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老年股骨近端骨折的最新进展。

Geriatric proximal femur fracture updates.

作者信息

Giordano Vincenzo, Woolley Pierre Marie, Heetveld Martin J, Smith Carla S, de Ridder Victor

机构信息

Serviço de Ortopedia e Traumatologia, Prof. Nova Monteiro-Hospital Municipal Miguel Couto, Rio de Janeiro, Brazil.

Clínica São Vicente-Rede D'or São Luiz, Rio de Janeiro, Brazil.

出版信息

OTA Int. 2024 May 3;7(3 Suppl):e323. doi: 10.1097/OI9.0000000000000323. eCollection 2024 May.

DOI:10.1097/OI9.0000000000000323
PMID:38708041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11064807/
Abstract

Proximal femur fractures in the aging population present a variety of challenges. Physiologically, patients incurring this fracture are typically frail, with significant medical comorbidities, yet require early surgical treatment to restore mobility to prevent deterioration. Socioeconomically, the occurrence of a fragility fracture may be the beginning of the loss of independence, and the burdens of rehabilitation and support are borne by the individual patient and health care systems.

摘要

老年人群的股骨近端骨折带来了一系列挑战。从生理角度来看，发生这种骨折的患者通常身体虚弱，伴有多种严重的内科合并症，但仍需要早期手术治疗以恢复活动能力，防止病情恶化。从社会经济角度来看，脆性骨折的发生可能是失去独立生活能力的开端，康复和护理的负担由患者个人和医疗保健系统共同承担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f8d/11064807/caea959b5b90/oi9-7-e323-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f8d/11064807/929356e7daec/oi9-7-e323-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f8d/11064807/9d68e7af2eef/oi9-7-e323-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f8d/11064807/cb6e2d49ac85/oi9-7-e323-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f8d/11064807/324c0429d2ce/oi9-7-e323-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f8d/11064807/27bcda39179d/oi9-7-e323-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f8d/11064807/caea959b5b90/oi9-7-e323-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f8d/11064807/929356e7daec/oi9-7-e323-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f8d/11064807/9d68e7af2eef/oi9-7-e323-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f8d/11064807/cb6e2d49ac85/oi9-7-e323-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f8d/11064807/324c0429d2ce/oi9-7-e323-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f8d/11064807/27bcda39179d/oi9-7-e323-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f8d/11064807/caea959b5b90/oi9-7-e323-g006.jpg

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本文引用的文献

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Venous Thromboembolism Prophylaxis in Major Orthopedic Surgeries and Factor XIa Inhibitors.骨科大手术与因子 XIa 抑制剂预防静脉血栓栓塞症
Med Sci (Basel). 2023 Aug 11;11(3):49. doi: 10.3390/medsci11030049.
2
Outcomes After Revision Fixation With Cement Augmentation for Failed Intertrochanteric Fracture Fixation in Older Adult Patients.老年患者粗隆间骨折内固定失败后采用骨水泥强化翻修固定的疗效
Geriatr Orthop Surg Rehabil. 2022 Oct 25;13:21514593221135480. doi: 10.1177/21514593221135480. eCollection 2022.
3
Proximal Femoral Fractures in the Elderly: A Few Things to Know, and Some to Forget.
老年人股骨近端骨折：一些需要知道的，和一些需要忘记的。
Medicina (Kaunas). 2022 Sep 20;58(10):1314. doi: 10.3390/medicina58101314.
4
Arthroplasties for hip fracture in adults.成人髋部骨折的关节成形术。
Cochrane Database Syst Rev. 2022 Feb 14;2(2):CD013410. doi: 10.1002/14651858.CD013410.pub2.
5
Management of proximal femur fractures in the elderly: current concepts and treatment options.老年人股骨近端骨折的治疗：当前的概念和治疗选择。
Eur J Med Res. 2021 Aug 4;26(1):86. doi: 10.1186/s40001-021-00556-0.
6
Cement augmentation for trochanteric femur fractures: A meta-analysis of randomized clinical trials and observational studies.转子间股骨骨折的骨水泥强化治疗：随机临床试验和观察性研究的荟萃分析。
PLoS One. 2021 Jun 15;16(6):e0251894. doi: 10.1371/journal.pone.0251894. eCollection 2021.
7
Geriatric fracture centre vs usual care after proximal femur fracture in older patients: what are the benefits? Results of a large international prospective multicentre study.老年髋部骨折患者在骨科骨折中心与常规治疗后：有哪些获益？一项大型国际前瞻性多中心研究的结果。
BMJ Open. 2021 May 10;11(5):e039960. doi: 10.1136/bmjopen-2020-039960.
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Undernutrition, Sarcopenia, and Frailty in Fragility Hip Fracture: Advanced Strategies for Improving Clinical Outcomes.衰弱性髋部骨折患者的营养不良、肌肉减少症和衰弱：改善临床结局的先进策略。
Nutrients. 2020 Dec 4;12(12):3743. doi: 10.3390/nu12123743.
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