Pass B, Schoeneberg C
Klinik für Orthopädie und Unfallchirurgie, Alfried Krupp Krankenhaus, Hellweg 100, 45276, Essen, Deutschland.
Z Gerontol Geriatr. 2024 Jul;57(4):321-329. doi: 10.1007/s00391-024-02314-3. Epub 2024 Jun 4.
The numbers of osteoporotic fractures will increase due to the demographic change, which particularly affects the proximal femur, pelvis, proximal humerus, wrist and vertebral column. Surgical treatment is superior to conservative treatment of proximal femoral fractures. Non-dislocated fractures of the wrist can also be treated with a plaster cast but studies suggest that the results in the first 12 months are better after surgical treatment. The situation is similar for fractures of the proximal humerus and non-dislocated fractures in particular can also be treated conservatively. A score and classification were recently developed for making decisions on the treatment of osteoporotic vertebral fractures. Fractures of the anterior and posterior pelvic ring can be treated conservatively with the patient under sufficient analgesia as long as there is no substantial dislocation. The highest priority in geriatric traumatology is fast remobilization.
由于人口结构变化，骨质疏松性骨折的数量将会增加，这尤其影响股骨近端、骨盆、肱骨近端、手腕和脊柱。手术治疗优于股骨近端骨折的保守治疗。手腕的无移位骨折也可用石膏固定，但研究表明，手术治疗后前12个月的效果更好。肱骨近端骨折的情况类似，尤其是无移位骨折也可采用保守治疗。最近开发了一种评分和分类方法，用于决定骨质疏松性椎体骨折的治疗方案。只要没有明显脱位，骨盆前后环骨折在患者有足够镇痛的情况下可采用保守治疗。老年创伤学的首要任务是快速恢复活动能力。
