Queen Elizabeth University Hospital, Glasgow, UK.
University of British Columbia, Vancouver, Canada.
Bone Joint J. 2024 Dec 1;106-B(12):1372-1376. doi: 10.1302/0301-620X.106B12.BJJ-2024-0338.
Hip fractures pose a major global health challenge, leading to high rates of morbidity and mortality, particularly among the elderly. With an ageing population, the incidence of these injuries is rising, exerting significant pressure on healthcare systems worldwide. Despite substantial research aimed at establishing best practice, several key areas remain the subject of ongoing debate. This article examines the latest evidence on the place of arthroplasty in the surgical treatment of hip fractures, with a particular focus on the choice of implant, the use of cemented versus uncemented fixation, and advances in perioperative care.
髋部骨折是一个全球性的健康挑战，会导致高发病率和死亡率，尤其是在老年人中。随着人口老龄化，这些损伤的发生率正在上升，给全球的医疗保健系统带来了巨大的压力。尽管有大量的研究旨在确立最佳实践，但仍有几个关键领域是持续争论的主题。本文探讨了关节置换术在髋部骨折手术治疗中的最新证据，特别关注植入物的选择、骨水泥固定与非骨水泥固定的使用以及围手术期护理的进展。
