Lee Christopher, Kates Stephen L, Graves Matthew L, Jeray Kyle J, Javedan Houman, Firoozabadi Reza, Schemitsch Emil
Department of Orthopaedic Surgery, University of California Los Angeles, Los Angeles, CA.
Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA.
OTA Int. 2024 Mar 11;7(2 Suppl):e327. doi: 10.1097/OI9.0000000000000327. eCollection 2024 Mar.
Geriatric trauma continues to rise, corresponding with the continuing growth of the older population. These fractures continue to expand, demonstrated by the incidence of hip fractures having grown to 1.5 million adults worldwide per year. This patient population and their associated fracture patterns present unique challenges to the surgeon, as well as having a profound economic impact on the health care system. Pharmacologic treatment has focused on prevention, with aging adults having impaired fracture healing in addition to diminished bone mineral density. Intraoperatively, novel ideas to assess fracture reduction to facilitate decreased fracture collapse have recently been explored. Postoperatively, pharmacologic avenues have focused on future fracture prevention, while shared care models between geriatrics and orthopaedics have shown promise regarding decreasing mortality and length of stay. As geriatric trauma continues to grow, it is imperative that we look to optimize all phases of care, from preoperative to postoperative.
老年创伤持续增加，这与老年人口的持续增长相对应。这些骨折的发生率持续上升，例如髋部骨折的发生率已增长到全球每年150万成年人，这表明了此类骨折情况在不断扩大。这类患者群体及其相关的骨折类型给外科医生带来了独特的挑战，同时也对医疗保健系统产生了深远的经济影响。药物治疗主要集中在预防方面，因为老年人除了骨矿物质密度降低外，骨折愈合能力也受损。术中，最近探索了评估骨折复位以促进减少骨折塌陷的新方法。术后，药物治疗途径主要关注未来骨折的预防，而老年医学和骨科之间的共享护理模式在降低死亡率和缩短住院时间方面已显示出前景。随着老年创伤的持续增加，我们必须优化从术前到术后的所有护理阶段。
