spent more time at home during the coronavirus disease 2019 (COVID-19) pandemic, hip fractures show no sign of abating. Extensive studies have shown that patients with hip fracture and COVID-19 have a multifold increase in mortality compared to those uninfected and a more complex clinical condition. At present, no detailed research has systematically analyzed the relationship between these two conditions and proposed a comprehensive solution. This article aims to systematically review the impact of COVID-19 on hip fracture and provide practical suggestions. We found that hip fracture patients with COVID-19 have higher mortality rates and more complicated clinical outcomes. Indirectly, COVID-19 prevents hip fracture patients from receiving regular medical treatment. With regard to the problems we encounter, we provide clinical recommendations based on existing research evidence and a clinical flowchart for the management of hip fracture patients who are COVID-19 positive. Our study will help clinicians adequately prepare in advance when dealing with such patients and optimize treatment decisions.
鉴于全球老年人口不断增加以及康复困难，髋部骨折将成为一项巨大挑战，也是全人类面临的一个关键健康问题。尽管在2019冠状病毒病（COVID-19）大流行期间人们居家时间增多，但髋部骨折并无缓解迹象。广泛研究表明，与未感染COVID-19的患者相比，髋部骨折合并COVID-19的患者死亡率成倍增加，临床情况也更为复杂。目前，尚无详细研究系统分析这两种情况之间的关系并提出全面解决方案。本文旨在系统综述COVID-19对髋部骨折的影响并提供实用建议。我们发现，合并COVID-19的髋部骨折患者死亡率更高，临床结局更复杂。COVID-19间接导致髋部骨折患者无法接受常规治疗。针对我们遇到的问题，我们根据现有研究证据提供临床建议，并给出COVID-19检测呈阳性的髋部骨折患者管理的临床流程图。我们的研究将帮助临床医生在处理此类患者时提前做好充分准备，并优化治疗决策。
