Division of Hospital Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
Division of Hospital Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
Med Clin North Am. 2024 Nov;108(6):1155-1169. doi: 10.1016/j.mcna.2024.04.004. Epub 2024 Aug 1.
Hip fractures are a frequent cause of hospitalization in the elderly population and can lead to significant morbidity and mortality. As the population continues to age, the incidence of hip fractures is expected to increase. The internist/hospitalist plays a critical role in the care of this population as many patients have multiple medical comorbidities. Management of the fragility hip fracture patient requires knowledge of several perioperative topics including preoperative risk assessment, risk reduction strategies, the optimal timing of surgical repair, venous thromboembolism prevention, and postoperative care considerations such as early mobilization with physical therapy, and osteoporosis treatment.
髋部骨折是老年人住院的常见原因，可导致严重的发病率和死亡率。随着人口老龄化，髋部骨折的发病率预计将会增加。内科医生/医院医生在该人群的护理中起着至关重要的作用，因为许多患者有多种合并症。脆性髋部骨折患者的管理需要了解几个围手术期的主题，包括术前风险评估、风险降低策略、手术修复的最佳时机、静脉血栓栓塞预防以及术后护理考虑因素，如早期与物理治疗的活动以及骨质疏松症的治疗。
